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Home My WebLink AboutJAPAN BROADCASTING CORPORATION-NIPPON HOSO KYOKAI . AGREEMENT TERMINATION 1IlI8 SEP 24 AM 8: 25 Please complete this form when the attached agreement is no longer in effect. Return form to the Deputy Clerk of the Council (M-30). Call 647-5238 if you haveCel~e\;~~s. . .}?i2 rtA ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ The agreement with No. tJ - ;;WoR - UJ (1{Jpa~, [')Af)d('n~'d r~. was compieted on and final payment has been made. Date: jtJ\I. ~~.~(...~"':l)~ ~. ~!'I.,J. L.... t:>~. u... DB' 1'111 Department: Signature: City of Santa Ana Clerk of the Council Revised 05-22-08 N-2008-111 . C ~-FY A~iDrne.~ ~kW~ C.O~ew.ci+~ 1. This serves as an agreement between the City of Santa Ana ("City) and Japan Broadcasting Corporation-Nippon Hoso Kyokai ("Producer"), as of August z~. , 2008, in connection with reporter Kenshi Fukuhaza's ("Reporter") documentary regazding the City's efforts to combat graffiti. 2. The City hereby authorizes Reporter to film activities and personnel as permitted by the Santa Ana Police Department on or off its premises for the creation of the documentary. All of the Reporter's filming activity will be subject to and under the control of the Department officer in chazge. 3. The rough cut of any footage to be used for the documentary (DVD or VHS) that the Producer/Reporter intends to use shall be submitted to Deputy Chief Anthony Levatino of the Santa Ana Police Department. Within ten days, City shall notify Producer/Reporter in writing of any scenes which are to be excluded from the documentary by listing such scenes on a form that identifies the date, officer, description and time code of such scenes. Producer/Reporter shall exclude such scenes from the documentary. 4. T'he use of any footage containing public figures shall require Producer/Reporter to obtain appropriate clearances from such individuals. Ptoducer/Reporter shall also obtain the appropriate appearance agreement and release of any and all participants in the documentary. 5. Producer and Reporter agree to indemnify and hold harmless the City in connection with any and all claims arising out of the actions of Producer's personnel, agents, employees, contractors or authorized third parties in connecfion with the filming and/or production of the documentary, including Producer's breach of this agreement. 6. Producer shall obtain all permits required by the City for filming in the City, including but not limited to film permits, special event permits or licenses. 7. Producer will name the City as a "named additional insured" on its insurance policy for 1 million dollars and will allow the City to examine the insurance policy to verify such coverage. 8. Producer's personnel, agents, employees, contractors or authorized third parties shall sign "Ride-A-Long" waivers if they will be in any Santa Ana Police Department vehicles. 9. Producer represents the person executing this agreement have the authority to sign and bind Producer's personnel, agents, employees, contractors or authorized third parties. INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE D(PIRES 10. This agreement shall be governed by the laws of California, This agreement cannot be changed, modified, or altered, without the written consent and signature of both parties. 11. 1n the event that any term or provision of this agreement shall be held invalid by a competent court or governmental agency, the remainder of this agreement shall not be affected thereby, and the parties hereto shall continue to be bound by the remaining terms. The production dates are as follows: ~~~ k-~- ~ ~( ~~ g Nam~utl~anR Authorized Agent of the Producer F David N. Ream, 'ity Man r Approved as to Form: ~~ ~~ Paula Coleman Assistant City Attorney Approved as to Content: Paul M. Walters Chief of Police A~-- PATR/C/A E HEAL:Y CLERK OF THE COUN~'/L .-----, U N C E DA. TE (MMfDDfYY)] ACORd CERTIFICATE OF LIABILITY INS RA _L Y81~2108_ I I';ROD~R Daiw~ ins~;ance Marketing;;-- -1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 21515 Hawthorne Blvd Suite 440 ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Torrance. CA 90503 f,AL TER THE CO}l!;RAG.E AFFORDED BY THE POLICIES BELOW. , _~one (31g)54~~5.~_ ~ax (31())540-6554__ INSURERS AFFORDING COVERAGE_ NAIC # - ~ INS:lJf3."E_R A: Praetorian Insurance Company i. INSURED Cowabunga Creations, Inc. INSURER B: ~~: ~~:a~:~~~~;_B ~~:~::: ~___,__ ~ ,,--' ___J. -- d COVERAGES --, i :~:~:::: '-t--~ \ THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COND1ll0N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. :lNSRI AOD'~-.- - -_."- I '__ ""'" POLICY EFFEcTIVE: POLICY EXPIRATION! - J,TRflNSRD TYPE OF INSURANCE ~UCYNUMBER DATE (MMIODNY) DATE MMI~ '. LIMITS -- "I~ENERAL UABILlTY-----1 -,--~-- -~~~,~,Z~~~~~:~ "'I COMMERCIAL GENERAL LIABILITY P0030CP00427-001 07107108 07107109 I PREMISES (Eaoccorence) i il [] CLAIMS MADE ~ OCCUR " MEO-EXP (Any ~~~- person) I A [], I-=' _,_,,,,,_ ,____ I PEI,SONAL & ADV 'NJURY C I GENERAL AGGREGATE I f];:n'~~"1l'~~1 r'~""'O~"",,~ [---I~Au.;.OMOBILE~UABllITY ---~-' ---~~OMBINEDSINGLELlMIT ,,:"1 ANY AUTO P0030CP00427-001 07/07/08 07107109' (Eaacddent) [J ALL QINNED AUTOS BODILY INJURY A , [] [] SCHEDULED AUTOS (Per person) ! bli HIRED AUTOS -Hi, ' ~""I, NON OWNED AUTOS ~p~~~:~RY , PROPERTY DAMAGE (Per accident) GARAGE LIABILITY 1 I !_:"UTOONlV-EAACCIDENT r- ----- II OCCUR [] ClAIMS MADE AGGREGATE -- _: ' , ~ II i LJ DEDUCTIBLE o RETENTION $ I _ ~~~t:ir.~?~r~I~N'ONAND ____________'1__'_ ---- '~;JT';i2g~ws [1 ~~H- _--l ANY PROPRIETOR' PARTNER I EXECUTIVE EL-"E'ACH ACCIDENT --11 OFFICER I MEMBER EXCLUDED? ! If yes, de5Cfibe under r ~!>~EASE-EAEMPLOYEEI f---' SPECIAL PROVISIONS below ___~_-~ - E L D~"-E!',SE.- POLICY LIMIT r- ------"I ,OTHER ~ Ii' ! I DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES f EXCLUSJONS ADDED BY ENDORSEMENT I SPE-CIAL PRovisIONS---------"-~. The City of Santa Ana. 20 Civic Center Plaza. Santa Ana. California 92701; its officers, employees. agents and volunteers are named as additional insureds. .. 10 days notice for non-payment of premium. .~!i 2000000 1000000 1000000 1 ----,-~--_.._--_._._--'-- .J CERTlFlCA TE HOLDER 1--- CANCELLATION SHOULD ANY OF THE ABOVE m;S~R~~~D POLICIES BE C~CELLED BEFORE ~;-l EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I i 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO , THELEFT, BUT FAILURE TO 00 SO SHAU IMPOSE NO OBLIGATION OR LiABILITY I L_~~~~Y KINO UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. ! , AUTHORIZED REPRESENTATIVE --..----.-.-~ I i ~'7~~/~-1-== - ..' J . t- @ACORDCORPORATlON1988-- The City of San1a Ana 20 Civic Center Plaza Santa Ana. CA 92701 I,~- ACORD 25 (2001/08) QF ADDITIONAL INSURED ENDORSEMENT Insurance Company Proc. foliar\. h'\..SiAJ-4H,cQ CN'''I=''t. I This endorsement modifies such insurance as is afforded by the provisions of Policy # Poo 30 c fou D 'f..)."7 'b( relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and volunteers are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be canceled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # Issued to t-/i-/DF! f;().~ D'C fOOO Lf.).7 -0 I ('owo!x.Ylj;' C/{/,4ir;rrS, :J.f1L Named Insured , this endorsement form as a part of Countersigned by /"~-")7/'7--1 [./.. c/~ , ""Authorized Repr~erifative Amici, Sandra From: Sent: To: Subject: Attachments: Coleman, Paula Thursday, August 28, 2008 3:43 PM Amici, Sandra RE: Insurance for Japan Broadcasting Corporation - Nippon Hoso Kyokai 08-22-2008.pdf This is the insurance for the filming. This is the production company for the reporter who works for the Braodasting company. Our office has approved it for the filming purposes. -----Original Message----- From: Amici, Sandra Sent: Thursday, August 28, 2008 3:36 PM To: Coleman, Paula Subject: Insurance for Japan Broadcasting Corporation - Nippon Hoso Kyokai Paula, Per our conversation today, would you confirm that Japan Broadcasting Corp. has current insurance on file so that I may expedite the processing of this agreement? Also, could you tell me who I can contact in Public Works to obtain a copy of this insurance? Thank you kindly. Sincerely, Sandra Amici City Clerk's Office 1