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HomeMy WebLinkAboutEL JAMRAH, CINDY N-2026-223 03I 2 l2 'AUG 2 52026 ARTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT BETWEEN THE CITY OF SANTA ANA AND CINDY EL JAMRAH T•tie.W7_) This Artist Grant Agreement ("Agreement") is made and entered this 18th day of May, 2026, by and between the City of Santa Ana, a charter City and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"), and Cindy El Jamrah ("Grantee")for the purpose of providing grant funding pursuant to the Investing in the Artist Grant Program. City and Grantee may herein individually be referred to as a "Party" and collectively be referred to as the "Parties"to the Agreement. RECITALS: A. On April 19th, 2026, the Arts and Culture Commission reviewed all applicants and recommended that Grantee be awarded an artist grant based on its Application for its art project ("Project"). A true and correct copy of Grantee's Application is attached hereto as Exhibit A and incorporated herein by reference. B. In undertaking the performance pursuant to this Agreement, Grantee represents that it is skilled and knowledgeable in the arts and culture arena and that the Project created or performed hereunder will be created or performed in compliance with such standards as may reasonably be expected from an artist. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the Parties agree as follows: 1. Term. This Agreement shall be effective upon signature by both Parties and shall expire one year from the date first written above, unless terminated earlier in accordance with this Agreement. 2. Funding, 2.1. Subject to Grantee's performance of all required actions under this Agreement, City shall provide funding, in three disbursements, as detailed below, of an amount not to exceed Two Thousand, Four Hundred, Fourteen Dollars ($2,414) ("Grant Amount" or "Grant"). 2.2. Grantee will be paid in three (3) installments. First payment will be one-third of the funding amount provided above or$804.66 and will be provided within thirty(30)days of the full execution of the Agreement by the Parties along with a complete invoice submitted by Grantee. The second payment will be the second one-third of the funding amount provided above or $804.67 and will be provided within thirty(30) days after the Grantee submits to the City all the proper receipts and invoices up to the mid-point of the Project. The third and final payment will include the remaining amount of$804.67 and will be issued within thirty (30) days after the Grantee submits to the City all the proper receipts, invoices, and final report for the Project. 2.3. Appropriate performance of the Grantee will be determined by City in its sole discretion. City reserves the right to cease funding after the first or second disbursement detailed above, and to be reimbursed the initial payment(s), if Grantee's performance is determined to be insufficient or unacceptable in the City's sole discretion. 2.3. City represents that there is no correlation or connection between its selection of individuals for grant awards and an individual's business relationship or potential business relationship with City. 1 3. Grant Activities. Grantee agrees: 3.1. To perform the activities described in Grantee's Grant Application submitted to City for consideration dated March 24, 2026, a copy of which is attached as Exhibit A and incorporated into this Agreement as if set out in full. 3.2. To submit all reports(each, a "Report"), which shall include, at a minimum, the items set forth as required by the Application. No personally identifiable information shall be included in any of the Reports, except where specifically requested. The Reports shall be in a format that is reasonably acceptable to City. City may request additional information as City, in its sole discretion, determines is necessary to monitor performance of this Agreement. City shall have the right to use any Reports submitted by Grantee, or any portion thereof, for any reason. 3.3. To maintain all pertinent financial and accounting records pertaining to this Agreement in accordance with generally accepted accounting principles and other procedures reasonably specified by City. Upon termination or expiration of this Agreement or request by City, Grantee shall provide, at its expense, copies of all financial and accounting records produced by Grantee arising out of this Agreement. 3.4. To allow audits, compliance or special reviews and inspections, including on-site inspection, with or without prior notice, of Grantee's facilities by City or by third parties designated by City, or their authorized representatives. Grantee shall provide its full cooperation for any such audit, review or inspection, including providing timely access, for examination and copying of records (including computerized records) pertinent books, documents, papers, computer programs and records and reasonable access to its personnel. 3.5. To ensure that any areas utilized for the Project are maintained and restored to a well- maintained, safe, sanitary, and clean condition, and kept free of any hazardous waste at all times. All equipment associated with the installation of the artwork, trash and debris shall be removed and cleaned up on a daily basis. if applicable to the Project, Grantee shall place a drop cloth or similar barrier on the ground below the artwork while installation is underway, which barrier shall be removed each day upon completion of an installation session. 3.6. The Project may not contain advertising, religious art, sexual content, negative or violent imagery, convey political partisanship or include any hidden, subliminal, or camouflaged messages or statements of any kind or nature. Appropriateness of the content of the Project will be determined by City in its sole discretion. 3.7. The Project may not include any breach of intellectual property, trademarks, brands, or images of illegal activity, and the Grantee must be the copyright holder for the Project. It is the sole responsibility of the Grantee to obtain any and all applicable copyrights or trademarks associated with the artwork for the Project. 3.8. To be responsible for the maintenance of the Project, which includes, but is not limited to, graffiti removal, touch-up, and restoration, for the duration of the Project's existence. 3.9. If the artwork is a mural, it must be covered in an anti-graffiti coating at the Grantee's expense. 3.10. The City holds all rights to public art on City property, and as such the Project artwork may be removed at the sole discretion of the City. Should the Project artwork be defaced and/or not repaired, maintained, preserved and/or conserved, the City has the authority to repair, maintain, preserve, and/or conserve the Project artwork, or alternatively, the City has the sole authority to 2 remove, alter, or destroy the Project artwork. Grantee will have first right of refusal to restore said Project artwork. If Grantee is unwilling to perform or unable to be contacted within a reasonable time, the City has the right to request the services needed from a different artist, in the City's sole discretion. 3.11. Grantee shall execute and deliver to City any instruments that City may reasonably require to confirm ownership of any artwork. 3.12. Grantee shall be responsible for complying with all Federal, State, and local laws, ordinances, statues and regulations, including, but not limited to zoning and other environmental requirements (if applicable), and for obtaining all required licenses, permits, or other authorizations applicable to the performance of Grantee's Project under this Agreement. 3.13. The estimated dates of completion and proposed Project locations contained in he Grantee Application, Exhibit A, are just that, estimates and proposals, as they were provided to the Arts & Culture Commission. It is the responsibility of the Grantee to secure all necessary permits, approvals, location confirmation, facilities confirmation, from the appropriate entities, City departments or City facilities for the use of the proposed site for the Project. Execution of this Agreement does not guarantee any specific City permit, City location, or City site for the Project. 4. Termination. 4.1. City may immediately terminate this Agreement upon one or more of the following: 4.1.1. Grantee's violation of any federal, state or local law or regulation. 4.1.2. Grantee's breach of any of the terms or conditions of this Agreement, including the Application, or any unapproved deviation from said documents that has not been cured within 30 days of written notice of such breach. 4.1.3. Grantee's failure to provide the documents to the City, as requested by the City by a date no later than three (3) months from the date of this Agreement, in order to maintain compliance with the Grant Program, City Policies or Procedures, or this Agreement. Such paperwork can include but is not limited to, completed vendor forms (City's administrative forms, IRS W-9 form, ACH payment forms), proof of insurance, and signed orientation paperwork. 4.2. In the event the Agreement is terminated under Section 4.1, City reserves the right to require Grantee to refund any or all grant funds awarded to Grantee under this Agreement, and Grantee agrees to refund to City any or all grant funds awarded under this Agreement. 5. Limitation of Liability. 5.1. IN NO EVENT SHALL CITY BE LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES OR EXPENSES FOR ANY NEGLIGENCE, BREACH OF CONTRACT OR ANY OTHER ACT ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE ACTIVITIES COVERED HEREUNDER. 5.2. Section 5 and Section 6 do not limit Grantee's rights, including its ability to seek recovery, against anyone other than City, its City Council, officials, directors, officers, employees, agents, successors, assigns and volunteers. 3 6. Indemnification. 6.1. Grantee shall defend, indemnify, protect and hold harmless the City, and its City Council, elected and appointed officials and officers, employees, members, volunteers, or agents from and against all claims for damages, liability, cost and expense (including without limitation attorney's fees) arising out of or alleged by third parties to be the result of the negligent acts, errors or omissions or the willful misconduct of the Grantee, and Grantee's employees, subcontractors or other persons, agencies or firms for whom Grantee is legally responsible in connection with the execution of the work covered by this Agreement. Grantee shall have no duty to indemnify or hold harmless the City if claims, damages, liability, costs, expenses (including without limitation, attorney's fees) arise from the sole negligence or sole willful misconduct of the City subsequent to declaration by the Grantee. Grantee's obligations shall survive the termination of this Agreement. 6.2. Grantee agrees to hereby fully release and forever discharge the City from any and all claims, demands, damages, losses, and liabilities (hereinafter collectively referred to as "claims"), which are or may be related to or in any way connected with the negligence or willful misconduct of its officers, officials, employees, or agents in connection with the creation, painting, performance or installation of the Project hereunder. 6.3. Grantee further agrees that City may in good faith and on reasonable terms settle any such claims and that City's right to indemnification shall extend to any such settlement, provided City has given notice of such claim and its intent to settle. City's right to indemnification is in addition to, and may be exercised independently of, any remedy held by City under this Agreement, at law or in equity. The indemnity provision set forth in this Agreement shall survive the termination or expiration of this Agreement indefinitely. 7. Insurance 7.1 Prior to undertaking performance of work under this Agreement, Grantee shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: MINIMUM SCOPE AND LIMIT OF INSURANCE Grantee shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: • Commercial General Liability(CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal &advertising injury with limits no less than $1,000,000 per occurrence and $2,000,000 aggregate. • Automobile Liability (AL): Insurance Services Office Form CA 00 01 covering Code 1 (any auto), with combined single limits of $1,000,000. In the event Grantee does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance with existing limits, which can be lower than $1,000,000. • Workers' Compensation (WIC): as required by the State of California, with statutory limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident, per employee, per policy for bodily injury or disease. This requirement can be waived if Grantee has no employees. 4 If Grantee maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Grantee. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. CGL and AL policies: City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Grantee including materials, parts, equipment, and personnel furnished in connection with such work or operations. 2. All required insurance policies: Insurance company(ies)agrees to waive all rights of subrogation against City, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Grantee for City. 3. All required insurance policies: For any claims related to this contract, Grantee's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. 4. All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Grantee's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. 5. Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or materially changed except after thirty(30) days prior written notice has been given to City, Ten (10) days prior written shall be provided to City for policy cancellation or non-renewal due to non-payment. 6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Executive Director, Community Development Agency, 20 Civic Center Plaza M-25, Santa Ana, CA 92701. The name and location of event should be included in the Description of Operations section of each certificate. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating of no less than A:VIi, unless otherwise acceptable to City. Verification of Coverage Grantee shall furnish City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause)and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Grantee's obligation to provide them. City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. 5 Subcontractors Grantee shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Grantee shall ensure that City is an additional insured on insurance required from sub-contractors. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. 8. General Provisions. 8.1. Grantee shall acquire prior written permission from City for any use of the City name or logo in association with the Project. 8.2. If any parts of this Agreement are held to be invalid or unenforceable, the remaining parts of the Agreement shall continue to be valid and enforceable. 8.3. Grantee shall comply with all governmental requirements that may now or in the future become applicable to the activities under this Agreement. 8.4. This Agreement, including all exhibits, Application, and any amendments or schedules hereto, contain the full understanding and agreement of the Parties with respect to its subject matter, and no waiver, alteration or modification of any of the provisions to this Agreement shall be binding unless in writing and signed by an authorized officer of both Parties. 8.6. No waiver by either Party or any breach, default, or series of breaches or defaults, and no failure, refusal, or neglect of either Party to exercise any right, power, or option given to it under this Agreement or to insist upon strict compliance with the terms of this Agreement shall constitute a waiver of these provisions with respect to any subsequent breach or waiver by either Party or its right at any time thereafter to require exact and strict compliance with provisions of this Agreement. 8.6. Any notice or other communication required or permitted to be made or given by either Party pursuant to this Agreement will be in writing and will be deemed to have been duly given: (i)five (5) business days after the date of mailing if sent by registered or certified U.S. mail, postage prepaid, with return receipt requested; (1i) when transmitted if sent by facsimile, provided a confirmation of transmission is produced by the sending machine; or (iii) when delivered if delivered personally or sent by express courier service.All notices to City shall include a reference to the Project title. All notices will be sent to the other Party at its address as set forth below or at such other address as such Party will have specified in a notice given in accordance with this section: Grantee: Cindy El Jamrah 17371 Keelson LN, Apt D Huntington Beach, CA 92647 City: City of Santa Ana City Clerk(M-30) 6 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 FAX (714) 647-6956 8.7. This Agreement is subject to all applicable local, State and Federal laws. This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both Parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 8.8. Grantee agrees to comply with all applicable equal opportunity and affirmative action laws as appropriate, Grantee shall not discriminate because of race, color, religion, sex, gender identity, gender expression, marital status, sexual orientation, age, national origin, ancestry, medical condition, military or veteran status, genetic information, request for family care leave, request for leave for an employee's own serious health condition, request for pregnancy disability leave, disability, or otherwise as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Grantee affirms that it is an equal opportunity employer(if applicable)and shall comply with all applicable federal, state and local laws and regulations. 8.9. Any funds provided under this Agreement that are not expended, obligated or otherwise committed by the termination or expiration of this Agreement shall be immediately returned to City. 8.10. Grantee grants to City a non-exclusive, irrevocable, transferable, royalty free, worldwide license to use, reproduce, display, distribute, and prepare derivative works, in any form or media at the discretion of the City for the Project conceived, performed or created as a result of this Agreement. 8.11. Grantee and any of the Grantee's agents, employees or representatives are,for all purposes under this Agreement, an independent contractor and shall not be deemed to be an employee of the City, and none of them shall be entitled to any benefits to which City employees are entitled including but not limited to, overtime, retirement benefits, work's compensation benefits, injury leave or other leave benefits. 8.12. Neither Party shall assign any rights or obligations under this Agreement. 8.13. Each Party covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 8.14. Each Party warrants that they have executed this Agreement knowingly, freely and voluntarily and with full knowledge of its legal consequences. All Parties involved warrant and represent that, prior to executing this Agreement, each Party has had the opportunity to review and consider this matter with legal counsel, and that the terms of this Agreement, and its consequences, are fully understood by each Party. 7 IN WITNESS WHEREOF,the Parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA ANA EN E H t- /A -LJ O Criy Cle City Manager APPROVED AS TO FORM: GRANTEE: SONIA R. CARVALHO City ttorney u By: Andrea N. Garcia 4a : indy I Jamrah Senior Assistant City Attorney ist RECOMMENDED FOR APPROVAL: Syria Vazquez Deputy City Manager I I i i I I I I i i i F 9 I I EXHIBIT A INVESTING IN THE ARTS GRANT PROGRAM APPLICATION 10 City of Santa Ana Powered by Submittabie 0 Title 0019 03/24/2026 by Cindy El in Investing in the Artist 2025-2026 - id. 53612179 Individual Artist cindyeljam@gmail.com Original Submission 03/24/2026 Score Name of Applicant Cindy El Jamrah Address of 17371 Keelson LN Residence Apt D Huntington Beach CA 92647 us Mailing Address (if applicable) Email cindyeljam@gmail.com Phone Number +1 760881 1 572 Website, other social cindyel.weebly.com media (if applicable) Category of Art Literary (Check all that apply) If "other" art category Poetry (enter name or NIA) Brief Description of Santa Ana Collective Poetry Book. A poetry book highlighting Santa Ana Project stories, created by locals. At LibroMobile in Santa Ana I will host a poetry workshop and discussion to start documenting the stories of Santa Ana. All will be invited to submit poetry for a collective book. Those chosen will be published, and the Santa Ana Collective Poetry Book will be given the Santa Ana libraries and local bookstore to share. A book event will be hosted at LibroMobile to have Santa Ana poetry stories read. Full Description of Project Proposal_Cindy_El.pdf Type of Application: Artist lives or works in Santa Ana Proof of live/work in Santa Ana OCEAA Offer Letter Cindy_EI.pdf Ward of Project Ward 2 (Check all that apply) Amount Requested 2554.9E (up to $10,000) If approved, you may I would scale down on the workshop classes. I will also size down on the not receive the total amount of donated books to the community. amount you are requesting, please be prepared to have other funding sources and/or scale down your project. How will this impact your project (where would you get more funding and/or how would you scale down your project)? Have you/will you be No receiving funding from the City within the fiscal years 2020-2025? (include Special Events Sponsorship, Utility Box Art, etc_) If YES, list: 1) no Program Name, 2) Year, 3) Amount. [Ex: Utility Box Art, 2020, $4501 Project fulfills the Foster a citywide culture of equity, inclusion, and access, following goal(s) from Create the conditions where artists and creatives thrive professionally and the Arts & Culture arts and cultural organizations have the resources required for sustained Master Plan (check success. all that apply). Support and expand arts and cultural programming to engage all Populations (regardless of age, gender, ethnicity, backgrounds, or socioeconomic status) throughout the community, Support existing and create new opportunities for youth to engage in artistic and creative activities and career pathways. Preserve Santa Ana's unique heritage while creating arts and culture opportunities through placemaking initiatives. Create visible and interactive arts opportunities for engagement through public art. Artist Resume/CV Artist—CV Cindy_El.pdf Narrative for The funds will be used to fund space in a Santa Ana small business proposed use of LibroMobile, directly back to the community. The funds will be used to funds: publish the book that will then be printed and given to Santa Ana libraries to serve as an archive of Santa Ana stories. Some copies will be given out to the community. The other funds will serve me as the artist serving as an editor and workshop facilitator to help this all come together! Supplemental Use of spacing from LibroMobile. Question 1: Please describe any additional City of Santa Ana resources required for your project (permits, public space, licenses etc.) that you are required to obtain? Where will the LibroMobile project/program be located (give exact address, if possible)? Letter/Email from Property Owner (for public art installations, use of city parks, use of city parklets) LibroMobile.pdf Supplemental New project Question 2: Is this a new or existing program/project? Supplemental Workshops, submission opportunity to be featured in the poetry book Question 3: How will publication, poetry book release event, and free books to Santa Ana the proposed project libraries, free books to Santa Ana residents. be presented or shared with the public? Will the art display, event or performance be free and accessible to the public? Supplemental Exposure to the art of poetry, a chance to be published, documentation of Question 4: How will Santa Ana through an artistic art form of poetry with a book about Santa this project enrich the Ana that will live on. quality of life for Santa Ana residents? Supplemental Bringing more people to small business around Bristol Swamp Mall by Question 5: Describe collaborating with LibroMobile and helping flow traffic into the small how your project will business of LibroMobile. stimulate economic development for the City of Santa Ana. Portfolio Submission Poetry EI_Cindy_.pdf Letter(s) of support (Up to 2) Letter of Support.pdf Original artwork design or Schedule of Activities/Curriculum Project—Schedule—of Activities_Cindy_El.docx.pdf Project Timeline Projec#_Timeline_Cindy_EI_.pdf Line Item Budget 13udget_Cindy_EI_.pdf Santa Ana Poetry Collection As a writer, artist, and educator working in Santa Ana for over 5 years,I know the stories of our people are lively around us. This year's theme calls for us to listen to these stories and document them. Our community in Santa Ana deserves a place to be heard and for those voices to be amplified. I am proposing a project for a Santa Ana Poetry Collection that explores the richness of our shared history and writes about our shared experiences in Santa Ana. I am looking to reserve funding to help us tell the stories of our rich neighborhood through a poetry collection highlighting Santa Ana. I hold a bachelor's degree from the University of California, Irvine, have published a short story, and possess experience hosting poetry workshops. Currently, I serve as an educator in Santa Ana. I have also developed free poetry workshops at LibroMobile through the Orange County Community Engagement Grant. With this background, I am prepared to help tell our collective story through a poetry collection written by and for the Santa Ana community. The project will begin with a workshop at LibroMobile, where participants will write and discuss what makes Santa Ana unique and which stories deserve to be shared. Both aspiring poets and storytellers are encouraged to join. hollowing this, I will open submissions for the Santa Ana Collective Poetry Book, inviting locals to share their experiences.The resulting poetry book will archive our community's history and stories. Local businesses,particularly LibroMobile, will be engaged as partners and venues.After the initial discussions and writing sessions—which will be especially welcoming to new poets—submissions will open for community members to have their voices published. The poetry collection will be open for submissions from all community members, allowing everyone to contribute and become published writers. I will review submissions, serving as both editor and contributor to the poetry collection. Contributors with ties to Santa Ana—whether through residence, work, or other forms of involvement—will be selected to each contribute one to three poems and a biography. Dedicated space at LibroMobile will be provided for writers to refine their work. After final edits, the book will be published and distributed: copies to local libraries,to the contributing writers, and to local bookstores for free distribution to the Santa Ana community. The project will culminate in a public book event at LibroMobile, where poets will read their work to the community, bringing people together to celebrate Santa Ana's stories. This project will provide the community with a lasting record and keepsake of our shared history. i � — — ƒ 0 ± / � k � S / �CL tm \ k 7 \ -M 42 / ) CL ƒ / 2 � £ ƒ I \ � cok ( CLcl- ; E § 2 n CO C / CL ca— 01 7 / \ IL $ - Q77 a) CN @ _ _ \ E $ _ i - / 04 L { �cok , § D c a a E & \ § g R f + _ & \ \ \ \ ƒ \ \ A A � �\� Chantrell M. Lewis 818-747-9462 3/20/2026 City of Santa Ana Santa Ana Arts and Culture Dear Santa Ana Arts and Culture Committee, It is with deep respect that I write to support Cindy's application for the Santa Ana Arts and Culture Individual Grant, For the past five years, I have had the privilege of witnessing Cindy's artistry and advocacy in action. Not only in the art she creates, but also in the spaces she cultivates for others. She is an artist who understands that art is meant to be created and experienced,appreciated and shared in community with others. In 2024, Cindy was awarded the Community Engagement Grant in Santa Ana, which she brought to life through a series of free poetry workshops in partnership with LibroMobile. These workshops were more than casual gatherings; they truly served as sacred spaces where art could be created, shared and used to heal the Santa Ana community. As a published writer with the Santa Ana Literacy Association, Cindy continues to pour her voice back into the community, offering work that is both grounded and giving. We have worked together through Dance Arts Academy as teaching artists and Orange County Educational Arts Academy (OCEAA) where Cindy thrives in leading their afterschool performing arts conservatory. Cindy's commitment is inspiring; She shows up for her students, colleagues, and for the work itself. She meets every deadline, honors every commitment, and does so with a spirit that uplifts those around her. Cindy is a self--driven artist who creates not just for herself, but for the communities that have nurtured her. Sincerely, C644aicewu Chantrell Lewis 3/20/2026 Schedule of Activities Date Activity Description Supplies Needed #of Name of Artist(s) Artists Facilitating Required September Write/Speak about Santa Ana; Spacing at 1 Cindy El Jamrah 2026 Poetry workshop LibroMobile. Posters November Poetry Submissions Spacing at 1 Cindy El Jamrah 2026 LibroMobile January- Editing workshops Spacing at 1 Cindy El Jamrah LibroMobile February 2027 March 2027 Publication Spacing at 1 Cindy El Jamrah LibroMobile, ISBN, Copyright April 2027 Book event Spacing at 1 Cindy El Jamrah LibroMobile, books Project Timeline DATE DICTION OUTCOME August Set up workshop dates at LibroMobile to host, Set a date for September workshop 2026 write/speak about Santa Ana Poetry workshop. Create marketing posters and strategies to outreach to the community. Septembe "Santa Ana Poetry workshop" At LibroMobile Teach a 2 hour class on writing poetry about r 2026 Write/Speak about Santa Ana; Poetry Santa Ana after a discussion. Share poetry Saturday workshop and announce submissions for a Santa Ana 9/19 at collective Poetry book. 12prn- 2pm November Deadline to submit 1-3 poets about Santa Ana. Collect poetry submissions 2026 December Reach out to poets chosen and set up time to Announce poets who have been chosen 2026 meet in January January Meeting/workshop with poets chosen to work Begin editing book 2027 on editing Sunday 1/17 at 12-1pm Sunday 1/24 at 12-1prn Sunday 1/31 at 12-1pm February Workshops with editor to put together poetry Finish editing book 2027 book Sunday 2/21 at 12-1pm Saturday 2/27 at 12-1prn Sunday 2/28 at 12-1pm March Print and purchase ISBN to produce and Print and publish book 2027 publish Poetry book April 2027 Book event at LibroMobile to announce books, Book event and books distributed around Saturday Donate books to Library and participants, Santa Ana 4/3 at donate some books to Santa Ana locals for 2-4pm free. Rine Item Budget **Input your information directly onto this form (2 pages)and upload onto Submittable.com. PERSONNEL Description of Personnel Grant (artist fees, consultants, administrative Total Compensation Funds fees, etc.) Requested Editor:Cindy ElJamrah $958.04 $958.04 Workshop Facilitator:Cindy El Jamrah $100 $100 EQUIPMENT, MATERIALS,AND SUPPLIES Item Quantit Unit Total Grant materials supplies) Funds (equipment, pp �lies) y Cost Cast Requested Marketing-Printed posters 3 $20 $60 $60 ISBN publishing 1 $125 $125 $125 CopyRight 1 $154.95 $154.95 $154.95 Books 30 $2.87 $86.01 $86.01 Book Cover design artist 1 $100 $100 $100 ADDITIONAL EXPENSES Description Total Cost Grant Funds (permits, fees,facility rental for project) Requested LibroMobile Space rental for Project $780 $780 Business License for Project $50 $50 Line Item Budget-- Page 2 Enter budget categories and projected ex enditures for the proposed program: Expenditures Expenditures Category Funded By Funded By Other Total Project Santa Ana Grant Sources Budget (Including in-kind) Personnel Total $1,058.04 $0 $1,058.04 Equipment Total Supplies Total Materials Total $525.96 $0 $525.96 Additional Expense Total $830 $0 $830 $2,414 TOTAL PROJECT REVENUE LIST ALL OTHER PROJECT RESOURCES "Funding Source"total must equal "Total Project Bud et" listed above. FUNDING SOURCE AMOUNT Santa Ana Artist Grant $2,414 TOTAL PROGRAM BUDGET $2,414 ,a►�©� CERTIFICATE 4F LIABILITY INSURANCE °08/0/2026' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsoment(s). PRODUCER Shahin Chear, Agent Lic. #DE07746 NAME cr Shahin Chear andlor Brenda Del adPHOE o State Farm Insurance Companies WCNN Ext:949-553-1115 FA No:949-646-2566 1518 Newport Blvd ADORES$:brenda.delgado.vacunyPstatefarm.com Costa Mesa CA 92627-371 5J INSURER(S)AFFORDING COVERAGE NAIC# INSURER A;State Farm Fire and Casualty Company 25143 INSURED GARCIA, SARAH INSURERB: DBA LIBROMOBILE INSURERC: 1150 S Bristol St#A3 INSURERD: Santa Ana, CA 92704 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYYI (MMIDDffY-YYI LIMITS A GENERAL LIABILITY �O 92-A1-13155-3 03/27/2026 0312712027 EACH OCCURRENCE S 1,000,0D0 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES PREMISES Ea occurrence $ CLAIMS-MADE �OCCUR MED EXP(Any one person) S 5,000 PERSONAL&ACV INJURY S GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMPIOPAGG S 2,000,000 X1 POLICY 7 JE LOG Business Property $ 30,900 AUTOMOBILE LIABILITY 1-1El COMBINED SINGLE LIMIT u Ea accident S ANY AUTO BODILY INJURY(Per person) 5 ALL OWNED SCHEOULED BODILY INJURY(Per accident} AUTOS AUTOS S NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Per accident S $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DFD RETENTION$ $ WORKERS COMPENSATION WCRY LIMITS E STATU- OTRH- AND EMPLOYERS"LIABILITY YIN TO ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFRCEIMEM8ER EXCLUDED) N!A ❑ (Mandatory in NH) EL.DISEASE-EA EMPLOYEE S If yes,describe under ni-qr.pip7inN OF UEEEATIONS below El El EL DISEASE-POLICY LIMIT S APPROVED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) By Tu Train Nguyen at 2:39 PM,Aug 19,2026 The City of Santa Ana,its Ctty Council,officers,officials,employees,agents, and volunteers are covered as additional insureds.Waiver of subrogation is in favor Insurance is Primary&Nan-Contributory. Cindy El is listed as additional insured. District:Event Dates•Saturday 9I19 at 12pm-2pm•Sunday 1117 at 12-1pm•Sunday 1124 at 12-1pm•Sunday 1131 at 12-1pm•Sunday 2I21 at 12-1pm •Saturday 2127 at 12-1pm•Sunday 2128 at 12-1pm•Saturday 413 at 2-4pm CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Executive Director, Community Development ACCORDANCE WITH THE POLICY PROVISIONS. Agency AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92701 � � 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 CMP-4860,2 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED—DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number:92-A1-BI55-3 Named Insured: GARCIA, SARAH DBA LIBROMOBILE Name And Address Of Additional Insured Person Or Organization: CINDY EL JAMRAH 17371 Keelson Lane,Apt, D Huntington Beach CA 92647 1. SECTION II—WHO IS AN INSURED of SECTION II—LIABILITY is amended to include, as an additional insured, any person or organization 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, a. Premises And Ongoing Operations Your acts or omissions or the acts or omissions of those acting on your behalf: (1) In connection with your premises;or (2) In the performance of your ongoing operations; or b. Products—Completed Operations "Your work"performed for that additional insured and included in the"prod ucts••completed operations hazard". However, Paragraph 1.above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permitted by law; b. if coverage provided to the additional insured is required by a contract or agreement,the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured;and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05,the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a defense or indemnity obligation by California Civil Code Section 2782 or 2782,05 for your sole liability;or (2) You are required by contract or agreement to provide for such additional insured. We have no duty to defend or indemnify the additional insured under this endorsement until a claim or"suit" is tendered to us. 2. Any insurance provided to the additional insured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. CMP-4860.2 1010154 2000 154446 200 02-08-2023 ©,Copyright,State Farm Mutual Automobile Insurance Company,2022 Includes copyrighted material of Insurance Services Office,Inc,.,with its permission. CMP-4a6o.2 Page 2of2 3, With respect to the insurance afforded to the additional insured,the following is added to SECTION 11--LIMITS OF INSURANCE: If coverage provided to the additional insured is required by contract or agreement,the most we will pay on behalf of the additional insured will be the lesser of the amount of insurance: .a. Required by the contract or agreement; or b• Available under the applicable Limits Of Insurance shown in the Declarations. This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. 4. With respect to the insurance afforded to the additional insured, the following is added to Paragraph 3. Duties In The Event Of Occurrence, Offense,Claim Or Suit of SECTION II—GENERAL CONDITIONS: The additional insured must: a. See to it that we are notified as soon as practicable of an"occurrence"or an offense which may result in a claim.To the extent possible, notice should include: (1) How, when and where the'occurrence"or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the"occurrence"or offense; b. Tender the defense and indemnity of any claim or "suit" to us and to all other insurers who may have insurance potentially available to the additional insured;and c. Agree to make available any other insurance the additional insured has for defense or damages for which we would provide coverage under SECTION 11—LIABILITY. 5. With respect to the insurance afforded the additional insured, the following replaces SECTION II — LIABILITY of Paragraph 7. Other Insurance of SECTION I AND SECTION II—COMMON POLICY CONDITIONS: a. This insurance is primary to and will not seek contribution from any other insurance available to the additional insured, provided that the additional insured is a named insured under such other insurance. b. Regardless of any agreement between you and the additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. All other policy provisions apply CMP-4860.2 1010154 2000 154446 200 02-0&-2023 0,Copyright,State Farm Mutual Automobile Insurance Company,2022 Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. CMP-4787 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number:92-A1-B155-3 Named Insured: GARCIA, SARAH DBA LIBROMOBILE Name And Address Of Person Or Organization: City of Santa Ana its City Council,officers,officials, employees,agents, and volunteers 20 Civic Center Plaza Santa Ana CO 92701 The following is added to Paragraph 10.b.of SECTION I AND SECTION 11—COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations;or b. "Your work" done under contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule, All other policy provisions apply. CMP-4787 1008498 2001 151229 201 05-14-2018 ©,Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CMP-4860.2 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED—DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number:92-A1-B155-3 Named Insured: GARCIA, SARAH DBA LIBROMOBILE Name And Address Of Additional Insured Person Or Organization: City of Santa Ana its City Council,officers,officials,employees,agents,and volunteers 20 Civic Center Plaza Santa Ana CO 92701 1. SECTION II—WHO IS AN INSURED of SECTION II—LIABILITY is amended to include, as an additional insured, any person or organization 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. a. Premises And Ongoing Operations Your acts or omissions or the acts or omissions of those acting on your behalf: (1) In connection with your premises;or (2) In the performance of your ongoing operations; or b. Products—Completed Operations "Your work"performed for that additional insured and included in the"products-completed operations hazard". However, Paragraph 1.above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permitted by law; b. If coverage provided to the additional insured is required by a contract or agreement,the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured;and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05,the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a defense or indemnity obligation by California Civil Code Section 2782 or 2782.05 for your sole liability;or (2) You are required by contractor agreement to provide for such additional insured. We have no duty to defend or indemnify the additional insured under this endorsement until a claim or"suit" is tendered to us, 2. Any insurance provided to the additional insured shall only apply with respect to a claim made or a"suit" brought for damages for which you are provided coverage. This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. CMP-4860.2 1a10154 2000 154446 200 02-08-2023 OO,Copyright,State Farm Mutual Automobile Insurance Company,2022 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. I CMP-486o.2 Page 2 of 2 3, With respect to the insurance afforded to the additional insured,the following is added to SECTION II—LIMITS OF INSURANCE: If coverage provided to the additional insured is required by contract or agreement, the most we will pay on behalf of the additional insured will be the lesser of the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits Of insurance shown in the Declarations. This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations, 4. With respect to the insurance afforded to the additional insured, the following is added to Paragraph 3. Duties In The Event Of Occurrence,Offense,Claim Or Suit of SECTION II—GENERAL CONDITIONS: The additional insured must: a. See to it that we are notified as soon as practicable of an"occurrence"or an offense which may result in a claim, To the extent possible, notice should include: (1) How, when and where the"occurrence"or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the"occurrence"or offense; b. Tender the defense and indemnity of any claim or "suit" to us and to all other insurers who may have insurance potentially available to the additional insured; and c. Agree to make available any other insurance the additional insured has for defense or damages for which we would provide coverage under SECTION II-b LIABILITY. 5. With respect to the insurance afforded the additional insured, the following replaces SECTION II — LIABILITY of Paragraph 7. Other Insurance of SECTION I AND SECTION II y--COMMON POLICY CONDITIONS: a. This insurance is primary to and will not seek contribution from any other insurance available to the additional insured, provided that the additional insured is a named insured under such other insurance. b. Regardless of any agreement between you and the additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. All other policy provisions apply CMP-4860.2 1010154 2000 154446 200 02-08-2023 O,Copyright,State Farm Mutual Automobile Insurance Company,2022 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CITY OF SANTA ANA Risk Management a division of Human Resources Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR WORKERS' COMPENSATION INSURANCE I, Oi,l j F f Tar,, r c-- 1 ("Representative"),attest that I am an authorized (Name"Title or Vendor Representative) representative of 4,1 q ("Company"), and (Consultant/Company Name) possess the authority to legally bind Company. In my capacity as Representative of Company, i represent and confirm the following,as relates to the agreement between Company and City of Santa Ana,agreement number ("Agreement")to provides I"atr'l�- 1 .._ ("Services"); (Services to be provided under agreement/contractl During the course and scope of Company's agreement with the City of Santa Ana, Company will not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if Company should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, Company shall forthwith comply with the provisions and provide proof of workers' compensation coverage immediately. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. ihature Date C. v Print Name A `title �� " � �z- �� 1 GI IM q YYj t�• c Contact Information,i.e.,Telephone Numberandior EmaiVAddress WARNING: FAILURE TO SECURE WORKERS`C ONIP ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES LiP TO ONE HUNDRED THOUSANT DOLLARS(S 100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND ATTORTNEY'S FEES. Affidavit of Exemption for Workers'Compensation Insurance 11.12.2024 CITY OF SANTA ANA ;� Risk Management a division of Human Resources {.` Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR AUTOMOBILE LIABILITY INSURANCE I, bljii e a rv,ro�n ("Representative"),attest that I am an authorized (Nano andjt[e of Vendor Representative) representative of �Ir 4 G. / la, ro--y-\ ("Company"), and Consultant/Company Name possess the authority to legally bind Company. In my capacity as Representative of Company, I represent and confirm the following, as relates to the agreement between Company and City of Santa Ana, agreement number ("Agreement")to provide A r+,,5d �,,,,1, ("Services"): (Services to be- rovided under acrcemcndcontract) During the course and scope of Company's agreement with the City of Santa Ana, Company employees,consultants,representatives,and agents will not use and/or drive any Company owned/rented/leased/borrowed vehicles to perform Services to,for,or on behalf of City of Santa Ana. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum automobile liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages, Signature ' ©ate n Ql vtin C C—,� Prinr Name Title al -s Contact Information,i.e.,Telephone Number and,os Email Address Affidavit of Exemption For Automobile Liability Insurance 11.12.2G24