HomeMy WebLinkAboutVIETNAMESE-AMERICAN ARTS AND LETTERS ASSOCIATION (VAALA) INSURANCE ON FILE
WORK MAY PROCEED
UN-11i 1NSI I P..NCL F t-s N-2025-202
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DATE. JUL 2 2 2025 ARTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT BETWEEN
LDA ttL) THE CITY OF SANTA ANA AND VIETNAMESE-AMERICAN ARTS AND LETTERS
Tram L.Q, (Dz) ASSOCIATION (VAALA)
This Artist Grant Agreement ("Agreement") is made and entered this 131h day of January, 2025,
by and between 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"), and Vietnamese-
American Arts and Letters Association (VAALA) ("Grantee") for the purpose of providing grant
funding pursuant to the Investing in the Artist Grant Program. City and Grantee may herein
individually be referred to as a "Party" and collectively be referred to as the "Parties" to the
Agreement.
RECITALS:
A. On November 21, 2024, the Arts and Culture Commission reviewed all applicants and
recommended that Grantee be awarded an artist grant based on its Application for its art
project ("Project"). A true and correct copy of Grantee's Application is attached hereto as
Exhibit A and incorporated herein by reference.
B. In undertaking the performance pursuant to this Agreement, Grantee represents that it is
skilled and knowledgeable in the arts and culture arena and that the Project created or
performed hereunder will be created or performed in compliance with such standards as may
reasonably be expected from an artist.
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. Term. This Agreement shall be effective upon signature by both Parties and shall expire one
year from the date first written above, unless terminated earlier in accordance with this
Agreement.
2. Funding.
2.1. Subject to Grantee's performance of all required actions under this Agreement, City shall
provide funding, in two disbursements, as detailed below, of an amount not to exceed Fourteen
Thousand Dollars ($14,000) ("Grant Amount" or"Grant").
2.2. Grantee will be paid in two (2) installments. First payment will be one-half of the funding
amount provided above or $7,000 and will be provided within thirty (30) days of the full execution
of the Agreement by the Parties along with a complete invoice submitted by Grantee. The second
and final payment will include the remaining amount of$7,000 and will be issued within thirty (30)
days after the Grantee submits to the City all the proper receipts, invoices, and final report for the
Project.
2.3. Appropriate performance of the Grantee will be determined by City in its sole discretion. City
reserves the right to cease funding after the first or second disbursement detailed above, and to
be reimbursed the initial payment(s), if Grantee's performance is determined to be insufficient or
unacceptable in the City's sole discretion.
2.4. City represents that there is no correlation or connection between its selection of individuals
for grant awards and an individual's business relationship or potential business relationship with
City.
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3. Grant Activities. Grantee agrees:
3.1. To perform the activities described in Grantee's Grant Application and Timeline submitted to
City for consideration dated October 21, 2024, a copy of which is attached as Exhibit A and
incorporated into this Agreement as if set out in full.
3.2. To submit all reports(each, a"Report"), which shall include, at a minimum, the items set forth
as required by the Application. No personally identifiable information shall be included in any of
the Reports, except where specifically requested. The Reports shall be in a format that is
reasonably acceptable to City. City may request additional information as City, in its sole
discretion, determines is necessary to monitor performance of this Agreement. City shall have the
right to use any Reports submitted by Grantee, or any portion thereof, for any reason.
3.3. To maintain all pertinent financial and accounting records pertaining to this Agreement in
accordance with generally accepted accounting principles and other procedures reasonably
specified by City. Upon termination or expiration of this Agreement or request by City, Grantee
shall provide, at its expense, copies of all financial and accounting records produced by Grantee
arising out of this Agreement.
3.4. To allow audits, compliance or special reviews and inspections, including on-site inspection,
with or without prior notice, of Grantee's facilities by City or by third parties designated by City, or
their authorized representatives. Grantee shall provide its full cooperation for any such audit,
review or inspection, including providing timely access, for examination and copying of records
(including computerized records) pertinent books, documents, papers, computer programs and
records and reasonable access to its personnel.
3.5. To ensure that any areas utilized for the Project are maintained and restored to a well-
maintained, safe, sanitary, and clean condition, and kept free of any hazardous waste.at all times.
All equipment associated with the installation of the artwork, trash and debris shall be removed
and cleaned up on a daily basis. If applicable to the Project, Grantee shall place a drop cloth or
similar barrier on the ground below the artwork while installation is underway, which barrier shall
be removed each day upon completion of an installation session.
3.6. The Project may not contain advertising, religious art, sexual content, negative or violent
imagery, convey political partisanship or include any hidden, subliminal, or camouflaged
messages or statements of any kind or nature. Appropriateness of the content of the Project will
be determined by City in its sole discretion.
3.7. The Project may not include any breach of intellectual property, trademarks, brands, or
images of illegal activity, and the Grantee must be the copyright holder for the Project. It is the
sole responsibility of the Grantee to obtain any and all applicable copyrights or trademarks
associated with the artwork for the Project.
3.8. To be responsible for the maintenance of the Project, which includes, but is not limited to,
graffiti removal, touch-up, and restoration, for the duration of the Project's existence.
3.9. If the artwork is a mural, it must be covered in an anti-graffiti coating at the Grantee's expense.
3.10. The City holds all rights to public art on City property, and as such the Project artwork may
be removed at the sole discretion of the City. Should the Project artwork be defaced and/or not
repaired, maintained, preserved and/or conserved, the City has the authority to repair, maintain,
preserve, and/or conserve the Project artwork, or alternatively, the City has the sole authority to
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remove, alter, or destroy the Project artwork. Grantee will have first right of refusal to restore said
Project artwork. If Grantee is unwilling to perform or unable to be contacted within a reasonable
time, the City has the right to request the services needed from a different artist, in the City's sole
discretion.
3.11. Grantee shall execute and deliver to City any instruments that City may reasonably require
to confirm ownership of any artwork.
4. Termination.
4.1. City may immediately terminate this Agreement upon one or more of the following:
4.1.1. Grantee's violation of any federal, state or local law or regulation.
4.1.2. Grantee's breach of any of the terms or conditions of this Agreement, including the
Application and Timeline, or any unapproved deviation from said documents that has not
been cured within 30 days of written notice of such breach.
4.2. In the event the Agreement is terminated under Section 4.1, City reserves the right to require
Grantee to refund any or all grant funds awarded to Grantee under this Agreement, and Grantee
agrees to refund to City any or all grant funds awarded under this Agreement.
5. Limitation of Liabili .
5.1. IN NO EVENT SHALL CITY BE LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL OR
CONSEQUENTIAL DAMAGES OR EXPENSES FOR ANY NEGLIGENCE, BREACH OF
CONTRACT OR ANY OTHER ACT ARISING OUT OF OR RELATING TO THIS AGREEMENT
OR THE ACTIVITIES COVERED HEREUNDER.
5.2. Section 5 and Section 6 do not limit Grantee's rights, including its ability to seek recovery,
against anyone other than City, its City Council, officials, directors, officers, employees, agents,
successors, assigns and volunteers.
6. Indemnification.
6.1. Grantee shall defend, indemnify, protect and hold harmless the City, and its City Council,
elected and appointed officials and officers, employees, members, volunteers, or agents from and
against all claims for damages, liability, cost and expense (including without limitation attorney's
fees) arising out of or alleged by third parties to be the result of the negligent acts, errors or
omissions or the willful misconduct of the Grantee, and Grantee's employees, subcontractors or
other persons, agencies or firms for whom Grantee is legally responsible in connection with the
execution of the work covered by this Agreement. Grantee shall have no duty to indemnify or
hold harmless the City if claims, damages, liability, costs, expenses (including without limitation,
attorney's fees) arise from the sole negligence or sole willful misconduct of the City subsequent
to declaration by the Grantee. Grantee's obligations shall survive the termination of this
Agreement.
6.2. Grantee agrees to hereby fully release and forever discharge the City from any and all claims,
demands, damages, losses, and liabilities (hereinafter collectively referred to as "claims"), which
are or may be related to or in any way connected with the negligence or willful misconduct of its
officers, officials, employees, or agents in connection with the creation, painting, performance or
installation of the Project hereunder.
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6.3. Grantee further agrees that City may in good faith and on reasonable terms settle any such
claims and that City's right to indemnification shall extend to any such settlement, provided City
has given notice of such claim and its intent to settle. City's right to indemnification is in addition
to, and may be exercised independently of, any remedy held by City under this Agreement, at law
or in equity. The indemnity provision set forth in this Agreement shall survive the termination or
expiration of this Agreement indefinitely.
7. Insurance
7.1 Prior to undertaking performance of work under this Agreement, Grantee shall maintain and
shall require its subcontractors, if any, to obtain and maintain insurance as described below:
MINIMUM SCOPE AND LIMIT OF INSURANCE
Grantee 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.
• 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 Grantee 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 Grantee has no employees.
If Grantee 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 Grantee. 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:
1. CGL 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
Grantee including materials, parts, equipment, and personnel furnished in connection
with such work or operations.
2. 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 Grantee for City.
3. All required insurance policies: For any claims related to this contract, Grantee's
insurance coverage shall be primary and any insurance maintained by City, its City
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Council, its officers, officials, employees, agents, or volunteers shall not contribute
with it.
4. All required insurance policies: A severability of interest provision must apply for all
the additional insureds, ensuring that Grantee'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.
5. 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 shall be provided to City for policy
cancellation or non-renewal due to non-payment.
6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa
Ana, Attention: Executive Director, Community Development Agency, 20 Civic
Center Plaza M-25, Santa Ana, CA 92701. The name and location of event should
be included in the Description of Operations section of each certificate.
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.
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Verification of Coverage
Grantee shall furnish City with original Certificates of Insurance including all required
amendatory endorsements (or copies of the applicable policy language effecting coverage
required by this clause) and a copy of the Declarations and Endorsement Page of the CGL
policy listing all policy endorsements to City before work begins. However, failure to obtain
the required documents prior to the work beginning shall not waive Grantee'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.
Subcontractors
Grantee shall require and verify that all sub-contractors maintain insurance
meeting all the requirements stated herein, and Grantee 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.
8. General Provisions,
8.1. Grantee shall acquire prior written permission from City for any use of the City name or logo
in association with the Project.
8.2. If any parts of this Agreement are held to be invalid or unenforceable, the remaining parts of
the Agreement shall continue to be valid and enforceable.
8.3. Grantee shall comply with all governmental requirements that may now or in the future
become applicable to the activities under this Agreement.
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8.4. This Agreement, including all exhibits, Application, and any amendments or schedules
hereto, contain the full understanding and agreement of the Parties with respect to its subject
matter, and no waiver, alteration or modification of any of the provisions to this Agreement shall
be binding unless in writing and signed by an authorized officer of both Parties.
8.5. No waiver by either Party or any breach, default, or series of breaches or defaults, and no
failure, refusal, or neglect of either Party to exercise any right, power, or option given to it under
this Agreement or to insist upon strict compliance with the terms of this Agreement shall constitute
a waiver of these provisions with respect to any subsequent breach or waiver by either Party or
its right at any time thereafter to require exact and strict compliance with provisions of this
Agreement.
8.6. Any notice or other communication required or permitted to be made or given by either Party
pursuant to this Agreement will be in writing and will be deemed to have been duly given: (i) five
(5) business days after the date of mailing if sent by registered or certified U.S. mail, postage
prepaid, with return receipt requested; (ii) when transmitted if sent by facsimile, provided a
confirmation of transmission is produced by the sending machine; or (iii) when delivered if
delivered personally or sent by express courier service. All notices to City shall include a reference
to the Project title.
All notices will be sent to the other Party at its address as set forth below or at such other address
as such Party will have specified in a notice given in accordance with this section:
Grantee: Vietnamese-American Arts and Letters Association VAALA
P.O. Box 20218
Fountain Valley, CA 92728
City: City of Santa Ana
City Clerk (M-30)
20 Civic Center Plaza
P.O. Box 1988
Santa Ana, CA 92702
FAX (714) 647-6956
8.7. This Agreement is subject to all applicable local, State and Federal laws. 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.
8.8. Grantee agrees to comply with all applicable equal opportunity and affirmative action laws as
appropriate, Grantee shall not discriminate because of race, color, religion, sex, gender identity,
gender expression, marital status, sexual orientation, age, national origin, ancestry, medical
condition, military or veteran status, genetic information, request for family care leave, request for
leave for an employee's own serious health condition, request for pregnancy disability leave,
disability, or otherwise as defined and prohibited by applicable law, in the recruitment, selection,
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training, utilization, promotion, termination or other employment related activities. Grantee affirms
that it is an equal opportunity employer (if applicable) and shall comply with all applicable federal,
state and local laws and regulations.
8.9. Any funds provided under this Agreement that are not expended, obligated or otherwise
committed by the termination or expiration of this Agreement shall be immediately returned to
City.
8.10. Grantee grants to City a non-exclusive, irrevocable, transferable, royalty free, worldwide
license to use, reproduce, display, distribute, and prepare derivative works, in any form or media
at the discretion of the City for the Project conceived, performed or created as a result of this
Agreement.
8.11. Grantee and any of the Grantee's agents, employees or representatives are,for all purposes
under this Agreement, an independent contractor and shall not be deemed to be an employee of
the City, and none of them shall be entitled to any benefits to which City employees are entitled
including but not limited to, overtime, retirement benefits, work's compensation benefits, injury
leave or other leave benefits.
8.12. Neither Party shall assign any rights or obligations under this Agreement.
8.13. Each Party 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.
8.14. Each Party warrants that they have executed this Agreement knowingly, freely and
voluntarily and with full knowledge of its legal consequences. All Parties involved warrant and
represent that, prior to executing this Agreement, each Party has had the opportunity to review
and consider this matter with legal counsel, and that the terms of this Agreement, and its
consequences, are fully understood by each Party.
8.15. This Agreement represents the entire agreement and understanding between the Parties,
and supersedes any and ail prior agreements and understandings between the Parties, whether
oral or written.
8.16. 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.
{Signatures on following page}
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IN WITNESS WHEREOF the Parties hereto have executed this Agreement the date and year
first above written.
ATTEST: "NUNEZ
,Y1I LL °`�
City Cle City Manager
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APPROVED AS TO FORM: GRANTEE:
SONIA R. CARVALHO
CIV Attorney
By. Andrea ' -Miller Name: Ysa Le
Assistant City Attorney Organization:Vietnamese-American Arts
and Letters Association (VAALA)
Title: Executive Director
RECOMMENDED FOR APPROVAL:
f llftwawl
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MICHAEL L. GARCIA
Executive Director
Community Development Agency
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EXHIBIT A
INVESTING IN THE ARTS GRANT PROGRAM
APPLICATION
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Project Timeline
Date Action Outcome
January Preparation for Workshops To ensure a successful workshop,
Workshop presenter outreach Determine artists,filmmakers,and
professionals to host workshops.
Draft agreements with presenters Confirm agreements with invited
filmmakers and secure commitments.
Develop curriculum and workshop Draft syllabus covering key topics in
schedule filmmaking, ensuring alignment with
community needs and educational
standards.
Arrange venues for workshops Secure locations that accommodate
all workshop activities.
Identify and procure necessary Create a list of required equipment
equipment and materials (e.g.,cameras, lighting)and order
supplies in advance.
Establish partnerships with local Foster collaborations that can
organizations for support enhance workshop resources and
outreach.
February Finalize curriculum based on feedback Make adjustments to the syllabus as
from filmmakers needed for clarity and effectiveness.
Develop marketing materials for Create brochures,flyers, and social
recruitment media content to promote the
program.
Prepare a detailed budget for the Ensure all costs are accounted for
workshops and funding is aligned with budget
expectations.
Plan logistics for participant support Organize any necessary
(transportation, meals) arrangements to facilitate participant
access to workshops.
March Recruitment of Participants To have the participants who are
interested in telling stories by films
Start recruitment for participants Distribute promotional materials to
reach potential applicants.
Visit schools, community Share information about the program
organizations, and events to outreach and outreach to potential applicants
Applications due Collect applications for review and
selection.
Review and interview applicants Assess applicants' enthusiasm,
creativity, and commitment.
Select 16 to 20 participants Finalize participant roster and
communicate selections.
June -August Workshop Execution
Host an orientation session for Introduce program structure,
selected participants curriculum,and expectations.
Workshops begin at the end of June. Welcome participants;focus on
themes of Identity, Family, and
Building Community.
Conduct weekly workshops Teach scriptwriting, directing, acting,
cinematography, and editing.
Group meetings Provide hands-on learning and
mentorship opportunities.
Participants work on their own short
films.
September Final workshops and project Guide participants through final
completion edits, sound design, and post-
production.
Final preparations for screening Coordinate with venues and finalize
screening schedules.
Public screening event Host screening of participants' films,
followed by a Q&A session.
Host a conclusion event for Discuss outcomes, provide feedback,
participants and stakeholders and explore networking
opportunities.
October 12, Screening at Viet Film Fest Offer broader exposure and
2025 networking for participants.
October 12- Program evaluation Collect feedback from participants,
30, 2025 workshop leaders, and audiences.
October 31, Program evaluation by the executive Assess program success and identify
2025 teams of the program and VAALA areas for improvement.
Line Item Budget
"Input your information directly onto this form (2 pages)and upload onto Submittable.com.
PERSONNEL
Description of Personnel Grant
(contracted instructors, lecturer honorarium, Total Compensation Funds
artist stipend, etc.) Requested
Program Director $6,000 $0
Presenters Honorarium (11 @ $750 each) $8,250 $8,250
In-house Editor $1,500 $1,500
On-site Technical Coordinator $2,500 $2,500
Graphic designer (to create postcards, brochures, $1,000 $750
advertisements for the final screening)
Web designer $1,500 $500
EQUIPMENT, MATERIALS,AND SUPPLIES
Item Unit Total Grant
(equipment, materials, supplies) Quantity Cost Cost Funds
Requested
Film equipment (rental) including 3 $1,500 $4,500 $0
camera, lighting, and tripods
Workshop supplies (paper, ink, 1 $500 $500 $0
notebooks, etc.)
Participants' film props 6 $250 $1,500 $0
SPECIAL EVENTS
Description Grant Funds
(permits, fees,facility rental for project, Total Cost Requested
marketing)
Screening event at the Frida Cinema (venue and $700 $500
projectionist)
Workshop facilities rental (Media Arts Santa Ana, $3,000 $0
The Frida Cinema, and Bowers Museum)
Printing (banners, postcards, and program $700 $0
brochures)
Line Item Budget—Rage 2
Enter budget categories and projected expenditures for the proposed program:
Expenditures Total
Expenditures Funded By Organization
Category Funded By Other Total Program Budget
Santa Ana Sources Budget
Grant (Including in-
kind)
Administrative Staff Salaries and $6,000 $6,000 $70,000
Benefits
Contractual/Professional $13,500 $1,250 $14,750 $25,000
Services/Stipends
Equipment, Material, Supplies $0 $4,500 $6,500 $15,000
Special Events Production $500 $0 $3,700 $122,250
Marketing $0 $0 $800 $5,000
TOTAL $14,000 $11,750 $31,750 $237,250
PROGRAM REVENUE
LIST ALL OTHER PROGRAM RESOURCES
"Funding Source"total must equal "Total Program Budget" listed above.
FUNDING SOURCE AMOUNT
Santa Ana Artist Grant $14,000
LUSH Grant $3,000
UVSA Grant $3,000
In-kind donation, sponsorships, donations, $11,750
and other grants
TOTAL PROGRAM BUDGET $31,75D
AC40R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY)
04/0812025
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(les)must 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
NAME:
Kathy Lamm(975534H) PHONE FAX
2915 Red Hill Ave#F201 IAIS No.Ertl: 866 418-$939 AM NO:
E-MAIL
ADDRESS: I e sagent.carn
INSURERS AFFORDING COVERAGE NAIC
Costa Mesa CA 92626 INSURERA: Truck Insurance Exchange 21709
INSURED INSURERB: Farmers Insurance Exchange 21652
VAALA INSURER C: Mid Century Insurance Company E21687P.O.Box 20218 INSURERD; U.S.Liability Insurance Group
INSURER E; Sequoia Insurance Company 19755
Fountain Valley CA 92728
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR TYPE OF INSURANCE ADp SUB POLICY NUMBER M�MILDICDmYY MOLJ pY EXP LIMITS
GENERAL LIABILITY
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EACH OCCURRENCE ;g 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO N U
PRFhiISES a oGtum3rtca S 100,000
CLAIMS-MADE ®OCCUR ! MED EXP(Any one person) I$ 5,000
D Y Y NPP1559963K 0211 012 02 5I02110120261PERSONALaADVINJURY s 1,000,001)
I I GENERALAGGREGAFE S 2,000,000
G£N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPtOP A29 S 2,00U,000
POLICY JECTPRO- LOG i Directors&Officers I s 1,000,000
AUTOMOBILE LIABILITY E aBl�Nnt51NGLE LIMIT $ 1,()00
O0tI
ANY AUTO BODILY INJURY(Per pemuft) S
D ALL OWNED SCHEDULED Y Y NPP1559963K 02/1012025 0211012026 BODILY IWURY(Peracriderol.3
AUTOS AUTOS
X HIRED AUTOS NON-OWNED I I PROPERTY DAMAGE $
AUTOS _(Per acLident
8
UMBRELLA LIAR W OCCUR - EACH OCCURRENCE Is
EXCESS LEA$ CLAIMS-k9AOE AGGREGATE .$
DED RETENTION$ I I $
WORKERS COMPENSATION � WCSTATU- 1OTH-
AND EMPLOYERS'LIABILITY ❑� j X� Y1,IMQS. _....�.,
ANY PROPMETOR PARTNERfEXECUTIVE YIN I! IACCIDENT S 1,Q�D,000
E OFFICERlMEMBEREXCLUDED' Y NfA, QWCf390045 09/0112024 0910112025
(Mandatory in NH) i E.L.DISEASE-FA EMPLOYE0 S 1,000.000
Ify es,describe under I !
III ESCRIPTIONOF OPERATIONS below 3 E,L.DISEASE-POLICY UMIT�S 1,000,000
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DESCRIPTION OF OPERATIONS r LOCATIONS!VEHICLES(Attach ACORD tet,Addltional Remarks Schedule,it more space is required)
The City of Santa Ana,its City Council,officers,officials,employees,agents and volunteers are to be specifically named and covered as additional insureds on
the general liability and auto policy by separate attached endorsement with a waiver of subrogation in farce.30-day notice of cancellation applies.Event
Information:VAALA's Youth in Motion Filmmaking Workshop,Event Locations:Media Arts Santa Ana,1666 N.Main St.,Santa Arta,CA 92701,Southland
Integrated Services,9862 Chapman Ave,Garden Grove,CA 92841 and The Frida Cinema,305 E 4th St.,Suite 100,Santa Ana,CA 92701.
olgTu Tmnually signed
Tu Tran by
Nquyen
Nguyen o41:51 a� APPROVED
CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 10:41 ain;JuP 14,2025
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Santa Ana,Attn:Executive Director THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS.
20 Civic Center Plaza M-25
Santa Ana,CA 92741 AUTHORIZED REPRESENT
ACORD 25(2010/05) @ 19 8- 10 ACO D CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: NPP1559963K COMMERCIAL GENERAL LIABILITY
CG 20 26 07 04
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):
Effective Date: 02/1012025
THE CITY OF SANTA ANA, ITS CITY COUNCIL, ITS OFFICERS,OFFICIALS, EMPLOYEES,AGENTS AND
VOLUNTEERS...BUT ONLY WHERE REQUIRED TO BE ADDED AS AN ADDITIONAL INSURED UNDER
WRITTEN CONTRACT(S),WRITTEN PERMITS)OR WRITTEN AGREEMENT(S)
20 CIVIC CENTER DR
SANTA ANA, CA 92702
Information required to complete this Schedule, if not shown above,will be shown in the Declarations
Section II -Who Is An Insured is amended to
include as an additional insured the person(s)or
organization(s)shown in the Schedule, but only with
respect to their liability for"bodily injury",
"property damage"or"personal and advertising
injury"caused, in whole or in part, by your acts or
omissions or the acts or omissions or the acts or
omissions of those acting on your behalf:
A. In the performance of your ongoing operations;or
B. In connectionwith the premises owned by or
rented to you.
CG 20 26 07 04 Copyright,ISO Properties, Inc,,2004
POLICY NUMBER: NPP1559963K COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST
OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name of Person Or Organization:
Effective Date: 04/11/2025 12:01 AM
CITY OF SANTA ANA, ITS CITY COUNCIL, ITS OFFICERS,OFFICIALS, EMPLOYEES,AGENTS AND
VOLUNTEERS
20 CIVIC CENTER PLAZA, M-25
SANTA ANA, CA 92701
Information required to complete this Schedule, if not shown above,will be shown in the Declarations.
The following is added to Paragraph 8.Transfer Of
Rights of Recovery Against Others To Us of
Section IV-Conditions:
We waive any right of recovery we may have
against the person or organization shown in the
Schedule above because of payments we make for
injury or damage arising out of your ongoing
operations or"your work"done under a contract
with that person or organization and included in the
"products-completed operations hazard". This
waiver applies only to the person or organization
shown in the Schedule above.
CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06
(Ed.04-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right
against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under
a written contract that requires you to obtain this agreement from us,)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 2%of the California workers'compensation premium otherwise due on such
remuneration.
Schedule
Person or Organization Job Description
Any person or organization as required by written contract.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 9/1/2024 Policy No. QWC1390045 Endorsement No. 1
Insured Vietnamese American Arts and Letters Association Premium$ 865
Insurance Company Sequoia Insurance Company
Countersigned by
WC 04 03 06
(Ed. 04-84)