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HomeMy WebLinkAboutPATINA RESTAURANT GROUP, LLC N-2024-387 INSURANCE ON FILE PATINA GROUP NEWCO LLC WORK MAY PROCEED EVENT CONTRACT: 312118-1 Tangata at Bowers Museum UNTIL INSURANCE EXPIRES J l)��2, ZC Event Date: 12/10/2024 do Patina Restaurant Group Event Name: 12-10 City of Santa Ana Installation Reception Santa Ana, CA 92706 CITY CLERK Site: Tangata at Bowers Museum Telephone Number: DATE: DEC 0 5 2024 Salesperson: Hilary Naylor Fax Number: E-mail: hnaylor@patinagroup.com Primary Contact Email Address Tina Lee tlee@santa-ana.org 12-10 City of Santa Ana Installation Reception Date Time Location Function Tue, 12/10/2024 7:00pm-11:00pm Lee Court Reception 300 Description of the Catering Services: Tue, 12/10/2024 Reception -7:00pm -Lee Court Qty Price Total Reception- Platters Displayed Artisan Cheese Platter 10 $175.00 $1,750.00 Chefs selection of domestic and imported cheese,fresh and dried fruits, candied nuts, seasonal chutney,and assorted breads serves 10-15 Chicken &Waffles buttermilk fried chicken on a mini 10 $125.00 $1,250.00 waffle, Vermont maple syrup 24 pieces per platter Surf&Turf Skewer grilled steak, shrimp, bearnaise 10 $125.00 $1,250.00 sauce 24 pieces per platter Mini slider burgers grilled red onions, aged cheddar 10 $125.00 $1,250.00 24 pieces per platter Assorted Petit Desserts 10 $125.00 $1,250.00 24 pieces per platter Coffee Station Displayed Serves 50 3 $195.00 $585.00 Regular Coffee Decaf Coffee Hot Water with Assorted Teas Consumption Bar- Guests to pay on their own Beverage Service Premium Cocktail $16.00 Sparkling Wine, by the glass $16.00 House Wine, by the glass $14.00 red and white wine Assorted Bottled Beer $9.00 Soft Drinks $5.00 Mineral Waters (Still &Sparkling) $5.00 Additional Fees Consumption Bar Set Up Fee (per bar) 2 $200.00 $400.00 Guests to pay on their own Event Name: 12-10 City of Santa Ana Installation Reception Event Date: 12/10/2024(Page 1 of 5) EVENT NUMBER:312118-1,Site:Tangata at Bowers Museum(printed 12/3/2024 9:36 AM) DN 139607-9 Set Up& Service(Bowers) Setup Tables Patina to provide up to(30)60"rounds and(4)high cocktail tables. 6'and 8'tables available. Bowers Museum to provide layout. Chairs Patina Catering to provide white resin folding chairs for up to 200 guests. China, Glassware&Silverware Patina to provide up to 200 guests complimentary. Additional glassware to be rented for events over 200 guests Table Linen 30 $6.00 $180.00 White house linen(non-floor length)is available for$6 per table. Outdoor Heaters 6 $75.00 $450.00 Outside Rentals 1 $231.26 $231.26 (4)Tall Cocktail Tables Food &Beverage Minimum The food and beverage minimum is$6,000.The minimum does not include rentals,labor, administrative fee or sales tax. If the Client fails to reach the food and beverage minimum,the remaining balance will be charged as a room rental fee. Labor Estimate Labor Estimate 1 $4,352.00 $4,352.00 The current Labor charge is an estimate. Final service ratios are determined by a final menu,timeline,set up, guest count and complexity of the event. Large scale events may require an advance set-up team. Labor is calculated based on the times designated on this contract. If the time of the event goes longer than indicated,the Client is responsible for the additional time incurred by the staff. Labor Floor Captain 1 Bartender 4 Floor Server 6 Porter 1 ESTIMATED CATERING CHARGES(Actual Catering Charges Presented At Conclusion of Event) Event Name: 12-10 City of Santa Ana Installation Reception Event Date: 12/10/2024(Page 2 of 5) EVENT NUMBER:312118-1,Site:Tangata at Bowers Museum(printed 12/3/2024 9:36 AM) DN 139607-9 CHARGES Charges Administrative Fee Sales Tax Total Food $6,750.00 $1,485.00 $761.74 $8,996.74 Non-Alcoholic $585.00 $128.70 $66.02 $779.72 Beverage Setup and Service $450.00 $99.00 $50.78 $599.78 Labor $4,752.00 $1,045.44 $536.26 $6,333.70 PRG Rentals $180.00 $39.60 $20.31 $239.91 Rental Equipment $231.26 $50.88 $26.10 $308.24 (Outside Vendor) Totals $12,948.26 $2,848.62 $1,461.21 $17,258.09 Payments Received $0.00 Balance Due $17,258.09 Terms: The services provided hereto are subject to the Terms and Conditions for Catering Agreement attached hereto as Attachment A. Administrative Charges of 22% are added to Catering Charges for administrative expenses and are not paid to catering staff. Further information about Administrative Charges is found in the Terms and Conditions for Catering Agreement attached hereto as Attachment A. All amounts payable to Patina must be paid by any of(i)a Credit Card(American Express,Visa, MasterCard or Discover), (ii) Wire or ACH Transfer or(iii)certified/bank check or money order. Payments made by Credit Card require completion of the Payment Authorization Form,which constitutes part of this Agreement. BY SIGNING THIS AGREEMENT BELOW, I AGREE THAT PATINA MAY SEND MARKETING AND PROMOTIONAL INFORMATION TO ME BY EMAIL AND OTHER METHODS. IF I DO NOT WISH TO RECEIVE THESE MARKETING AND PROMOTIONAL MATERIALS, I UNDERSTAND THAT I MAY EMAIL PATINA'S WEBMASTER AT WEBMASTER@PATINAGROUP.COM TO REMOVE MYSELF FROM PATINA'S EMAIL AND MAILING LIST. BY EXECUTING THIS AGREEMENT, I UNDERSTAND THAT PATINA AND ITS AFFILIATES WILL PROVIDE ME WITH INVOICES FOR ALL AMOUNTS DUE PURSUANT TO THIS CATERING AGREEMENT AND THE TERMS AND CONDITIONS OF THIS CATERING AGREEMENT ATTACHED HERETO AS ATTACHMENT A PRIOR TO CHARGING MY CREDIT CARD FOR ANY AMOUNT. BY SIGNING BELOW, I HEREBY AUTHORIZE PATINA AND ITS AFFILIATES TO CHARGE MY CREDIT CARD FOR THE AMOUNTS SET FORTH IN ANY INVOICES PROVIDED BY PATINA AND ITS AFFILIATES THAT I HAVE FAILED TO PAY BY THE PAYMENT DUE DATE SET FORTH IN THIS CATERING AGREEMENT AND THE TERMS AND CONDITIONS. I UNDERSTAND THAT PATINA AND ITS AFFILIATES WILL ONLY CHARGE MY CREDIT CARD IF I HAVE FAILED TO PAY AN INVOICED AMOUNT BY THE PAYMENT DEADLINE SET FORTH IN THIS CATERING AGREEMENT AND THE TERMS AND CONDITIONS. [[[Sertifilnitial_1]] ] By initialing this box, you agree to all of the terms of this Catering Agreement and the Terms and Conditions to this Catering Agreement. See attached signatime page Client Signature: Date: Event Name: 12-10 City of Santa Ana Installation Reception Event Date: 12/10/2024(Page 3 of 5) EVENT NUMBER:312118-1,Site:Tangata at Bowers Museum(printed 12/3/2024 9:36 AM) DN 139607-9 Attachment A TERMS AND CONDITIONS FOR CATERING AGREEMENT 1. Parties. In these Terms and Conditions for Catering Agreement(the"Terms and Conditions"),"you"and"your"refers to the Client indicated on the first page of this Catering Agreement,and references to"we"and"our"refers to the operating subsidiary of the Patina Restaurant Group, LLC identified on the first page of this Catering Agreement. 2. Guest Count Confirmation. The Estimated Number of Guests Is set forth on the first page of this Agreement. Except as noted elsewhere in these Terms and Conditions, our Catering Charges are based on your Guaranteed Minimum Number of Guests and all of the Additional Catering Services you request.You agree to notify our catering office in writing via email to hnaylor@patinagroup.com of your Guaranteed Minimum Number of Guests at least seven(7)business days prior to the Event, If you do not advise us of your Guaranteed Minimum Number of Guests prior to the deadline set forth in the prior sentence,the Estimated Number of Guests indicated above will then be treated for all purposes as the Guaranteed Minimum Number of Guests. If the number of guests served at the Event is greater than the Guaranteed Number of Guests and we are able to accommodate the additional guests,your charge for the Catering Services will be increased accordingly and we reserve the right to adjust the menu as necessary. In addition, if the Guaranteed Minimum Number of Guests is materially greater than the Estimated Number of Guests,we reserve the right to designate an alternate room or area to more appropriately accommodate the Event; provided however,that we cannot guarantee that alternative space will be available to accommodate a Guaranteed Minimum Number of Guests that is materially larger than the Estimated Number of Guests. 3. Payment. All amounts payable to us must be paid by you using any of(i)a Credit Card(American Express,Visa, MasterCard or Discover), (ii)Wire or ACH Transfer or(Hi)certified/bank check.A Non-refundable Deposit equal to[50]% of the total Estimated Catering Charges($$8,175.04)is due upon execution of this Agreement. Upon your delivery of the quantity for the Guaranteed Minimum Number of Guests,we will deliver to you via the email address you provided an updated invoice reflecting the Guaranteed Minimum Number of Guests and a revised statement of Estimated Catering Charges. Payment of the balance of the revised Estimated Catering Charges set forth on that invoice is due in full upon receipt. If you fail to deliver to us the Guaranteed Minimum Number of Guests,then the Estimated Number of Guests will be deemed to be the Guaranteed Minimum Number of Guests for purposes of the updated invoice.The balance of the Estimated Catering Charges are due on the day of the Event. For charges for or related to the Catering Services that are in excess of the Estimated Catering Charges(including,for example and without limitation,as a result of overtime or additional guests),we will provide you with an invoice at the conclusion of the Event.Your payment for these excess charges must be delivered to us immediately upon receipt of the invoice(if you signed a Payment Authorization Form,the payment authorization you signed will allow us to charge your credit card for those charges,but we will ask you if you would like to use that payment method before we charge it). Late payments are subject to a late charge equal to 5%of the amount due. You also agree to pay interest on any amount that is not paid when due at the rate of one and one-half percent(1.5%)per month from due date until the date such delinquent amount is paid. 4, Administrative Charge.Our charge for the Catering Services includes an Administrative Charge which is based on food, beverage,and if applicable,location or room rental and other Event-related services.The Administrative Charge is not a service charge. The Administrative Charge is intended to cover certain administrative operating cost we incur in providing the Catering Services and is not a tip or a gratuity and is not paid out to our service staff. Our service staff is paid In excess of the applicable minimum wage rate,and therefore tips or gratuities are not expected but are instead left to your discretion. If we charge a separate Service Charge it will be identified In the itemized list of charges in the Catering Agreement and all such amounts collected will be disbursed to our catering staff. 5. Cancellation or Change to Event. If the Event Date,the Event Location or the duration of the Event are changed for any reason, and if we are able to accommodate the change in our sole discretion,our charge for the Catering Services will be subject to equitable adjustment.We will apply the entire amount of your deposit and any prepayments towards the new Event and our new charge for the Catering Services will be confirmed to you in writing. If we are not able to accommodate the change,this Agreement will be subject to cancellation by either party subject to the provisions of this section. If you cancel the EVENT more than thirty(30)days prior to the EVENT,we will retain,and you will forfeit, all deposits that you have already paid. If you cancel the Event within thirty(30)days of the Event Date,you will remain responsible for payment of the total amount of the Estimated Catering Charges. Our obligation to provide the Catering Services described in this Agreement is subject to cancellation if the Event Location becomes unavailable for any reason, if we are prevented from providing the Catering Services due to Force Majeure or,with respect to an outdoor event,due to inclement weather. If we are required to cancel your Event due to any of the foregoing we will use our commercially reasonable efforts to re-schedule your Event at a separate,substantially comparable location on the date of your Event or at the same location on a mutually agreed upon substitute date. If we are unable to reschedule your Event,we will return to you all deposits and other amounts you paid to us in advance and neither of us will have any further liability to the other. For purposes of this Agreement,"Force Majeure"shall mean (i)acts of God;(ii)blizzard, hurricane,tornado,flood or other extreme weather event,(iii)fire, earthquake or explosion;(iv)war, invasion, hostilities(whether war is declared or not),terrorist threats or acts, riot or other civil unrest; (v)government law,order or regulation;(vi)actions, embargoes or blockades in effect on or after the date of this Agreement;(vii)action by any governmental authority; (viii)national or regional emergency;(ix)strikes, labor stoppages or slowdowns or other industrial disturbances;(x)interruptions or shortages of utilities or transportation facilities and(xi)other events or circumstances outside of our reasonable control. Event Name: 12-10 City of Santa Ana Installation Reception Event Date: 12/10/2024(Page 4 of 5) EVENT NUMBER:312118-1,Site:Tangata at Bowers Museum(printed 12/3/2024 9:36 AM) DN 139607-9 6. Access and Event Time. The Event will begin promptly at the scheduled Start Time and you and your guests are required to vacate the Event Location at the indicated End Time. However,should the duration of the Event be extended you will bear all additional Catering Charges resulting from the extended duration, including all additional food and beverage charges, labor charges and overtime charges. Nevertheless,you and your guests are assured access to the Event Location only for the duration stated in this Agreement. We cannot guarantee that you or your guests will be permitted access to the Event Location prior to the Start Time or after the End Time. 7. Facility Usage Charges and Facility Damage.You will be responsible for payment of the facility usage charges(if any)imposed by the owner of the Event Location. The owner of the Event Location may also require you to post a deposit or other security to assure payment of the facility usage charges. Any facility usage charges that are estimated in this Agreement are subject to final determination by the owner of the Event Location,and the owner of the Event Location may elect to invoice you for those charges directly. You are responsible for the cost of all damage to personal and real property at the Event Location caused by your acts or omissions or your guests'acts or omissions. 8. Additional Catering Services. At your request,we will arrange for and coordinate the Additional Catering Services indicated in this Agreement(such as equipment and linen rentals,floral arrangements,valet parking,entertainment and security)through qualified local companies. Charges for such Additional Catering Services will either be included in our final Catering Charges or will be billed directly to you by the third party service provider. We neither warrant nor guarantee the services of such third party vendors. 9. Noise. You have been informed of the restrictions on unreasonable noise which apply to the Event Location, and you understand that the violation of those restrictions may result in the early termination of the Event. Our Catering Charges will not be subject to reduction in the event of early termination of the Event due to excessive noise. Microphones and speakers are not permitted at any of our locations unless a full buyout of the space is secured or you receive our express written permission(which may be granted in our sole discretion). All uses of microphones,speakers and other audio equipment in a shared event space must be at a reasonable volume and is subject to the control of the on-site management staff. 10. Outside Vendors. Any outside vendor(e.g.florists, entertainment, production company,etc.)that will provide services at the event must provide a certificate of insurance to us that adds the Event Location and the owner or lessor thereof as an additional insured. 11. Substitutions. We are proud to provide the freshest and finest foods available,and therefore we reserve the right to make substitutions based on seasonal availability, health advisories and changes in sources. 12. Food and Beverage. Except as otherwise expressly noted in this Agreement,we will be the sole provider of all food and beverages at the Event. If we allow you to provide food or alcoholic beverages, corkage or similar opening or serving charges will apply. Regardless of who provides the alcoholic beverages,we reserve the right to refuse to serve alcoholic beverages to guests who appear to be intoxicated.We shall only dispense alcoholic beverages that we have allowed you to provide, including, but not limited to, donated alcoholic beverages,to the extent permitted by and in accordance with applicable laws. It is expressly understood that we shall not be responsible for any liabilities,claims,damages, costs or expenses(including,without limitation, product liability claims)arising in connection with the delivery,condition,or substance of any food and beverages that you provide,Including, but not limited to,donated food and beverages.You shall indemnify,defend and hold us harmless against all losses,damages,claims and liabilities in connection therewith. 13. Remedies, In addition to any remedies that may be provided under law,we reserve the right to terminate this Agreement with immediate effect if you fail to pay any amount when due or otherwise fail to comply with any of these Terms and Conditions. 14. Unlawful Activities.You agree,and agree to cause your guests to comply with all federal,state, and local laws,ordinances, rules and regulations applicable to the Event,and you agree to refrain from doing anything at the Event Location in violation of any such laws,ordinances, rules and regulations. If any unlawful activities occur at the Event Location and the Event is cancelled,you will still be required to pay our Catering Charges in full. 15. Hold Harmless. We assume no responsibility for any damage or loss of any equipment,gifts, clothing, alcoholic beverages or other items you or your guests bring to the Event Location. You agree to be solely responsible for your actions and conduct, and the actions and conduct of your guests and any third parties who you hire to provide other services. Furthermore,we are not responsible for any liabilities, claims, damages,costs or expenses(including without limitation, product liability claims)arising in connection with any food or beverage items provided by you. You agree to indemnify,defend and hold us,our parent companies, subsidiary companies and their affiliates harmless from and against any and all damages, liabilities, losses,costs and expenses(including reasonable attorney's fees and costs and the cost of defense and settlement)relating to any personal injury or damage to property resulting from any food or beverage items you provide,or from your negligent or willful acts or omissions,or the negligent or willful acts or omissions of your guests and third party service providers. 16. Limited Liability. Our liability(and the liability of our parent,subsidiary and affiliated companies)is limited to direct damages that you incur solely as a result of the negligence or willful misconduct of our employees which provide the Catering Services for the Event, IN NO EVENT WILL WE(OR ANY OF OUR PARENT, SUBSIDIARY OR AFFILIATED COMPANIES)BE LIABLE TO YOU OR TO ANY THIRD PARTY FOR ANY LOSS OF REVENUE OR PROFIT, OR FOR ANY CONSEQUENTIAL, INCIDENTAL, INDIRECT, EXEMPLARY,SPECIAL OR PUNITIVE DAMAGES,WHETHER ARISING OUT OF BREACH OF CONTRACT,TORT(INCLUDING NEGLIGENCE)OR OTHERWISE,AND REGARDLESS OF WHETHER SUCH DAMAGES WERE FORESEEABLE AND WHETHER Event Name:12-10 City of Santa Ana Installation Reception Event Date: 12/10/2024(Page 5 of 5) EVENT NUMBER:312118-1,Site:Tangata at Bowers Museum(printed 12/3/2024 9:36 AM) DN 139607-9 OR NOT WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. OUR(AND OUR PARENT, SUBSIDIARY OR AFFILIATED COMPANIES)AGGREGATE LIABILITY ARISING OUT OF OR RELATED TO THIS AGREEMENT WILL IN NO CASE EXCEED THE TOTAL AMOUNT PAID OR PAYABLE TO US PURSUANT TO THIS AGREEMENT. 17. Confidentiality. For the purposes of this Agreement, "Confidential Information"shall consist of, and shall only consist of,written and electronic information relating to your business,operations, plans,services,facilities, processes,software,methodologies, intellectual property, research and development, clients and suppliers, partners, principals,employees,consultants and authorized agents that is directly supplied by or on behalf of you to our managers and identified as"Confidential Information."Confidential Information shall not include information that(i)is generally known to the public at the time of disclosure or becomes generally known with us violating this Agreement;(ii)is in our possession at the time of disclosure otherwise than as a result of our breach of any legal obligation;(iii)becomes known to us through disclosure by sources other than you having the legal right to disclose such information; and(iv)is independently developed by us without reference to or reliance upon any Confidential Information.We will keep in confidence the Confidential Information for a period of two(2)years from the date of disclosure of such Confidential Information. Notwithstanding the foregoing,we will only be liable to you for damages caused by a breach of the immediately foregoing sentence by any of our non- manager employees to the extent that we(I)failed to inform, in advance of the Event,such non-manager employee of our obligations under this Agreement with respect to the use and disclosure of Confidential Information or(ii)directly disclosed Confidential Information to such non-manager employee other than for a purpose necessary to permit such employee to provide the Catering Services.You acknowledge that Confidential Information may be indirectly and inadvertently disclosed to our non-manager employees and that if we were to be liable to you for damages for disclosure of Confidential Information by our non-manager employees beyond what is expressly set forth herein,then we would not be willing to provide the Catering Services under the terms of this Agreement. 18. Miscellaneous.You cannot assign any of your rights or obligations under this Agreement without our prior written consent.We are acting in the capacity of an independent contractor to you. This Agreement will not be construed as creating any agency,partnership, joint venture or other form of joint enterprise, nor will It create an employment or fiduciary relationship between you and us,and neither party has the authority to contract for or bind the other party in any manner whatsoever.This Agreement is for solely for the benefit of the parties hereto. Nothing in this Agreement will confer on any other person or entity any legal or equitable rights, benefits or remedies of any nature whatsoever. This Agreement and all matters resulting from or arising from or in connection with this Agreement are governed by the laws of the jurisdiction in which the Event Location is situated,without regard to reference to any conflicts of law provisions. If any term or provision of this Agreement is invalid, illegal or unenforceable in any jurisdiction, such invalidity, illegality or unenforceability will not affect any other term or provision of this Agreement or invalidate or render unenforceable such other term or provision.This Agreement may only be amended or modified in a writing which specifically states that it amends this Agreement and is signed by an authorized representative of each party. No waiver by us of any of the provisions of this Agreement is effective unless explicitly set forth in writing and signed by us. No failure on our part to exercise,or delay by us in exercising,any rights or remedies in this Agreement will operate as a waiver of such rights or remedies. Event Name: 12-10 City of Santa Ana Installation Reception Event Date: 12/10/2024(Page 6 of 5) EVENT NUMBER:312118-1,Site:Tangata at Bowers Museum(printed 12/3/2024 9:36 AM) DN 139607-9 SIGNATURE PAGE FOR CATERING CONTRACT IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SA TA ANA rjENNIFER H ALVARO NUN.EZ J Ci City Manager APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: MELISSA M. CROSTHWAITE Senior Assistant City Attorney '4`O�Ra® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/3/2024 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 Stephens Insurance, LLC PHONE FAX 111 Center Street, Suite 100 IA/C.No.exu: 1-800-643-9691 (A/C,No): 501-377-2317 _ Little Rock, AR 72201 E-MAIL RESS: INSURER(S)AFFORDING COVERAGE NAIC# www.stephensinsurance.com INSURER A: Safety National Casualty Corporation 15105 INSURED INSURER B: Fireman's Fund Insurance Company 21873 The Patina Group Newco LLC INSURERC: National Union Fire Ins Co Pittsburgh PA 19445 c/o Patina Restaurant Group LLCg 250 Delaware Ave INSURER D: ACE Property and Casualty Insurance Co 20699 Buffalo NY 14202 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 82885105 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD.WVD POLICY NUMBER IMM/DD/YYYY)_(MM/DD/YYYYL LIMITS A ✓ COMMERCIAL GENERAL LIABILITY GL4058709 6/27/2024 6/27/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ,,/ OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 / POLICY JECOT- ✓ LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: Liquor Liability S 1,000,000 A AUTOMOBILE LIABILITY CA6675705 6/27/2024 6/27/2025 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 / 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) $ 1 2,000 Comp.Dell. 2,000 Coil.Ded $ B / UMBRELLA LIAB / OCCUR USC03876324U 6/27/2024 6/27/2025 EACH OCCURRENCE $10,000,000 C EXCESS LIAB CLAIMS-MADE BE 015717257 10/1/2024 10/1/2025 AGGREGATE $10,000,000 D XEU G27912904 010 10/1/2024 10/1/2025 DED RETENTIONS Excess $5,000,000 A WORKERS COMPENSATION LDS4046480 6/27/2024 6/27/2025 PER OTH- AND EMPLOYERS'LIABILITY Y/N ✓ STATUTE ER ANYPROPRIETOR/PARTNERJEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT _S 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 12/10 City of Santa Ana City of Santa Ana is included as an additional insured when in a written contract with the named insured and executed prior to a loss. APPROVED CERTIFICATE HOLDER CANCELLA- By Cynthia Mora at 10:29 am, Dec 04, 2024 Tangata SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE I Stan Payne ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 02885105 1 24/25 Casualty Certificate Master 1 Kelly Robinson 112/3/2024 7:47(27 AM (CST) 1 sage 1 of 1 POLICY NUMBER: GL 4058709 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s): As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence, offense or loss to which this endorsement applies, but only for the limits agreed to in such contract or the Limits of Liability provided by this policy, whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury", "property If coverage provided to the additional insured is damage" or "personal and advertising injury' required by a contract or agreement, the most we caused, in whole or in part, by your acts or will pay on behalf of the additional insured is the omissions or the acts or omissions of those acting amount of insurance: on your behalf: 1. In the performance of your ongoing 1. Required by the contract or agreement; or operations; or 2. Available under the applicable Limits of Insurance shown in the Declarations; 2. In connection with your premises owned by or rented to you. whichever is less. However: This endorsement shall not increase the 1. The insurance afforded to such additional applicable Limits of Insurance shown in the Declarations. insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the APPROVED insurance afforded to such additional insured By Cynthia Mora at 10:29 am, Dec 04, 2024 will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1