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HomeMy WebLinkAboutHaynes, Franklin (3) INSURANCE ON FILE WORK MAY PROCLED N-2025-178 UNflL INSURANCE i'XQIRI, CIT`!CLERK "A" JUL 0 8 2025 AGREEMENT WITH FRANKLIN HAYNES TO PROVIDE MARIONETTE PUPPET SHOWS FOR CITY EVENTS 0'�"P h THIS AGREEMENT is made and entered into this 30th day of ,Tune, 2025, by and between Franklin Haynes, an individual ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"), each a`'Party"or collectively "Parties." RECITALS A. The City desires to retain a contractor to provide marionette puppet shows for various City events, including the City's Summer Splash Day Camp, Kids Night Out, Afterschool Programs, and other events ("Events") as directed by the City. B. Contractor represents that it is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES a. Contractor shall perform the services that are described in Scope of Services- Exhibit A, attached hereto and incorporated by reference. To schedule services, Contractor will provide a quote to City detailing services and costs for an event. City will provide a letter agreement to Contractor, to be executed by the Executive Director of Parks, Recreation and Community Services, or their designee, and Contractor to finalize services and schedule the Event. Work by Contractor may not proceed without a letter agreement,signed by the parties, for a scheduled Event. b. City grants Contractor the right to enter its property for the purpose of delivery, set- up, operation, and pick-up on the days of the scheduled Events. C. The equipment shall be disassembled and removed by Contractor at the conclusion of each Event. 2. COMPENSATION a. City does not guarantee any minimum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges mutually agreed upon by the Parties, in an executed side letter, as defined in Section La. of this Agreement. The total amount Page 1 of 10 to be expended under this Agreement shall not exceed Twenty-Five Dollars and Zero Cents ($25,000.00) during the term of this Agreement b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH) transfers. Contractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. c. Payment need not be made for work that fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. 3. TERM This Agreement shall commence on July 1, 2025 and terminate on June 30, 2026, unless terminated earlier in accordance with Section 16,below. 4. INDEPENDENT CONTRACTOR Contractor 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 Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor 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. 5. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes,which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents &Data that were provided to Contractor by the City. City shall not be limited in any Page 2 of 10 way in its use of the Documents & Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 6. INSURANCE Contractor shall procure and maintain for the duration of the agreement, the following insurance coverages: Minimum Scope and Limit of Insurance. Contractor shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: + Commercial General Liability(CGL): Insurance Services Office 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. • Sexual Abuse or Molestation Liability (SAML): If the CGL policy referenced above is not endorsed to include affirmative coverage for sexual abuse or molestation, Contractor shall obtain and maintain a policy covering Sexual Abuse and Molestation with a limit of no less than$1,000,000 per occurrence or claim. Automobile Liability (AL): Insurance Services Office Form CA 00 01 covering Code 1 (any auto), with combined single limits of $1,000,000. In the event Contractor does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance with existing limits, which can be lower than$1,000,000. • Workers' Compensation (WIC): as required by the State of California, with statutory limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident,per employee,per policy for bodily injury or disease.This requirement can be waived if Vendor has no employees. + If Contractor maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Contractor.Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other Insurance Provisions. The insurance policies are to contain, or be endorsed to contain, the following provisions: + CGL, SAML and AL policies: 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 Contractor including materials,parts, equipment, and personnel furnished in connection with such work or operations. • All required insurance policies: Insurance company(ies) agrees to waive all rights of subrogation against City, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Contractor for City. Page 3 of 10 • All required insurance policies: For any claims related to this contract,Contractor's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. • All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Contractor's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. • Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or materially changed except after thirty(30) days prior written notice has been given to City. Ten(10) days prior written notice shall be provided to City for policy cancellation or non-renewal due to non-payment. • Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: (Name of Department Staff Responsible for Agreement),Address of Department Responsible for Agreement, M-XX, Santa Ana, CA 92701. The name and the location of event should be included in the Description of Operations section of each certificate. Self-Insured Retentions. Self-insured retentions must be declared to and approved by the City. City may require Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability of Insurers. Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating of no less than A:VII, unless otherwise acceptable to City. Verification of Coverage. Contractor 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 COL policy listing all policy endorsements to Entity before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Contractor'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. Claims Made Policies. If any of the required policies provide coverage on a claims-made basis: • The retroactive date must be shown and must be before the date of the contract or the beginning of work. Insurance must be maintained and evidence of insurance must be provided for at least three(3) years after completion of work. Page 4 of 10 • If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a retroactive date prior to the contract effective date, Company must purchase"extended reporting"coverage for a minimum of three(3) years after completion of work. Subcontractors. Contractor shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from sub-contractors. Special Risks or Circumstances. City reserves the right to modify these requirements, including limits, based on the nature of the risk,prior experience,insurer,coverage,or other special circumstances. 7. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel,and representatives from liability: (1)for personal injury, damages,just compensation,restitution,judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial. or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution,judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury,damages,just compensation,restitution,judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited,to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor represents and warrants that it has obtained the requisite licenses to show the Films contemplated by this Agreement. Contractor further agrees to defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. Page 5 of 10 9. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 10. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance,but in no event less than reasonable care. "Confidential [nformation"shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that(a)has been.disclosed in publicly available sources; (b)is,through no fault of the Contractor disclosed in a publicly available source; (e) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or(e) is independently developed by the Contractor without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE a. Contractor covenants that it presently has no interests and shall not have interests,direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. b. No immediate family members of either the Mayor, City Council Member, or any appointed City Official, including appointed board and commission members, as defined under the City's Municipal Code, whose position with the City shall award or influence the award of this Agreement, or any competing contract or amendment thereof, shall be employed in any capacity by the Contractor or have any other direct or indirect financial benefit or interest in this Agreement. c. The section also prohibits the awarding of any agreement, contract, grant, or any amendment to those awards, to any former full-time employee for one-year from date of employee separation except for any Ca1PERS retiree as authorized by City Council Page 6 of 10 resolution d. The Contractor must comply with all conflict of interest laws, ordinances, and regulations now in effect or hereafter to be enacted during the term of this Agreement. The Contractor warrants that it is not now aware of any facts which conflict with the prohibitions defined above. If the Contractor hereafter becomes aware of any facts that might reasonably be expected to create a conflict of interest, it must immediately make full written disclosure of such facts to the City. Full written disclosure must include, but is not limited to, identification of all persons implicated and a complete description of all relevant circumstances. Failure to comply with the provisions of this paragraph will be a material breach of this Agreement. e. Contractor covenants that none of its directors, officers, employees, or agents shall participate in selecting or administrating any subcontract supported(in whole or in part) by City funds stemming from the Agreement where the awarding of the subcontract has any direct or indirect financial benefit or interest to any individual, as defined in subsections (b) and (c) above. 12. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail,postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City Clerk City of Santa Ana 20 Civic Center Plaza(M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Executive Director Parks, Recreation, and Community Services Agency City of Santa Ana 20 Civic Center Plaza (M-23) P.O. Box 1988 Santa Ana, CA 92702 To Contractor: Franklin Haynes Marionettes 1234 Muirfield Road Riverside, CA 92506 franklin a,haynesmarionettes.com A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, Paoe 7 of 10 communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four(24)hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral or written,between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations,inducements,promises or agreements,orally or otherwise,have been made by any party, or anyone acting on behalf of any party,which are not embodied herein. 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign„ transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services that are the subject to this Agreement performed by City personnel or by other contractors retained by City. 15. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 16. TERMINATION This Agreement may be terminated by the City upon thirty(30)days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case, Page 8 of 10 such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work that fails to meet the standard of performance specified in the Recitals of this Agreement. 17. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age,national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion,termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 18. JURISDICTION-VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of: California. Both parties further agree that Orange County, California,shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 20. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached.hereto shall be incorporated as if fully set forth in the body of this Agreement. Page 9 of 10 SIGNATURE PAGE TO AGREEMENT WITH FRANKLIN HAYNES TO PROVIDE MARIONETTE PUPPET SHOWS FOR CITY EVENTS IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA AN o ennifer L Hall &� varo Nunez City C • City Manager APPROVED AS TO FORM CONTRACTOR SONIA R. CARVALHO City Attorney 1 ;Yc�a�rCiN Baynes By. onathan T. Martine Franklin Haynes Assistant City Attorney Owner RECOMMENDED FOR APPROVAL Hawk Scott Executive Director Parks, Recreation, and Community Services Agency Page 10 of 10 Exhibit A SCOPE OF SERVICES CONTRACTOR INFORMATION: Franklin Haynes Marionettes EVENT: Summer Splash Day Camp, Kid's Night Out, afterschool programs SERVICE DATE(S): 07/01/2025-06/30/2026. Contractor will present puppet shows for one- hour shows during dates, times, and locations upon written agreement between the parties. COMPENSATION DUE TO CONTRACTOR: $500.00 per each one(1)hour show,but not to exceed $25,000.00 during the one (1) year term of this agreement. The invoice will be electronically submitted and payment will be made via check or credit card to Franklin Haynes Marionettes. DESCRIPTION: Franklin Haynes Marionettes shall provide one-hour of special entertainment in the form of puppet shows at Summer Splash Day Camp, Kid's Night Out, and Afterschool Programs at the following locations: El Salvador Community Center Jerome Community Center Salgado Community Center Garfield Community Center Roosevelt-Walker Community Center The Contractor will be paid within 45 days of the event. Franklin Haynes - Marionettes (2025) - CAQ signed (002) Final Audit Report 2025-07-01 Created: 2025-07-01 By: Julie Hoang Ohoang@santa-ana.org) Status: Signed Transaction ID: CBJCHBCAABA46pY6zKVRaLsgiKEdylrtJLgdVal2lo24 "Franklin Haynes - Marionettes (2025) - CA© signed (002)" Histo ry "I Document created by Julie Hoang Qhoang@santa-ana.org) 2025-07-01 -4:51:27 PM GMT -'> Document emailed to Franklin Haynes (frank@puppetshows.com) for signature 2025-07-01 -4:51:32 PM GMT Email viewed by Franklin Haynes (frank@puppetshows.com) 2025-07-01 -4:55:04 PM GMT C`Q Document e-signed by Franklin Haynes(frank@puppetshows.com) Signature Date:2025-07-01 -4:55:23 PM GMT-Time Source:server Document emailed to Hawk Scott (hscott@santa-ana.org) for signature 2025-07-01 -4:55:24 PM GMT i Email viewed by Hawk Scott (hscott@santa-ana.org) 2025-07-01 -5:00:04 PM GMT f@ Document e-signed by Hawk Scott(hscott@santa-ana.org) Signature Date:2025-07-01 -5:00:19 PM GMT-Time Source:server Agreement completed. 2025-07-01 -5:00:19 PM GMT Adobe Acrobat sign SPECIALTY CERTIFICATE OF LIABILITY INSURANCE DATE (MMIC1DlYYY1'I 1%s:a I,:C: A,,,N C r 08/28/2024 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 p Specialty Insurance Agency C Inta e l e3 r ss� ee n e Performers of the U.S. PI cne: 715' 6-8908 FA3t'715-246-8908 3432 Denmark Ave#231 I e Err All: Eagan,MN 55123 It SI A G NAIC# INSURED PERFORMERS OF THE U.S.AND ITS PARTICIPATING MEMBERS: NSURE �i6 �n u a. $ Terry Conci Q dba Franklin Haynes Marion t INS _ • 1234 Muirfield Road INSURER Riverside,CA 92506 cevedo INSURE • • COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SUBR POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE INSD WVD POLICY NUMBER DATE IMMIDDIM DATE tMM/DD/YY) LIMITS X OMMERCIAL GENERAL EACH OCCURRENCE $ 1,000,000 LIABILITY DAMAGE TO RENTED $300,00© CLAIMS MADE X�CCUR PREMISES(Ea occurrence) MED EXP{Any one person) $5 000 A GEN'L AGGREGATE LIMIT X X 2CN0180-7334 09/08/2024 09/08/2025 12:01 am APPLIES PER: PERSONAL 8 ADV INJURY $ 1,000,000 [HPOLICY PROJECT GENERAL AGGREGATE s2,000.000 LOC PRODUCTS-COMP/OP AGG $2,000,000 A PERFORMER ASSISTANTISI EACH OCCURRENCE $ AGGREGATE $ A BUSINESS PERSONAL PROPERTY-INLAND MARINE AGGREGATE $ SEXUAL ABUSE AND EACH OCCURRENCE S 1,000,000 A MOLESTATION 2CN0180-7334 09f08/2024 0910812025 12:01 am OGGUR AGGREGATE $2 000 000 A DATA BREACH AND CY6ER AGGREGATE $ LIABILITY COVERAGE A EQUIPMENT LEASED OR RENTED AGGREGATE $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U,S.: Terry Conci dba Franklin Haynes Marionettes Additional Insured:The City of Santa Ana, Risk Management,it's officers,employees,agents,representatives,and volunteers as additional inured.Coverage is primary and not-contributory with respect to insurance or self-insurance maintained by the City. Waiver of Subrogation applies to general liability.Thirty(30)day prior written notice of cancellation required. Sexual abuse or molestation coverage is not excluded by endorsement,$1,000,0001$2,000,000 coverage limits apply to educational institutions only;otherwise $100,000 each occurrencel$300,000 aggregate limits apply to sexual abuse or molestation coverage. Email:jhoang@santa-ana.org Attn:Julie Hoang Event Dates:08/28/2024-04/30/2025 Insured for:Puppeteer CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division SHOULD ANY OF THE ABOVE DESCR BED POLIC ES BE CANCELL D 20 Civic Center Plaza,4th floor BEFORE THE EXPIRATIOI COVERAGE WILL ENUEA, Santa Ana,CA 92702 CERTIFICATE HOLDERN, Risk MuftTnadDW[an SHALL IMPOSE NO OBLII REmEWED&APPROVED BY: INSURER,ITS AGENTS Ol AUTHORIZED REPRESENT �-�� Risk Management Specialist POLICY NUMBER: 2CN0180-7334 COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: City of Santa Ana Risk Management Division 20 Civic Center Plaza,4th floor Santa Ana,CA 92702 The City of Santa Ana,Risk Management, it's officers,employees,agents, representatives,and volunteers as additional inured.Coverage is primary and not-contributory with respect to insurance or self-insurance maintained by the City. Waiver of Subrogation applies to general liability.Thirty(30)day prior written notice of cancellation required. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to 2. This insurance does not apply to: include as an additional insured any state or a. "Bodily injury", "property damage" or governmental agency or subdivision or political "personal and advertising injury" arising out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government, state or municipality; or 1. This insurance applies only with respect to b, "Bodily injury" or "property damage" operations performed by you or on your behalf included within the "products-completed for which the state or governmental agency or operations hazard". subdivision or political subdivision has issued a permit or authorization. B. With respect to the insurance afforded to these additional insureds, the following is added to However: Section III—Limits Of Insurance: a. The insurance afforded to such additional If coverage provided to the additional insured is insured only applies to the extent permitted required by a contract or agreement, the most we by law; and will pay on behalf of the additional insured is the b. If coverage provided to the additional amount of insurance: insured is required by a contract or 1. Required by the contract or agreement, or agreement, the insurance afforded to such additional insured will not be broader than 2. Available under the applicable Limits of that which you are required by the contract Insurance shown in the Declarations; or agreement to provide for such additional whichever is less. insured. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. -_�.;E TtiekMRnagem�i7iviciars clra ry' = REviEWED&APPRov9DBr: -l�-p Risk Management Speadlst CG 20 12 04 13 OO Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: gig 2CN0180-7334 MARKED:' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Person Or Organization: Any person(s) or organization(s)with whom the Named Insured agrees, in a written contract executed prior to the 'occurrence", to waive rights of recovery Additional Premium: $ The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Conditions: We waive any right of recovery we may have against any person or organization shown in the Schedule of this endorsement. This waiver applies only to the person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. -- RAM",g fDvision IdEV ewm&APPROV m BY. s MEGL 0241-01 05 16 Includes copyrighted material of Insurance Services Office, �. ter' Risk Management Specialist with its permission. POLICY NUMBER; 2CN0180-7334 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing g in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and 77_.7e RiekM ngeftidDnnsian 4 REVIEWED&APP� ROVEL]BY: == Risk Management Specialist CG 20 01 04 13 O Insurance Services Office, Inc., 2012 Page 1 of 1 o�gany slgnea Tu Tran by Tu Tran Nguyen Renewal auto policy declarations Nguyenbz'SA°2o,a�� WAllstate. Your policy effective date is January 11, 2025 APPROVED By Tu Tran Nguyen at 12:13 pm,Jun 03, 2025 Page 1 of 4 Total Amount Due for the Policy Period Information as of November 20,2024 Please review your insured vehicles and verify their VINs are correct. Summary Vehicles covered Identification Number Premium Named Insured(s) 2017 Volvo Xc90 YV4A22PK9H1150953 $870,78 Catherine Parra,Franklin Haynes 2010 Ford Van Econoline 1FTNElEL8ADA15582 826.98 Mailing address California Fraud Assessment Fee 1.76 1234 Muirfield Ct Total* $1,699.521 Riverside CA 92506-5577 Policy number *Your bill will be mailed separately.Before making a payment,please refer to your 924 941534 latest bill,which includes payment options and installment fee information.If you do Your policy provided by not pay in full,you will be charged an installment fee(s). Allstate Northbrook Indemnity See the Important payment and coverage information section for details about Company installment fees. Policy period Beginning January 11,2025 through July 11,2025 at 12:01 a.m.standard time Discounts (included in your total premium) Your Allstate agency is Anti-theft $6.24 Good Driver(20%) $406.72 Alvarado Agency Multiple Policy $84.18 Distinguished $162.34 3579 Arngtn Ave#700 Driver Riverside CA 92506-3916 .4$ (951)369-0277 $659 Total discounts malvarado6@allstate.com Some or all of the information on your Discounts per vehicle Policy Declarations is used in the rating 2017 Volvo Xc90 $409.92 of your policy or it could affect your Anti-theft $6.24 Good Driver(20%) $199.97 eligibility for certain coverages.Please Multiple Policy $41.37 Distinguished $162.34 notify us immediately if you believe that Driver any information on your Policy 2010 Ford Van Econoline $249.56 Declarations is incorrect.We will make Good Driver(20%) $206.75 Multiple Policy $42.81 corrections once you have notified us, and any resulting rate adjustments,will Listed drivers on your policy be made only for the current policy period or for future policy periods. Catherine Parra Please also notify us immediately if you Franklin Haynes believe any coverages are not listed or are inaccurately listed. Excluded drivers from your policy None 0 m d 0 u Renewal auto policy declarations Page 2 of 4 Policy number: 1924941534 Policy effective date: January 11,2025 Coverage detail for 2017 Volvo Xc90 _ Coverage Limits Deductible Premium Pt�tomobile Liablllty InsUranc lot applicable f BgOily Iniu.ry 1QQ, 00'e;ach person i$3Q0,000 each occurrence Property Damage j$JQ QQO each occurrence` Auto Collision Insurance Actual cash value $1,000 $245.45 Waiver of deductible applies Auto Comprehensive Insurance Actual cash value $500 $118.50 Rental Reimbursement Not purchased* Towing and Labor Costs $100 each disablement Not applicable $4.81 Uninsured Motorists Insurance for Bodily $100,000 each person Not applicable $136.95 Injury $300,000 each accident Automobile Medical Payments Not purchased* Coordinated Medical Protection Not purchased* Sound System Not purchased* Tape Not purchased* Total premium for 2017 Volvo Xc90 $870.78 *This coverage can provide you with valuable protection. To help you stay current with your insurance needs,contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN YV4A22PK9H1150953 Rating information Your premium is determined based on certain information,including the following: • This vehicle is driven 3-9 miles to work/school, married person licensed 45 years. Allstate uses mileage information as one factor to help determine your premium amount. m Important Note:The annual mileage figure applicable to this vehicle for the expiring policy period was:8,000-8,499.The a annual mileage figure applicable to this vehicle for the current policy period is:9,000-9,499. The required odometer information to calculate your annual mileage for the current policy period was not provided,was illegible,could not be obtained or the most recent odometer reading we received was less than a previous reading. 0 0 0 If any of the information shown above is incorrect,missing or changes in the future,please contact your Allstate N 0 representative.Please keep in mind that a change in any of the information may result in an adjustment to your premium. o La ID fn O a O rn O A O a� �O 04 O Q O n O m O Q N N N O ID V O� O ry a� F- Renewal auto policy declarations WAllstate. Policy number: 924941534 Page 3 of 4 Policy effective date: January 11,2025 Coverage detail for 2010 Ford Van Econoline Coverage Limits Deductible Premium Automobile Liability Insurance Not applicable $476.59 • Bodily Injury $100,000 each person $300,000 each occurrence • Property Damage $100,000 each occurrence Auto Collision Insurance Actual cash value $1,000 $12M8 Waiver of deductible applies Auto Comprehensive Insurance Actual cash value $500 $58.11 Rental Reimbursement Not purchased* Towing and Labor Costs $100 each disablement Not applicable $4.81 Uninsured Motorists Insurance for Bodily $100,000 each person Not applicable $166.29 Injury $300,000 each accident Automobile Medical Payments Not purchased* Coordinated Medical Protection Not purchased* Sound System Not purchased* Tape Not purchased* Total premium for 2010 Ford Van Econoline $826.98 *This coverage can provide you with valuable protection. To help you stay current with your insurance needs,contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN 1FTNE1EL8ADA15582 Lienholder Westlake Portfolio Management Rating information Your premium is determined based on certain information, including the Interested party following: Westlake Portfolio Management • This vehicle is driven 3-9 miles to work/school,married person licensed 32 years. Allstate uses mileage information as one factor to help determine your premium amount. Important Note:The annual mileage figure applicable to this vehicle for the expiring policy period was:11,000-11,499.The annual mileage figure applicable to this vehicle for the current policy period is:11,000-11,499. The required odometer information to calculate your annual mileage for the current policy period was not provided,was illegible,could not be obtained or the most recent odometer reading we received was less than a previous reading. If any of the information shown above is incorrect,missing or changes in the future,please contact your Allstate representative.Please keep in mind that a change in any of the information may result in an adjustment to your premium. a m 0 0 u Renewal auto policy declarations Page 4 of 4 Policy number: 1924941534 Policy effective date: January 11,2025 Additional coverages Automobile Death Indemnity Insurance Not purchased* Automobile Disability Income Protection Nat purchased* Identity Theft Expenses Not purchased* *This coverage can provide you with valuable protection. To help you stay current with your insurance needs,contact your Allstate agent to discuss coverage options and other products and services that can help protect you. Your policy documents Your automobile policy consists of this Policy Declarations and the documents in the following list.Please keep these together. • Allstate Automobile Policy-AU104-3 ■ California Amendatory Endorsement-AU14629-3 • Amendment of Policy Provisions-AU14626-1 • California Paperless Disclosure-AU14943 Important payment and coverage information Here is some additional,helpful information related to your coverage and paying your bill: *Your rate is lower because you are insuring multiple cars. ►Your hill will be sent to you in a separate mailing and will list any payment option(s)available to you. If you are eligible to pay your premium in installments,your first/renewal bill will reflect your available payment options, including the option to pay in full or to pay in monthly installments. If you decide to pay your premium in installments,there will be a$3.50 installment fee charge for each payment due. If you make 5 installment payments during the policy period,and do not change your payment plan method,then the total amount of installment fees during the policy period will be$17.50. If you are on the AllstateO Easy Pay Plan,there will be a$1.00 installment fee charge for each payment due. If you make 5 installment payments during the policy period,and remain on the Allstate@ Easy Pay Plan,then the total amount of installment fees during the policy period will be$5.00. If you change payment plan methods or make additional payments,your installment fee charge for each payment due and the o total amount of installment fees during the policy period may change or even increase. Please note that the Allstate°Easy Pay Plan allows you to have your insurance payments automatically deducted from your checking or savings account. 0 s Q Q Allstate Northbrook Indemnity Company's Secretary and President have signed this policy with legal authority at Northbrook, N o Illinois. N o v , in sx-RV 4ftk4--- �o 0 rno Phil Telgenhoff Courtney Welton a o President Secretary C o� O(r, O O Q ry N r� N� O O ry O X X Q Renewal auto policy declarations Q)Allstate. Your policy effective date is July 11,2025 Page 1 of 5 Information as of May 20,2025 Total Amount Due for the Policy Period Please review your insured vehicles and verify their VINs are correct. Summary Vehicles covered Identification Number Premium Named Insured(s) 2017 Volvo Xc90 YV4A22PK9Hi150953 $1,971.40 Catherine Parra,Franklin Haynes 2010 Ford Van Econoline 1FTNE1EL8ADA15582 901.24 Mailing address California Fraud Assessment Fee 1,76 1234 Muirfield Ct Total* $2,874.40 Riverside CA 92506-5577 Po icy *Your bill will be mailed separately.Before making a payment,please refer to your 924 941534 latest bill,which includes payment options and installment fee information.if you do Your policy provided by not pay in full,you will be charged an installment fee(s). Allstate Northbrook Indemnity See the Important payment and coverage information section for details about Company installment fees. Policy period Beginning July 11,2025 through January 71,2026 at 12:01 a.m.standard time Discounts (included in your total premium) Your Allstate agency is Anti-theft $16.13 Good Driver(20%) $700.43 Alvarado Agency Multiple Policy $146.08 3579 Arngtn Ave#700 discountsRiverside CA 92506-3916 Total d15C0 $862.64 (951)369-0277 malvarado6@allstate.com Discounts per vehicle Some or all of the information on your 2017 Volvo Xc90 $59056 Policy Declarations is used in the rating Anti-theft $16.13 Good Driver(20%) $475.11 of your policy or it could affect your Multiple Policy $99.32 eligibility for certain coverages.Please 2010 Ford Van Econoline $272 08 notify us immediately if you believe that Good Driver(20%) $225.32 Multiple Policy $46.76 any information on your Policy Declarations is incorrect.We will make corrections once you have notified us, Surcharge (included in your total premium) and any resulting rate adjustments,will be made only for the current policy 2017 Volvo Xc90 period or for future policy periods. At Fault Accident:02/27/2025 Please also notify us immediately if you believe any coverages are not listed or Listed drivers on your policy are inaccurately listed. Catherine Parra Franklin Haynes Excluded drivers from your policy None n m c 0 0 4 U Renewal auto policy declarations Page 2 of 5 Policy number: 1924941534 Policy effective date: July 11,2025 Coverage detail for 2017 Volvo Xc90 Coverage Limits Deductible Premium _ .. utomohHe Liabi,y.Insur hce Not appll�abli 732.6H Bodily Injur 100,OOQ each persorj i$3DOiQQO�eaeh occurrehtd PYeperty Da�ag� � 1OO,QOQ each occurrence Auto Collision Insurance Actual cash value $1,000 $569,54 Waiver of deductible applies Auto Comprehensive Insurance Actual cash value $500 $306.66 Rental Reimbursement Not purchased* Towing and Labor Costs $100 each disablement Not applicable $4.28 Uninsured Motorists Insurance for Bodily $100,000 each person Not applicable $358.26 Injury $300,000 each accident Automobile Medical Payments Not purchased* Coordinated Medical Protection Not purchased* Sound System Not purchased* Tape Not purchased* Total premium for 2017 Volvo Xc90 $1,971.40 *This coverage can provide you with valuable protection. To help you stay current with your insurance needs,contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN YV4A22PK9H1150953 Rating information Your premium is determined based on certain information,including the following: • This vehicle is driven 3-9 miles to work/school, married person licensed 46 years. Allstate uses mileage information as one factor to help determine your premium amount. 10 22 Important Note:The annual mileage figure applicable to this vehicle for the expiring policy period was:9,000-9,499.The a annual mileage figure applicable to this vehicle for the current policy period is:9,000-9,499. F 7 The required odometer information to calculate your annual mileage for the current policy period was not provided,was N illegible,could not be obtained or the most recent odometer reading we received was less than a previous reading. M Q If any of the information shown above is incorrect,missing or changes in the future,please contact your Allstate o o representative.please keep in mind that a change in any of the information may result in an adjustment to your premium. N 9 9 L o 0 N N O V0 O O O O¢' 0 O M O O Ln 10 3 4 O F Renewal auto policy declarations Page 3 of 5 Q)Allstate. Policy number: 924941534 Policy effective date: July 11,2025 8 Coverage detail for 2010 Ford Van Econoline Coverage Limits Deductible Premium Automobile Liability Insurance Not applicable $526.17 • Bodily Injury $100,000 each person $300,000 each occurrence ■ Property Damage $100,000 each occurrence Auto Collision Insurance Actual cash value $1,000 $121.18 Waiver of deductible applies Auto Comprehensive Insurance Actual cash value $500 $63.54 Rental Reimbursement Not purchased* Towing and Labor Costs $100 each disablement Not applicable $4.28 Uninsured Motorists Insurance for Bodily $100,000 each person Not applicable $186.07 Injury $300,000 each accident Automobile Medical Payments Not purchased* Coordinated Medical Protection Not purchased* Sound System Not purchased* Tape Not purchased* Total premium for 2010 Ford Van Econoline $901.24 *This coverage can provide you with valuable protection. To help you stay current with your insurance needs,contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN 1FTNE1EL8ADA15582 Lienholder Westlake Portfolio Management Rating information Your premium is determined based on certain information, including the Interested party following: Westlake Portfolio Management • This vehicle is driven 3-9 miles to work/school, married person licensed 32 years. Allstate uses mileage information as one factor to help determine your premium amount. Important Note:The annual mileage figure applicable to this vehicle for the expiring policy period was:11,000-11,499.The annual mileage figure applicable to this vehicle for the current policy period is:11,000-11,499. The required odometer information to calculate your annual mileage for the current policy period was not provided,was illegible,could not be obtained or the most recent odometer reading we received was less than a previous reading. If any of the information shown above is incorrect,missing or changes in the future,please contact your Allstate representative.Please keep in mind that a change in any of the information may result in an adjustment to your premium. m O Q U Renewal auto policy declarations Page 4 of 5 Policy number: 1924 941534 Policy effective date: July 11,2025 Additional coverages Automobile Death Indemnity Insurance Not purchased* Automobile Disability Income Protection Not purchased* Identity Theft Expenses Not purchased* *This coverage can provide you with valuable protection. To help you stay current with your insurance needs,contact your Allstate agent to discuss coverage options and other products and services that can help protect you. Your policy documents Your automobile policy consists of this Policy Declarations and the documents in the following list. Please keep these together. • Allstate Automobile Policy-AU104-3 ■ California Amendatory Endorsement-AU14629-3 • Amendment of Policy Provisions-AU14626-1 • California Paperless Disclosure-AU14943 Important payment and coverage information Here is some additional,helpful information related to your coverage and paying your bill: ►If we cancel or non-renew your policy,a copy of the notice of cancellation will be sent to all listed drivers on the policy. ►Your rate is lower because you are insuring multiple cars. ►Your bill will be sent to you in a separate mailing and will list any payment option(s)available to you. If you are eligible to pay your premium in installments,your first/renewal bill will reflect your available payment options,including the option to pay in full or to pay in monthly installments. If you decide to pay your premium in installments,there will be a$3.50 installment fee charge for each payment due. If you make 5 installment payments during the policy period,and do not change your payment plan method,then the total amount of installment fees during the policy period will be$17.50. If you are on the Allstate°Easy Pay Plan,there will be a$1.00 installment fee charge for each payment due.If you make 6 installment payments during the policy period,and remain on the Allstatem Easy Pay Plan,then the total amount of installment Q fees during the policy period will be$6.00. o 0 If you are on the Recurring Credit Card Plan,there will be a$3.50 installment fee charge for each payment due. If you make 6 installment payments during the policy period,and do not change your payment plan method,then the total amount of installment fees during the policy period will be$21.00. < If you change payment plan methods or make additional payments,your installment fee charge for each payment due and the o total amount of installment fees during the policy period may change or even increase. o 9 M O Please note that the Allstate°Easy Pay Plan allows you to have your insurance payments automatically deducted from your �q o '4o checking or savings account. N N 0 00 0 a.- 0a 0m m O N 0 ll7 0 L N N O O V O O� I N� X Q CITY OF SANTA ANA Risk Management a division of Human Resources Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR WORKERS' COMPENSATION MURANCE 1, Franklin Haynes ("Representative"), attest that I am an authorized (Name and Title of vendor Representoti%e representative of Franklin Haynes Marionettes ("Company"), and (Consultant/Company Name) possess the authority to legally bind Company. In my capacity as Representative of Company, I represent and confirm the following, as relates to the agreement between Company and City of Santa Ana, agreement number ("Agreement")to provide Summer Splash Marionette Puppet Shows ("Services"): (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana, Company will not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if Company should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,Company shall forthwith comply with the provisions and provide proof of workers' compensation coverage immediately. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. 6/3125 Signature Date Franklin Haynes Print Name Owner, Puppeteer Title 800-687-5193 Frank@PuppetShows.com Contact Information,i.e.,Telephone Number and/or Email Address WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANT DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND ATTORNEY'S FEES. Affidavit of Exemption for Workers'Compensation Insurance 11.12.2024