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HomeMy WebLinkAboutSCAN HEALTH PLAN (2) INSURANCE ON FILE N-2U2fi-OS$ 6 i,w h,,r;_,.f ,JGi;ri _.._. . MAR 10 2076 CITY OF SANTA ANA 0� P9-csA {4 PARTNERSHIP AGREEMENT WITH SCAN HEALTH PLAN NMI KYez(p7) FOR 2026 CUSTOMIZED ANNUAL PARTNERSHIP THIS PARTNERSHIP AGREEMENT is made and entered into this 1st day of December, 2025 by and between SCAN Health Plan, a California non-profit corporation ("Partner"), 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"). RECITALS A. The City is producing multiple events throughout 2026 and desires to retain partners for such City events("Events"). B. Partner represents that it is able and willing to enter into a partnership for the Events. C. In undertaking the performance of this Agreement, Partner represents that it is knowledgeable in its field and that any activities conducted by Partner under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional firm in such 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. PARTNER RESPONSIBILITIES AND BENEFITS a. In exchange for the consideration specified in Section 3 below as well as Partner's responsibilities at City Events as specified in Exhibit A attached hereto and incorporated by this reference, Partner shall be entitled to the benefits at the Events as described in Exhibit A. b. Partner grants to City the right to use Partner's trademark(s), trade name(s), logo designs and company descriptions as prepared and delivered to City by Partner in any medium of advertising, marketing materials, and/or promotional goods distributed in conjunction with the Event and in accordance with Partner's usage guidelines. 2. CITY RESPONSIBILITIES AND BENEFITS In exchange for the responsibilities specified in Section 1 above and for the consideration specified in Section 3 below, City shall be obligated to provide and perform the responsibilities as described in Exhibit A. Page I of 6 3. PARTNERSHIP CONSIDERATION For its participation as a Partner for the Events, Partner shall provide to the City a financial contribution in the total amount of$13,000.00, to be paid in two (2) equal installments of$6,500.00, due on January 31, 2026 and June 30, 2026. Partner shall not be entitled to the Partnership Benefits under this Agreement, or otherwise participate in the Events, if Partner fails to provide the financial contributions described in Exhibit A. 4. TERM This Agreement shall commence on January 1, 2026 and terminate on December 31, 2026, unless terminated as otherwise provided in this Agreement. 5. INDEPENDENT CONTRACTOR Partner 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 Partner performs the services which are the subject matter of this Agreement;however, the services to be provided by Partner shall be provided in a manner consistent with all applicable standards and regulations governing such services. Partner 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. 6. INSURANCE During the Term of this Agreement, Partner shall maintain and shall require its subcontractors or agents, if any,to obtain and maintain insurance as described in Exhibit B to this Agreement. 7. INDEMNIFICATION To the fullest extent permitted by law, Partner shall indemnify, defend and hold harmless City, its officers, agents and employees (collectively, the"indemnified parties") from and against any and all claims (including, without limitation, claims for bodily injury, death or damage to property), demands, obligations, damages, actions, causes of action, suits, losses, judgments, fines, penalties, liabilities, costs and expenses (including, without limitation, attorney's fees, disbursements and court costs) of every kind and nature whatsoever (individually, a claim; collectively, "claims"), which may arise from or in any manner are related (directly or indirectly) to this Agreement or Partner's presence or activities at the Event (including the negligent and/or willful acts, errors and/or omissions of Partner, its principals, officers, agents, employees, vendors, suppliers, contractors, subcontractors, anyone employed directly or indirectly by any of them or for whose acts they may be liable for any or all of them).Notwithstanding the foregoing, nothing herein shall be construed to require Partner to indemnify the indemnified parties from any claim arising from the sole negligence or willful misconduct of the indemnified parties. This Page 2 of 6 indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by the Partner. 8. CONFIDENTIALITY If Partner receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Partner 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 Information" 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 Partner disclosed in a publicly available source; (c) is in rightful possession of the Partner without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Partner without reference to information disclosed by the City. 9. CONFLICT OF INTEREST CLAUSE Partner 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. 10. 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 facsimile 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 Fax: 714-647-6956 Copies to: Executive Director, Parks, Recreation &Community Services Agency City of Santa Ana 20 Civic Center Plaza(M-23) Santa Ana, California 92702 Page 3 of 6 To Partner: SCAN Health Plan Attn: Samira Villalobos, Community Business Manager 3800 Kilroy Airport Way, Suite 100 Long Beach, California 90806 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, 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 time frames, weekends, federal, state, County or City holidays shall be excluded. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Partner 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 Partner. 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 Partner 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. 12. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Partner, Partner 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 which are the subject to this Agreement performed by City personnel or by other partners retained by City. 13. CANCELLLATION OR TERMINATION a. If, because of war, fire, strike, civil strife, government regulation, natural catastrophe, an act of terrorism or public enemy, an act of God, or any reason beyond the reasonable control of City, the Event or any part thereof is prevented from being held or is cancelled by City, City, in its sole discretion, shall determine and refund to the Partner its proportionate share of the balance of the aggregate partner fees received that remain after deducting expenses incurred by City and reasonable compensation to City. In no case shall the amount of the refund to the Partner exceed the amount of the fee paid. City reserves the right to cancel any portion of the Event as it deems necessary and appropriate. Page 4 of 6 b. Cancellation by the Partner will be accepted only in writing. In the event of cancellation by Partner, Partner will remain obligated for 100% of the partnership fee, and City will retain the right to seek and retain an alternate partner in City's sole discretion. 14. NONDISCRIMINATION Partner shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities or any activities in connection with this Agreement. Partner affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 15. 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. 16. PROFESSIONAL LICENSES Partner shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary 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. Partner 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. 17. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature 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. [signature page follows] Page 5 of 6 SIGNATURE PAGE FOR PARTNERSHIP AGREEMENT WITH SCAN HEALTH PLAN FOR 2026 CUSTOMIZED ANNUAL PARTNERSHIP IN WITNESS WHEREOF, the parties hereto have executed this Partnership Agreement the date and year first above written. ATTEST: CITY SANTA ANA ACli A varo Nunez City Manager APPROVED AS TO FORM: PARTNER SONIA R. CARVALHO City Attorney B Jonathan T. Martin Name: Samira Villalobos Assistant City Attorney Title:Community Business Development manager RECOMMENDED FOR APPROVAL: Ha Exec utivc �rce or of Parks, Recreation and Community Services Agency Page 6 of 6 EXHIBIT A CITY OF SANTA ANA � I Parks, Recreation, & Community Services Agency Santa Ana 2026 Customized Annual Partnership: SCAN Health Plan �z�a and err=ertfiar Program overview: The SCAN Health Plan (SCAN) ("Partner") will be providing $13,000 value of financial contributions to the City of Santa's Parks, Recreation, and Community Services Agency ("PRCSA") as an annual Partner to participate in planning efforts for two (2) city-wide standard events, two (2) city-wide main event, and one(1) city-wide grand event. In exchange, PRCSA will provide marketing recognition, and designated exhibitor space at select city events and programs. The allowable activations will provide opportunities for city-wide community engagement, distribution of information, interactive activities, and giveaways for participants. An annual partnership streamlines participation in PRCSA events and allows for additional collaborative opportunities with an in-person presence in Santa Ana events and programs on a regular basis. Both parties agree that event locations and dates are subject to change, and any necessary updates will be communicated by PRCSA in writing prior to event date. Partner physical activations will be included at the following: • Standard Level Events o International Older Adults Celebration ■ Friday, October 2, 2026 ■ Jerome Park o Dia de los Muertos: Magic of the Altars ■ Friday, October 30, 2026 ■ Roosevelt-Walker Community Center • Main Level Events o Tet (Lunar New Year) Festival ■ Saturday, February 7, 2026 ■ Centennial Park o Chicano Heritage Festival ■ Sunday, August 23, 2026 ■ Centennial Park • Grand Level Event o Fiestas Patrias ■ Saturday and Sunday, September 12 & 13, 2026 ■ Downtown Santa Ana • Programs and Services o Southwest Senior Center ■ 6 community activation opportunities in 2026 o Santa Ana Senior Center ■ 6 community activation opportunities in 2026 SCAN responsibilities: • A $13,000 financial contribution paid directly to PRCSA with the following schedule: o January 31, 2026: $6,500 1 HE CITY OF SANTA ANA 20 Civic Center Plaza • 2nd Floor • Santa Ana CA 92701 (714) 571-4200 • Web Site: vvvvvv.santa-ana.org/clepartn7ents/parks-recreat/ori o June 30, 2026: $6,500 • Foundation level activations to support full duration of grand level event listed above: o All equipment and supplies needed for activation including, but not limited to, 10'x10' canopy, tables, and chairs o Footprint set up and clean up to be conducted same day of event a Activation fully staffed and operated during all open hours of the event o Activation to include an interactive game or activity that is available to all event participants at no cost. Giveaways, prizes, and educational materials are allowable. • Headline level activations to support full duration of main level events and Dia de los Muertos event listed above: a All equipment and supplies needed for activation including, but not limited to, 10'x20' canopy, tables, and chairs o Footprint set up and clean up to be conducted same day of event o Activation fully staffed and operated during all open hours of the event o Activation to include an interactive game or activity that is available to all event participants at no cost. Giveaways, prizes, and educational materials are allowable. • Title level activations to support full duration of International Older Adults Celebration event and senior services during the 2026 calendar year: o All equipment and supplies needed for activation including, but not limited to, 10'x30' canopy, tables, and chairs o Footprint set up and clean up to be conducted same day of event o Activation fully staffed and operated during all open hours of the event a Activation to include an interactive game or activity that is available to all event participants at no cost. Giveaways, prizes, and educational materials are allowable. o All equipment, supplies, and staff needed to support 12 total community activations at senior centers that provide educational materials and giveaways on the topic of senior wellness and healthcare. o A year's worth of coffee bar supplies (i.e. coffee and cups) for use at both senior centers. • SCAN grants PRCSA the right to use SCAN's trademark(s), trade name(s), logo designs and company descriptions as prepared and delivered to City by Partner in any medium of advertising, marketing materials, and/or promotional goods distributed in conjunction with the Event and in accordance with the Partner's usage guidelines. PRCSA responsibilities: • Logo placement on City's annual partner subpage with redirect link to www.scanhealthplan.com • Social Media o Social media acknowledgment of @scan_lb in form of thank you post on @santanaparks • Designated advertising provided by PRCSA with SCAN advertisement, marks, and/ or reference, as supplied by SCAN, in recreation magazine on annual community partners subpage • Foundation Partner Level inclusions: o Designated small logo advertising printed signage provided by PRCSA with thank you text to SCAN, on 24"x36" A-frame(s) signage FHE CITY OF SANTA ANA 20 Civic Center Raza • 2nd Floor • Santa Ana. CA 92701 (714) 571-4200 • Web Site: Uwwwv.santa-ana.orglclepartrnents/parks-recreation o Small logo on event website subpage with redirect link to www.scanhealtliplan.com o Designated exhibitor space (10'x10') during events o Minimum of 1 stage mention per event n Social Media ■ Day-of event social media acknowledgment of @scan_lb in form of stories on @santanaparks IF Post-event recap post caption mention of @scan_lb on @santaanaparks • Headline Partner Level inclusions: o All Foundation Partner Level inclusions listed above, and additionally: ■ Designated medium logo advertising printed signage provided by PRCSA with thank you text to SCAN, on 24"x36" A-frame(s) signage ■ Medium logo on event website subpage with redirect link to www.scanhealthplan.com ■ Designated exhibitor space (10'x20') during events ■ Minimum of 2 stage mentions per event ■ Social Media • Pre-event grid post on @santaanaparks • Title Partner Level inclusions: o All Headline Partner Level inclusions listed above, and additionally: ■ Designated large logo advertising printed signage provided by PRCSA with thank you text to SCAN, on 24"x36"A-frame(s) signage ■ Large logo on event website subpage and senior services coffee subpage on City's website with redirect link to www.scanhealthplan.com ■ Designated exhibitor space (10'00') during events ■ Minimum of 3 stage mentions per event • On stage promotion (script or media based on availability) ■ Press release mention o Designated advertising printed signage provided by PRCSA with SCAN advertisement, marks, and/ or reference, as supplied by SCAN, on coffee bar at both Santa Ana Senior Center and Southwest Senior Center o Designated exhibitor space (10'x10') for community activations on 12 mutually agreed upon dates by City staff and SCAN staff ■ 6 community activations at Southwest Senior Center ■ 6 community activations at Santa Ana Senior Center o COSAS newsletter acknowledgment of annual partnership supporting senior center coffee bars THE CITY OF SANTA ANA 20 Civic Center Plaza � 2nd Floor• Santa Ana. C4 92701 (714) 571-4200 • Web Site. wvvvv.santa-ana.or0%repartrnents/parks-recreation EXHIBIT B Insurance Requirements Partner shall procure and maintain for the duration of the agreement, the following insurance coverages: MINIMUM SCOPE AND LIMIT OF ]INSURANCE Partner 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 Partner does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance, provided that such policy is endorsed for business use and provides coverage with a minimum limit of $1,000,000. Required policy limits can be met with primary and umbrella/excess insurance policies. • Workers' Compensation (WC): 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 Partner has no employees. If Partner 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 Partner. 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 Partner including materials, parts, equipment, and personnel furnished in connection with such work or operations. 2. CGL, AL, and WC 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 Partner for City. 3. All required insurance policies: For any claims related to this contract, Partner'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 Partner'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 notice 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: (Name of Department Staff Responsible for Agreement), Address of Department Responsible for Agreement, M-XX, Santa Ana, CA 92701. The name and location of the 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 Partner 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:VI I, unless otherwise acceptable to City. Verification of Coverage Partner 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 Entity before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Partner'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, Partner must purchase "extended reporting" coverage for a minimum of three (3) years after completion of work. Subcontractors Partner shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Partner 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. A�" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDi6 YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marsh& McLennan Agency LLC PHON@ Jesse Garcia FAX Marsh& McLennan Ins.Agency LLC c e Ez ;858 750-4695 arc Ne:85&452-753Q PO Box 85638 ADDRESS: Jesse.Garcia@MarshMMA.com San Diego CA 92186 INSURER(S)AFFORDING COVERAGE NAIC# License#.OH18131 INSURER A:Philadelphia Indemnity Insurance Co. 18058 INSURED SCANHEAL INSURERS:American Zurich Insurance Company 40142 SCAN Group 3800 Kilroy Airport Way, Ste 100 INSURER C Long Beach, CA 90806-2494 INSURER D INSURER E: i INSURER F: COVERAGES CERTIFICATE NUMBER:1584699950 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. ILTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER MMDDIYYYY MM ODIYPOLICY EFF POLICY YYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y PHPK2574081020 7/1/2025 7/1/2026 EACH OCCURRENCE S1,000,000 DAMAGE TO RENTED X CLAIMS-MADE OCCUR PREMISES Ea occurrence S 1,000,00❑ MED EXP(Any one person) S 20,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S3,000,000 POLICY PRO-JECT ❑ LOG PRODUCTS-COMPIOPAGG S3.000,000 OTHER: I S A AUTOMOBILE LIABILITY Y Y PHPK2574081020 W112025 7/1/2026 COMBINED SINGLE LIMIT S 1.000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) S X OWNED SCHEDULED BODILY INJURY Per accident S AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S A X UMBRELLALIAB OCCUR PHUB871598020 7/112025 7012026 EACH OCCURRENCE s5,000,000 EXCESS LIAB _H CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTIONS S g WORKERS COMPENSATION Y WC869903BD1 711/2025 71l/2026 X STATUTE ©RH 2 AND EMPLOYERS'LIABILITY YIN WC8717602DI 7/1/2025 7/1/2026 ANYPROPRIETORI PART N ERIEXECUTIVE E.L.EACH ACCIDENT S 1,000,000 OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S1.000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 _TT DESCRIPTION OF OPERATIONS I LOCATIONS p VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) City of Santa Ana,its City Council, its officers,officials,employees,agents, and volunteers are included as an Additional Insured as respects to General Liability and Auto Liability per attached endorsements.Waiver of Subrogation applies to General Liability,Auto Liability and Workers Compensation per attached endorsements.Cancellation provision applies per attached endorsement. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:56 pm,Mar 09,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, Attention: ACCORDANCE WITH THE POLICY PROVISIONS. Parks, Recreation, and Community Services Agency 20 Civic Center Plz„ M-23 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PI-CA-001 (09/15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE ELITE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART Following is a summary of the Limits of Insurance and additional coverages provided by this endorsement. For complete details on specific coverages, consult the policy contract wording. Page -Coverage Applicable Limit of Insurance # Who is An Insured 2 Board Members Included Newly Acquired Entities Included Designated Insured Included Lessor of Leased Autos Included Cost of Bail Bonds $5,000 2 Reasonable Ex enses—Loss of Earnings $500 per day 2 Fellow Employee Coverage Amended 3 Towing $100 per disablement 3 Glass Breakage (Windshields and Windows No deductible applies 3 Transportation Expenses $100 per day/$3,000 maximum 3 Hired Auto Physical Damage—Loss of Use $100 per day/$1,000 maximum 3 Hired Auto Physical Damage ACV or repair or replacement of the 4 vehicle whichever is less Personal Effects $500 4 Rental Reimbursement $100 per day/30 days 4 Accidental Discharge—Air Sag Amended 4 Electronic Equipment $1000 5 Original Equipment Manufacturer Parts Included 5 Replacement Auto Loan /Lease Gap Coverage Amended 5 One Comprehensive Coverage Deductible Per Amended B Occurrence Notice of and Knowledge of Occurrence Amended 7 Blanket Waiver of Subrogation Amended as required by written contract 7 Unintentional Errors or Omissions Amended 7 Mental Anguish--Bodily In'u Redefined 1 Amended 1 7 Coverage extensions under this endorsement only apply in the event that no other specific coverage for these extensions is provided under this policy. If such specific coverage applies, the terms, conditions and limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted in this endorsement. Any deductible listed in the Auto Declarations Page will apply unless specific deductible provisions are set forth under a coverage enhancement below. Page 1 of 7 ©2015 Philadelphia indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc.,with its permission. PI-CA-001 (09/15) I. LIABILITY COVERAGE EXTENSIONS A. Who Is An Insured SECTION II—LIABILITY COVERAGE,A. Coverage, 1.Who Is An Insured is amended by adding the following: The following are also"insureds": 1. Board Members—Board members (or their spouses)while renting a vehicle while on business for the named insured. 2. Newly Acquired Entities—Any business entity newly acquired or formed by you during the policy period, provided you own 50%or more of the business entity and the business entity is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following the acquisition or the formation of the business entity. 3. Designated Insured—Any person or organization designated by the"insured" is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in SECTION II of the Coverage Form. 4. Lessor of Leased Autos—The lessor of a"leased auto' is an"insured"only for"bodily injury"or"property damage"resulting from the acts or omissions by: a. You; b. Any of your"employees"or agents; or c. Any person, except the lessor or any"employee"or agent of the lessor, operating a"leased auto"with the permission of any of the above. Any"leased auto' in the policy schedule will be considered a covered"auto"you own and not a covered"auto'you hire or borrow. r The coverages provided under this endorsement apply to any"leased auto' in the policy schedule until the expiration date of the lease, or when the lessor or his or her agent takes possession of the"leased auto,"whichever occurs first. "Leased auto" means an "auto' leased or rented to you, including any substitute, replacement or extra"auto' needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. B. Cost of Bail Bonds SECTION Il—LIABILITY COVERAGE,A.Coverage, 2.Coverage Extensions, a. Supplementary Payments, Item (2) is deleted in its entirety and replaced with the following: (2) Up to$5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident"we cover. We do not have to furnish these bonds. C. Reasonable Expenses SECTION II—LIABILITY COVERAGE, A. Coverage, 2.Coverage Extensions, a. Supplementary Payments, Item (4) is deleted in its entirety and replaced with the following: Page 2 of 7 ©2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc.,with its permission. PI-CA-001 (09/15) (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to$500 a day because of time off from work. D. Fellow Employee Coverage SECTION II—LIABILITY COVERAGE, B. Exclusions,5. Fellow Employee is deleted in its entirety and replaced by the following: "Bodily injury"to any fellow"employee" of the"insured" arising out of and in the course of the fellow"employee's"employment or while performing duties related to the conduct of your business. However, this exclusion does not apply to any manager or officer of your company. II. PHYSICAL DAMAGE COVERAGE EXTENSIONS A. Towing SECTION III—PHYSICAL DAMAGE COVERAGE,A. Coverage, 2.Towing is deleted in its entirety and replaced with the following: 2. Towing We will pay up to$100 for towing and labor costs incurred each time a covered "auto" is disabled. However, the labor must be performed at the place of disablement. No deductible applies to this enhancement. B. Glass Breakage SECTION III—PHYSICAL DAMAGE COVERAGE,A. Coverage, 3.Glass Breakage—Hitting A Bird Or Animal—Falling Objects Or Missiles is amended by adding the following: No deductible applies to"loss"to glass used in the windshield or windows. C. Transportation Expenses SECTION III—PHYSICAL DAMAGE COVERAGE,A.Coverage,4.Coverage Extensions,a. Transportation Expenses is deleted in its entirety and replaced with the following: a. Transportation Expenses We will pay up to$100 per day to a maximum of$3,000 for temporary transportation expenses incurred by you because of a"loss"to a covered "auto." We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the"loss"and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its"loss." D. Hired Auto Physical Damage—Loss of Use The fast sentence of SECTION III—PHYSICAL DAMAGE COVERAGE,A.Coverage,4. Coverage Extensions,.b. Loss of Use Expenses is deleted in its entirety and replaced with the following: However,the most we will pay for any expenses for loss of use is$100 per day, to a maximum of$1,000. Page 3 of 7 d 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc.,with its permission. PI-CA-001 (09/15) E. Hired Auto Physical Damage SECTION III—PHYSICAL DAMAGE COVERAGE,A.Coverage, 4. Coverage Extensions is amended by adding the following extension: Hired Auto Physical Damage Any"auto'you lease, hire, rent or borrow from someone other than your"employees" or partners, or members of their household is a covered "auto"for each of your physical damage coverages. The most we will pay for any"loss" in any one"accident" is the ACV or the cost for repair or replacement of the vehicle,whichever is less, For each covered"auto" our obligation to pay will be reduced by a deductible of$500 for Comprehensive Coverage and $1000 for Collision Coverage, F. Personal Effects Coverage SECTION III—PHYSICAL DAMAGE COVERAGE,A.Coverage,4. Coverage Extensions is amended by adding the following extension: Personal Effects Coverage We will pay up to$500 for`loss" to personal effects, which are: 1. Owned by an"insured"; and 2. In or on your covered "auto." This coverage applies only in the event of the total theft of your covered"auto." No deductible applies to this coverage. G. Rental Reimbursement SECTION III—PHYSICAL DAMAGE COVERAGE,A. Coverage, 4.Coverage Extensions is amended by adding the following extension: Rental Reimbursement Coverage We will pay up to$100 per day, for up to 30 days, for rental reimbursement expenses incurred by you for the rental of an "auto' because of"loss"to a covered"auto." We will also pay up to$300 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered "auto." If"loss" results from the total theft of a covered"auto,"we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Item III.C. Transportation Expenses of this endorsement. H. Accidental Discharge—Airbag Coverage SECTION III—PHYSICAL DAMAGE COVERAGE, B.Exclusions, Paragraph 3. is amended by adding the following exception: Page 4 of 7 ©2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) This exclusion does not apply to the accidental discharge of an airbag. This coverage is excess of any other collectible insurance or warranty. No deductible applies to this coverage. I. Electronic Equipment Coverage The following supersedes anything to the contrary in SECTION III—PHYSICAL DAMAGE COVERAGE, B. Exclusions, Paragraph 4. Exclusions 4.c. and 4.d.do not apply to: Any risk management or monitoring equipment and electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the reproduction of sound. This coverage applies only if the equipment is permanently installed in the covered "auto"at the time of the"loss" or the equipment is removable from a housing unit which is permanently installed in the covered"auto"at the time of the"loss,"and such equipment is designed to be solely operated by use of the power from the"auto's"electrical system, in or upon the covered "auto." The most we will pay for all"loss"to risk management or monitoring equipment, audio, visual or data electronic equipment that is not designed solely for the reproduction of sound and any accessories used with this equipment as a result of any one"accident" is the least of: a. The actual cash value of the damaged or stolen property at the time of the"loss"; b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality; or c. $1,000. This coverage will not apply if there is other insurance provided by this policy for the above- described electronic equipment. We will, however, pay any deductible, up to$500, that is applicable under the provisions of the other insurance. J. Original Equipment Manufacturer(OEM) Parts Replacement SECTION III--PHYSICAL DAMAGE COVERAGE, C. Limit of Insurance, Paragraph 1. is amended to include: However, if the covered "auto' has less than 20,000 miles on its odometer, then the following condition will apply: We will pay the cost to replace the damaged parts (excluding glass and mechanical parts) with new Original Equipment Manufacturer replacement parts if the damaged parts cannot be repaired. K. Auto Loan! Lease Gap Protection SECTION III—PHYSICAL DAMAGE COVERAGE,C. Limit of Insurance is amended to include the following: 4. In the event of"loss"to a covered "auto"that is loaned or leased to an "insured": a. The most we will pay for"loss" in anyone"accident" is the lesser of: Page 5 of 7 0 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc.,with its permission. PI-CA-001 (09/15) (1) The actual cash value of the damaged or stolen property as of the time of the"loss"; or (2) The cost of repairing or replacing the damaged or stolen property with other property of like, kind and quality. b. Our Limit of Insurance for"total loss"will be the greater of: (1) The balance due under the terms of the lease or loan,to which your"auto" is subject but not including: (a) Past due payments; (b) Financial penalties imposed under the lease; (c) Security deposits not refunded; (d) Costs for extended warranties or insurance; or (e) Final payment due under a"balloon loan"; or (2) Actual cash value of the stolen or damaged property. An adjustment for depreciation and physical condition will be made in determining actual cash value at the time of"loss." c. Additional Definitions (1) "Total loss"for the purpose of this coverage, means a loss in which the estimated cost of repairs, plus the salvage value, exceeds the actual cash value. (2) "Balloon loan" is one with periodic payments that are insufficient to repay the balance over the term of the loan, thereby requiring a large final payment. d. Additional Conditions This coverage will apply only to the original lease or loan written on your covered "auto." In order for this coverage to apply, leased "autos"must be leased or rented to you under a leasing or rental agreement, for a period of not less than six months,which requires you to provide direct primary insurance for the benefit of the lessor. L. One Comprehensive Coverage Deductible SECTION III—PHYSICAL DAMAGE COVERAGE, D. Deductible is amended by adding the following: Only one Comprehensive Coverage Deductible per occurrence will apply to any"loss" resulting from a covered peril. For the purpose of this extension, occurrence means a single incident, including continuous or repeated exposure to substantially the same general harmful conditions within a 24-hour period. Page 6 of 7 02015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) III. BUSINESS AUTO CONDITIONS A. Notice and Knowledge of Occurrence SECTION IV— BUSINESS AUTO CONDITIONS,A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss, Paragraph a. is deleted in its entirety and replaced with the following: a. In the event of"accident,"claim, "suit" or`loss,"you must give us, or our authorized representative, prompt notice of the"accident" or"loss." Include: (1) How, when and where the"accident" or"loss" occurred; (2) The"insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. Your duty to give us or our authorized representative prompt notice of the"accident"or "loss"applies only when the"accident" or"loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. B. Blanket Waiver Of Subrogation SECTION IV—BUSINESS AUTO CONDITIONS,A. Loss Conditions, 5.Transfer Of Rights Of Recovery Against Others To Us, is amended by adding the following exception: However, we waive any right of recovery we may have against any person or organization because of payments we make for"bodily injury" or"property damage" arising out of the operation of a covered "auto"when you have assumed liability for such "bodily injury"or "property damage" under an "insured contract." C. Unintentional Errors or Omissions SECTION IV—BUSINESS AUTO CONDITIONS, B.General Conditions, 2. Concealment, Misrepresentation, Or Fraud is amended by adding the following: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. However,this provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. IV. DEFINITIONS A. Mental Anguish SECTION V—DEFINITIONS,C. "Bodily injury" is amended by adding the following: "Bodily injury" also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness, or disease. Page 7 of 7 ©2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc„with its permission. INSURED: SCANGroup POLICY#: PHPK2574081020 POLICY PERIOD: 11710112025 TO 0710112026 PI-GLD-HS(1Qlii THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, GENERAL LIABILITY DELUXE ENDORSEMENT: HUMAN SERVICES This endorsement rnodifaes insurance provided tender the following: COMMERCIAL GENERAL LIABILITY COVERAGE It is understood and agreed that the following extensions on.iy apply in the event that no aver specific coverage for the indicated loss exposure is praMed under this policy. If such specifac coverage applies,the terms,conditions and limits of that coverage are the sole and ext'lusive coverage applicable under this policy,unless otherwise noted on this endorsement. The following is a summary of the Limits of Insurance and additional coverages provided by this endorsement. Fcr corriplete,details on speciRc gages,consult the policy contract v►arding. Coverage Applicable Limit of Insurance Rage# Extended Property Damage Included 2 Linuted Rental Lease Agreement Contractual Umbifity $50,000 lin it 2 Mort-Owned Watercraft Less than Sir feet 2 Damage to Property You Own.Rents.or Occupy 530,000 limit 2 Damage to Premises Rented to You $1,000,C00 3 HIPAA Clari5cation 4 Medical Payments $20,000 5 Medical Payments—Extended Reporting Pend 3 years 5 Athletic Actrvrties Arnerided 5 Supplementary Payments—Ea1 Bonds 55.000 5 Supplementary Payment—Loss of Eamings $1.000 per day 5 Employee Indemniireaticn Vefens+eCoverage $25,000 5 Key and Lock Replacerrent—Janitur.al Sereir es Client Cc,�erage 310,I)GO limit 5 Additional Inspired—Nerty Acquired Time Period Anxended 5 Additionai Insured—Medical L ieectors and Administrators Inciud'ed 7 Additional Insured—Managers and Surperutars fwith Fellow Included 7 Employee rEmployee Coverage) Additional Insured—Broadened Named Insured Included Additional Insured—Funding 5ourrm Induded , .Additional Insured—Home Care Providers Included , Additional Insured—Managers.Landlords,or Lessors of Premise= Included Additional Insured—Lessor of Leased Equipment Included Additional Insured—Grantor of Permits Included P Additional Insured—Vendor Included 8 Additional Insured—Franchisor Included re Additional Insured—When Required by Contract Included 9 Additional Insured—O liners,Lessees.er Ccrrtractors Included 9 Additional Insured—State or Political Subdh+lsians Included 10 Page 1 of 12 Induldes copyrighted material of Insurance Services Once,Inc_,with its permission_ @ 21011 Philadelphia Indemnity Insurance Company i-: D-FiS(1W 1 l Duties in the Event of OccurFence,Claim or Suit Included In Unintentional Failure to Discbse Hazards Induded 10 Transfer of Rights of Recovery Against Comers To Us C€ariiaation 10 Liberalization Included 11 Bodily Injury—indudes Mentai Anguish Included 11 Personal and Ad,Trtising Injury—inciudes Abuse of Process, lnduded 11 Diseriminadon A. Extended Property Damage SECTION I—COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DALIAGE LIABILITY,Subsection 2.Exclusions„Paragraph a.is deleted in its entirety and replaced by the following: a. Expected or Intended Injury "Bodo injury"or property darna "expected or intended from the standpoint cf the insured. This exclusion doev not apply to'bodily injury+`or"property damage"resulting from the use of reasonable force to protect persons or property. B. Limited Rental Lease Agreement Contractual Liability SECTION I—COVERAGES, COVERAGE A.BODILY INJURY AND PROPERTY DAMAGE LIABILITY,Subseebon 2.Exclusions,Paragraph b.Contractual Liability is annended to include the following: (3) Based on the named insured's request at the time of claim,we agree to indemnify the named insured for their Liability assumed in a contract or agreement regarding the rental or lease of a premises on behalf of their client,up to$50,000- This coverage extension only applies to rental lease agreements. This coverage is excess over any renter's liaWilityt insurance of the diient_ C. lJon-Owned Watercraft SECTION I—COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY,Subsect or7 2, Exclusions, Raragraph g,(2)is deleted in ik,err irety and replacer by the fallowing: (21} A watercraft you do not mvn that is: (a) Less than 58 feet bong„and (b) No4 being used to carry pe",,wons or property for a charge; This provision applies to any person,who with your consent,either uses or is respomble for the use of a watercraft- This insurance is excess over any other valid and c0ecti ble insurance available to the insured whether primary,excess or coat=ngent- D. Damage to Property You Own,bent or Occupy SECTION I—COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE Page 2 of 12 Includes copyrighted material of Insurance Ser>.,nces CfFice, Inc.,with its permission_ 21111 Philadelphia Indemnity Insurance Company PI-GLD-H:('6(VI 1) LIABILITY,Subsection 2.Exclusions, Paragraph j.Damage to Property,Item(1)is deleted in its entirety and replaced with the follawiing: (1) Property you own,rent,or occupy, including any costs or expenses incurred by you,or any other person,organization or entity,for repair,replacement,enhancenvnt, restoration or maintenance of such property for any reason,including prevention of injury to a person or damage to another's property,unless the damage to property is caused by your client,up to a$30,0130 limit_ A client is defined as a person under your direct care and supervision. E. Damage to Premises Rented to You 1. If damage by fire to premises rented to you is not otherwise excluded from this Coverage Part, the word"ire is changed to"ire,lightning,explosion,smoke,or leakage from,automatic fire protective systems'where it appears in: a. The last paragraph of SECTION I—COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Subsection 2.Exclusions,is deleted in its entirety and replaced by the following: Exclusions c.through n.do not apply to damage by fire,lightning,explosion,smoke,or leakage from automatic fire protecrtive systems to premises while rented to you of temporanly occupied by you with permission of the owner.A separate limit of insurance applies to this coverage as described in SECTION IiI—LIMITS OF INSURANCE- la. SECTION III—LIMITS OF INSURANCE,Paragraph 6.is deleted in its entirety and replaced by the fol%wing: Subject to Paragraph S.above,the Damage To Premises,Rented To You Limit is the most we will pay under Coverage A for damages because of"property damage"to any one premises,wtuile rented to you, or in the case of damage by fire,lightning,explosion, smoke,or leakage from automatic fire protective systems while recited to you or temporanly occupied by you with permioWn of the owner. c. SECTIO14 V—DEFiNITIONS, Paragraph 9.a.,is deleted in its entirety and replaced by the fallowing: A contract far a kmse of premises.However,that portion of the contract for a lease of prennnises that indemnifies any person or organization for damage by fire,lightning, explosion,smoke,or leakage from autornafic fire protective systems to premiseswhile rented to you or temporarily occupied by you with permission of the owner is not an "insured contract; 2. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDMONS.,Subsection 4.Other Insurance,Paragraph b, Excess insurance,(1) (a) (0)is deleted in its entirety and replaced by the following: That is insurance for fire, lightning,explosion, snick e,or leakage from automatic fire protective systems for premises reed to you or temporarily occupied by you wiith permission of the owner; 3. Ttva Damage To Premises Rented To You Limit section of the Declarations is amended to the greater of: Page 3 of 12 Includes copyrighted material of Insurance Services Office, Inc_,with its pemnission. @ 20-I1 Philadelphia Indemnity Insurance Company PI-CIS-HS(10111) a. $1,000,000;or b. The amount shown in the declarations as the Damage to Premises Rented to You Limit. This is the most we will pay for all damage proximately caused by the same event, whether such damage results frorn fire,lightning,explosion,smoke,or leaks f-orn automatic fire protective systems or any combination thereof. F. HIPAA SECTION I—COVERAGES, COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY, is amended as follows: 1. Paragraph 1.Insuring Agreement is amended to include the following: We will pay those stems that the insured becomes legally obligated to pay as damages because of a'violation(s)"of the Health Insurance Portability and Accountability Act(HIPAA). We have the right and the duty to defend the insured against any"suit,'"investigation,"cr"civil proceeding' seeking these damages_ However,we will have no duty to defend the insured against any"suit.° seeking damages,'investigation,'or"civil proceeding"to which this insurance does not apply- 2, Paragraph 2. Exclusions is amended to include ffie following additional exclusions_ This insurance does not apply to: a. Intentional,Willful,or Deliberate Violations Arry willful.,intentional,or deliberate vioiation(sr by any insured. b. Criminal Acts Any`violation"which results in any criminal penalties under the HIPAA_ c. Other Remedies Any remedy other than monetary damages for penalties assessed_ d. Compliance Reviews or Audits Any compliance reviews by the Department of Health and Human Services. 3. SECTIOH V—DEFINITIONS is amended to include the following additional definitions: a. "Civil proceeding"means an action by the Department of Health and Human Services(HHS) arising out of"vi!nlatbons." b. 'Investigation'means an examination of an actual or alleged'vicladon(sr by HITS_ However, "invtesfegation"does not include a Compliance Reviews_ C. L%1101atian"means th,e UtU3r or alleged failure to comply with the regulations included in the HIPAA._ Page d of 12 Include~copyrighted material of Insurance Services offiice, Inc_,with its permission. @ 20-1 1 Philadelphia Indemnity Insurance Company PI-GLO-HS(10t11) G. Medical Payments—Limit Increased to$20,000,Extended Reporting Period If COVERAGE C MEDICAL PAYMENTS is not otherwise excluded from this Coverage Part- 1. The Medical Expense Limit is changed subject to all of the terms of SECTION III -LIMITS OF INSURANCE to the greater of-- a. $24,I 061-or b. The Medical Expense Limit shown in the Declarations of this Coverage Part_ 2. SECTION I—COVERAGE,COVERAGE C MEDICAL PAYMENTS„Subsection 1.Insuring Agreement,a_(3)(b)is deleted in its entirety and replaced by the following: (b) The expenses are incurred and reported to us within three years of the date of the accident. H. Athletic Activities SECTION I—COVERAGES, COVERAGE C MEDICAL PAYMENTS, Subsection 2.Exclusions, Paragraph e.Athletic Activities is deleted in its entirety and replaced with the following: e. Athletic Activities To a person injured while taping part in athletics. 1. 5upplementiry Payments SECTION I—COVERAGES, SUPPLEMENTARY PAYMENTS-COVERAGE A AND B' are amended as folbws: 1,b.is deleted in its entirety and replaced by the following.- 1, la. Up to$5000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Soddy I njury Liability Coverage applies,.We do not have to furr►ish these. 1.d.is deleted in its entirety and replaced by the following: i, d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or"suit', including actual loss of earnings up to$1,EIDD a day because of time off from work. J. Employee Indemnification Defense Coverage SECTION I—COVERAGES,SUPPLEMENTARY PAYMENTS—COVERAGES A AND B the following is added'_ We will pay,on your behalf,defense costs incurred by an`ern ployee"'in a criminal proceeding occurring in the course of employment The most we*11 pay for any"employee'who is alleged to be directly involved in a criminal proceeding is$25,000.regardless of the numbers of'employees,'clairrris or"suits'brought or persons or organizations making claims or bringing"suits_ Page 5 of 12 Includes copyrighted material of Insurance Services office., Inc.,with its permission_ ce 2011 Philadelphia Indemnity Insurance Company PI-GLD-HS(10M) K. Key and Lock Replacement—Janitorial Services Client Coverage SECTION I—COVERAGES, SUPPLEMENTARY PAYMENTS—COVERAGES A AND @ is amended to include the following: We will pay for the cost to replace keys and locks at the`clients'premises due to theft or other loss to keys entrusted to you by your'clierrt,`up to a S113,000 limit peroccnrrence and$10,000 policy aggregate. We will not pay for loss or damage resulting from theft or any other dishonest or criminal act that you or any of your partners,merribem, officers, 'employees.",'managers`,directors,trustees, authorized representatives or any one to w1mm you entrust the keys of a'client'for any purpose commit,whether acting ak)ne or in collusion with other persons_ The following,w1hen used on this coverage, are defined as follaivs: a. "Client,means an individual, company or organization vtth ors 1mm you have a written contract or work order for your ser vices for a described premises and have billed for your services. b. "Employee"means: (1) Any natural person: (a) While in your service or for 30 days:after termination of service; (b) 'u"u'ho you compensate directly by salary, wages or commissions,and (c) Who you have the right to direct and control% ile performing services for you,cr (2) Any natural person%,ho is famished temporarily to you: (a) To substitute for a permanent"employee'"as defined in Paragraph(1)abave, Mm is on leave;or (b) To meet seasonal or short-term%-orkload conditions; while that person is subject to War direction and control and perforrnirug services for ytic c . (3) "Employee"does not mean: (a) ,Any agent„broker,person leased to you by a labor lea sing firm,factor, commission merchant, consignee, kide.pendent contractor or representative of the same general character,or (b) Any"manager,'director or trustee except vile performing acts corm ing v&Rthi n the scope of the usual duties of an"employee.' r "Manager"means a person serving in a directorial capacity for a limited labUity company. L. Additional Insureds SECTION 11—WHO IS AN lflSURED is amended as follows: 1. If coverage for-newly acquired ar formed organ moons is not othemise excluded frorn this Page 6 of 12 Incicsdes copyrighted material of Insurance Services Office, In-c-,with its p nission: @ 20-T I Philadelphia Indemnity Insurance Company PI-GLD-H (10/11) Coverage Part, Paragraph 3.a, is deleted in its entirety and replaced by the following: a. Coverage under this provision is afforded until the end of the policy period_ 2. Each of the following is also an insured: a. Medical Directors and Administrators-Your medical directors and administrators,but only while acting vrithin the scope of and during the course of their duties as such. Such duties do not include the furniclliing or failure to funush professional services of any physician or psychiatrist in the treatment of a patient- b. Managers and Supervisors-'dour managers and supervisors are also insureds,but only with respect to their duties as your managers and supervisors_ (imagers and supervisors who are your'emptoyees'are also insureds for"bodily injury to a co- 'employee while in time course of his or her employment by you or performing duties related to the conduct of your'business. This provision does not change ltem 2_a.(t)(a)as it applFes to managers of a limited liability company. c. Broadened Flanged Insured-Arry organization and subsidiary thereof which you control and actively manage on the effntive date of this Coverage Part. However,coverage does not apply to any organization or subsidiary not named in the Declarations as Named Insured, if they are also insured under another similar policy, but for its termination or the exhaustion of its limits of insurance. d. Funding Source-Any person or organization vAth respect to their liaNity arising out ofr (1) Their financial contr©l of you;or (2) Premises they o 4ri,maintain or control While yvu lease or occupy these premises. This insurance does not apply to structuTal alterations,new construction and demolition operations performed Irry or for that person or organization. e. Home Cate Providers-At the first Named Insured's option, any person or organization under your direct super Lion and control to+hile prolliding for you private home respite or foster home care for the developmentally disabled. f. Tanagers,Landlords,or Lessors of Premises—Any person or organization with respect to their(ability arising out of the ownership,maintenance or use of that part of the premises leased or rented to you subject to the following additional exclusions: This insurance does not apply to: (1) Any'occurrence which takes place after you cease to be a tenant in that premier;or (2) structural alterations,new construction or demolition operations performed by or an behalf of that person or organntion. g. Lessor of Leased Equipment-Automatic Status lhhen Required in Lease Agreement With You-Any person or organization from wtrom you leave equipment when you and such person or organization have geed in% iting in a contract or agreement that such person or organization is to be added as an additional insured on your policy_ Such person or Page,r of 12 Inducles copyrighted m:atenal of Insurance cer.ices ice, Inc_,with it,permission_ @ 2DI I Phi Iadelphia Indemnity Insurance Company PI-iLD-F , (IEtlI I organization is an irnsured only with respect to liability for'bodily injury,''property damage"or .personal ,and advertising injury"caused, in whole or in part,by your maintenance,operation or use of equipment leased to you by such person or organization_ A perr,�n°s or organization's status as an.additional insured under this endorsema:�t e,,ids when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded to these additional insureds,this insurance dozes not apply to any"occurrence'which takes place after the equipment lease expires. h. Grantors of Permits—Any state or poFitical subdivision granting you a permit in connection with your premises subject to the following additional provision: (1) This insurance applies only wtth respect to the following hazards for which the state or political subdivision has issued a permit in connection with the premises you own, rent or control and to Which this insurance applies: (a) The existence,maintenance,repair, construction,erection,or removal of advertising signs, awnings,canopies, cellar entrances, coal holes,driveways, manholes, marquee*, Wist away openings, sidewalk vaults, street banners or decorations and similar exposures; (b) The construction,erection„or removal of elevators;or (c) The ownership,maintenance,or use of any elevators covered by this Pnsurance. i, Vendors—Onty,A th respect to`cdily injury"or'property damage'arising out of'pur products' which are d istributed or sold in the regular course of the vendor's business,subject to the following additional exclusions: ji) The insurance afforded the vendor does not apply to: (a) "Bodily injury'or"property damage"for wfaieh the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement.This exclusion does not apply to liability for damages that the vendor would have in the absence of tlhe contract or agreement; (b) Any express s►u ranry unauthorized by you; (c) Any physical or chemical change in the product made intenbonall,/by the vendor; (d) Repackaging, except When unpacked solely for the purpose of inspection, demonstration,testing,or the substitution of parts under instructions from the manufacturer,and then repackaged in the original container, (e) Any failure to make such in,pection,,adjustments„testy or servicing as the vendor has agreed to make or normally undertakes to snake in the usual course of business, in connection with the ohstribution or sale of the products; (f) Demonstration, installation,servicing or repair operations,except such operabom performed at the vendor's premises in connection with the sale of the product Page 8 of 12 Includes copyrighted materral of Insurance Services Office, Inc_,with its permission_ Philadelphia Indemnity Insurance Company PI-GLD-HS SiD 11) (g). Products which, after distribution or sale by you, have been labeled or relabeled ar used as a container„part or ingredient of any other thing or substance by or for the vendor;or (h). "Bodily injury'or"property damage"arising out of the sale negligence of the vendor for its ahn acts or omissions or those of its employees or anyone else acting on its behalf- Huveever,this exclusion does not apply to: (i) The exceptions contained in Sub-paragraphs(d)or(f)rt or (ii) Such inspections,adjustments„tests air servicing as the vendor has agreed to rake or normally undertakes to make in the usual course of business,in connection with the distribution or sale of the products. (2) This insurance does not apply}to any insured person or organization from whored you have acquired such products, or any ingredient,part or container„entering into, accompanying or containing- Franchisor—Any person air organization with respect to their liability as the grantor of a franchise to you. k. As Required by Contract-,any person or organization 3wrhere required by a written contract executed prior to the occurrence of a loss. Such person or organization is an additional insured for"bodily injury,""property damage"or"personal and advertising injury'but any for Nabi lity arising out of the negligence of the named insured-The limits of insurance applicable to these additional insureds are the lesser of the policy limits or those limits specked in a contract or agreement. These iirrrits are included within and not in addition to the limits of insurance shaven in the Declarations I. Owners,Lessees or Contractors—Any person or organization, but only with respect to Nability for"bodily injury,''property damage"or"personal and advertising inyur,'caused, in whole or in part,.by_ (1) your acts or omissions;or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing operaWns for the additional insured when required by a contract. "4'v'ith respect to the insurance afforded to there additional insureds,the foilaving additiarnaI exclusions apply}: This insurance dons not apply to"bodiy injury"or"property darnagre"occurring after. (a) hll.work,including materials,parts or equipment furnished in connection with such work,on the project(other than service, maintenance or repairs)to be performed b air on behalf of the additional insured(s)at the location of the covered operations has been completed;or (b) That portion of"your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing:operations for a principal as a part of the same project Page 9 of 12 lndudes copyrighted material of Insurance Services Off-ice, Inc.,with its permission- @ 2Dr1'1 Philadelphia Indemnity Insurance Camparr PI-GLD-HS(10111) m. State or Political Subdivisions-Any state or political subdivision as required,subject to the following provisions: (1) This insurance applies only with respect to opera#�ons performed by you or on your behalf for which the state or political subdivision has issued a permit, and is required by contract. (2) This insurance does not apply to: (a) "Bodily injury,'"property damage"or"personal and advertising injury"arising out of operations perromied for the state or municipality,or (b) "Bodily injury"or"property damage"included within the"products-completed operations hazard." M. Duties in the Event of Occurrence,Claim or Suit SECTION 1V-COMMERCIAL GEIIERAL LIABILITY CONDITIONS, Paragraph 2.is amended as follows: a.is amended to include: TWs con ditEon applies only when the'occurrence'or offense is known to: (1) You.if you are an indr'ridual; (2) A partner,if you are a partnership;or (3) An executive officer or insurance manager, if you are a corporation- b.is amended to include: This c ondibon vrill not be considered breached unless the breach occurs after such claim or'suit' is known to: (1) You,if you are an individual; (2) A partner,if you are a partnership;or (3) An executive officer or insurance manager, if you are a corporatism. N. Unintentional Failure To Disclose Hazards SECTION IV-COMMERCIAL GEFIERAL LIABILITY)CONDITIONS,6.Representations is amended to include the following: It is agreed that,based on our reliance on your representations as to existing hazards,if you should unintentionally fail to disclose all such hazards prior to the beginning of the policy period of this Coverage Part,we shall not deny coverage under this Coverage Part because of such failure. 0. Transfer of Fights of Recovery Against Others To Us SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS.B.Transfer of Rights of Page 10 of 12 Includes copyrighted material of Insurance Services Office, Inc_,with its permission_ 201-1 Philadelphia Indemnity Insurance Company Pi-GLD-HS(1W1) Recovery Against Others To Us is deleted in its entirety and replaced by the following: If the insured has rights to recover all or pact of any payment we have made under this;Coverage Part, those rights are transferred to us-The insured must do nothing after ka",to impair them.At our request,the insurers vAll bring"suit"or transfer those rights to us and help us enforce there. Therefore,the insured can waive the insurer's rights of reco,;ery prior to the Occurreence of a loss,provided the waiver is made in a written contract. P. Liberalization SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS, is amended to include the following: If we revise this endorsement to provide more coverage without additional premium charge,we will autcmaficalEy provide the addbonsal coverage to all endorsement holders as of the day the revision is effective in your state. W. Bodily Injury-Mental Anguish SECTION V-DEFINITIONS,Paragraph 3. Is deleted in its entirety and replaced by the following: 'Eodily injury means: a. Bodily injury,sickness or disease sustained by a person,and includes mental anguish resulting from any of these;and b. Except for mental anguish, includes death resulting from the foregoing(item a.above)at any time- R. Personal and Advertising lnjury-Abuse of Process,Discrimination If COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY COVERAGE is not o=theraise excluded from this Caverage Part,the definition of"personal and advertising injury'is am-ender as folFr_1ws-. 1. SECTIOII V-DEFINITIOt.)S, Paragraph 14.b. is deleted in its entirety and replaced by the following_ b. Malicious prosecution or abuse of process; I SECTION V-DEFINITIONS,Paragraph 14.is arnended by adding the following: Discrimination based on race, color,religion,sex,age or national origin,except when: a. Done intentionally by or at the direction of,or wfth the knowledge or cortsent of: (1) Any insured;or (2) Any execuWe officer,director.,stcckhcfder,partner or member of the insured-, b, Directly cr indirectly related to the employment,former or prospective employment, termination of employrnent,or application for empfoyment of any person or persons lxy an Insured; Page 11 of 121 Inctudes copyrighted material of Insurance Sen.ices Office, Inc-,with its permission- @20-11 Philadelphia Indemnity Insurance Company PI-GID-HS(1{Y1I) c. Directly or indirectly related to the sales rental,Iease or sublease or prospective sales,rental, Lase or sub-lease of any roam,dwelling or premises by or at the direction of any insured;or d. Insurance for such discriminat)vn is prohibited by or heed in violation of lavr,public policy, legislation, court decision or admir6strativre ruling- The aLNme does not apply to fines nr penalties imposed because of discrimination- Page 12 of 12 Includes copyrighted material of lnsmrance Senices Office, Inc-,with its permission- @ 20-1 T Philadelphia Indemnity Insurance Company WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.4-84) 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 0% of the California workers' compensation pre-mium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION. INSURED: SCAN Group POLICY#:WC869903801 POLICY PERIOD: 07/01/2026 TO 07101/2026 WC 252(4-84) WC 04 03 06(Ed.4-84) Page 1 of i PI-CANXAICH-002(05/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTICE TO SCHEDULED ADDITIONAL INSURED OR CERTIFICATE HOLDER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE OF ADDITIONAL INSUREDS OR CERTIFICATE HOLDERS Al or CH Additional Insured or Certificate Holder Address AI City of Santa Ana 20 Civic Center Plaza, M-23 Santa Ana, CA 92701 The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable coverage part: A. In the event we cancel the policy in accordance with the policy's terms and conditions, we will endeavor to mail written notice of cancellation to Additional Insureds or Certificate Holders, shown in the above SCHEDULE within the time frame listed below. However, failure to mail such notice shall impose no obligation of any kind upon us, our agents or representatives. 1. 30 days before the effective date of cancellation if we cancel for any reason other than for non-payment of premium. As respects Additional Insureds, the above cancellation provision applies only when the Additional Insured shown in the above SCHEDULE is added to the policy by a separate additional insured endorsement as the CANCELLATION NOTICE TO ADDITIONAL INSURED OR CERTIFICATE HOLDER does not provide additional insured coverage. i Page 15 of 19