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HomeMy WebLinkAboutRAINY DAY DIMES, LLC N-2026-076 �- APR 0 6 2026 0: 4ry �yiA�l po�rfo (dz) January 26, 2026 Rainy Day Dimes LLC ("Speaker/Performer") 1920 Hillhurst Ave#118 Los Angeles, CA 90027 Re: Speaker/Performer Engagement Agreement This letter represents your agreement with the City of Santa Ana ("City") as entered into on the above date for the engagement described below: 1. Event Description: Dia de los Niiios,Dia de los Libros event. See Exhibit A for more details. 2. Date(s): April 25, 2026 3. Event Time(s): 11:45 AM-12:35 PM 4. Location: Main Library, 26 Civic Center Plaza, Santa Ana, CA 92701 ("Property") 5. Compensation: $6,500 - A 50% deposit of$3,250.00 will be made to Rainy Day Dimes LLC within seven (7) business days of contract execution. The remaining 50% of $3,250.00 will be paid no later than the day of performance or earlier per municipal payment policy. All payments shall be made out to Rainy Day Dimes LLC. Speaker/Performer must provide IRS form W-9 before payment can be made 6. Equipment provided by City: Professional stage, 3 microphones with stands, PA system(with at least 4 channels) and designated sound person will be provided. They City also agrees to provide all items set forth in Exhibit B, attached hereto and incorporated by reference. 7. Equipment provided by Speaker/Performer: Performer will bring their own instruments (guitar, drum, etc.) and minimal backline gear. 8. City Contact Person(for coordinating purposes only): Beatriz Garcia-Diaz 9. Independent Contractor: Speaker/Performer 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 Speaker/Performer performs the services that are the subject matter of this Agreement; however, the services to be provided by Speaker/Performer shall be provided in a manner consistent with all applicable standards and regulations. Speaker/Performer 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. 10. Indemnification: Speaker/Performer, his or her agents, or employees (if applicable) agrees to and shall indemnify, defend,and hold harmless the City,its officers,agents,employees,consultants,special counsel,and representatives from and against all loss, expenses, or liability(including costs and attorney's fees) arising from the negligence or willful misconduct of Speaker/Performer,his or her agents,or employees. 11. Release: Speaker/Performer accepts the Property and any City-provided equipment used in connection with the performance in their "as-is" condition, with all faults. Speaker/Performer fully releases, waives and discharges forever any and all claims, demands, rights, and causes of action of any kind or nature against, and covenants not Letter Agreement—Rainy Day Dimes LLC Page 2 to sue,City,its elected officials,officers, employees, agents and volunteers, and all persons acting on behalf of,by, through or under each of them, under any present or future laws, statutes, or regulations for any claim or event relating to the condition of the Property or City-provided equipment or Speaker/Performer's use thereof. 12. Insurance Requirements attached hereto as Exhibit C. l 3. The City shall have the right and royalty-free license to simulcast or produce and show a tape-delayed broadcast of Speaker/Performer's presentation to the City community or general public, through webcast or any other means. This license shall be non-exclusive and the copyright shall remain with the Speaker/Performer. Copies of Speaker/Performer's presentation may be maintained by the City, and Speaker/Performer consents to use of such recordings. 14. Speaker/Performer is solely responsible for payment of royalty fees, performance fees, or similar fees that may be required by unions or similar organizations. Speaker/Performer shall indemnify the City against any liability or damages, including attorney's fees, that may arise as a result of violation by Speaker/Performer of copyright laws. 15. Speaker/Performer shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, disability, or any other basis protected by applicable law in connection with any activities related to this Agreement. 16. This Agreement shall in all respects shall be interpreted, enforced,and governed exclusively by and under the laws of the state of California. Both parties 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. 17. This Agreement represents the complete and exclusive statement between the City and Speaker[Performer regarding the subject matter herein and supersedes any and all other agreements, oral or written, between the parties. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Speaker/Performer, CITY OF SANTA AN SPEAKERTERFORMER Lucky Diaz 9,2026 1622 13 PST) ALVARO NL]NEZ Name: LUCKY DIAZ City Manager Title: Owner ATTEST: APPROVED AS TO FORM: 3 HAL ONATHAN T.MARTINEZ Cit C Assistant City Attorney RECOMMENDED FOR APPROVAL: 0—'* Brian Stern erg(Feb 9,2026 16:18:30 PST) BRIAN STERNBERG, Executive Director, Library Services Agency Letter Agreement—Rainy Day Dimes LLC Page 3 EXHIBIT A SCOPE OF SERVICES VENDOR INFORMATION: Rainy Day Dimes LLC Lucky Diaz 19201-Iillhurst Ave#11 S Los Angeles,CA 90027 Telephone: 323.428.1492 Email: bookin (o),Iuc diazmusic.eotii Website: bttps://ww-w.luekvdiazmusic.com/ EVENT(S):Dia de los Nifaos,Dia de los Libras-Lucky Diaz and the Fancily Jam Band LOCATIONS. All Library facilities,including but not limited to facilities listed below. +� :Manz Library, 26 Civic Center Plaza, Santa Ana,CA 92701 Newhope Library, 122 N.Newhope Street, Santa Ana,CA 92703 • Delhi Branch Library, 505 E. Central Ave., Unit,B, Santa Ana,CA 92707 +� Yerorne Park Outdoor Library, 2115 W.McFadden Ave, Santa Ana,CA 92704 TERM: Saturday,April 25,2026 COMPENSATION:Not to exceed$6,500 DESCRIPTION:This vendor will provide a high-energy musical and literacy-focused performance on Saturday, April 25,2026 from 11:45 am-12:35 pm at the Main Library, 26 Civic Center Plaza, Santa Aria, CA 92701, during the Dia de los Niho,s, Dfa de los Libros event.The total amount for this agreement shall not exceed$6,500.00. A 50%deposit of$3,250.00 will be made to Rainy Day Dimes LLC within seven.(7)business clays of contract execution.The remaining 50%cif$3,250,00 will be paid no later than the clay of performance or earlier per municipal payment policy, All payments shall be,made out to Rainy.Day Dimes LLC. The City will be responsible for setting up the space for the patrons attending,providing 3 microphones with stands,a PA system(with at least 4 channels) with a designated so-mid person,advertising the program, and providing when possible hospitality requests as detailed in Exhibit B.The vendor will be responsible for providing all equipment, materials, supplies,and personnel ziecessary to perform the act. City staff will be present at all times during the performance. Letter Agreement—Rainy Day Dimes LLC Page 4 EXHIBIT B HOSPITALITY REQUESTS LUCK'DIAZ& THE FAMILY JAM BAND (DUO) PERFORMANCE HOSPITALITY REQUEST'S Thank you for hosting Ducky Diaz and Alisha Gaddis! To help ensure a smooth and successful event,we kindly request the following hospitality details be provided when possible.These items support their preparation and performance, especially as Lucky manages Type 1 diabetes.We truly appreciate your support and consideration. Dressing Room—City will provide a private space within City Hall for preparation purposes. Beverages(please,no Pepsi products): i 2 bottles or cats each of- * Sprite o Coke Zero o Regular Cope & 2 bottles of water(SmartWater, Essentia,or other high pH options preferred) o Please avoid Dasani or Nest16 Snacks&Refreshments (Local favorites encouraged—sealed for 2 people): • Assorted protein sandwiches(no veggie-only options) o Please include one gluten-free sandwich option • Fresh whole fruit(no strawberries,cherries, or pineapple) • Green salad(for Alisha)—please no onions • Assortment of RX Bars,Larabars, or equivalent clean-label protein snacks o Include gluten.-free options • Packaged fruit gtmnnies(Welch's, Simply,or similar) • Coffee(regular or locally brewed is always welcome!) Allergies 0 No cats or dogs backstage or in dressing room areas # Please avoid the following ingredients in all foods and snacks: o Strawberries * Cherries o Pineapple Stage Needs • 2 bottled waters for stage use Dressing Room,Guidelines • A private dressing space with:seating is requested o Not to be shared with other performers or staff • While we adore families and visitors, we kindly ask that dressing rooms be reserved for duo and crew only to allow for quiet preparation Thank you again for your thoughtful hospitality—it helps us bring joyful music, community, and love to every show! Letter Agreement—Rainy Day Dimas LLC Page S EXHIBIT C INSURANCE REQUIREMENTS Contractor shall procure:and maintain for the duration of the agreement, the following insurance coverages: MINIMUM SCOPE AND LIMIT OF INSURANCE Contractor shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: • Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence and $2,000,000 aggregate. a Automobile Liability (AL); Insurance Services Office Form CA 00 01 covering Code 1 (any auto), with combined single limits of$1,000,000. In the event Contractor does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance, 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 umbrellalexcess insurance policies. If Contractor maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions-, 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 Contractor 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 Contractor for City. . All required insurance policies,. For any claims related to this contract, Contractor's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. 4. All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Contractor's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability, 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: Library Services, Dylan Dario 20 Civic Center Plaza, M-42 Santa.Ana, CA 92701 Letter Agreement--Rainy Day Dimes LLC Page 5 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 Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating of no less than A:Vl1, unless otherwise acceptable to City. Verification of Coverage Contractor shall furnish City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CCL policy listing all policy endorsements to Entity before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Contractor's obligation to provide them. City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time, Claims Made Policies If any of the required policies provide coverage on a claims-made basis: 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, Contractor must purchase "extended reporting" coverage for a minimum of three (3) years after completion of work. Subcontractors Contractor shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from sub-contractors. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. Rainy Day Dimes LLC - Speaker—Performer Agreement APPVD AS TO FORM Final Audit Report 2026-02-10 Created: 2026-02-05 By: Dylan Dario(ddario@santa-ana.org) Status: Signed Transaction ID: CBJCHBCAABAAUKebNHmGeOSo9wA810Ru3gJuDOxL.WgPp "Rainy Day Dimes LLC - Speaker—Performer Agreement - APPV D AS TO FORM" History Document created by Dylan Dario (ddario@santa-ana.org) 2026-02-05-10:48:12 PM GMT Document emailed to Brian Sternberg (bsternberg@santa-ana.org) for signature 2026-02-06-10:48:20 PM GMT Email Viewed by Brian Sternberg (bsternberg@santa-ana.org) 2026-02-05-11:09:39 PM GMT Email Viewed by Brian Sternberg (bsternberg@santa-ana.org) 2026-02-10-0:16:36 AM GMT 'Sp Document e-signed by Brian Sternberg (bsternberg@santa-ana.org) Signature Date:2026-02-10-0:18:30 AM GMT-Time Source:server Document emailed to Lucky Diaz (booking@luckydiazmusic.com) for signature 2026-02-10-0A 8:32 AM GMT f_I Email Viewed by Lucky Diaz (booking@luckydiazmusic.com) 2026-02-10-0:19;26 AM GMT C�q Document e-signed by Lucky Diaz(booking@luckydiazmusic.com) Signature Date:2026-02-10-0:22:13 AM GMT-Time Source:server Q Agreement completed. 2026-02-10-0:22:13 AM GMT Adobe Acrobat Sign CERTIFICATE OF INSURANCE ENDORSEMENT SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST,A RISK PURCHASING GROUP Certificate# 60742 Additional Insured: (if multiple,continued on next page) Program administrator: CA License#0757776 HUB International Insurance Services Inc. City of Santa Ana,its officers,officials,employees and volunteers,20 3000 Executive Parkway,Suite 300 Civic Center Plaza,Santa Ana,CA 92701 San Ramon, CA 94583 PH:925 609 6547 FX:925 609 6550 special eve ntcfhubinternational.corn Named Insured: EVENT INFORMATION Santa Ana Public Library EVENT TYPE: Performance 26 Civic Center Plaza EVENT DATE(S): 4/25/2026 Santa Ana, CA 92701 EVENT LQCATION(S): 26 Civic Center Plaza,Santa Ana,CA 92701 This is to certify that the policies of insurance listed below have been issued to the insured named above for the event date(s)indicated above. 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. INSURER A: COLONY INSURANCE COMPANY INSR LTR Type of Insurance Policy Number Effective Expiration Policy Limits Each Occurrence $1,000,000 General Aggregate $2,000,000 Personal&Advertising Injury $1,000,000 Products/Completed Operations $2,000,000 Commercial Aggregate A General Liability 103 GL 0021111 1/112026 1/112027 Damage to Premises Rented to You $1,000,000 Medical Payments $5,000 Liquor Liability Each Occurrence (Aggregate included in General NIA Liability Aggregate) COVERAGE TERMS: APPRQVE© By Tu Tran Nguyen at 4:19 pm,Mar 1 y,2026 The coverage afforded by this insurance is primary and non-contributing with any Host Liquor Liability Included. insurance held by the "Additional Insured" as Named Insured,when the "Additional Insured" is shown on this Certificate of Insurance Endorsement as "Additional Insured" Full Liquor Liability Included when a or WHEN REQUIRED BY WRITTEN CONTRACT. separate premium has been charged. Occurrence Form(CG 0001) COVERAGE EXCLUSIONS:(REFER TO POLICY FOR COMPLETE LISTING OF EXCLUSIONS) Communicable Diseases Specific Events are excluded from coverage. Please see third page for list of excluded events. --Sexual Abuse&Molestation Terrorism On behalf of the Risk Purchasing Group and each Member,the Trustee has declined coverage for the Terrorism Disk Insurance Act(TRIA). -Additional Insureds,next page— Second Page of Certificate Certificate# 60742 OTHER ADDITIONAL INSUREDS: 1 Rainy Day Dimes LLC, 1920 Hillhurst Avenue#118, Los Angeles, CA 90027 2 3 4 6 6 7 8 9 10 11 12 13 CANCELLATION: Should the above described policy(s)be canceled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the insured event holder and additional insureds listed. AUTHORIZED REPRESENTATIVE: DATE ISSUED: 3/3/2026 Third Page of Certificate Certificate# 60742 SPECIFIC EVENT EXCLUSIONS The following types of events are specifically excluded and no coverage for them exists on the policies listed on the front page of this Certificate of Insurance: Aircraft 1 Aviation All Terrain Boarding Ballooning 1 Balloon Rides Base Jumping Bouldering Events Boxing,Wrestling Bungee Jumping, use of a harness, belaying apparatus or any type of fall protection equipment Carnival Rides Circuses Concerts over 6 hours in music length Contact Karate 1 Martial Arts Contact Sports Diving Football (except passing camps with no contact drills) Free Speeches, Poliictical Events, Political Rallies, Protests, Marches Hang Gliding Hockey Jousting Kayaking, Rafting or Canoeing in greater than Class 3 rapids Lacrosse f Rugby Mechanical Amusement Rides or Services and Gyroscope Rides Motorized Sporting Equipment Mosh Pits Mountain Biking Power Boat Racing Professional Sporting Activity; Games, Races, Contests of a professional nature Pyrotechnics 1 Explosives Rap or Heavy Metal Concerts Raves Rock Climbing Rodeo 1 Roping Events (includes practice) Scuba Diving Tight Roping, Slackiining Tractor/Truck Pulls Ziplines 1 Ziplining SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST DATE CERTIFICATE OF INSURANCE ENDORSEMENT 3/3/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE ENDORSEMENT DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, PRODUCER: SPECIAL EVENT INSURANCE DEPARTMENT CONTACT INFORMATION: HUB International Insurance Services Inc. PHONE 9256096547 FAX 9256096550 3000 Executive Parkway, Suite 300 EMAIL specialevent(a),hubinternational.com San Ramon, CA 94583 INSURER(S)AFFORDING COVERAGE NAIC# CA License#0757776 INSURER A: Colony Insurance Company 39993 NAMEDINSURED: Santa Ana Public Library 26 Civic Center Plaza Santa Ana,CA 92701 COVERAGES This is to certify that the policies of insurance listed below have been issued to the insured named above for the event date(s)indicated below. 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. INSR INSURED MEMBER COVERAGE EFFECTIVE I LTR TYPE OF INSURANCE ENDORSEMENT EXPIRATION DATE LIMITS NUMBER A GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY 60742 04/25/2026 DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 CLAIMS-MADE ❑X OCCURRENCE MEDEXPIAnyanepersan) $5,000 PERSONAL N ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMPfOPAGG $2,000,000 LIQUOR LIABILITY PER OCCURRENCE(AGGREGATE NIA INCLUDED IN GENERAL LIABILITY AGGREGATE) MASTER POLICY#103 GL 0021111 -EFFECTIVE DATE 11112026, EXPIRATION 11112027 DESCRIPTION OF OPERATIONS I LOCATIONS City of Santa Ana,its officers,officials,employees and volunteers,20 Civic Center Plaza,Santa Ana,CA 92701 islare included as an additional insuredls]per attached endorsement T5409-0118.Policy is Primary and Nan-contributing per attached endorsement T1095-0108;Waiver of Subrogation applies per attached endorsement CG 24 04 05 09. Event Type: Performance Event date(s): 4/25/2026 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Attention: Ella Sepulveda AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza M-75 Santa Ana,CA 92701. POLICY#103 GL 0021111 COMMERCIAL GENERAL LIABILITY T5409-0118 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Named of Additional Insured Person(s)or Organization(s) City of Santa Ana, its officers,officials,employees and volunteers,20 Civic Center Plaza,Santa Ana,CA 92701 Information required to com lete this Schedule, if not shown above,will be shown in the Declarations. Section 11-Who Is An Insured is amended to include as additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissiozas or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. T5409-0118 0 ISO Properties,Inc.,2004 Page 1 of 1 POLICY#103 GL 0021111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE (Third-Party) This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A, SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirety and replaced with the following condition as respects the Third Party shown below: 4. Other Insurance a. With respect to the Third Party shown below, the insurance provided by this policy shall be primary and non-contributing insurance. Any and all other valid and collectible insurance available to such Third Party in respect of operations performed by you under written contractual agreements with said Third party for a loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. Third Party to whom this endorsement applies is: City of Santa Ana, its officers,officials,employees and volunteers.20 Civic Center Plaza,Santa Ana,CA 92701 Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Parry for whom you are performing operations. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. T1095-0108 Includes Copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 1 POLICY 4103 GL 0021111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization to whom or to which you are obligated by virtue of a written contract to waive your right of recovery. The following is added to Paragraph S.Transfer of Rights of Recovery Against Others to Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contact with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CG 24 04 05 09 Contains material copyright,Insurance Services Office, Inc.,with its permission. Page 1 of 1 < ID Card [Tj Auto Policy 919367234 California Evidence of Liability Insurance Policy Number: 919367234 NAIC Number: 11770 Effective Date: 02/05/2026 Expiration Date: 08/05/2026 Insurer: United Financial Cas Co 1-800-776-4737 PO Box 31260 Tampa, FL 33631 Named Insured(s): Hector Diaz Jr. Afisha Gaddis Year Make Model VIN 2019 Ford Explorer 1 FM5K7F84KGB11338 2006 Bmw 330 WBABW53456PZ41427 < Policy and Coverages 2019 Ford Explorer 1FM5K7F84KGB11338 Bodily Injury& Property $419 . 00 Damage Liability: $100,000 each person/$300,000 each accident/$100,000 each accident Uninsured/Underinsured $61 . 00 Motorist: 4) $50,000 each person/$100,000 each accident Medical Payments: $0. 00 No Coverage Uninsured Motorist Property $0 . 00 Damage: Q No Coverage Comprehensive: $61 . 00 $1,000 deductible Collision: $314.00 $1,000 deductible Uninsured Motorist Collision $0. 00 Deductible Waiver: No Coverage A BACK TO TOP Qnrtol Dnimhi ircmm�nt• �/Ii3 fl(l 2:28 \ IF, 0 C Policy and Coverages 2019 Ford Explorer 1 FM5K7F84KGB11338 Rental Reimbursement: $48 . 00 $40 each day/maximum 30 days Roadside Assistance: $2 . 00 Selected Custom Parts and/or $0 . 00 Equipment value: Qr $0.00 Loan/Lease Payoff: $0 . 00 No Coverage 2019 Ford Explorer's premium: $905 . 00