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HomeMy WebLinkAboutDELHI CENTER (6)-2016City of Santa k . Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. COTC Office Use OMy C''Y of "anta Ana A ©2 L��3 rk of the Cour.-.il The agreement with DPVVtI No. was completed on /SFc /6ulll and final payment has been made. �\E —; 4i� p (List all amendments. Use space below it needed.) Department: 2Rc�SA Phone/Ext.: `{^ M Signature: Date: Revised: 01-07-16 IMUMNCE ON f ILE WORK MAY PROCEED UNTIL INSURANCE EXPIRE` CLERK Of COUNCIL. DATE: FACILITIES USE AGREEMENT BETWEEN ®^ CITY OF SANTA ANA AND DELIII CENTER THIS FACILITIES USE AGREEMENT is made and entered into this 20th day of September, 2016 by and between the City of Santa Ana, a municipal corporation and chatter city organized and existing tinder the Constitution and laws of the State of California ("City"), and the Delhi Center, a California nonprofit public benefit corporation ("Delhi") (collectively referred to as the "Parties"). RECITALS � A. City wishes to utilize portions of the Delhi Center to provide tutoring and literacy programming services to participants, including residents of the City. B. Delhi is willing to allow use of the Delhi Center for such purposes subject to the terms of this Agreement. The Parties therefore agree as follows; 1. GRANT OF PERMISSION AND FACILITIES TO BE USED: Delhi hereby grants City permission to utilize Delhi Center Room 103 (`Facilities") for the purpose of conducting a Children's Library Literacy Pilot Program, as more specifically described on Exhibit A and on the dates and times therein. Other portions of the premises may be used by mutual agreement of the Parties. 2. COMPENSATION: City agrees to pay Delhi $$15,000 for the use of the Facilities during the term of this Agreement, due within forty-five (45) days following full execution of this Agreement. The amount of compensation shall be the same for any extension tern provided in Section 3. 3. TERM: This Agreement shall commence on October 1, 2016 and continue through June 30, 2017. The term of this Agreement may be extended for two additional one-year periods by a writing executed by the City Manager and the City Attorney. 4. INDEMNIFICATION: "fhe Parties agrees to indemnify, protect, defend, and hold harmless each other, and their respective officers, agents, employees, consultants, and representatives from and against any and all claims, damages, judgments, attorney's fees, costs and expenses each Party may incur in the performance of this Agreement, to the extent such are attributable to the opposite Party's negligence or willful misconduct in its respective use of the Facilities. S. INSURANCE: City agrees to obtain and maintain during the term of this Agreement insurance reasonable and appropriate to City's use of the Facilities. 6. NOTICE: Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and directed to the addresses below or such A-2016-267 addresses as either party may later specify in writing. Notice is deemed effective on the date it is given if hand -delivered or received by facsimile that day. Notice given by U.S. mail shall be deemed to have been given three (3) business days after it is deposited in the U.S. mail, postage prepaid and addressed as follows: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O, Box 1988 Santa Ana, CA 92702-1988 With copies to: Executive Director of Parks, Recreation and Community Services City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, California 92702 To Delhi: Delhi Center 505 L. Central Ave Santa Ana, CA 92707 Attn: Jenny Rios, Chief Executive Officer 7. EXCLUSIVITY AND AMENDMENT: This Agreement represents the complete and exclusive statement between the City and Delhi regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the Parties regarding the use of the Facilities. 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 Parties. 8. TER MINATION: This Agreemcm may be terminated by the City upon thirty (30) days written notice. Compensation shall be refunded on a pro -rasa basis for any remaining portion of the respective term. 9, NONDISCRIMINATJON: City shall not discriminate in the course of its activities in or about the Facilities on the basis of race, color, disability, religion, sex, marital status, sexual orientation, age, national origin, ancestry, disability, or any other basis prohibited by law. 10. JURISDICI MN—VENM 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, 11. AUTIiOIRITY: Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective Parties to each of the terms of this Agreement. ATTEST: MAR��ui • %e AR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALI-IO City Attorney h _ 6 � iL John Punk T Assistant City Attorney RECOMMENDED FOR APPROVAL: CITY OF SANTA ANA pap 21 CA/ DAVID CAVAZOS City Manager DELHICENTER GERARDO MOUET Executive Director, Parks, Recreation, and Community Services Agency EXHIBIT A PROGRAM DETAILS PROGRAM: Santa Ana Public Library — Children's Library Literacy Pilot Program SERVICE DATE(S): Fiscal Year 2016 ._ 2017 for the use of Delhi facility Room 103 with an option to renew for two. one year periods, all depending on future funding availability DESCRIPTION: Delhi Center will provide a space in the facility located at 505 E. Central Ave., Santa Ana, CA 92707 for the Children's Library Literacy Pilot Program. The room being provided, Room 103, will include tables, chairs, white boards, and the use of cabinets to store program supplies. The room will be available Mondays, Tuesdays, and Thursdays frroni 2:30 pm to 5:30 pm and Wednesdays from 1:30 pm to 4:30 pm. The City will provide a Children's Library Literacy Pilot Program to promote early literacy, enhance academic success, and expand personal growth of children. Programming will include literacy based programming such as but not limited to storytime, 1Storytime, Book Delivery, LEGO Junior Maker, Read with Me, STEAM and after -school homework help and tutoring to assist students with academic needs. There will be no charge for any programming under the Children's Library Literacy Pilot Program. The City will provide staff to coordinate and implement the program for a total of 864 hours of service (includes set up time) totaling $15,000 between October 2016 and June 2017. The program will start in October 201E or as soon as staff is recruited. Children's Library Literacy Pilot Program will be available four days of the week The program will be available Mondays, "Tuesdays, and Thursdays from 3:00 pm to 5:00 pm and Wednesdays from 2:00 pm to 4:00 pro. The City will also create a reading space for program participants. TE YYYYl 4� CERTIFICATE OF PROPERTY INSURANCE DA7/6/OOI16 7/6/2016 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. If this certificate Is being prepared for a party who has an Insurable Interest In the property, do not use this form. Use ACORD 29 or ACORD 28, PRODUCER CONTACT Certificate Issuance Team NAME._ Comprehensive Insurance Services PHONE - FAX INC NO Bill, f949)709-8800 ((VC. NoI'(049)T09-1668 26929 Rancho Parkway South EMAILinfo@thecomprehensiveinsurance.com Suite 120 s: PRODUCER Lake Forest CA 92630 CUSTOMER to, 00000843 INSURERS) AFFORDING COVERAGE HAD INSURED INSURERA:North American Elite Insurance 129700 Delhi Center 505 E. Central Ave. INSURERS. ----'---- "..----'-- --- INSURERC: Santa Ana CA 92707 INSURER D INSURERS COVFRADFS CFRTIFICATF NI IMRFR•Prno 0F111elnN unnnvcv. - -- LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Attach ACORD 101, AtldRimml Rmame Schedule, If more space Is required) LOC# 00001 Bldg# 00001: 505 E. Central Ave. Santa Ana CA 92707 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. TYpE0FIN3URANCE POLICYNUMBER POLICY EFFECTIVE : POLICY EXPIRATION! COVEPEDPROPERTY LTR DATE(MMIDONYYY) DATE (MWDDNYYY)j LIMITS X PROPERTY _ IX BUILDING $ 5 175,Q0_ CAUSES OF LOSS _ DEDUCTIBLES j X PERSONAL PROPERTY — _ $ 290,_00 BASIC BUILDING BUSINESS INCOME _ S —_-.— 2, 500. —~EXTRA BROPD�:CONTENTS � ', EXPENSE ';$ . A X SPECIAL 2,SO0, CwB0011660-03-01376 11/1/2015 'I 11/1/2016 'I 'I RENTAL VALUE ___..__.. S ', EARTHQUAKE ', BLANKET Bl11LpING $ - WIND aLANKETPER3 PROP FLOOD ', BLANKET SLOG S PP $ Is INLAND MARINE "', TYPE OF POLICY CAUSES OF LOSS _ '..0Fip�v`PIIN $ NAMED PERILS POLICY NUMBER CRIME eN TYPE OF POLICY Z),,1)I�rtN'mtin' _ -$__._ $ BOILER h MACHINERY/ EQUIPMENT BREAKDOWN = I S SPECIAL CONDITIONS I OTHER COVERAGES (Attach ACORO tat, Additional Remarks Schedule, if more apace Is required) 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE (Richard Eynon/JE ACORD 24 (2009109) 01995-2 1 NS024(200E09) The ACORD name and logo are registered marks of CERTIFICATE OF LIABILITY INSURANCE DATE MMIODIYYYY) 7/6/2016 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 hostler 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 endorsementfs). PRODUCER Comprehensive Insurance Services 26429 Rancho Parkway South Suite 120 Lake Forest CA 92630 INSURED Delhi Center 505 E. Central Ave. Certificate Issuance Team ,,,, (949)709-8800 FA ,,,,,,(949)7011-1668 INSURER A:Nonprofits Ins Alliance of CA INSURERS:_, Santa Ana CA 92707 INSURER F: COUFRAr7PA rPPTIPICATP NI IMPPP-GL/Autc/WC oclNClnrd Mt mnocv. .com THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTMTHSTANDING 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 L eft POLICY NUMBER POLICY EFF MMIOONYYY LIMITS '.. X COMMERCIAL GENERAL LIABILITY :. "I EACH OCCURRENCE i $ 1,000,000 A .CLAIMS -MADE X_I OCCUR _DAVAAGt-rONENTED �..-_.._. I PREMISES (Ea oxwrencel $ _...--_ 5001000 X 2015-01376-NPO 12/1/2015 11/1/2016 MED EXP(Any one person) $ 20,000 PERSONAL S ADV INJURY I,$ 1,000,000 WI. AGGREGATE LIMIT APPLIES P-ER. -- GENERAL AGGREGATE S 3,000,000 POLICY PRO- X' LOC JECT PRODUCTS - COMPIOP AGG'. $--_-3, 000, 000 OTHER' Electronic pelalldanlily Theft !$ Included AUTOMOBILE LIABILITY COMBINED lenuau, LIMIT �$ --_LEaaccident___. 1, 000,000 A ANY AUTO - -' BODILY INJURY (Per parscn) -3 ALL OIANED SCHEDULED AUTOS AUTOS 2015-01376-NeD 11/1/2015 11/1/2016 BODILY INJURY(PerawMenl) S __ ... NON -OWNED X HIRED AUTOS _X iAUTOS PROPERTY DAMAGE -Per acade_nll-..._._ $ ._ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE', $ _ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED. RETENTION $ - $ WORKERS COMPENSATION X i STATUTE ERH AND EMPLOYERS' LIABILITY YIN STATUTE ANY PROPRIETOMPARTHERIEXECUTIVE '— E. L. EACH ACCIDENT $ 1,000,000 OFFICERNEMSER EXCLUDED? - NIA R '(Mandatory in NH) WCV5900420 11/1/2015 11/1/2016 E.L, DISEASE - EA EMPLOYEES 11000,000 Yf yyesdescribe Lindar nda, -----'- OESCRIPTIONOFOPERA TION$belaw EL. DISEASE -POLICY LIMIT $ 1,000 000 A Social Sere Professional 2015-01376-14e0 11/1/2015 11/1/2015 $3.000.0DOAggr1,O0OUOU0cc $0 Deductible A Improper Sectual Conduct 2015-01376-14E0 11/1/2015 11/1/2016 $1,000,WOAgg/1,OgD,OCL'Occ $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is required) RE: 505 E. Central Ave., Santa Ana, CA 92707 - The City of Santa Ana its officers, employees, agents and volunteers are included as Additional Insured automatically per written contract or agreement Per attached endorsement CG2011. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. ��++ �abJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana (`.VeJ ',THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza J`r+,. V^ f�0ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702 AUTHORRED REPRESENTATIVE a Richard Eynon/JEREMY © 1988-2014 ACORD CORPORATION. All riahts reserved ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) POLICY NUMBER: 2015-01376-NPO COMMERCIAL GENERAL LIABILITY CG 20 11 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): As per attached Certificate Name Of Person(s) Or Organlzation(s) (Additional Insured): Any person or organization acting as a manager or lessor of a covered premises that you are required to name as an additional Insured on this policy, under a written contract, lease or agreement currently in effect, or becoming effective during the term of this policy. Additional Premium: Included Information required to complete this Schedule, If not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and 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 premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. �O6t1 ° CG 20 1104 13 © Insurance Services Office, Inc., 2012�� ��0 Page 1 of MAYOR Miguel A. Pulido MAYOR PRO TEM Vincent F. Sarmiento COUNCILMEMBERS Angelica Amezcua P. David Benavides Michele Martinez Roman Reyna Sal Thr iero September 22, 2016 Delhi Center 505 E. Central Avenue Santa Ana, CA 92707 CITY OF SANTA ANA PERSONNEL SERVICES AGENCY 20 Civic Center Plaza • PO Box 1988 Santa Ana, California 92702 www.santa-ana.org Re: City of Santa Ana Insurance Program To Whom It May Concern: CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar The City of Santa Ana is a member of Big Independent Cities Excess Pool (BICEP). Current reinsurance and excess municipal liability is insured from $1,000,000 to $27,000,000 and includes auto liability coverage. The City self -insures and funds the first $1,000,000 of claim payments. The City is permissively self -insured for workers' compensation and self -administers this program as well. The City, through BICEP, purchases excess statutory coverage through the California State Association of Counties — Excess Insurance Authority (CSAC-EIA) above $1,000,000. The City funds claim payments under $1,000,000. The City is also a member of the Public Entity Property Insurance Program (PEPIP). At present, membership is over 6,400 entities. Current property insurance is $113 per occurrence for "All Risk" coverage and flood coverage is $82,500,000 or $50,000,000 based on the flood zone where our insured property is located. Inquiries concerning the City of Santa Ana's insurance program should be addressed to the undersigned. Sincerely, Briza Morales Risk Management Coordinator cc: Silvia Cuevas SANTA ANA CITY COUNCIL Miguel A. Pulido Sal Tinajero n Vincent F. sarmlanto Michele Martinez Angelica Amezcua P. David Benavides I Roman Rayne Mayor ''. Word Mayor Pro Tem, Ward 1 Ward �'� Ward Word Wards MPulidoPsanta-ana.ore ', STinaierorasanta-ana.ore V6armontoresanta-ana.cra MMaminazPsanta-ana.org AAmezcuarasanta-ana.ore nBenavldes0santa-ana.ore RRevnarasanta-ana.ore CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 10 f 7 /2 016 THIS CERTIFICATE IS ISSUED' AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE 'CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, (EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) roust 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 Certificate Issuance Team NAME: Comprehensive Insurance Services PHONE (949)709 8800 FAX (5t9i749-1666 (AtC,No._Ext1., _._, _... _ .... .. 'AIC No',°, 26429 ]2anetlo Parkway South E-MADDRESS info@thecomprehensiveinsurance.com INSURER(S)AFFORDING mCOVERAGE NAIL# Suite 12.0 Lake Forest CA 92630 msuRERA:Nonprofits Ins Alliance of CA 11845 INSURED Wyp *,,:.ao t Let _.._._.. INSURERB:CompfinTest Insurance Company .....n...._.._....._._.,...._ 121.77 INSURER C Delhi. Center 505 E. Central Ave. _. INSURER E :',... ._....... ........... ........_ . ........ INSURERF: Santa Ana CA. 927U r COVERAGES CERTIFICATE NUMBER:GL/Auto/WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSIURED 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. ......._.....__._._....., .. _..... II flii LTR TYPE OF INSURANCE ADDL SUER' POLICY NUMBER POLICY EFF AIMIDDfYYYY FOLIC(" EXP _ MMIDDIYYYY __.._..._...._.._. LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1, 000.., 000 A CL6�NM-hAAU'�C ��rCCUR UAMAGEToRE. ITTEF'._......_.....m.__...._._._. PRErdGCu(Ca oxurrencen 500,000 $X MEDEXP' Any one person) $ � m mmmm20,000 2016-01376-NPO 11/1/2016 11/1/2017 1 PER ON/m L&ADVIN3JR'r $ 1,000,000 GENFRAD AGGREGATE $ 3,000,000 GENT AGGRCGATF LINUT APPLIES PER. { POLICY JECT l�. U.rr PRODILICJ - 2Gr if'OPAGG ....... .......m..._,_....... $ 3,000,000 OTHER. i $J DeduciON, $ LIABlLITY �,:QIVFJ9 �IFD SflNGI_E LIMIT (Ea ec6dani.' $AUTOMOBILE 1, 000, 000 BODILY INJURY (Per person l $ A X ANY AUTO A,Ln✓ .aYu`NED 5 HECULEE, J U /.I,Ta3 NGN 4]M1NNEU = X AUTOS ItlIR.1L'UP�UI' Gsr" 701,6-01.376-MPO � .. ��.� � a 1111/2016 r pµ, 9� � 11./1/2017 ..._..... I R001I Y ri 11);iF r aro der} _ .._. .._ .. P'RdJPERTY D +I���J? IIJa�li7P�,Aurrl/i�aE . e 8 UMBRELLA LIAR OCCUR ^.. ,�� EACH OCCURRENCE :r AGGREGATE $ EXCEiSSLIAB CLAIMS -MADE � - CbE::� 4E i ENTICdM1I $ � �} `t,. B KERS I ON AND EMPLOYERS' LIABILITY+STATU ANN PROMEMBER EXCLUDED PR•.IETORiPARTNEEiE ECG...iTI'JE YIN N PA ''.(Mandatory in NH) PFICE I�. + �^� r ,y t, `\,..1 WCV6900420 11/1./2016 11/1/2017' PER LF L EACHACCIDENT FR 1 E..L.IDTtiE.A,SE-E,hErvrIPLOY"EE . $ ,...w._ 1.. 000, 0010.. $ 1,000,000 If ye ,, odescribe iunde�r -' DESCRIPTION OF OPERA'TIONI;'Sbelow E..L.DISEASE -POLICY Lltdi_ I $ 1,000, 000 A Soc'.ial Sery ProfessionaL 201.5-01376-HPO 11/1/2016 111112017 '63.1740.000Agg/I.N09.0000cc $0 Deductible A Improper Sexual. Conduct 2016-01376-IUPO 11/1/2016 11/112017 !6f.00Un0i;.=k0g7N,G00,U�00�aa��c $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101„ Additional Remarks Schedule, may be attached if more spade is required) The City of Santa Ana its officers, employees, agents and volunteers are included as Additional Insured automatically per written contract or agreement per attached endorsement CG2026. 30 day notice of cancellation with 1.0 day notice of cancellation for non-payment of premium per policy provision. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 HUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF„ NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE. chard Evnon/JEREMY U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) INS025 (201401 ) The ACORD name and logo are registered marks of ACORD me] 0 14 a 15111 R 1 1.1 a 11N K#J 1001112 BY161 01 a*] COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE I Name Of Additional Insured P'erson(s) Or Organization(s) I Any person or organization that Volu are required to add as an additional insured on this policy, under a written contract or agreement current) V in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. I information required to complete this Schedule, if not shown above, will be shown In the Declarations. I A. Section 11 — Who Is An Insured additional insured the person(s) or organization(s) 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 omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law', and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 13. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the, additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of insurance shown in the Declarations. 'A ell A40 CG 20 26 04 13 @ ISO Properties, Inc., 2012 Page 1 of 1