HomeMy WebLinkAboutBRIGHTLIFE DESIGNS, LLC (4)iNSURANCE ON FILE
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MAYOR � l� 1 Q� u Z02A
Valerie Amezcua
MAYOR PRO TEM CITY CLERK
Thai Viet Phan DATE: SEP 2 4 2024
COUNCILMEMBERS
Phil Bacerra
Johnathan Ryan Hernandez
Jessie Lopez
David Penaloza
Benjamin Vazquez
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CITY OF SANTA ANA
COMMUNITY DEVELOPMENT AGENCY
20 Civic Center Plaza . P.O. Box 1988
Santa Ana, California 92702
wvvw.santa-ana.orq
September 12, 2024
BrightLife Designs, LLC
Attn: Joe Castro, Owner/Designer/Legal Compliance
16351 Gothard St., Ste. C
Huntington Beach, CA 92647
Re: American Rescue Plan Act Compliance
Dear Mr. Castro:
A-2024-124-01
CITY MANAGER
Alvaro Nunez
CITY ATTORNEY
Sonia R. Carvalho
CITY CLERK
Jennifer L. Hall
The City of Santa Ana ("City") entered into Agreement No. A-2024-124, dated August 20, 2024
with BrightLife Designs, LLC ("Contractor") to install, remove, and store holiday decorations for
several areas in the City of Santa Ana ("Services"). Pursuant to section 2, Compensation, of said
Agreement, the City shall provide funding to Contractor for the Services. Please be advised that
going forward, the City will be using funds made available to it by the American Rescue Plan Act
of 2021 ("ARPA") to pay all or a portion of this compensation, and that Contractor will be
responsible for abiding by the rules and regulations associated with said funding.
ARPA was signed into law in March 2021. ARPA authorizes the United States Department of
Treasury ("Treasury") to provide funding for a number of different programs, including the
Coronavirus State Fiscal Recovery Fund and the Coronavirus Local Fiscal Recovery Fund,
together known as the Coronavirus State and Local Fiscal Recovery Funds ("CSLFRF"), to
provide monetary support ,to local governments to respond to, mitigate, and recover from the
COVID-19 public health emergency. The City has determined that this Agreement is a permissible
use of CSLFRF funds.
As applicable, Contractor shall comply with all federal requirements including, but not limited to,
the following:
Sections 602 and 603 of the Social Security Act as added by Section 9901 of ARPA;
b. Treasury Final Rule for ARPA, available at
https://www.govinfo.gov/content/pkg/FR-2022-01-27/pdf/2022-00292.pdf;
SANTA ANA CITY COUNCIL
Valerie Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hemandez David Penaloza
Mayor Mayor Pro Tern, Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6
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C. Treasury Compliance and Reporting Guidance for ARPA, available at
https:Hhome,treasury.gov/system/files/ 136/SLFRF-Compliance-and-Reporting-
Guidance.pdf;
d. 2 C.F.R. Part 200 — Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards, other than such provisions as the Treasury
may determine are inapplicable to the CSLFRF program and subject to such
exceptions as may be otherwise provided by the Treasury;
Treasury Coronavirus Local Fiscal Recovery Fund Award Terms and Conditions,
available at
https://home.treasury.gov/system/files/i 36/NEU_Award—Tenms—andConditions.
pdf, and
Federal Regulations and Federal Contract Provisions provided in RFP 24-023A,
attached hereto as Exhibit "A" and "B" and incorporated herein by reference.
All other terms and conditions of said Agreement remain unchanged and in full force and effect.
Please sign below and return to the City to acknowledge Contractor's understanding of the City's
use of CSLFRF funds to pay for the Services pursuant to the Agreement, and to confirm that
Contractor will comply with all requirements and regulations associated with said funds.
Sincerely,
7W(
Mike Garcia
Executive Director
Community Development Agency
CITY F SANTA
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A varo Nunez
City Manager
APPROVED AS TO FORM:
Sonia R. Carvalho
City Attorney
Andrea Garcia -Miller
Assistant City Attorney
CONTRACTOR
I r
mJ, -
Joe Castro
Owner/Designer/Legal Compliance
ATTEST:
Jennifer
all
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er
SANTA ANA CITY COUNCIL
Valerie Amezcua
Thai Viet Phan
Benjamin Vazquez
Jessie Lopez Phil Bacerra
Johnathan Ryan Hernandez David Penaloza
Mayor
Mayor Pm Tem, Ward 1
Ward 2
Ward 3 Ward 4
Word 5 Ward 5
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dvazquezasania-ane.ore
iessielnpe Asanla-ana-.org vdacerraasanla-ana org
irvanhemandezCdlsania-aria oro dnenafozwasanta-ana ore
Treasury Compliance and Reporting Guidance for ARPA, available at
https://home.treasury.gov/system/files/I 36/SLFRF-Compliance-and-Reporting-
Guidance.pdf;
d. 2 C.F.R. Part 200 — Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards, other than such provisions as the Treasury
may determine are inapplicable to the CSLFRF program and subject to such
exceptions as may be otherwise provided by the Treasury;
C. Treasury Coronavirus Local Fiscal Recovery Fund Award Terms and Conditions,
available at
https://home.treasury. gov/system/files/ 136/NEU—Award_Terms—and—Conditions.
pdf; and
f. Federal Regulations and Federal Contract Provisions provided in RFP 24-023A,
attached hereto as Exhibit "A" and "B" and incorporated herein by reference.
All other terms and conditions of said Agreement remain unchanged and in full force and effect.
Please sign below and return to the City to acknowledge Contractor's understanding of the City's
use of CSLFRF funds to pay for the Services pursuant to the Agreement, and to confirm that
Contractor will comply with all requirements and regulations associated with said funds.
Sincerely,
Mike Garcia
Executive Director
Community Development Agency
CITY OF SANTA ANA
Alvaro Nunez
City Manager
APPROVED AS TO FORM:
Sonia R. Carvalho
City Attorney
l
�c4L —
Andrea Garcia -Miller
CONTRACTOR
J e Castro
Owner/Designer/Legal Compliance
ATTEST:
Jennifer L. Hall
Assistant City Attorney
City Clerk
SANTA ANA CITY COUNCIL
Valerie Amezma Thai Viet Phan Benjamin Vazquez
Jessie Lopez Phil Bacerra
Johnathan Ryan Hemandez
David Penafoza
Mayor Mayor Pro Tem. Ward 1 Ward 2
Ward 3 Ward 4
Ward 5
Ward 6
vamezcua sanla-ana.a tohan@santa-ana,ora bvazouez(Za santa-ana.cro
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(a
CITY OF SANTA ANA
EXHIBITA
FEDERAL REGULATIONS
Federal Regulations — Recipient must comply with the government cost principles, uniform administrative
requirements and audit requirements for federal grant program housed within Title 2, Part 200 of the
Code of Federal Regulations.
b. Debarment and Suspension — As required by Executive Orders 12549 and 12689, and 2
CFR §200.212 and codified in 2 CFR Part 200, Recipient must provide protection against waste, fraud,
and abuse by debarring or suspending those persons deemed irresponsible in their dealings with the
Federal government.
C. Audit Records - With respect to all matters covered by this agreement all records shall be
made available for audit and inspection by CITY, the grant agency and/or their duly authorized
representatives for a period of three (3) years from the date of submission of the final expenditure report
by the City of Santa Ana. For a period of three years after final delivery hereunder or until all claims
related to this Agreement are finally settled, whichever is later, Recipient shall preserve and maintain all
documents, papers and records relevant to the services provided in accordance with this Agreement,
including the Attachments hereto. For the same time period, Recipient shall make said documents,
papers and records available to City and the agency from which City received grant funds or their duly
authorized representative(s), for examination, copying, or mechanical reproduction on or off the premises
of Recipient, upon request during usual working hours.
d. Reports - Recipient shall provide to City all records and information requested by City for
inclusion in quarterly reports and such other reports or records as City may be required to provide to the
agency from which City received grant funds or other persons or agencies.
e. Section _504 of the Rehabilitation Act of 1973 (Handicapped) - All recipients of federal
funds must comply with Section 504 of the Rehabilitation Act of 1973 (The Act). Therefore, the federal
funds recipient pursuant to the requirements of The Act hereby gives assurance that no otherwise
qualified handicapped person shall, solely by reason of handicap be excluded from the participation in,
be denied the benefits of or be subject to discrimination, including discrimination in employment, in any
program or activity that receives or benefits from federal financial assistance. The Recipient agrees it will
ensure that requirements of The Act shall be included in the agreements with and be binding on all of its
contractors, subcontractors, assignees or successors.
f. Americans with Disabilities Act of 1990 - (ADA) Recipient must comply with all
requirements of the Americans with Disabilities Act of 1990 (ADA), as applicable.
g. Political Activity - None of the funds, materials, property, or services provided directly or
indirectly under this agreement shall be used for any partisan political activity, or to further the election
or defeat of any candidate for public office, or otherwise in violation of the provisions of the "Hatch Act".
h. No Lobbying_- Recipient will comply with all applicable lobbying prohibitions and laws,
including those found in the Byrd Anti -Lobbying Amendment (31 U.S.C. 1352, et seq.), and agrees that
none of the funds provided Under this award may be expended by the Recipient to pay any person to
influence, or attempt to influence an officer or employee of any agency, a Member of Congress, an officer
City of Santa Ana RFP No, 24-023A Page 27 of 54
(9)
CITY OF SANTA ANA
or employee of Congress, or an employee of a Member of Congress in connection with any federal action
concerning the award or renewal of any federal contract, grant, loan, or cooperative agreement.
i. Non -Discrimination and Equal Opportunit - Recipient will comply, and all its contractors
(or subrecipients) will comply, with Title VI of the Civil Rights Act of 1964, as amended; Section 504 of
the Rehabilitation Act of 1964, as amended; Subtitle A, Title II of the Americans with Disabilities Act (ADA)
(1990); Title IX of the Education Amendments of 1972; the Age Discrimination Act of 1975, as amended;
Drug Abuse Office and Treatment Act of 1972, as amended; Comprehensive Alcohol Abuse and
Alcoholism Prevention, Treatment and Rehabilitation Act of 1970, as amended; Section 523 and 527 of
the Public Health Service Act of 1912, as amended; Title VI I I of the Civil Rights Act of 1968, as amended;
Department of Justice Non -Discrimination Regulations, 28 CFR Part 42, Subparts C, D, E, and G; and
Department of Justice regulations on disability discrimination, 28 CFR Part 35 and 39. In the event a
Federal or State court, Federal or State administrative agency, or the Recipient makes a finding of
discrimination after a due process hearing on the grounds of race, color, religion, national origin, sex, or
disability against a recipient of funds, the Recipient will forward a copy of the findings to CITY which will,
in turn, submit the findings to the Office of Civil Rights, Office of Justice Programs, U.S. Department of
Justice. If applicable, recipient will comply with the equal opportunity clause in 41 C.F.R. 60-1.4(b) in
accordance with Executive Order 11246 as amended by Executive Order No. 11375.
j. E ual Em to ment Opportunity - Recipient will comply, and all its contractors (or
subrecipients) will comply, with all requirements of the Executive Order 11246 of September 24, 1965,
entitled "Equal Employment Opportunity," as amended by Executive Order 11375 of October 13, 1967,
and as supplemented in Department of Labor regulations (41 CFR chapter 60), as applicable.
k. Public Contracts Code - Recipient will comply, and all its contractors (or subrecipients) will
comply, with all requirements of the California Public Contract Code Section 10295.3, as applicable.
I. Copeland Anti -Kickback Act - Recipient will comply, and all its contractors and
subcontractors (or subrecipients) shall comply, with all requirements of the Copeland "Anti -Kickback"
Act (30 U.S.C. 3145) as supplemented in Department of Labor regulations (29 CFR Part 3), as
applicable.
(1) Contractor — Contractors shall comply with 18 U.S.C. § 874, 40 U.S.C. § 3145, and the
requirements of 29 C.F.R. pt. 3 as may be applicable, which are incorporated by reference into
this contract.
(2) Subcontracts — Contractor or subcontractor shall insert in any subcontracts the clause above
and such other clauses as FEMA may by appropriate instructions require, and also a clause
requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime
contractor shall be responsible for the compliance by any subcontractor or lower tier
subcontractor with all of these contract clauses.
(3) Breach — A breach of the contract clauses above may be grounds for termination of the contract,
and for debarment as a contractor and subcontractor as provided in 29 C.F.R. § 5.12.
M. Davis -Bacon Act - Recipient will comply, and all its contractors (or subrecipients) will
comply, with all requirements of the Davis -Bacon Act (40 U.S.C. 3141-3144 and 3146-3148) as
supplemented by Department of Labor regulations (29 CFR Part 5), as applicable.
City of Santa Ana RFP No. 24-023A Page 28 of 54
(9)
CITY OF SANTA ANA
Contractors are required to pay wages to laborers and mechanics at a rate no less than the prevailing
wages specified in a wage determination made by the Secretary of Labor.
Additionally, contractors are required to pay wages not less than once a week.
n. Work Hours and Safety - Recipient will comply, and all its contractors (or
subrecipients) will comply, with all requirements of Sections 103 and 107 of the Contract Work Hours
and Safety Standards Act (40 U.S.C. 3702 and 3704) as supplemented by Department of Labor
regulations (29 CFR Part 5), as applicable.
o. Clean Air Act - Recipient will comply, and all its contractors (or subrecipients) will
comply, with all applicable standards, orders or requirements issued under the Clean Air Act (42 U.S.C.
7401-7671q), and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as applicable.
P. Energy and Conservation - Recipient will comply, and all its contractors (or subrecipients)
will comply, with all requirements of the Energy Policy and Conservation Act (42 U.S.C. 6201), as
applicable.
q. Waste Disposal - Recipient will comply, and all its contractors (or subrecipients) will
comply, with all requirements of Section 6002 of the Solid Waste Disposal Act, as amended by the
Resource Conservation and Recovery Act, as applicable.
r. Patent Rights - Recipient agrees that the Department of Homeland Security shall have
the authority to seek patent rights for any process, product, invention or discovery developed and paid
for with funding through this Agreement based on the requirements of 37 CFR§ 401 and any other
implementing regulations, as applicable.
S. Copyright - Recipient may copyright any books, publications or other copyrightable
materials developed in the course of or under this Agreement. However, the federal awarding agency,
State Administrative Agency (SAA) and City reserve a royalty -free, non-exclusive, and irrevocable license
to reproduce, publish or otherwise use, and to authorize others to use, for federal government, SAA
and/or City purpose:
(1) the copyright in any work developed through this Agreement; and
(2) any rights of copyright to which the subcontractor purchases ownership with support through
this grant. The Federal government's, SAA's and City's rights identified above must be
conveyed to the publisher and the language of the publisher's release form must ensure the
preservation of these rights.
t. Telecommunications (2 CFR 200,216) - Recipient will comply with FEMA Policy 405-143-
1, Prohibitions on Expending FEMA Award Funds on Covered Telecommunication Equipment or
Services (Interim), which prohibits grant recipients and subrecipients from obligating or expending loan
or grant funds to procure or obtain, extend or renew a contract to procure or obtain, or to enter into a
contract (or extend or renew a contract) to procure or obtain equipment, services, or systems that uses
covered telecommunications equipment or services as a substantial or essential component of any
system, or as critical technology as part of any system.
As described in Public Law 115-232, section 889, covered telecommunications equipment is:
City of Santa Ana RFP No. 24-023A Page 29 of 54
(9) CITY OF SANTA ANA
(1) Telecommunications equipment produced by Huawei Technologies Company or ZTE
Corporation (or any subsidiary or affiliate of such entities).
(2) For the purpose of public safety, security of government facilities, physical security
surveillance of critical infrastructure, and other national security purposes, video surveillance
and telecommunications equipment produced by Hytera Communications Corporation,
Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any
subsidiary or affiliate of such entities).
(3) Telecommunications or video surveillance services provided by such entities or using such
equipment.
(4) Telecommunications or video surveillance equipment or services produced or provided by an
entity that the Secretary of Defense, in consultation with the Director of the National
Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be
an entity owned or controlled by, or otherwise connected to, the government of a covered
foreign country.
U. Domestic preferences for procurements (2 CFR 200.322) - Recipient agrees that as
appropriate and to the extent consistent with law, it will, to the greatest extent practicable under a Federal
award, provide a preference for the purchase, acquisition, or use of goods, products, or materials
produced in the United States (including but not limited to iron, aluminum, steel, cement, and other
manufactured products). This requirement must be included in all subawards including all contracts and
purchase orders for work or products under this award. For purposes of this provision: "produced in the
United States" means, for iron and steel products, that all manufacturing processes, from the initial
melting stage through the application of coatings, occurred in the United States; and "manufactured
products" means items and construction materials composed in whole or in part of non-ferrous metals
such as aluminum; plastics and polymer -based products such as polyvinyl chloride pipe; aggregates such
as concrete; glass, including optical fiber; and lumber.
V. Equal Employment in Construction Contracts - Pursuant to Equal Employment
Opportunity requirements of 41 C.F.R. 60-1.4(b) in accordance with Executive Order 11246 as amended
by Executive Order No. 11375, as to any construction contract thereunder, if applicable, during the
performance of this contract, the contractor agrees as follows:
(1) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, sexual orientation, gender identity, or national origin. The
contractor will take affirmative action to ensure that applicants are employed, and that
employees are treated during employment without regard to their race, color, religion, sex,
sexual orientation, gender identity, or national origin. Such action shall include, but not be
limited to the following:
Employment, upgrading, demotion, or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensation;
and selection for training, including apprenticeship. The contractor agrees to
post in conspicuous places, available to employees and applicants for
employment, notices to be provided setting forth the provisions of this
nondiscrimination clause.
City of Santa Ana RFP No. 24-023A Page 30 of 54
(9)
CITY OF SANTA ANA
(2) The contractor will, in all solicitations or advertisements for employees placed by or on behalf
of the contractor, state that all qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation, gender identity, or national
origin.
(3) The contractor will not discharge or in any other manner discriminate against any employee
or applicant for employment because such employee or applicant has inquired about,
discussed, or disclosed the compensation of the employee or applicant or another employee
or applicant. This provision shall not apply to instances in which an employee who has access
to the compensation information of other employees or applicants as a part of such
employee's essential job functions discloses the compensation of such other employees or
applicants to individuals who do not otherwise have access to such information, unless such
disclosure is in response to a formal complaint or charge, in furtherance of an investigation,
proceeding, hearing, or action, including an investigation conducted by the employer, or is
consistent with the contractor's legal duty to furnish information.
(4) The contractor will send to each labor union or representative of workers with which he has a
collective bargaining agreement or other contract or understanding, a notice to be provided
advising the said labor union or workers' representatives of the contractor's commitments
under this section, and shall post copies of the notice in conspicuous places available to
employees and applicants for employment.
(5) The contractor will comply with all provisions of Executive Order 11246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
(6) The contractor will furnish all information and reports required by Executive Order 11246 of
September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his books, records, and accounts by the
administering agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders.
(7) In the event of the contractor's noncompliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, this contract may be canceled,
terminated, or suspended in whole or in part and the contractor may be declared ineligible for
further Government contracts or federally assisted construction contracts in accordance with
procedures authorized in Executive Order 11246 of September 24, 1965, and such other
sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of
September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise
provided by law.
(8) The contractor will include the portion of the sentence immediately preceding paragraph (1)
and the provisions of paragraphs (1) through (8) in every subcontract or purchase order unless
exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section
204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding
upon each subcontractor or vendor. The contractor will take such action with respect to any
subcontract or purchase order as the administering agency may direct as a means of
enforcing such provisions, including sanctions for noncompliance.
FOR PROPOSERS' REFERENCE ONLY
City of Santa Ana RFP No. 24-023A Page 31 of 54
EXHIBIT B
FEDERAL CONTRACT PROVISIONS (ARPA)
During the performance of this Agreement, Consultant shall comply with all applicable federal
laws and regulations including, but not limited to, the federal contract provisions in this Exhibit C.
1. REQUIRED CONTRACT PROVISIONS IN ACCORDANCE WITH APPENDIX II
TO PART 200 — CONTRACT PROVISIONS FOR NON-FEDERAL ENTITY
CONTRACTS UNDER FEDERAL AWARDS (2 C.F.R. § 200.327)
(a) Appendix II to Part 200 (A); Appendix II to Part 200 (B): Remedies for Breach;
Termination for Cause/Convenience. The Contract Documents include remedies for breach and
termination for cause and convenience.
(b) Appendix II to Part 200 (C) — Equal Employment Opportunity: If this Agreement
meets the definition of a "federal assisted construction contract" in 41 CFR § 60-1.3, Consultant
agrees as follows during the performance of this Agreement:
(i) The Consultant will not discriminate against any employee or applicant for
employment because of race, color, religion, sex, sexual orientation, gender identity, or national
origin. The Consultant will take affirmative action to ensure that applicants are employed, and that
employees are treated during employment without regard to their race, color, religion, sex, sexual
orientation, gender identity, or national origin. Such action shall include, but not be limited to the
following: Employment, upgrading, demotion, or transfer; recruitment or recruitment advertising;
layoff or termination; rates of pay or other forms of compensation; and selection for training,
including apprenticeship. The Consultant agrees to post in conspicuous places, available to
employees and applicants for employment, notices to be provided setting forth the provisions of
this nondiscrimination clause.
(ii) The Consultant will, in all solicitations or advertisements for employees
placed by or on behalf of the Consultant, state that all qualified applicants will receive
consideration for employment without regard to race, color, religion, sex, sexual orientation,
gender identity, or national origin.
(iii) The Consultant will not discharge or in any other manner discriminate
against any employee or applicant for employment because such employee or applicant has
inquired about, discussed, or disclosed the compensation of the employee or applicant or another
employee or applicant. This provision shall not apply to instances in which an employee who has
access to the compensation information of other employees or applicants as a part of such
employee's essential job functions discloses the compensation of such other employees or
applicants to individuals who do not otherwise have access to such information, unless such
disclosure is in response to a formal complaint or charge, in furtherance of an investigation,
proceeding, hearing, or action, including an investigation conducted by the employer, or is
consistent with the Consultant's legal duty to furnish information.
(iv) The Consultant will send to each labor union or representative of workers
with which he has a collective bargaining agreement or other contract or understanding, a notice
to be provided advising the said labor union or workers' representatives of the Consultant's
commitments under this section, and shall post copies of the notice in conspicuous places available
to employees and applicants for employment.
City of Santa Ana RFP No. 24-023A Page 32 of 54
(v) The Consultant will comply with all provisions of Executive Order 11246
of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
(vi) The Consultant will furnish all information and reports required by
Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the
Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts
by the administering agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders.
(vii) In the event of the Consultant's noncompliance with the nondiscrimination
clauses of this Agreement or with any of the said rules, regulations, or orders, this Agreement may
be canceled, terminated, or suspended in whole or in part and the Consultant may be declared
ineligible for further Government contracts or federally assisted construction contracts in
accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such
other sanctions may be imposed and remedies involved as provided in Executive Order 11246 of
September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise
provided by law.
(viii) The Consultant will include the portion of the sentence immediately
preceding paragraph (i) and the provisions of paragraphs (i) through (vii) in every subcontract or
purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued
pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions
will be binding upon each subcontractor or vendor. The Consultant will take such action with
respect to any subcontract or purchase order as the administering agency may direct as a means of
enforcing such provisions, including sanctions for noncompliance:
Provided, however, that in the event the Consultant becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction by the administering agency,
the Consultant may request the United States to enter into such litigation to protect the interests of
the United States.
The City further agrees that it will be bound by the above equal opportunity clause with respect to
its own employment practices when it participates in federally assisted construction work:
Provided, That if the City so participating is a State or local government, the above equal
opportunity clause is not applicable to any agency, instrumentality or subdivision of such
government which does not participate in work on or under the Agreement.
The City agrees that it will assist and cooperate actively with the administering agency and the
Secretary of Labor in obtaining the compliance of the Consultant and subcontractors with the equal
opportunity clause and the rules, regulations, and relevant orders of the Secretary of Labor, that it
will furnish the administering agency and the Secretary of Labor such information as they may
require for the supervision of such compliance, and that it will otherwise assist the administering
agency in the discharge of the agency's primary responsibility for securing compliance.
The City further agrees that it will refrain from entering into any contract or contract modification
subject to Executive Order 11246 of September 24, 1965, with a contractor debarred from, or who
has not demonstrated eligibility for, Government contracts and federally assisted construction
contracts pursuant to the Executive Order and will carry out such sanctions and penalties for
City of Santa Ana RFP No. 24-023A Page 33 of 54
violation of the equal opportunity clause as may be imposed upon contractors and subcontractors
by the administering agency or the Secretary of Labor pursuant to Part II, Subpart D of the
Executive Order. In addition, the City agrees that if it fails or refuses to comply with these
undertakings, the administering agency may take any or all of the following actions: cancel,
terminate, or suspend in whole or in part the grant (contract, loan, insurance, guarantee) for this
project; refrain from extending any further assistance to the applicant under the program with
respect to which the failure or refund occurred until satisfactory assurance of future compliance
has been received from such applicant; and refer the case to the Department of Justice for
appropriate legal proceedings.
(c) Appendix II to Part 200 (D) — Davis -Bacon Act: Not applicable to this Agreement
since it is funded by CSLFRF.
(d) Appendix B to Part 200 (D) — Copeland "Antti-Kickback" Act: Not applicable to
this Agreement since it is funded by CSLFRF.
(e) Appendix II to Part 200 Q — Contract Work Hours and Safety Standards Act:
(i) Overtime Requirements. No contractor or subcontractor contracting for any
part of the contract work which may require or involve the employment of laborers or mechanics
shall require or permit any such laborer or mechanic in any workweek in which he or she is
employed on such work to work in excess of forty hours in such workweek unless such laborer or
mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay
for all hours worked in excess of forty hours in such workweek.
(ii) Violation; liability for unpaid wages; liquidated damages. In the event of
any violation of the clause set forth in paragraph (ii) of this section the Consultant and any
subcontractor responsible therefor shall be liable for the unpaid wages. In addition, such contractor
and subcontractor shall be liable to the United States (in the case of work done under contract for
the District of Columbia or a territory, to such District or to such territory), for liquidated damages.
Such liquidated damages shall be computed with respect to each individual laborer or mechanic,
including watchmen and guards, employed in violation of the clause set forth in paragraph (ii) of
this section, in the sum of $10 for each calendar day on which such individual was required or
permitted to work in excess of the standard workweek of forty hours without payment of the
overtime wages required by the clause set forth in paragraph (ii) of this section.
(iii) Withholding for unpaid wages and liquidated damages. The City shall upon
its own action or upon written request of an authorized representative of the Department of Labor
withhold or cause to be withheld, from any moneys payable on account of work performed by the
Consultant or subcontractor under any such contract or any other Federal contract with the
Consultant, or any other federally -assisted contract subject to the Contract Work Hours and Safety
Standards Act, which is held by the Consultant, such sums as may be determined to be necessary
to satisfy any liabilities of Consultant or subcontractor for unpaid wages and liquidated damages
as provided in the clause set forth in paragraph (iii) of this section.
(iv) Subcontracts. The Consultant or subcontractor shall insert in any
subcontracts the clauses set forth in paragraph (ii) through (v) of this Section and also a clause
requiring the subcontractors to include these clauses in any lower tier subcontracts. The Consultant
City of Santa Ana RFP No. 24-023A Page 34 of 54
shall be responsible for compliance by any subcontractor or lower tier subcontractor with the
clauses set forth in paragraphs (ii) through (v) of this Section.
(1) Appendix II to Part 200 (F) — Rights to Inventions Made Under a Contract or
Agreement: If the Federal award meets the definition of "funding agreement" under 37 CFR §
401.2 (a) and the Consultant wishes to enter into a contract with a small business firm or nonprofit
organization regarding the substitution of parties, assignment or performance of experimental,
developmental, or research work under that "funding agreement," the Consultant must comply
with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations
and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,"
and any implementing regulations issued by the awarding agency-
(g) Appendix II to Part 200 (G) — Clean Air Act and Federal Water Pollution Control
Act:
(i) Pursuant to the Clean Air Act, (1) Consultant agrees to comply with all
applicable standards, orders or regulations issued pursuant to the Clean Air Act, as amended, 42
U.S.C. § 7401 et seq., (2) Consultant agrees to report each violation to the City and understands
and agrees that the City will, in turn, report each violation as required to assure notification to the
Federal awarding agency and the appropriate Environmental Protection Agency Regional Office,
and (3) Consultant agrees to include these requirements in each subcontract exceeding $150,000.
(ii) Pursuant to the Federal Water Pollution Control Act, (1) Consultant agrees
to comply with all applicable standards, orders or regulations issued pursuant to the Federal Water
Pollution Control Act, as amended, 33 U.S.C. 1251 et seq., (2) Consultant agrees to report each
violation to the City and understands and agrees that the City will, in turn, report each violation as
required to assure notification to the Federal awarding agency and the appropriate Environmental
Protection Agency Regional Office, and (3) Consultant agrees to include these requirements in
each subcontract exceeding $150,000.
(h) Appendix It to Part 200 (H) — Debarment and Suspension:
(i) This Agreement is a covered transaction for purposes of 2 C.F.R. pt. 180
and 2 C.F.R. pt. 3000. As such Consultant is required to verify that none of the Consultant, its
principals (defined at 2 C.F.R. § 180.995), or its affiliates (defined at 2 C.P.R. § 180.905) are
excluded (defined at 2 C.F.R. § 180.940) or disqualified (defined at 2 C.F.R. § 180.935).
(ii) Consultant must comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt.
3000, subpart C and must include a requirement to comply with these regulations in any lower tier
covered transaction it enters into.
(iii) This certification is a material representation of fact relied upon by City. If
it is later determined that Consultant did not comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R.
pt. 3000, subpart C, in addition to remedies available to the City, the Federal Government may
pursue available remedies, including but not limited to suspension and/or debarment.
(iv) Consultant warrants that it is not debarred, suspended, or otherwise
excluded from or ineligible for participation in any federal programs. Consultant also agrees to
verify that all subcontractors performing work under this Agreement are not debarred, disqualified,
extyt� ryav�tsae,gghibited from participatioR* 8o�qd Awith the requirements abovcF Ja RUR
further agrees to notify the City in writing immediately if Consultant or its subcontractors are not
in compliance during the term of this Agreement.
(i) Appendix It to Part 200 (I) — Byrd Anti -Lobbying Act: Contractors that apply or
bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the
tier above that it will not and has not used Federal appropriated funds to pay any person or
organization for influencing or attempting to influence an officer or employee of any agency, a
member of Congress, officer or employee of Congress, or an employee of a member of Congress
in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C.
1352. Each tier must also disclose any lobbying with non -Federal funds that takes place in
connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up
to the recipient who in turn will forward the certification(s) to the awarding agency.
0) Appendix II to Part 200 (J) — 5200 323 Procurement of Recovered Materials:
(i) Consultant shall comply with section 6002 of the Solid Waste Disposal Act,
as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002
include procuring only items designated in guidelines of the Environmental Protection Agency
(EPA) at 40 C.F.R. part 247 that contain the highest percentage of recovered materials practicable,
consistent with maintaining a satisfactory level of competition, where the purchase price of the
item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year
exceeded $10,000; procuring solid waste management services in a manner that maximizes energy
and resource recovery; and establishing an affirmative procurement.
(ii) In the performance of this Agreement, the Consultant shall make maximum
use of products containing recovered materials that are EPA -designated items unless the product
cannot be acquired: competitively within a timeframe providing for compliance with the contract
performance schedule; meeting contract performance requirements; or at a reasonable price.
(iii) Information about this requirement, along with the list of EPA -designate
items, is available at EPA's Comprehensive Procurement Guidelines web site,
https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program.
(iv) The Consultant also agrees to comply with all other applicable requirements
of Section 6002 of the Solid Waste Disposal Act."
(k) Appendix II to Part 200 (K) — &200.2M Prohibition on Certain
Telecommunications and Video Surveillance Services or Equipment:
(i) Consultant shall not contract (or extend or renew a contract) to procure or
obtain equipment, services, or systems that uses covered telecommunications equipment or
services as a substantial or essential component of any system, or as critical technology as part of
any system funded under this Agreement. As described in Public Law 115-232, section 889,
covered telecommunications equipment is telecommunications equipment produced by Huawei
Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities).
(1) For the purpose of public safety, security of government facilities,
physical security surveillance of critical infrastructure, and other national security purposes, video
surveillance and telecommunications equipment produced by Hytera Communications
Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company
(or any subsidiary or affiliate of such entities
City of Santa Ana RFP o. 24-023A Page 36 of 54
(2) Telecommunications or video surveillance services provided by
such entities or using such equipment.
(3) Telecommunications or video surveillance equipment or services
produced or provided by an entity that the Secretary of Defense, in consultation with the Director
of the National Intelligence or the Director of the Federal Bureau of Investigation, reasonably
believes to be an entity owned or controlled by, or otherwise connected to, the government of a
covered foreign country.
(ii) See Public Law 115-232, section 889 for additional information.
(1) Appendix 1I to Part 200 (L) — §200.322 Domestic Preferences for Procurement:
(i) Consultant shall, to the greatest extent practicable, purchase, acquire, or use
goods, products, or materials produced in the United States (including but not limited to iron,
aluminum, steel, cement, and other manufactured products). The requirements of this section must
be included in all subcontracts.
(ii) For purposes of this section:
(1) "Produced in the United States" means, for iron and steel products,
that all manufacturing processes, from the initial melting stage through the application of coatings,
occurred in the United States.
(2) "Manufactured products" means items and construction materials
composed in whole or in part of nonferrous metals such as aluminum; plastics and polymer -based
products such as polyvinyl chloride pipe; aggregates such as concrete; glass, including optical
fiber; and lumber.
2. CONTRACTING WITH SMALL AND MINORITY FIRMS, WOMEN'S
BUSINESS ENTERPRISE AND LABOR SURPLUS AREA FIRMS (2 C.F.R. § 200.321)
(a) Consultant shall be subject to 2 C.F.R. § 200.321 and will take affirmative steps to
assure that minority firms, women's business enterprises, and labor surplus area firms are used
when possible and will not be discriminated against on the grounds of race, color, religious creed,
sex, or national origin in consideration for an award.
(b) Affirmative steps shall include:
(i) Placing qualified small and minority businesses and women's business
enterprises on solicitation lists;
(ii) Assuring that small and minority businesses, and women's business
enterprises are solicited whenever they are potential sources;
(iii) Dividing total requirements, when economically feasible, into smaller tasks
or quantities to permit maximum participation by small and minority business, and women's
business enterprises;
(iv) Establishing delivery schedules, where the requirement permits, which
encourage participation by small and minority business, and women's business enterprises; and
City of Santa Ana RFP No. 24-023A Page 37 of 54
(v) Using the services/assistance of the Small Business Administration (SBA),
and the Minority Business Development Agency (MBDA) of the Department of Commerce.
(c) Consultant shall submit evidence of compliance with the foregoing affirmative
steps when requested by the City.
3. COMPLIANCE WITH U.S. DEPARTMENT OF THE TREASURY
CORONAVIRUS LOCAL FISCAL RECOVERY FUND AWARD TERMS AND
CONDITIONS
(a) Maintenance of and Access to Records. Consultant shall maintain records and
financial documents sufficient to evidence compliance with section 603(c) of the Act, Treasury's
regulations implementing that section, and guidance issued by Treasury regarding the foregoing.
Consultant agrees to provide the City, Treasury Office of Inspector General and the Government
Accountability Office, or any of their authorized representatives access to any books, documents,
papers, and records (electronic an otherwise) of the Consultant which are directly pertinent to this
Agreement for the purposes of conducting audits or other investigations. Records shall be
maintained by Consultant for a period of five (5) years after completion of the Project.
(b) Compliance with Federal Regulations. Consultant agrees to comply with the
requirements of section 603 of the Act, regulations adopted by Treasury pursuant to section 603(f)
of the Act, and guidance issued by Treasury regarding the foregoing. Consultant also agrees to
comply with all other applicable federal statutes, regulations, and executive orders, including,
without limitation, the following:
(i) Universal Identifier and System for Award Management (SAM), 2 C.F.R.
Part 25, pursuant to which the award term set forth in Appendix A to 2 C.F.R. Part 25 is hereby
incorporated by reference.
(ii) Reporting Subaward and Executive Compensation Information, 2 C.F.R.
Part 170, pursuant to which the award term set forth in Appendix A to 2 C.F.R. Part 170 is hereby
incorporated by reference.
(iii) OMB Guidelines to Agencies on Governmentwide Debarment and
Suspension (Nonprocurement), 2 C.F.R. Part 180, including the requirement to include a term or
condition in all lower tier covered transactions (contracts and subcontracts described in 2 C.F.R.
Part 180, subpart B) that the award is subject to 2 C.F.R. Part 180 and Treasury's implementing
regulation at 31 C.F.R. Part 19.
(iv) Recipient Integrity and Performance Matters, pursuant to which the award
term set forth in 2 C.F.R. Part 200, Appendix XII to Part 200 is hereby incorporated by reference.
(v) Governmentwide Requirements for Drug -Free Workplace, 31 C.F.R. Part
(vi) New Restrictions on Lobbying, 31 C.F.R. Part 21.
(vii) Uniform Relocation Assistance and Real Property Acquisitions Act of 1970
(42 U.S.C. §§ 4601-4655) and implementing regulations.
City of Santa Ana RFP No. 24-023A Page 38 of 64
(c) Compliance with Federal Statutes and Regulations Prohibiting Discrimination
Consultant agrees to comply with statutes and regulations prohibiting discrimination applicable to
the CSLFRF program including, without limitation, the following:
(i) Title VI of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d et seq.) and
Treasury's implementing regulations at 31 C.F.R. Part 22, which prohibit discrimination on the
basis of race, color, or national origin under programs or activities receiving federal financial
assistance.
(ii) The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C.
§§ 3601 et seq.), which prohibits discrimination in housing on the basis of race, color, religion,
national origin, sex, familial status, or disability.
(iii) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §
794), which prohibits discrimination on the basis of disability under any program or activity
receiving federal financial assistance.
(iv) The Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101 et
seq.), and Treasury's implementing regulations at 3 t C.F.R. Part 23, which prohibit discrimination
on the basis of age in programs or activities receiving federal financial assistance.
(v) Title II of the Americans with Disabilities Act of 1990, as amended (42
U.S.C. §§ t2101 et seq.), which prohibits discrimination on the basis of disability under programs,
activities, and services provided or made available by state and local governments or
instrumentalities or agencies thereto.
(d) False Statements. Consultant understands that making false statements or claims
in connection with the CSLFRF program is a violation of federal law and may result in criminal,
civil, or administrative sanctions, including fines, imprisonment, civil damages and penalties,
debarment from participating in federal awards or contracts, and/or any other remedy available by
law.
(e) Protections for Whistleblowers.
(i) In accordance with 41 U.S.C. § 4712, Consultant may not discharge,
demote, or otherwise discriminate against an employee in reprisal for disclosing to any of the list
of persons or entities provided below, information that the employee reasonably believes is
evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an
abuse of authority relating to a federal contract or grant, a substantial and specific danger to public
health or safety, or a violation of law, rule, or regulation related to a federal contract (including the
competition for or negotiation of a contract) or grant.
(ii) The list of persons and entities referenced in the paragraph above includes
the following:
Congress;
(1) A member of Congress or a representative of a committee of
(2) An Inspector General;
(3) The Government Accountability Office;
City of Santa Ana RFP No. 24-023A Page 39 of 54
management;
enforcement agency;
(4) A Treasury employee responsible for contract or grant oversight or
(5) An authorized official of the Department of Justice or other law
(6) A court or grand jury; or
(7) A management official or other employee of Consultant, or a
subcontractor who has the responsibility to investigate, discover, or address misconduct.
(0 Increasing Seat Belt Use in the United States. Pursuant to Executive Order 13043,
62 FR 19217 (Apr. 18, 1997), Consultant is encouraged to adopt and enforce on-the-job seat belt
policies and programs for their employees when operating company -owned, rented or personally
owned vehicles, and encourage its subcontractors to do the same
(g) Reducing Text Messaging While Driving. Pursuant to Executive Order 13513, 74
FR 51225 (Oct. 6, 2009), Consultant should encourage its employees and subcontractors to adopt
and enforce policies that ban text messaging while driving, and Consultant should establish
workplace safety policies to decrease accidents caused by distracted drivers.
(h) Assurances of Compliance with Civil Rights Requirements. The Civil Rights
Restoration Act of 1987 provides that the provisions of this assurance apply to the Project,
including, but not limited to, the following:
(i) Consultant ensures its current and future compliance with Title VI of the
Civil Rights Act of 1964, as amended, which prohibits exclusion from participation, denial of the
benefits of, or subjection to discrimination under programs and activities receiving federal funds,
of any person in the United States on the ground of race, color, or national origin (42 U.S.C. §
2000d et seq.), as implemented by the Department of the Treasury Title VI regulations at 31 CFR
Part 22 and other pertinent executive orders such as Executive Order 13166; directives; circulars;
policies; memoranda and/or guidance documents.
(ii) Consultant acknowledges that Executive Order 13166, "Improving Access
to Services for Persons with Limited English Proficiency (LEP)," seeks to improve access to
federally assisted programs and activities for individuals who, because of national origin, are
limited in their English proficiency. Consultant understands that the denial of access to persons to
its programs, services and activities because of their limited proficiency in English is a form of
national origin discrimination prohibited under Title VI of the Civil Rights Act of 1964.
Accordingly, Consultant shall initiate reasonable steps, or comply with Treasury's directives, to
ensure meaningful access to its programs, services and activities to LEP persons. Consultant
understands and agrees that meaningful access may entail providing language assistance services,
including oral interpretation and written translation where necessary to ensure effective
communication in the Project.
(iii) Consultant agrees to consider the need for language services for LEP
persons during development of applicable budgets and when conducting programs, services and
activities. As a resource, the Department of the Treasury has published its LEP guidance at 70 FR
6067. For more information on LEP, please visit http://www.lep.gov.
City of Santa Ana RFP No. 24-023A Page 40 of 64
(iv) Consultant acknowledges and agrees that compliance with this assurance
constitutes a condition of continued receipt of federal financial assistance and is binding upon
Consultant and Consultant's successors, transferees and assignees for the period in which such
assistance is provided.
(v) Consultant agrees to incorporate the following language in every contract
or agreement subject to Title VI and its regulations between the Consultant and the Consultant's
subcontractors, successors, transferees and assignees:
The subcontractor, successor, transferee and assignee shall comply with Title VI of the
Civil Rights Act of 1964, which prohibits recipients of federal financial assistance from excluding
from a program or activity, denying benefits of, or otherwise discriminating against a person on
the basis of race, color, or national origin (42 U.S.C. § 2000d et seq.), as implemented by
Department of the Treasury Title VI regulations, 31 CFR Part 22, which are herein incorporated
by reference and made a part of this contract (or agreement). Title VI also extends protection to
persons with "Limited English proficiency" in any program or activity receivingfederal financial
assistance, 42 U.S.C. § 2000d et seq., as implemented by Department of the Treasury Title VI
regulations, 31 CFR Part 22, which are herein incorporated by reference and made a part of this
contract (or agreement).
(vi) Consultant understands and agrees that if any real property or structure is
provided or improved with the aid of federal financial assistance by the Department of the
Treasury, this assurance obligates the Consultant, or in the case of a subsequent transfer, the
transferee, for the period during which the real property or structure is used for a purpose for which
the federal financial assistance is extended or for another purpose involving the provision of
similar services or benefits. If any personal property is provided, this assurance obligates the
Consultant for the period during which it retains ownership or possession of the property.
(vii) Consultant shall cooperate in any enforcement or compliance review
activities by the Department of the Treasury of the aforementioned obligations. Enforcement may
include investigation, arbitration, mediation, litigation, and monitoring of any settlement
agreements that may result from these actions. Consultant shall comply with information requests,
on -site compliance reviews, and reporting requirements.
(viii) Consultant shall maintain a complaint log and inform the Department of the
Treasury of any accusations of discrimination on the grounds of race, color, or national origin, and
limited English proficiency covered by Title VI of the Civil Rights Act of 1964 and implementing
regulations and provide, upon request, a list of all such reviews or proceedings based on the
complaint, pending or completed, including outcome. Consultant must also inform the Department
of the Treasury if Consultant has received no complaints under Title VI.
(ix) Consultant must provide documentation of an administrative agency's or
court's findings of non-compliance of Title VI and efforts to address the non-compliance,
including any voluntary compliance or other agreements between the Consultant and the
administrative agency that made the finding. If the Consultant settles a case or matter alleging
such discrimination, Consultant must provide documentation of the settlement. If Consultant has
not been the subject of any court or administrative agency finding of discrimination, please so
state.
City of Santa Ana RFP No. 24-023A Page 41 of 54
W If Consultant makes sub -awards to other agencies or other entities,
Consultant is responsible for assuring that sub -recipients also comply with Title VI and all of the
applicable authorities covered in this assurance.
City of Santa Ana RFP No. 24-023A Page 42 of 54
® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM1DD)LYYYY)
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 CONTACT
132 Insurance Services NAME: Nic? Llorin
1426 Aviation Blvd, Suit 03 PHONE
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Redondo Beach, CA 9D A MAIL
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INSURERA: Mes .. CnaeMrit %a
INSURED INSURER8: Mrrcui,1Comercial UO 342
Brightlife Designs LLC
16351 Gothard St fiSUD:RER C C A itol IISte C eve vCu><tsdale Ins..:v�nce
Huntington BeachCA 26— I
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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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
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COMMERCIALGENERAL LIABILITY
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MP000401610085200
08/10/2024
08/10/2025
EACH OCCURRENCE
$ 1 0O0 000
PREMSESDEaoccu once
$ 100,000
MED EXP (Any one persar)
$ 5,000
PERSONAL & ADV INJURY
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AGGREGATE LIMIT APPLIES PER.
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BODILY INJURY (Per person)
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DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The city of Santa Ana, its officers, employees, agents and representatives are Additional Insureds with respect to General
Liability and Auto Liability per the attached endorsements or as required by written contract. Insurance is Primary and
Non -Contributory
L*L4Cf1112L411t1111=111iLvJA9JaN
SHOULD ANY OF THE ABOVE DESCRI
City of Santa Ana - Risk Management Division THE EXPIRATION DATE THEREOF, NO Risk MwagmentDWuLan
4th Floor ACCORDANCE WITH THE POLICY PRC nEmEwm & APPROVED BY:
20 Civic Center Plaza ^^ l
AUTHORIZED REPRESENTATIVE c r'I r Q c vd-
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O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by NLL on 08/29/2024 at 04:27PM
CONTRACTUAL LIABILITY AMENDMENT - (PERSONAL AND ADVERTISING INJURY)
If it is required in a written contract, written agreement or written permit with the fumed Insured that any
contractual liability exclusion for "personal and advertising injury' be removed from the policy, then
Paragraph 2. Exclusions e, Contractual Liability of SECTION I — COVERAGES - COVERAGE B -
PERSONAL AND ADVERTISING INJURY LIABILITY is deleted in its entirety and replaced with the
following:
e. Contractual Liability
"Personal and advertising Injury" for which the insured has assumed liability in a
contract or agreement arising out of an "advertisement." This exclusion does not
apply to liability for damages that the insured would have in the absence of the
contract or agreement.
BLANKET ADDITIONAL INSUREDS - AS REQUIRED BY CONTRACT
Subject to the Primary and Non -Contributory provision set forth in this endorsement, SECTION II - WHO
IS AN INSURED is amended to include as an additional insured any person or organization with whom
you have agreed in a written contract, written agreement or written permit to add as an additional insured
on your policy. Such person or organization is an additional insured only with respect to liability for "bodily
injury' or "property damage" or, to the extent applicable under the Coverage Part to which this
endorsement applies, "personal and advertising injury' caused, in whole or in part, by:
A. Your ongoing operations, "your product," or premises owned or used by you.
With respect to the insurance afforded to these additional insureds, the following additional
exclusion applies:
This insurance does not apply to "bodily injury', "property damage" or, to the extent
applicable under the Coverage Part to which this endorsement applies, "personal and
advertising injury' arising out of the rendering of, or the failure to render, any professional
architectural, engineering or surveying services by or for you, including:
1. The preparing, approving, or failing to prepare or approve, maps, shop
drawings, opinions, reports, surveys, field orders, change orders or drawings
and specifications; and
2. Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other
wrong -doing in the supervision, hiring, employment, training or monitoring of others by that
insured, if the "occurrence" which caused the "bodily injury' or "property damage", or, to the
extent applicable under the Coverage Part to which this endorsement applies, the offense
which caused the "personal and advertising injury," involved the rendering of, or failure to
render, any professional architectural, engineering or surveying services.
B. Your maintenance, operation or use of equipment, other than aircraft, "auto" or watercraft,
rented or leased to you by such person or organization. A person or organization's status as
an additional insured under this endorsement ends when their contract or agreement with
you for such rented or leased equipment ends.
With respect to the insurance afforded to these additional insureds, this insurance does not
apply to any "occurrence" which takes place after the rental agreement or equipment lease
expires.
C. Your lease of premises from any person or organization, but only with respect to liability
arising out of the ownership, maintenance or use of that part of the pre
This insurance does not apply to any "occurrence" which takes place E tIfeMAnogmtentDl skyn
REVIEWED & APPROVED Br.
a tenant of that premises.
MUS 0101 20156 0321 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
-ter Risk Management Specialist
Insured copy
D. Your ownership, maintenance or use of your premises but only with respect to the liability
of any person or organization as mortgagee, assignee or receiver.
This insurance does not apply to any "occurrence" which takes place after the mortgage is
satisfied, or the assignment or receivership ends.
E. Your operations performed by you or on your behalf for any state or governmental agency
or subdivision or political subdivision, but only with respect to that state or governmental
agency or subdivision or political subdivision for which a permit or authorization has been
issued.
The provisions of this coverage extension do not apply unless the written contract or written agreement
has been signed by the Named Insured, or the written permit issued, prior to the "bodily injury" or
"property damage" or, to the extent applicable under the Coverage Part to which this endorsement
applies, "personal and advertising injury."
DAMAGE TO PREMISES RENTED TO YOU
The Limit of Insurance for Damage To Premises Rented To You referenced in Paragraph 6 of SECTION III
is increased to $500,000.
PRIMARY AND NON-CONTRIBUTORY PROVISION
The following is added to Paragraph 4. Other Insurance, b. Excess Insurance under
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS:
With respect to any person or organization included as an additional insured under this policy, this
insurance shall be excess over any other insurance that person or organization has and such other
insurance shall be primary unless:
A. The additional insured is a Named Insured under such other insurance;
B. You have agreed in a written contract, written agreement or written permit to include that
additional insured on your General Liability policy on a primary andlor non-contributory
basis; and
C. The written contract or written agreement has been signed by the Named Insured, or written
permit issued, prior to the "bodily injury" or "property damage" or, to the extent applicable
under the Coverage Part to which this endorsement applies, "personal and advertising
injury."
D. With respect to indemnity, you have been adjudicated liable in full for the "bodily injury" or
"property damage" or, to the extent applicable under the Coverage Part to which this
endorsement applies, "personal and advertising injury".
RA Ma ftm" d Di estart
R"Evim & APPR6Vm sr.
MUS 01 0120156 0321 Includes copyrighted material of Insurance Services Office, Inc., with its permis: ` e ' A.r :t &444
Insured Copy V' Risk ldanagenlent Specialist
BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
The following is added to Paragraph 8. Transfer of Rights Of Recovery Against Others To Us under
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS:
We will waive any right of recovery we may have against a person or organization because of payments
we make for "bodily injury" or "property damage" arising out of your ongoing operations or "your work"
done under a written contract or written agreement and included in the "products -completed operations
hazard," if:
A. You have agreed to waive any right of recovery against that person or organization in a
written contract or written agreement prior to loss;
B. Such person or organization is an additional insured on your policy; and
C. You have assumed the liability of that person or organization in that same contract, and it is
an "insured contract'_
The section above only applies to that person or organization identified above, and only if the "bodily injury"
or "property damage" occurs subsequent to the execution of the written contract or written agreement.
CONTRACTUAL LIABILITY (RAILROADS)
The following is added to Paragraph 9. "Insured Contract" of SECTION V — DEFINITIONS:
Paragraph C. is deleted in its entirety and replaced with the following:
C. Any easement or license agreement;
Paragraph f. (1) is deleted in its entirety.
WAIVER OF GOVERNMENTAL IMMUNITY
We will waive, both in the adjustment of claims and in the defense of "suits" against the insured,
any governmental immunity of the insured, unless the insured requests in writing that we not do
SO.
Waiver of immunity as a defense will not subject us to liability for any portion of a claim or judgment in
excess of the applicable limit of insurance.
All other terms and conditions of this policy remain unchanged.
MUS 0101 20156 0321 Includes copyrighted material of Insurance Services Office, Inc., with its permissioi
Insured Copy
_
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REVIEWED? & APPRav®8Y:
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Risk Management Speaalist
POLICY #BA040000070299
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
The fallowing is added to the Section II — Liability Coverage, Paragraph A.I. Who Is An Insured Provision:
Any person or organization that you are required to include as additional insured on the Coverage Form in a
written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage"
occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to
which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the
Who Is An Insured provision contained in Section Il.
MCA20480711
RAMw*gementDtvbion
r cwEwm & APPROVED BY.
Risk Management Specialist
POLICY 9BA040000070299
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage prnvidt=d by this enrhrsemPnt, the provisions of the Cnverargi= Fnrm
apply unless modified by the endorsement.
SECTION IV — BUSINESSS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of
Recovery Against Others To Us, the following is added:
We waive any right of recovery we may have against any person or organization to the extent
required of you by a written contract executed prior to any "accident" or "loss", provided that the
"accident" or "loss" arises out of the operations contemplated by such contract. The waiver
applies only to the person or organization designated in such contract.
MCA04440913
WAMlanagmadDiviaian
REviEwED & APPROVED BY:
A-L� AaV46
Risk Managernent Specialist
POLICYHOLDER COPY
P.O. BOX 8192, PLEASANTON, CA 94588
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 10-22-2023 GROUP:
POLICY NUMBER: 9262964-2023
CERTIFICATE I❑: 175
CERTIFICATE EXPIRES: 10-22-2024
10-22-2023/10-22-2024
CITY OF SANTA ANA SC JOB:CITY OF SANTA ANA
20 CIVIC CENTER PLZ
20 CIVIC CENTER PLZ SANTA ANA
SANTA ANA CA 92701-4058 CA 92701
This is to certify that we have Issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer.
We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy.
Authorized Representative President and CEO
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2022-10-22 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED:
CITY OF SANTA ANA
ENDORSEMENT #1951 - MATTHEW PETERSON, MGR-MEMBR - EXCLUDED.
ENDORSEMENT #1951 - JOSEPH ANNIGONI, MGR-MEMBR - EXCLUDED.
ENDORSEMENT #1951 - JOE CASTRO, MGR-MEMBR - EXCLUDED.
EMPLOYER
BRIGHTLIFE DESIGNS, LLC
15351 GOTHARD ST STE C
HUNTINGTON BEACH CA 92647
Sc
SC
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REmFwED & APPRovED 8Y:
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Risk Management Specialist
(REV.7-2014) PRINTED : 10-24-2023