HomeMy WebLinkAboutREADWRITE EDUCATIONAL SOLUTIONS, INC. 4 -2016City of Santa Ana
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r Clerk of the Council
AGREEMENT TERMINATION FORM
Please complete this form in its entirety 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amendments (if any) are no longer in effect.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.
Is the agreement(s) a permanent record? Yes No
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with
No. N-2016-188 was completed on
(List all amendments. Use space below if needed.)
Revised: 10-18-16
Use Only
2T9 AUG 21 PH 5! PO
CITY OF SAN TA ANA
CLERK OF COUNCIL
12 A I NO and final payment has been made.
Department: P?-,'L, cS A
Phone/Ext.: 'jam Ic
Signature: AkFha:. 9�—
Date: R I A .1ao i o�
WUtlMCE ON FILE
WORx MAY PROCEED N-2016-188
UIML INSURANCE EXPIRES
CLERK
01 COUNjj , 2 2 IS
DAIS. Y� O; PRCS (R ) RECREATION SERVICES AGREEMENT
Silvia CuevaHIS AGREEMENT is made and entered into this 231s day of November, 2016 by and
between Readwrite Educational Solutions, Inc. ("Provider") and the City of Santa Ana, a charter
city and municipal corporation organized and existing under the Constitution and laws of the
State of California ("City").
A. The City desires to retain a recreation service provider having special skills, resources arrd
knowledge to provide reading instruction classes in its leisure class program.
B. Provider represents that he/she is able and willing to provide such services to the City.
C. In undertaking the performance of this Agreement, Provider represents that he/she/it is
knowledgeable in its field and that any services performed by Provider under this
Agreement will be performed in compliance with such standards as may reasonably be
expected.
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. SCOPE OF SERVICES
Provider shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
h1 consideration for the provision of the programs set forth in Exhibit A, City agrees to
pay the Provider ninety percent (90%) of all gross revenue received from program participants.
Total revenue to Provider shall not exceed $25,000.00 annually. Payment to Provider shall be
made monthly within thirty (30) days following completion of the last class taught by Provider
the prior month. City shall be responsible for collecting all fees from program participants.
Provider shall not collect fees but will refer all interested participants to City for registration.
information. Provider agrees that City shall retain ten ,percent (10%) of all gross revenue
received from program participants as an administrative fee.
3. TERM
This Agreement shall commence on January 1, 2017 and end on December 31, 2017,
unless terminated earlier in accordance with Section 12 below. The term of this Agreement may
be extended by a writing executed by the City Manager and the City Attorney.
4. INDEPENDENT CONTRACTOR
Provider shall, during the entire tern 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 manner in which Provider performs
the services which are the subject matter of this Agreement; however, the services to be provided
by Provider shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Provider 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. Provider is not an agent, representative or
employee of City and Provider shall have no authority to act on behalf of the City.
5. INSURANCE
Prior to undertaking performance of work rmder this Agreement, Provider shall maintain
and shall require its subcontractors, if any, to obtain and maintain insurance as described below:
a. Commercial General Liability Insurance. Provider shall maintain commercial general
liability insurance which shall include, but not be limited to protection against claims arising
from bodily and personal injury, including death resulting therefrom and damage to property,
resulting from any act or occurrence arising out of Provider's operations in the performance of
this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance
shall be not less than the following: single limit coverage applying to bodily and personal injury,
including death resulting therefrom, and property damage, in the total amount of $1,000,000 per
occurrence and $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers,
employees, agents, volunteers and representatives as additional insured(s); (b) be primary and
not contributory with respect to insurance or self-insurance programs maintained by the City;
and (c) contain standard separation of insured's provisions,
b. Worker's Compensation Insurance. In accordance with California State law, Provider,
if Provider has any employees, is required to be insured against liability for worker's
compensation or to undertake self-insurance. Prior to commencing the performance of the work
under this Agreement, Provider agrees to obtain and, maintain any employer's liability insurance
with limits not less than $1,000,000 per accident.
c. The following requirements apply to the insurance to be provided by Provider pursuant
to this section:
(i) Provider shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement. Certificates
of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved in form by the City.
(ii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
d. If Provider fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to terminate this
Agreement. Such termination shall not affect Provider's right to be paid for its time and
materials expended prior to notification of termination. Provider waives the right to receive
compensation and agrees to indemnify the City for any work performed prior to approval of
insurance by the City.
6. INDEMNIFICATION
Provider agrees to and shall indemnify, defend and hold harmless the City, its officers,
agents, employees, consultants, special counsel, and representatives from liability. (1) for
personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of
claims for personal injury, including death, and claims for property damage, which may arise
from the negligent operations of the Provider or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terns of or effects
arising from this Agreement, to the extent that the imjrtry, damages, just compensation,
restitution, judicial or equitable relief is caused by the negligence of the Provider. This indemnity
and hold harmless agreement applies to all claims for damages, just compensation, restitution,
judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events
referred to in this Section or by reason of the terms of, or effects, arising from this Agreement.
City may make all reasonable decisions with respect to its representation in any legal proceeding.
In no case will Provider be required to indemnify or hold harmless the City from injury,
damages, just compensation, restitution, judicial or equitable relief caused by the negligence of
the City.
7. CONFLICT OF INTEREST
Provider covenants thatt 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. LIVE SCAN BACKGROUND CHECK
Provider, and any employees, subcontractors or substitutes, in contact with minors under
eighteen (18) years of age shall arrange for and submit to a Live Scan electronic background
check for criminal history available through the California Department of Justice as a condition
of this Agreement and provide proof of compliance prior to performing services hereunder.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic
communication in the manner provided in this Section, to the following persons;
To City: Clerk of the Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax(714) 647.6956
With copy to:
Executive Director of Parks, Recreation and Community Services
City of Santa Ana
20 Civic Center Plaza (M-23)
P.O. Box 1988
Santa Ana, California 92702
Fax (714) 571.4211
To Provider: Readwrite Educational Solutions, Inc.
1720 E, Garry Avenue, Suite 202
Santa Ana, CA 92705
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall beaddressedand transmitted to the now address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by fax, communication shall be effective or deemed to have
been given twenty-four (24) hours after the time set forth on the transmission report issued by the
transmitting facsimile machine, addressed as set forth above. For purposes of calculating these
time frames, weekends, federal, state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Provider regarding the subject matter herein, and supersedes any and all other agreements, oral
or written, between the parties, In the event of a conflict between the terms of this Agreement
and any attachments hereto, the teens of this Agreement shall prevail. This Agreement may not
be modified except by written instrument signed by the City and by an authorized representative
of Provider. The parties agree that any terms or conditions of any purchase order or other
instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not
bind or obligate Provider or the City. Each party to this Agreement acknowledges that no
representations, inducements, promises or agreements, orally or otherwise, have been made by
any party, or anyone acting on behalf of any party, which is not embodied herein.
11. ASSIGNMENT/SUBSTITUTES
a. Assignment, The experience, knowledge, capability and reputation of Provider were a
substantial inducement for City to enter into this Agreement. Therefore, Provider may not assign,
transfer, delegate, or subcontract any interest herein without the prior written consent of the City
and any such assignment, transfer, delegation or subcontract without the City's prior written
consent shall be considered null and void.
b. Substitutes. In the event Provider is not able to teach a class due to illness or some
other cause beyond Provider's reasonable control, Provider mast procure, at its sole expense, a
qualified substitute instructor to teach the class at its regular time and place. Provider shall
ensure that substitute instructors are at least twenty-one (21) years of age and comply with the
City's insurance and live scan requirements contained herein. Evidence of compliance with
City's insurance and live scan requirements shall be provided upon request. Provider must
immediately notify the City of the substitute instructor's name, qualifications, address and phone
number. If Provider cannot procure a qualified substitute and the City is unable to assist in this
regard, then the class shall be canceled and a make-up class must be added to the session,
Provider must notify participants as soon as possible of any class cancellation and make -Lip class.
Provider must personally teach at least seventy-five percent (75%) of its offered classes.
12. TERMINATION
a. This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Provider shall be entitled to receive, and City shall pay Provider,
compensation for all services rendered prior to the effective date of termination.
b. Termination or cancellation of classes by the Provider outside of Section 1 Lb. must be
given to the City at least thirty (30) days prior to termination/cancellation. Failure to provide
adequate cancellation notice to the City may put future contracting of business with the City at
risk and will result in the City's retention of ten (10%) percent of the final payment to Provider.
13. RECORDS
Provider shall use attendance sheets generated and supplied by the City to record
attendance in each class. Provider shall keep these and any other records in connection with the
work to be performed under this Agreement and shall permit City, upon request, to review such
records for a period of three (3) years from the date of final payment to Provider under this
Agreement.
14. NON-DISCRIMINATION
Provider shall not discriminate because of race, color, creed, religion, sex, marital status,
sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by
applicable law, in the recruitment, selection, teaching, training, utilization, promotion,
termination or other employment related activities or any services provided under this
Agreement. Provider affirms that it is an equal opportunity employer and shall comply with all
applicable federal, state and local laws and regulations.
15. JURISDICTION —VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
16. LICENSES
Provider shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies.
17. SEVERABILITY
In the event that one or more of the phrases, sentences, clauses, paragraphs or sections
contained in this Agreement shall be declared invalid or unenforceable by valid judgment or
decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect
any of the remaining phrases, sentences, clauses, paragraphs or sections of this Agreement,
which shall be interpreted to carry out the intent of the parties hereunder,
18. EXHIBITS
All Exhibits referenced herein and attached hereto shall be incorporated as if frilly set forth
in the body of this Agreement.
19. AUTHORITY
The person(s) executing this Agreement on behalf of the parties hereto warrant that they are
duly arithorized to execute this Agreement on behalf of said parties and that by so executing this
Agreement, the parties hereto are formally bound to the provisions of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
ATTEST:
CITY OF SANTA A A
Maria D, Huizar
David Cavazos
Clerk of the Coirncii
City Manager
[signatures continue on next page]
By,
an M. Punk
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
Gerardo Mouct
Executive Director of Parks,
Recreation and Community Services Agency
All
Dame: Claudia Lipp
Title: President
7
Exhibit A
SCOPE OF SERVICES — Readwrite Educational Solutions
A. Provider shall conduct reading solutions classes for children ages 4 and up.
B. Provider shall teach such or similar classes (1) at the times below at facilities to be
designated by the City or (2) on a schedule agreed upon by the parties for each class
session or term, including the location, specific days and hours when classes will be held,
and holidays to be observed, in accordance with City's needs.
Reading classes will consist of monthly sessions, 2 days per week, 45
minutes per day
C. Provider shall provide all materials, supplies, equipment, records and personnel.
Provider shall be responsible for clean-up of the facilities and materials and shall ensure
the safety and effectiveness of instruction.
CLASS SIZE
A. Each class must have a minimum of 4 paid students and a maximum of 10.
B. No registration will be accepted after the second meeting of classes.
C. If the minimum registration has not been reached by the second class, the class shall be
cancelled. Provider will be under no obligation to provide services for the cancelled
classes, and the City will have no further obligations to pay Provider compensation for
the remaining classes that were cancelled in that session,
CLASS FEES
A. Each participant shall pay class registration fees as established by City.
B. Provider may not waive class participation/registration fees.
C. Only registered participants may participate in class.
D. Any refunds to participants will be made in accordance with City policy.
E. Any materials fee shall be established by mutual agreement of City and Provider and
shall be payable directly to Provider.
OP ID: LS
CERTIFICATE OF LIABILITY INSURANCE
Mr12J21/ 5
2121I15
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 certi0cate holder Is an ADOMONAL INSURED, the pollcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to
the terns and condl0ons of the policy, certain policies may require an endorsement A Statement on this Certificate does not confer Hghts to the
certificate holder In Ileu of such endorses m .
PRODUCER 323-661.6
NIC Commercial Insurance Svcs
Llcense90040593 323.661-SS97
PO Box 39589
Los Angeles, CA 00039
Larry Strout
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INSURED Readwrlte Educational Solution
1720 E. Garry Suite 202
Santa Anal, CAA 9270/6 D�
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WaDR Ai Hartford Casualty Insurance Co
29426
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INSURER E:
INNRER F
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 DESCRIBEO HEREIN IS SUBJECT TO
ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
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Schools MON ACORD I&1, AONtlaul Rn„FAa 5[MdW,If me,a &pets IF nyul,yl
Schools • Private
CITYOFS
CITY OF SANTA ANA, M-93
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Lary Strout
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..... 1. The ACORD name and logo are registered marks of ACORD
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POLICY NUMBER:57 SEA RE3452
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - PERSON -ORGAN RATION
CITY OF SANTA ANA, IT'S OFFICER'S, AGENTS AND EMPLOYEE'S
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
CITY OF OCEANSIDE
300 E N COAST HIGHWAY
OCEANSIDE, CA 92054
CITY OF YORBA LIMA
P.O. BOX 67014
YORBA LINDA, CA 92885
THE CITY OF BREA, BREA REDEVELOPMENT AGENCY
ITS ELECTED OR APPOINTED OFFICIALS, EMPLOYEES AND VOLUNTEERS
1 CIVIC CENTER CIRCLE
BREA, CA 92821
COVERAGE IS PRIMARY & NON-CONTRIBUTORY PER THE BUSINESS LIABILITY
COVERAGE FORM SS0008, ATTACHED TO THIS POLICY.
THE IRVINE COMPANY,
IRVINE APTM COMMUNITIES, L.P. AND ALL PERSONS AND ENTITIES
CONTROLLING, CONTROLLED BY, OR UNDER COMMON CONTROL WITH ANY OF
THEM, TOGETHER WITH THEIR RESPECTIVE OWNERS, SHAREHOLDERS, PARTNERS,
MEMBERS, DIVISIONS, OFFICERS, ❑IRECTORS, EMPLOYEES, REPRESENTATIVES
AND AGENTS, ALL OF THEIR RESPECTIVE SUCCESSORS AND ASSIGNS
ATTN: RISK MNGMT.
550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
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Form IH 1200 11 85 T SEC. NO. 004 Printed to U.S.A, Page 001
Process Date: 10 / 2 7 / 15 Expiration Date: 01 / 0 9 / 17
5A This Spectrum Policy consists of the Declarations, Coverage Fotms, Common Policy Conditions and. any
34 other Forms and Endorsements Issued to be a part of the Policy.. This insurance is provided by the stock
BE Insurance company of The Hartford Insurance Group shown below.
SBA
INSURER: SENTINEL INSURANCE COMPANY, LIMITED
ONE HARTFORD PLAZA, HARTFORD, CT 06155
COMPANY CODE: A
Pollcy Number: 57 SBA BE3452 SC T�Tj�E
SPECTRUM POLICY DECLARATIONS nARTFORD
Named Insured and Melling Address:
(No., Street, Town, State, Zip Code)
READ WRITE EDUCATIONS SOLUTIONS
1720 E OARRY AVE
SANTA ANA . CA 92705
Policy Period: From 01/0.9/16 TO 01/09/17 1 YEAR
12:01 a,m., Standard time at your mailing address shown above. Exception: 12 noon In New Hampshire.
Previous Policy Number: 57 SBA BE3452
Named Insured Is: CORPORATION
Audit Period: NON-AUDITABLE
Type of Property Coverage: SPECIAL
Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we
agree with you to provide Insurance as stated in this policy.
TOTAL ANNUAL PREMIUM ISr $723
Countersigned by
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Authorized Representative
10/27/15
Date
Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGE)
Process Date: 10/27/15 Policy Expiration Date: 01/09/17
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Form as adA ere of
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SPECTRUM POLICY DECLARATIONS (Continued)
POLICY NUMBER: 57 SBA BE3452
Form Numbers of Forms and Endorsements that apply:
SS 00 01 03 14 SS 00 05 10 08 SS 00 07 07 05 SS 00 08 04 05
SS 00 45 12 06 SS 00 60 09 15 SS 00 61 09 15 84 01 09 07
SS 01 21 06 14 SS 04 08 09 07 SS 04 19 04 09 SS 04 22 07 05
SS 04 30 07 05 SS 04 39 07 05 SS 04 41 04 09 SS 04 42 09 07
SS 04 44 07 05 SS 04 45 07 05 SS 04 46 09 14 SS 04 47 04 09
SS 04 80 03 00 SS 04 86 03 00 SS 40 18 07 05 SS 40 26 06 11
SS 40 56 04 05 SS 40 93 07 05 SS 41 12 12 07 SS 41 51 10 09
SS 41 63 06 11 IH 10 01 09 86 SS 05 21 04 05 SS 05 47 09 15
SS 50 57 04 05 SS 05 71 04 05 SS 50 19 01 15 IH 99 40 04 09
IH 99 41 04 09 SS 38 25 12 07 SS 83 76 01 15
IH 12 00 11 65 ADDITIONAL INSURED - VENDOR
IH1200 11 85 SCHEDULED PROPERTY SCHEDULE
IH 12 00 11 85 ADDITIONAL INSURED - PERSON -ORGANIZATION
IH 12 00 11 85 ENDORSEMENT 0006 EFFECTIVE DATE IS 4/05/14
IH 12 00 11 65 ADDITIONAL INSURED - STATE/POLITICAL SUBDIVISION
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Form SS 00 0212 00 page 007
Policy Expiration Date: 01/09/17
Process Date: 10/27/15
WORKERS' COMPENSATION DECLARATION
I Claudia Lipp, President hereby affirm under penalty of perjury, the
(Name/Title)
following declaration
I certify on behalf of _Readwrite Educational Solutions Inc._ that during the term of my
(Consultant/Company Name)
contract for _contract_ services with the City of Santa Ana, I will not employ any person in
any manner so as to become subject to the workers' compensation laws of California, and agree
that if I should become subject to the workers' compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions and provide proof of workers'
compensation coverage.
DATE: December 20, 2016
By. — CXQ l CGI�cZ —
Name: _Claudia Lipp_
Title: President
Telephone: _949-263-0633_
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
AC' CERTIFICATE
/�.{rw T ® Y}. `ems'�r %� r @] Op ID: LS
ER 1 IFICATE VI LIABILITY INSURANCE DATE(MMJDwyYYY)
12130116
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER$ 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 1N8UREb, the policylles) 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 Hour of such endnmornnnticl.
PRODUCER ....
N1C Commercial Insurance Svcs 323'661-5546
License#OD40593 323-661-5597
Ctl ITACT .._..
NAME:
PHONE �AX o—.�_�--.
-ftHONENILD EYSte�___'""'----�_ G1. �!
Box 395"
__-'.--..� .ice.... " ....,..--.—..... ..... .. ...._
Las Angeles, CA 90039
-ADDRESS:
IaRO1CCER -..— __.-...,_..—_— ...............
Larry Strout
Cl_5TomERIpq:_READW-1
____.....�-„_,,._..__...__
INSURED Readwrite Edueationa! Solution
—� NAIC#_
INSURERA: Hartford C.asUal CO 29424
1720 E. Garry Suite 202
----- _Insurance
----
Santa Ana, CA92705
rrsuRERe;
INSURER C
INSURER E:
INSURER F
(:r1VFAAfSCC
--- - - -- na V l.'SrUiN r4U14RitK:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOVN 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,
ipgq
LTR TYPIE OF INSURAN04 PDLIGY NUMBER (MMOD Y�YY MMIUDQ Y umrrs�
GENERAL LIABILITY
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- —_i
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PERSONAL &ACV INJURY __.
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—
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DESCRIPTION OF OPERATIONS J LOCATIONS J VEHICLES (Ahaah ACORD 101, Additional Ramarka Schedule, frmnre space Is required)
Schools - Private -
CITYOFS
CITY OF SANTA ANA, M-93
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
SHOULD ANY OK THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Larry Strout
V g9St)•1UU9 AGORD CORPORATION, All rights reserved,
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: 57 SBA BE3452
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
ADDITIONAL INSURED - PERSON -ORGAINIZATTON
CITY OF SANTA ANA, IT'S OFFICER'S, AGENTS AND EMPLOYEE'S
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
CITY OF OCEANSIDE
300 E N COAST HIGH�7AY
OCEANSIDE, CA 92054
CITY OF YORBA LINDA
P.O. SOX 87014
YORBA LINDA, CA 92885
TAE CITY OF BREA, BREA REDEVELOPMENT AGENCY
ITS ELECTED OR APPOINTED C�'FICIAL,S, EMPLOYEES AND VOLUNTEERS
I CIVIC CENTER CIRCLE
BREA, CA 92821
COVERAGE IS PRIMARY a VON -CONTRIBUTORY PER THE BUSINESS LIABILITY
.OVFRAGE, FORM SS0008, ATTACHED TO THIS POLICY.
THE IRVINE COMPANY,
IRVINE AP`1'M COMMUNITIES, L.P, AND ALL PERSONS AND ENTITIES
CONTROLLING, CONTROLLED 13Y, OR UNDER COMMON CONTROL WITH ANY OF
T}F1?M, TO;ETHER WITH THEIR RESPECTIVE OWNERS, SHAREHOLDERS, PARTNERS,
MEMBERS, .DIVISIONS, OFFICERS, DIRECTORS, EMPLOY$8S, REPRESENTATIVES
AND AGENTS, ALL OF T�IEIR RESPECTIVE SUCCESSORS AND ASSIGNS
ATTN: RISC MNGMT,
550 NEWPORT CENTER DR
NEWPORT REACH, CA 92660 1n�,
C75
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Form IH 12 00 11 85 T SEQ. NO. 004 Printed in U,S.A, Page 001
Process hate; 74/26/16 Expiration Date; 07/09/18
tai Are, Added As An
l to Wisured TO Other
bvKwgms
That- le oeeer Insuranau RANN ile m
yOu aoua" Ilabl ky tbv dsm+gm
■ out of rw ptamle t or
a�psdatlans, or procimte Mao �
I�penatldardr, for which ym hour! bean
uddad as an add Hand kmmd by OW
(7) ihan You Add Odws As Ain
^*Moroi ImUred TO
hadsrrardee
"he Is older kmurmmwa avaAable io on
adddtUonal Insured.
Owmwec. lw foitmft pWlsldaN
dWW poem of p*Mwbk to
Ion *ft Is to
miclllonal irsdsead under ttdle coverapa
Part
I y ftsdltrirad tea *md talon
Tuft Irourarnas is Poo" if you
have apaed In a Wailes coo**%
wrltian adfsetaeeni or porrntt Chet
beph,m ROW
sAraurs " Its alto primmy, we Will
Offs %WM ad that COW Insd+esrtos
by to ne ll d+ssar W b a
T wry Irma
A6011010e411 fir conk**
it you two sgrm d b a Wrmn
or
NFAWN0 IS
prte wy lard nadaoor*wm Wm
the addldomml kemf d'a cm
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primary and we w11 riot ask
dmlglbdltort Morn drat Oahu
bmul"Oe.
illliDtllllllllle uAnLITT emotAm tab
Whan thb Mrsuftc" it a AGN ®wr ether
tie we off pay only a* than Of
the mount of the loss, p wb, OW
Oxceewo the sum 0.
C11 ra taint armount 41 d ar Wah Other
t mmas would pay for go loss it the
Ob"nae of "I Intunnaat and
M 'lire total of ed rreducAbta and *W-
h'ratlrad amn svis urWar to That, other
Ir"Werees.
"wld ale M Qds raedskri kWA R any, ertth
wv athar Irrtddrenee 60 is rrot dualbsd In
thR i k"Leonae pmMon lord w n not
bout t ameclllo^ 10 glut in euadem of dra
times of Insurance snows In Iht
Oadmathm of** a Part.
a. Medoed of Morin
If sit the avW lydKmm cs pamft
con ftMon by OWN shaven, We wM WOW
this rrrathnd eNo. binder this epprD w 4
OROA iauarar' Oargirta tee aqua *tree"
wo it has pold ft s1 ! 0 -1hN W* drf
inturanoe or lone of to toss dernatmo,
vA tdewr oamea first
if my 101 lea after Inadmmm dear not pe m*
m*bjilan by "M dome, ws wn
WO! bute tllr Irrrlts. t,hrdm "* W4d"dl eWh
is oft elver- Is baavd an dry raft mf Ilr
aippl+.wl>ts . itndc d iredsr•rroe b the tdetrl
applloaktN flat of ine Am= of all Insar m
S. Trz mOw Of tltlghts Of Itaoadrrall AMNest
a. Tmnafw Of lalghte Of ft*Ynq
Paragraphs (4 end (b) do flat SWIM to
vl wIraeufyrnram to whkrh 00 addluenM
Insured he* been added aK on
.4. addlda W bmured.
Irftvl this brim"" Is own, we will
rm we no duty under this CDOM@ Wet to
def and Om insured agaUat GIN '"s V If arty
oldee Inarrmr tree a duty to tlafevdd the
Irear,rad Madrdledt chat "suit'. d ere oewr
Irwarw defends, vm will WW"i U In do
to, rut we will to antllad id itw mourn ti
rtprela #taaklat ap 1f rear o4hvr tnadunree,
Fen" 36 111 a dt4 al
If br koured 11" rfphft to raMvet all er
pm a my pwpnw t, holudt
t3omhftantruy I*rmsrMa, we have made
'tmdfsr lrhi Cowralae Pfft, Haase tlphls We
Wriahmad tm ua. The kmmW must do
`mill" sitar lave to Impale them. At 9W
tismrer lhose, rli b to us and 11610 u
'Oft" tom. This cond"n do" mat
apply to MedWW Ifx WWW eusner+ala.
b, Wl wW or RWft of IlleQOmy (Waiver
of Subrovllon)
If lea Insured hsa wariwd any rWft of
'!may aUtladrt any v I n 1 Of
ixgwfttbn for all or innto
Wdkwiq SdpP ry v�
ww
" erred+) under thla CpROP Putty dw
.adnn Wahl tlut d SK tui7Mk W d w Irmf ed
waived their dphty of re very apetnet
.awed pW"n or 6100draftr In a nonlreet.
apnernam or permit that wws vzeadesd
p,ftM *re Muryordvvw t.
pow 17 ne24
SPECTRUM POLICY DECLARATIONS (Continued)
POLICY NUMBER: 57 SBA BE3452
P
7FarmNumbers of Forms and Endorsements that apply:
CSS 00 01 03 14 SS 00 05 10 08 SS 00 07 07 05 SS 00 08 04 05
SS 00 45 12 06 Ss 00 60 09 15 SS 00 61 09 15 84 01 09 07
SS 01 21 06 14 SS 04 08 09 07 SS 04 19 04 09 SS 04 22 07 05
SS 04 30 07 05 SS 04 39 07 05 SS 04 41 04 09 SS 04 42 09 07
SS 04 44 07 05 SS 04 45 07 05 SS 04 46 09 14 SS 04 47 04 09
SS 04 80 03 00 SS 04 86 03 00 SS 40 18 07 05 SS 40 26 06 11
SS 40 56 04 05 SS 40 93 07 05 SS 41 12 12 07 SS 41 51 10 09
SS 41 63 06 11 IH 10 01 09 B6 SS 05 21 04 05 SS 05 47 09 15
SS 50 57 04 05 SS 05 71 04 05 SS. so 19 01 15 IH 99 40 04 09
IH 99 41 04 09 SS 38 25 12 07 SS 83 76 01 15
IH 12 00 11 85 ADDITIONAL- INSURED - VEMOR
IH 12 00 11 85 SCHEDULED PROPERTY SCHEDULE
IH 12 00 11 85 ADDITIONAL INSURmr) - PERSON -ORGANIZATION
IH 12 00 11 85 ENDORSEMENT #k006 EFFECTIVE DATE IS 4/05/14
IH 12 00 11 85 ADDITIONAL INSURED - STATE/POLITICAL SUBDIVISION
Form SS 00 0212 06 Page 007
Policy Expiration Date,' 01/09/17
Process Cate: 10/27/15
42. This Spectrum Policy, consists of the Ddciarafians, Coverage Forms, Common Policy Conditions and, any
34 other Forms and Endorsements Issued to be a part of the Policy;..This'insurance is provided by the stock
BE Insurance company of The Hartford Insurance Group shown below.
SBA
INSURER: SENTINEL INSURANCE COMPANY, LIMITED
ONE HARTFORD PLAZA, HA.RTFORD, CT 06155.
COMPANY CODE: A
Policy'Number: 57 SHAE3452 SC THE'
,
SPECTRUM POLICY DECLARATIONS HARTFORD
Named Insured and Malting Address: RZAD WRITE EDUCATIONS, SOLUTIONS
(No., Street, Town, State, Zip Cade)
1720 E GARRY AVE
SANTA • ANA CA 92705
Policy Period: From 01/09/16 To 01/09/17 1 YEAR
12:01 a.m., Standard time at your mailing address shown above, Exception: 12 noon in New Hampshire,
Previous Policy Number:. 57 SBA SE34S2
Named Insured is; CORPORATION
Audit Period: NON-AtTDITAHLE
Type•of Property Coverage: SPRCIA.L
Insurance Provided: In return for the payment of the premium and subject to all of the terms of thl& policy, we
agree with you to provide Insurance as stated In this policy.
TOTAL ANNUAL PREMIUM IS:- $723
Countersigned by � "�
10/27/15
Authorized Representative Date
Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGR)
Process Date: 10/27/15 Policy Expiration Date: 01/09/17