HomeMy WebLinkAboutHEY HEY ENTERTAINMENT (2) INSURANCE ON FILE N-2024-363
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
03/2112S
CITY CLERK
DATE; NOV 0 4 2024
11*-V
0: LD(°)
Q�1I° October 7, 2024
Hey Hey Entertainment("Speaker/Performer")
Attn: Richard Woloski
3441 Faust Ave.
Long Beach,CA 90808
(562)420-1905
Re: Speaker/Performer Engagement Agreement
This letter represents your agreement with the City of Santa Ana ("City") as entered into on the above date for the
engagement described below:
1. Event Description:Hey Hey Entertainment will provide two performances for the library,as detailed in Exhibit A.
The first performance will be held at the Newhope Library on Friday,November 15,2024. The second performance
will be held at the Newhope Library on Friday,December 13,2024.
2. Date(s): November 15,2024 and December 13, 2024.
3. Event Time(s): November 15,2024 from 4:00 p.m.—5:00 p.m.
December 13, 2024 from 4:00 p.m.—5:00 p.m.
4. Location("Property"): November 15,2024 at Newhope Library, 122 N Newhope Street, Santa Ana,CA 92703
December 13,2024 at Newhope Library, 122 N Newhope Street, Santa Ana, CA 92703
5. Compensation: The total amount for this Agreement shall not exceed $900 (payable by check within 45 calendar
days of event); Speaker/Performer must provide IRS form W-9 before payment can be made
6. Provided by City: advertising the program,space for the patrons attending, and staff to setup the space for patrons.
7. Provided by Speaker/Performer: Insurance as detailed in Exhibit B as well as all other equipment and materials
necessary,including,but not limited to,setting up puppets.
8. City Contact Person(for coordinating purposes only): Dylan Dario,ext. 5118
9. Independent Contractor: Speaker/Performer shall,during the entire term of this Agreement,be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed
to create an employer-employee relationship,a joint venture relationship,or to allow the City to exercise discretion
or control over the professional manner in which Speaker/Performer performs the services that are the subject matter
of this Agreement; however, the services to be provided by Speaker/Performer shall be provided in a manner
consistent with all applicable standards and regulations. Speaker/Performer shall pay all salaries and wages,
employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be
responsible for all applicable withholding taxes.
10. Indemnification: Speaker/Performer,his or her agents,or employees(if applicable) agrees to and shall indemnify,
defend,and hold harmless the City,its officers,agents,employees,consultants,special counsel,and representatives
from and against all loss, expenses, or liability(including costs and attorney's fees) arising from the negligence or
willful misconduct of Speaker/Performer,his or her agents,or employees.
Speaker Agreement—Hey Hey Entertainment
Page 2
11. Release: Speaker/Performer accepts any City-provided equipment used in connection with the performance in their
"as-is" condition, with all faults. Speaker/Performer fully releases, waives and discharges forever any and all
claims,demands,rights,and causes of action of any kind or nature against,and covenants not to sue,City,its elected
officials,officers, employees, agents and volunteers,and all persons acting on behalf of,by, through or under each
of them,under any present or future laws,statutes,or regulations for any claim or event relating to the condition of
the City-provided equipment or Speaker/Performer's use thereof.
12. The City shall have the right and royalty-free license to simulcast or produce and show a tape-delayed broadcast of
Speaker/Performer's presentation to the City community or general public, through webcast or any other means.
This license shall be non-exclusive and the copyright shall remain with the Speaker/Performer. Copies of
Speaker/Performer's presentation may be maintained by the City, and Speaker/Performer consents to use of such
recordings.
13. Speaker/Performer is solely responsible for payment of royalty fees, performance fees,or similar fees that may be
required by unions or similar organizations. Speaker/Performer shall indemnify the City against any liability or
damages,including attorney's fees,that may arise as a result of violation by Speaker/Performer of copyright laws.
14. Speaker/Performer shall not discriminate because of race, color, creed, religion, sex, marital status, sexual
orientation, age, national origin, ancestry, disability, or any other basis protected by applicable law in connection
with any activities related to this Agreement.
15. This Agreement shall in all respects shall be interpreted,enforced,and governed exclusively by and under the laws
of the state of California. Both parties agree that Orange County,California, shall be the venue for any action or
proceeding that may be brought or arise out of,in connection with or by reason of this Agreement.
16. This Agreement represents the complete and exclusive statement between the City and Speaker/Performer regarding
the subject matter herein and supersedes any and all other agreements, oral or written,between the parties. This
Agreement may not be modified except by written instrument signed by the City and by an authorized representative
of Speaker/Performer.
CITY OF SANTA ANA SPEAKER/PERFORMER
Richard Wotosk•
• Richard Woloski(Oct 10,2024 13:23 PDT)
varo Nunez Richard Woloski
City Manager General Partner,Hey Hey Entertainment
ATTEST: APPROVED AS TO RM:
Pri. y:
-1. H. nathan T. Martinez
" Assistant City Attorney
RECOMMENDED FOR APPROVAL
Brian Sternberg
Library Services Director
Speaker Agreement—Hey Hey Entertainment
Page 3
EXHIBIT A
Scope of Services
SPEAKER/PERFORMER INFORMATION: Hey,Hey Entertainment
Hey Hey Entertainment
3441 Faust Ave
Long Beach, CA 90808
Telephone: (562) 420-1905
Email: heyheventertainmentc yahoo.com
EVENT(S): Hey Hey Entertainment: Puppet Shows
LOCATIONS: All Library facilities including but not limited to facilities listed below.
• Main Library, 26 Civic Center Plaza, Santa Ana CA 92701
• Newhope Library, 122 N. Newhope Street, Santa Ana CA 92703
TERM: November 15, 2024—December 13, 2024
COMPENSATION: Not to exceed$900.00
DESCRIPTION: This Speaker/Performer will provide a puppet/magic show on Friday, November 15, 2024
(4:00 pm-5:00 pm) and Friday,December 13,2024(4:00 pm-5:00 pm) at the Newhope Library located at 122 N.
Newhope Street, Santa Ana,CA 92703. The total amount for this agreement shall not exceed$900.00.
The City will be responsible for setting up the space for the patrons attending, and advertising the program.
Speaker/Performer will be responsible for providing all equipment, materials, supplies and personnel necessary
to perform the act.
City staff will be present at all times during the performance.
Speaker Agreement—Hey Hey Entertainment
Page 4
EXHIBIT B
Insurance Requirements
Speaker/Performer shall procure and maintain for the duration of the contract insurance against claims for injuries
to persons or damages to property which may arise from or in connection with products and materials supplied to
City. Total cost of such insurance shall be borne by Speaker/Performer.
MINIMUM SCOPE AND LIMIT OF INSURANCE
Commercial General Liability: coverage shall be at least as broad as Insurance Services Form CG 00 01
covering CGL on an"occurrence" basis, including products and completed operations, property damage, bodily
injury and personal & advertising injury with limits no less than $1,000,000 per occurrence and $2,000,000
aggregate.
Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following provisions:
1. City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be
covered as additional insureds with respect to liability arising out of work or operations performed by
or on behalf of the Instructor including materials, parts, equipment, and personnel furnished in
connection with such work or operations.
2. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention:
(Name of Department Staff Responsible for Agreement), 20 Civic Center Plaza M-XX
(Responsible Staffs Department Mail Box), Santa Ana, CA 92701.
Verification of Coverage
Speaker/Performer shall furnish City with original Certificates of Insurance including all required amendatory
endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy
of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work
begins. However, failure to obtain the required documents prior to the work beginning shall not waive
Speaker/Performer's obligation to provide them. City reserves the right to require complete, certified copies of
all required insurance policies, including endorsements required by these specifications, at any time.
Special Events Coverage
Special events coverage is available and can be purchased by Contractor. Use this link to learn more:
https://2sparta.com/selip application.php.
Special Risks or Circumstances
City reserves the right to modify these requirements at any time, including limits, based on the nature of the risk,
prior experience, insurer, coverage, or other special circumstances. City reserves the right to modify or waive
insurance requirements for certain low risk recreational activities.
Speaker-Performer Agreement - Hey Hey
Entertainment (2024) unsigned
Final Audit Report 2024-10-10
Created: 2024-10-10
By: Dylan Dario(ddario@santa-ana.org)
Status: Signed
Transaction ID: CBJCHBCAABAAgMhfEPtKwSe1sei1WXwnN1-MCd7fTGAx
"Speaker-Performer Agreement - Hey Hey Entertainment (2024)
unsigned" History
ti) Document created by Dylan Dario (ddario@santa-ana.org)
2024-10-10-7:50:53 PM GMT
E Document emailed to Brian Sternberg (bsternberg@santa-ana.org)for signature
2024-10-10-7:50:58 PM GMT
Email viewed by Brian Sternberg (bsternberg@santa-ana.org)
2024-10-10-7:51:40 PM GMT
613 Document e-signed by Brian Sternberg (bsternberg@santa-ana.org)
Signature Date:2024-10-10-7:52:38 PM GMT-Time Source:server
Ey Document emailed to Richard Woloski (heyheyentertainment@yahoo.com) for signature
2024-10-10-7:52:40 PM GMT
_l Email viewed by Richard Woloski (heyheyentertainment@yahoo.com)
2024-10-10-8:18:46 PM GMT
66 Document e-signed by Richard Woloski (heyheyentertainment@yahoo.com)
Signature Date:2024-10-10-8:23:17 PM GMT-Time Source:server
0 Agreement completed.
2024-10-10-8:23:17 PM GMT
Q Adobe Acrobat Sign
Act CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
f` 09/24/2024
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 Kimberly Rice
NAME:
HMK Insurance PHONE (610)868-8507 FAX (610)868-7604
LAIC,No,Ext): (A/C,No): )
54 South Commerce Way E-MAIL krine@hmk-ins nnm
ADDRESS:
Suite 150 INSURER(S)AFFORDING COVERAGE NAIC#
Bethlehem PA 18017 INSURERA: HDI Global Specialty
INSURED INSURER B:
World Clown Association and INSURER C:
Richard Woloski INSURER D:
3441 Faust Ave INSURERE:
Long Beach CA 90808 INSURER F:
COVERAGES CERTIFICATE NUMBER: Al-May 2023 REVISION NUMBER:
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 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
EFF POLICY EXP
TR TYPE OF INSURANCE UD
IA SDL�WVD POLICY NUMBER (MM(DDY/YYYY) JMM/DD/YYYY)
LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED 100,000
CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $
MED EXP(Any one person) $ 5,000
A Y 18LB5341 03/27/2024 03/27/2025 PERSONAL&ADVINJURY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
POLICY JECT PRO LOC PRODUCTS-COMP/OP AGG $ 1,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident)
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY _ AUTOS ONLY (Per accident)
UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE L�
OFFICER/MEMBER EXCLUDED? I I N/A E.L.EACH ACCIDENT $
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Additional Insured: City of Santa Ana,its City Council,its officers,officials,employees,agents and volunteers with respect to liability arising out of work or
operations performed by or on behalf of the instructor including materials,parts,equipment and personal furnished in connection with such work or
operations
Effective Date: 09/23/2024
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: LupitaArroyo
20 Civic Center Plaza M-75 AUTHORIZED REPRESENTATIVE
Santa Ana CA 92701 4,- {„Aj, a 4.
ACORD 25(2016/03) The ACORD name and logo are registered m APPROVED
By Cynthia Mora at 10:33 am, Oct 29, 2024