HomeMy WebLinkAboutCAMACHO, MOISES N-2026-032
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) ARTS AND CULTURE RESTORART: MURAL RESTORATION AND CONSERVATION
TrAtiM u(Dt) PROGRAM AGREEMENT BETWEEN
THE CITY OF SANTA ANA AND MOISES CAMACHO
This Mural Restoration Program Agreement ("Agreement") is made and entered this 201h day of
January, 2026, 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
Moises Camacho ("Grantee")for the purpose of providing grant funding pursuant to the RestorArt:
Mural Restoration and Conservation Program ("Restoration 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 June 19, 2025, the Arts and Culture Commission reviewed all applicants and
recommended that Grantee be awarded a mural restoration grant based on its Proposal
for its restoration project ("Project"). A true and correct copy of Grantee's Proposal 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 mural restoration and conservation 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.
C. The Project mural restoration is located at:
Address/Location: The corner of:
French St. & 31 St.
Santa Ana, CA 92701
Mural Title: Mission to Mars
Original Artist: Moises Camacho
The Grantee agrees to restore the mural with respect for the original artwork and in accordance
with best practices in mural conservation.
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
Twenty Thousand Dollars ($20,000) ("Grant Amount" or "Grant").
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2.2. Grantee will be paid in two (2) installments. First payment will be one-Ralf of the funding
amount provided above or ($10,000) 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($10,000) and will be issued
within thirty (30) days after the successful completion of the restoration, including proper anti-
graffiti coating over the mural, and Grantee submits to the City all the proper invoice 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.
2.3. 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.
3. Grant Activities. Grantee agrees:
3.1. To perform the activities described in Grantee's Grant Proposal and Timeline submitted to
City for consideration dated March 3, 2025, 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 Proposal. 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 restoration is underway, which barrier shall
be removed each day upon completion of a restoration session.
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3.6.The Project may not add advertising, religious art,sexual content, negative or violent imagery,
convey political partisanship or add 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 add any breach of intellectual property, trademarks, brands, or images
of illegal activity, and the Grantee must be the copyright holder for the Project, if it is the original
artist. it is the sole responsibility of the Grantee to obtain any and all applicable copyrights or
trademarks associated with the artwork for the Project, if Grantee is original artist.
3.8.The restored Project mural must be covered in an anti-graffiti coating at the Grantee's
expense.
3.9. Should the restored Project mural subsequently be defaced and/or not repaired, maintained,
preserved and/or further conserved, the City has the option to repair, maintain, preserve, and/or
conserve the Project mural, or alternatively, the City has the sole authority to remove, alter, or
destroy the Project mural.
3.10. Grantee will have first right of refusal to re-restore said Project mural. If Grantee is unwilling
to perform further restoration or unable to be contacted within a reasonable time, the City has the
right to request the services needed from a different artist.
3.11. The City holds all rights to murals on city property, and as such the Project mural may be
removed at the sole discretion of the City or as otherwise agreed upon with Grantee.
3.12. Grantee shall be responsible for complying with all Federal, State and local laws,
ordinances, statutes and regulations, including, but not limited to zoning and other environmental
requirements (if applicable), and for obtaining all required licenses, permits, or other
authorizations applicable to the performance of Grantee's Project under this Agreement.
4. Termination.
4.1. City may immediately terminate this Agreement upon one or more of the following:
5.1.1. Grantee's violation of any federal, state or local law or regulation.
5.1.2. Grantee's breach of any of the terms or conditions of this Agreement, including the
Proposal and Timeline, or any unapproved deviation from said documents that has not
been cured within 30 days of written notice of such breach.
5.1.3. Grantee's failure to provide documents to the City, as requested by the City by a
date certain, in order to maintain compliance with the Restoration Program, City Policies
or Procedures, or this Agreement.
4.2. In the event the Agreement is terminated under Section 5.1, 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 Liabill#v.
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
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OR THE ACTIVITIES COVERED HEREUNDER.
5.2. Section 6 and Section 7 do not limit Grantee's rights, including its ability to seek recovery,
against anyone other than City, its directors, officers, employees, volunteers, agents, successors
and assigns.
6. Indemnification.
6.1. Grantee shall defend, indemnify, protect and hold harmless the City, and its elected and
appointed officers, employees, volunteers, members 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 restoration, creation, painting,
performance or installation of the Project hereunder.
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
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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 AI- 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
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.
Self-Insured Retentions
Self-insured retentions must be declared to and approved by the City. City may require
Grantee 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 ANII, unless otherwise acceptable to City.
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
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required by this clause) and a copy of the Declarations and Endorsement Page of the CGL
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 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.
Claims Made Policies
If any of the required policies provide coverage on a claims-made basis:
1. The retroactive date must be shown and must be before the date of the contract or the
beginning of work.
2. Insurance must be maintained and evidence of insurance must be provided for at least
three (3) years after completion of work.
3. 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
Grantee shall require and verify that all sub-contractors maintain insurance meeting all the
requirements staffed 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.
8.4. This Agreement, including Exhibit A, Proposal, 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.
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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: (1)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: Moises Camacho
2535 E. Diana Dr.
Anaheim, CA 92806
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,
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 restoration Project conceived, performed or created as a result
of this Agreement.
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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 all 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: CITY OF SANTA ANA
r
JENNIF L. HA L ALVARO NUNEZ
City Cle k City Manager
APPROVED AS TO FORM: GRANTEE:
SONIA R. CARVALHO
City Attorney
By: Andrea Garcia-Miller Name: Motses Camacho
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
r,
MICHAEL L. GARCIA
Executive Director
Community Development Agency
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EXHIBIT A
RESTORART. MURAL RESTORATION AND CONSERVATION PROGRAM
PROPOSAL
10
"Mission to Mars" Restoration Scope of Work
Objectives (S.M.A,R.T.)
l. Repaint all faded or vandalized sections of"Curiosito" with fresh coats of paint
2. Replace all instances of the discontinued Urban Tech Center and irrelevant text or logos
with new designs featuring our home planet and/or community taking action
3. Identify mural elements that are currently (or will soon be) covered by the agave plants
and either move them or eliminate them from the design
4. Provide Kelly,Peggy, and David a paid apprenticeship that will add a minimum of 2
experiences that can be highlighted on a competitive creative resume
5. Engage the community with a minimum of 50 new social interactions that inform them of
the project and its intended message
6. Provide a minimum of 2 additional members of the public with at least 1 experience that
can be highlighted on a competitive creative resume, then personally assist those
individuals with the resume update
Tasks
1. Design the new visual elements we are adding to the mural
2. Purchase materials and acquire necessary rental equipment
3. Decide the day and time of the week that is most convenient for a majority of participants
4. Coordinate with professional restoration technicians for the workshop
5. Create multilingual promotional flyers and social media posts encouraging the public
(especially artists)to participate
6. Promote the project perpetually during the proposed timeline
7. Thoroughly clean the mural surface and any vandalism that can be feasibly removed
8. Repaint the mural
9. Coordinate with apprentices and public participants to add to their resumes
10. Diligently document interactions and evaluate how we met objectives
11. Apply sealant/anti-graffiti coats
12. Document the completed work with photos and videos
Timeline
We have divided our restoration plan into 16 sessions - minimum once per week over 4 months.
We have divided the mural itself into 6 small sections. Our goal is to finish 1 section every 2.5
weeks to stay on track. For the first session we will host the workshop with a professional
technician. Next we will begin preparation by mixing a cleaning solution and power washing the
entire mural. Once the mural is clean and dry,the majority of our work sessions will be spent
painting. We will revitalize the faded sections of the mural, remove graffiti or paint over it, and
replace the outdated Urban Tech Center designs with contemporary visuals. The final work
sessions will be for sealant and anti-graffiti application.
Month 1 Week 1 Professional restoration
- - - workshop, design new
elements
Week 2 Design new elements,
thorough cleaning
Weeks 3 and 4 Finish designs, begin stencils
and outlines
Month 2 Week 5 Finish stencils and outlines
Weeks 6 to 8 Painting
Month 3 Weeks 9 to 12 Painting
Month 4 Week 13 Painting
Weeks 14 and 15 Final corrections, apply
sealant and anti-graffiti
coating
Roles and Responsibilities
Moises: Team leader and mentor to all apprentices. Present at all sessions guiding and directing
participants. Primary consultant for work process and final approval of any and all changes to
design.
Peggy: Apprentice and primary public engagement coordinator. Present and painting at work
sessions. Creating videos and social media posts inviting public participants and documenting.
Second in decision-making for painting and design. Peggy has already agreed to be hired upon
this grant being awarded. Moises and Peggy have an extensive working relationship,working on
"Los Mariachis," "Callejon del Beso," and other informal projects across years of knowing each
other. Most recently they completed 3 original murals at "La Colmena" co-op.
Kelly: Apprentice and primary resume building beneficiary. Connecting the team to interested
artists and current students. Present and painting at work sessions. Supporting Peggy's role in
public engagement. Kelly has already agreed to be hired upon this grant being awarded. Moises
and Kelly recently collaborated at"La Colmena"co-op and are looking forward to continuing to
work together to restore "Curiosito."
David:Apprentice. Primary interpreter for language gaps between team and participants.
Supporting public engagement and filling in workidesign gaps on non-weekend dates. David has
already agreed to being hired upon this grant being awarded.David has been a student under
Moises for about one year.
Budget for Proposed Scope of Work
Moises labor $5,000
Paid apprenticeship (Peggy) $3,000
Paid apprenticeship (Kelly) $2,000
Paid apprenticeship (David) $2,000
Materials, rentals, insurance $12,000
Professional workshop allotment $1,000
Budget Total $25,000
CERTIFICATE OF INSURANCE f ISSUE DATE 2/1/2026
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: IF THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED,THE POLICY(IES)MUST 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 INSURER(S)AFFORDING COVERAGE
Hector Gonzalez Insurance Agency Inc INSURER A: Scottsdale Insurance Company
1850 E. 17th.St.
Suite#219
Santa Ana, CA 92705 INSURER B: NIA
INSURED INSURER C:
Moises Camacho Barco INSURER D:
2535 E Diana Dr
Anaheim,CA 92806
INSURER E: NIA
COVERAGES
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 POLICY POLICY POLICY LIMITS
LTR INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE
A GENERAL LIABILITY CPS4096515 7/21/2025 7121/2026 GENERAL AGGREGATE 2,000,000
PRODUCTS-COMIOP AGG. 1,000,000
PERSONAL&ADV.INJURY 1,000,000
EACH OCCURRENCE 1,000,000
DAMAGE PREM RENTED TO YOU 100,000
MED EXPENSE(Any one person) 5,000
B PERSONAL LIABILITY COMBINED SINGLE LIMIT
MEDICAL PAYMENTS TO OTHERS
C EXCESS LIABILITY EACH OCCURRENCE
AGGREGATE
D
E PROPERTY BUILDING
CONTENTS
BUSINESS INCOME
APPROVED
DESCRIPTION OF OPERATIONS!SPECIALTY ITEMS By Charlene R.Muro at 11:27 am,Feb 10,2026
Sign Painting or Lettering on buildings or structures
The City of Santa Ana,its City Council,Officers,Officials,Employees,and Volunteers are named as additional insureds with respects to general liability.Includes a waiver of
subrogation(waiver of transfer of rights of recovery against others to us)It is further agreed that this insurance shall be named on a primary and non-contributory basis.
CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
The City of Santa Ana BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Attn:Executive Director,Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS.
20 Civic Center Plaza AUTHORIZED SIGNATURE
Santa Ana,CA 92701 TapcoSurplusLinesAgent
IMPORTANT NOTICE
1 . THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING
ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF
CALIFORNIA. THESE COMPANIES ARE CALLED NONADMITTED"
OR "SURPLUS LINE" INSURERS.
2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY
REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA
LICENSED INSURERS.
3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE
GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE,
THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR
ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO
MAKE PAYMENTS AS PROMISED.
4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN
INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A
NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK
QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR "SURPLUS
LINE" BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF
INSURANCE AT THE TOLL-FREE TELEPHONE NUMBER:
1-800-927-4357. OR INTERNET WEBSITE WWW.INSURANCE.CA.GOV
ASK WHETHER OR NOT THE INSURER IS LICENSED
AS A FOREIGN OR ON-UNITED STATES (ALIEN) INSURER AND FOR
ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO
CONTACT THE NAIC'S INTERNET WEB SITE AT WWW.NAIC.ORG
THE NAIL--THE NATIONAL ASSOCIATION OF INSURANCE
COMMISSIONERS--IS THE REGULATORY SUPPORT
ORGANIZATION CREATED AND GOVERNED BY THE CHIEF
INSURANCE REGULATORS IN THE UNITED STATES.
D-2(01/20) Effective January 1, 2020 Page 1 of 1
5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE
UNITED STATES AND YOU MAY CONTACT THAT STATES
DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION
ABOUT THAT INSURER.YOU CAN FIND A
LINK TO EACH STATE FROM THIS NAIC INTERNET WEBSITE:
HTTPS://CONTENT.NAIC.ORG/STATE WEB MAP.HTM.
6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER
SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED
STATES AND SHOULD BE ON THE NAIC'S INTERNATIONAL
INSURERS DEPARTMENT (IID) LISTING OF APPROVED
NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR
AGENT, BROKER, OR "SURPLUS LINE" BROKER TO OBTAIN
MORE INFORMATION ABOUT THAT INSURER.
7. CALIFORNIA MAINTAINS A "LIST OF APPROVED SURPLUS LINE
INSURERS(LASLI)."ASK YOUR AGENT OR BROKER IF THE INSURER
IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEBSITE
OF THE CALIFORNIA DEPARTMENT OF INSURANCE:
WWW.INSURANCE.CA.GOV/01 -CONSUMERS/120-COMPANY/
/07-LASLI/LASLI.CFM.
S. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE
POLICY YOU HAVE PURCHASED BE EFFECTIVE IMMEDIATELY,
EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE
WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED
TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU
DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR
YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE,
YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS
OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE
PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE CHARGED
FOR THIS INSURANCE WILL BE RETURNED TO YOU.
D-2 (01/20) Effective January 1,2020 Page 2 of 2
COMMERCIAL GENERAL.LIABILITY
CG 20 01 1219
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
LIQUOR LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance Condi- (2) You have agreed in writing in a contract or
tion and supersedes any provision to the contrary: agreement that this insurance would be pri-
Primary And Noncontributory Insurance mary and would not seek contribution from
any other insurance available to the additional
This insurance is primary to and will not seek con- insured.
tribution 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
CG 20 01 1219 Copyright, Insurance Services Office, Inc.,2018 Page 1 of 1
ORIGINAL
POLICYNUMBER: CPS4096515 COMMERCIAL GENERAL LIABILITY
CG 24 04 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
Name Of Person(s)Or Org sanization :
THE CITY OF TA A, ITS TY COUNCIL, OFFICERS, OFFICIALS, EMPLOYEES, AND
VOLUNTEERS
ATTN: EXECUITIVE DIRECTOR, COMMUNITY DEVELOPMENT AGENCY
20 CIVIC CENTER PLAZA
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 against the person(s) or
organization(s) shown in the Schedule above because
of payments we make under this Coverage Part. Such
waiver by us applies only to the extent that the insured
has waived its right of recovery against such person(s)
or organization(s) prior to loss. This endorsement ap-
plies only to the person(s) or organization(s) shown in
the Schedule above.
CG 24 04 12 19 Copyright, Insurance Services Office, Inc.,2018 Page 1 of 1
AGENT'S COPY
Tapcv
POLICY ENDORSEMENT
Name of Assured Producer
Moises Camacho Barco 517830
2535 E Diana Dr Hector Gonzalez Insurance Agency Inc
Anaheim, CA 92806 1850 E. 17th. St.
Suite#219
Santa Ana, CA 92705
POLICY NUMBER: CPS4096515 ENDORSEMENT NUMBER: 001
COMPANY: Scottsdale Insurance Company
POLICY EFF. DATE: 07/21/2025 POLICY EXP. DATE: 07/21/2026
ENDORSEMENT EFF. DATE: 07/21/2025
Endorsement 001
Form CG2010 (12/19)and Form CG2404(12/19) listing, The City of Santa Ana, its City Council, Officers, Officials,
Employees, and Volunteers, are amended to change the address to read:
The City of Santa Ana, its City Council, Officers, Officials, Employees, and Volunteers
Attn: Executive Director, Community Development Agency
20 Civic Center Plaza
Santa Ana, CA 92701
No change in premium.
See revised forms attached.
ALL OTHER PROVISIONS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
This Endorsement is issued by WICJ S_Q
TAPCO Insurance Services
Post Office Box 286
Burlington, NC 27216
800-334-5579 Authorized Representative
CA License Number: 0778135
Page 1 of 1 1002
POLICYNUMBER: CPS4096515 COMMERCIAL GENERAL.,LIABILITY
CG 20 1012 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED 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) Location(s) Of Covered Operations
The City of Santa Ana, its City Council, California
Officers, Officials, Employees, and
Volunteers
Attn: Executive Director, Community
Development Agency
20 Civic Center Plaza
Santa Ana, CA 92701
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 in- B. With respect to the insurance afforded to these ad-
clude as an additional insured the person(s) or or- ditional insureds, the following additional exclu-
ganization(s) shown in the Schedule, but only with sions apply:
respect to liability for"bodily injury","property darn- This insurance does not apply to "bodily injury" or
age' or"personal and advertising injury caused, in "property damage"occurring after:
whole or in part, by:
1. All work, including materials, parts or equip-
1. Your acts or omissions;or ment furnished in connection with such work,
2. The acts or omissions of those acting on your on the project (other than service, mainte-
behalf; nance or repairs)to be performed by or on be-
in the performance of your ongoing operations for half of the additional insured(s) at the location
the additional insured(s) at the location(s) desig- of the covered operations has been com-
nated above. pleted;or
However: 2. That portion of"your work"out of which the in-
jury or damage arises has been put to its in-
1. The insurance afforded to such additional in- tended use by any person or organization
sured only applies to the extent permitted by other than another contractor or subcontractor
law;and engaged in performing operations for a princi-
2. If coverage provided to the additional insured pal as a part of the same project.
is required by a contract or agreement,the in-
surance afforded to such additional insured
will not be broader than that which you are re-
quired by the contract or agreement to provide
for such additional insured.
CG 20 10 12 19 Copyright, Insurance Services Office, Inc.,2018 Page 1 of 2
ENDORSEMENT
C. With respect to the insurance afforded to these ad- 2. Available under the applicable limits of
ditional insureds, the following is added to Sec- insurance;
tion III-Limits Of Insurance: whichever is less.
If coverage provided to the additional insured is re- This endorsement shall not increase the applicable
quired by a contract or agreement, the most we limits of insurance,
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement;or
Page 2 of 2 Copyright, Insurance Services Office, Inc.,2018 CG 20 10 1219
POLICYNUMBER: CPS4096515 COMMERCIAL GENERAL LIABILITY
CG24041219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
Name Of Person(s) Or Organizations):
The City of anta Ana, its ity Council, Officers, Officials, Employees, and
Volunteers
Attn: Executive Director, Community Development Agency
20 Civic Center Plaza
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 against the person(s) or
organization(s) shown in the Schedule above because
of payments we make under this Coverage Part. Such
waiver by us applies only to the extent that the insured
has waived its right of recovery against such person(s)
or organization(s) prior to loss. This endorsement ap-
plies only to the person(s) or organization(s) shown in
the Schedule above.
CG 24 04 12 19 Copyright, Insurance Services Office, Inc.,2018 Page 1 of 1
ENDORSEMENT
CITY OF SANTA ANA ��
Risk Management a division of Human Resources ,
Managing Risk through Awareness and Action '
AFFIDAVIT OF EXEMPTION FOR AUTOMOBILE LIABILITY INSURANCE
Moises camacho z�
I, { Representative ), attest that I am an authorized
(Naive and Title of Vendor Representative)
representative of oc Fine Art studio ("Company"), and
(Consultant/Company Name)
possess the authority to legally bind Company,
In my capacity as Representative of Company, l represent and confirm the following, as relates to the
agreement between Company and City of Santa Ana, agreement number
("Agreement")toprovide mural restoration ("Services"):
(Senhces to be provided under agreementicontract)
During the course and scope of Company's agreement with the City of Santa Ana,
Company employees, consultants,representatives, and agents will not use and/or drive
any Company owned/rented/leased/borrowed vehicles to perform Services to, for, or on
behalf of City of Santa Ana.
If at any time it is found that Company is not adhering to any and/or all of the statements in this
doeLunent and does not maintain the minimum automobile 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.
0 2. '0 3- 2-D 26
Signature Date
Moises camacho
Print Name
Title
(714) 906-0920 artecamachog4a@gmail.com
Contact Information,i.e.,Telephone Number and/or Email Address
Affidavit of Exemption for Automobile Liability Insurance 11,12,2024
CITY OF SANTA ANA
Risk Management a division of Human Resources ;
Managing Risk through Awareness and Action
AFFIDAVIT OF EXEMPTION FOR WORKERS' COMPENSATION INSURANCE
I Moises Camacho {"Representative"),attest that I am an authorized
(]Name and Title of Vendor Representative)
representative of OC FineArt Studio ("Company"), and
(ConsultantlConipany 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 mural restoration ("Services"):
(Services to be provided tuider agreenieut/conhact)
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 became 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 frilly liable for any and all damages.
2�2
Si a(ure Date
Moises Camacho
Print Name
Art Director
Title
(714) 906-0920 artecamacho64aOgmail.com
Coirtact]ttfonnation,i.e.,Telephone Munber 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(S 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