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HomeMy WebLinkAboutSTAGE PLUS EVENT STAGING SERVICES (3)City of Santa A �q Clerk of the Council corc Office Use o�y AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Cify of Santa Ana Note: If your agreement is grant related, please ensure that all grant retention requirements I have been satisfied prior to signing the termination form. `; j o 2 2' Is the agreement(s) a permanent record? Yes _ No Clerk of the Council Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with No. was completed on t ';J311) al and final payment has been made. (list all amendments. Use space below if needed.) i�/—� p � c t Department: ��PAWiK `O� _Q Phone/Ext.: Signature: fG&A) a Qk�(Vftn Date: 71ac-I la-� Revised: 10-18-16 Professional Liability insurance required if contractor is or employs a licensed professional A-2017-056-01 MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMSERS P. David Benavides Vicente Sarmiento Jose Solorlo Sal Tinalero Juan Villegas CITY OF SANTA ANA PARKS, RECREATION AND COMMUNITY SERVICES AGENCY i "e> 20 Civic Center Plaza M-23 a• P.O. Box 1988 Santa Ana, California 92702 -; ;'---� q�,g wwwsanta-ana.ara u 1 ` November 27, 2017 I; � Stage Plus Event Staging Services 2330 S. Susan Street Santa Ana, CA 92704 CITY MANAGER Raul Godinez II CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar O ' TWA b Re: Extension of Contractor Agreement No. A-2017-056 to install, maintain and remove stage equipment 51Iv1ec fwwHs for various City hosted events Dear Mr, Huarte: Pursuant to Section 3 ("Term") of Agreement No. A-2017-056 entered into by Stage Plus Event Staging Services and the City of Santa Ana, dated March 21, 2017, the time period for said Agreement is hereby extended for anadditional one (1) year period, from January 1, 2018 to December 31, 201 S. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of said Agreement remain unchanged and in full force and effect. Sincerely, Gerardo Monet ' Executive Director' Parks, Recreation and Community Services Agency APPROVED AS TO FORM: Sonia R. Carvalho City Attorney Laura A. Rossini Senior Assistant City Attorney I CITY OF SANTA OA, Raul Godinez I1 City Manager ATTEST: Marta D. ltuizar Clerk of the Council SANTA ANA CITY COUNCIL Miguel A. POO Michele Martinez Vicente Sarmiento Jose Solodu P, Oamd aenavldss Juan villains Sal nnajero Mayor Mayor Pro Tern, Ward 2 Ward Ward Ward Ward Wald uridwIo araxi a = mm,Qm vsarmienio!atsenia-anawa prior ot�sanfa,ans ora dC asPhiftaft Anos- Qrg 'vlleaas&san - na. ni'nalero6lsania-ana oro .•--'^"'�} STAGPLU-01 DOROTHYSERRYHI AC t�Ta`L7 �oa 8 29/2017 CERTIFICATE OF LIABILITY INSURANCE � Bnsfzolr THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statoment on PRODUCER N.xtOE� NFP Properyy & Casualty Services, Inc. PHONE e e.p. {T1d) 565=5550 FAC,Net:(79d} 97S-B966 1551 North TUStIn AYanue E CAN .... _ _. . .. _. Suite 500 E-MALL s Santa Ana, CA 92705 _. _ _... INSURERS) AFFORDINGCOVERAGE MIND _.. _.. _.. _ INSURERa Ohio Security Insurance Co _ 24082, INSURED INSURER 8 Stage Plus, Inc. +. INSURER C: P.O. Box HOED INSURER D : Santa Ana, CA 92711 -- INSURER E: INSURER F COVE RAGE$_,,, 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 INOICA7EC. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. 1NBR- AODI SUER L R _TYPE ON INSURANCE INSp POLICY EPP POLICY EXP POLICY NUMBER NowbroyYyy„sr(,1.OprfYYY1 - - - - LIh1nS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000'660 CLAIMS,MADE X OCCUR X BKS 1858241997 D7t29t2017 07129/2018 oAMAGETCRENTED 600,000 PREMISES {Ea viceVrrenea) $ 15,000 _ MEDEXP{anyone Aersant S 1,000,1)00 PERSONAL$ ADV INJURY E CEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 5 2,000,006 POLICY JECOT LOC PRODUCTS COMPIOPAGG S 2rDO4,D0O OTHER R.: _.......... S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _[Ed Roodenp _... S_. ... _.. ANY AUTO _ - BODILY INJURY (Par person) $ OWNED SCHEDULED _. AUTOS ONLY _ AUTOS BODILY BODILY INJURY (Per accident). S_ NUTU3 ONLY __A�TNOS OPEY ��a PROPERTY DAMAGE jeer accident) S UMBRELLA LIAR OCCUR �' EACH OCCURRENCE S EXCESS LIAe _ CLAIMSMADE AGGREGATE $ -DEC RETENTIONS tQ1 9 KERS STATUTE ER" AND EMPLOYEAT LIILCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETpO[RIPARTNERIEXECUTIVE YIN �� ii EL EACH ACCIDENT S OMantlfnMin NlR EXCLUDED? NIA .�� !1 Forms rY G E L DISEASE EA EMPLOYEE S DESCRIPTION OFOPERATIONS below ..__.. EL DISEASE -POLICY LIMIT $ DESCRIPTION ON OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana, Its officers, employees, agents and representatives are named as Additional Insured in regards to General Liability per attached CG8810 0413, Includes primary and non-contributory wording.., 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 City of Santa Ana PRCSA M- 20 Civic Center Plaza, M•23 � AGORD 25 (20%09} ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: STAGPLU-01 DOROTHYBERRYHILL LOC N; 1. AIR®` ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED NFP Property & Casualty Services, Inc. Stage Plus, Inc. P.O. Box 11060 POLICY NUMBER - - - - - Santa Ana, CA 92711 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVEDATE! SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IB A SCHEDULE TO ACORD FORM, FORM NUMBER. ACORD 25 FORM TITLE: Certificate of Liability Insurance CIR The attached Certificate of Insurance Is provided as part of our service to our client, the insured. If special endorsements have been provided, they also are indicated attached. You may find that these documents do not comply with all the terms and conditions of the underlying contract between the Certificate Holder and the Insured due to the Insurance Company's insuring conditions, limitations, exclusions and other terms. If you have any questions, please contact the undersigned. NFP Property & Casualty Services Inc. CA License OF15715 1551 N. Tustin Ave., Suite 500 Santa Ana, CA 92705 Telephone: 714.505.5550 Fax: 714-975-6966 ACORD 101 (20081011 (cc) 2nnR All r;nl.le romnind The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON -OWNED AIRCRAFT 2 NON -OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY • ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 3 ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS • EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORSIMALPRACTICE AND WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES �• 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT \��� N 7 1. LIBERALIZATION CLAUSE EC ' `jJ�� \(ti 7 BODILY INJURY REDEFINED ;\ GY �� 7 EXTENDED PROPERTY DAMAGE eQ� 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 Of 8 With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided, 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON -OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I -Coverage A -Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft Is replaced by the following; This exclusion does not apply to (2) A watercraft you do not awn that is (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY • ELEVATORS 1, Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damaae" results from the use of elevators. For the Purpose of this Provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph Is. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I . Coverage A - Bodily Injury and Property Damage Liability; a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or \61 (ii) Contents that you rent or lease as part of a premises rental or lease agrAent, c� iod of more than 7 days. � Paragraphs (1), (3) and (4) of this exclusion do not apply to "prop`Tt�y darn I ts of premises rented to you for a period of 7 or fewer consecutive days. 7? �\ A separate limit of insurance applies to this coverage as described i iLimits of Insurance. ^CJ Q 2:113 u4orty AAUtual Io3uran ae CG 88 10 04 13 Includes raPYrignte I rnakena' of insiiranae se ices Q`Qn, Ina., Nq" Its perm i; i,on. Page 2 of 8 b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner, A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. 2. Paragraph 6. under Section III - Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a, of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract", E, MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I - Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS -COVERAGES A AND B 1. Under Supplementary Payments - Coverages A and B, Paragraph 1.b, is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph t.d. is replaced by the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising irt�Ay" caul,whole or in part by: ��a a. Your acts or omissions, or the acts or omissions of those acting or r behalf, i' performance of your on going operations for the additional insured that are thin bject of th n contract or written agreement provided that the "bodily injury" or "property dama �qy�e {r "Sr'the "per- sonal and advertising injury" is committed, subsequent to the signing wck>tten contract or written agreement; or 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 8 b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions; (1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" Included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards; (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. However 1, The insurance afforded to such additional insured only applies to the extent permitted bylaw; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insur ante 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. With respect to Paragraph t.a. above, a person's or organization's status as an additional insured under this endorsement ends when; (1) All work, Including materials, parts or equipment furnished in connection with such work, on the prolpct tothzr th?n gervirp, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph l.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only If the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we notice of a "suit" by the additional insured as required in Paragraph b, of Condition Event Of Occurrence, Offense, Claim Or Suit under Section IV • Commerciaj Feral tions. e �¢G receive written 2. Duties In the Liability Condi- 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes ccpyrjphted matirial of Insurance Services Office. Inc.. with is permission. Page 4 of 3 With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodlly injury" or "property damage" arising from the sole negligence of the additional insured. b, "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. Bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the Injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy, 3. 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: a. Required by the contract or agreement; or b. 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. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV • COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: li�. If an additional Insured's policy has an Other Insurance provision making its ,�p�QA excess, you have agreed In a written contract or written agreement to provide the additi99yyn�'A insurad cc age on a primary and noncontributory basis, this policy shall be primary and we vtfRb'4fot seek co An from the additional insured's policy for damages we cover. �, J0 1 � CG 88 10 04 13 Cb QP 2013 Liberty Mutual Insurance Y� Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 8 b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional Insured is designated as a Named Insured. Regardless of the written agreement between you and an 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, I. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1, The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: a ivewritten notice to us;of an "occurrence" or an offense that may result in a claim or "suit" under this b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part, d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III . Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy, J. WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS/ MALPRACTICE WHO IS AN INSURED • FELLOW EMPLOYEE EXTENSION, MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II • Who Is An Insured is replaced with the following: (1) "Bodily injury" or "personal and advertising Injury (a) To you, to your partners or members (if you are a partnership orjoint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services, However, if you are not in the business of providing professional health care services o�'Jfoviding p es sional health care personnel to others, or if coverage for providing profes��naI health e ser- vices is not otherwise excluded by separate endorsement, this provisio rag oh does not apply, Paragraphs a and b above do not a to "bodily injury" or "personal andVadvertil e �" I) O apply y l y"ry used by an "employee" who is acting in a supervisory capacity for you. Supervisory capacit ��s�d ein means the ees" of yours However, pnone of these "employees" e " areinsured I ry 6 "per onal and p ! s" job responsibilities ass' 4 ' Iy{(p. or 'personal and n 2a'J Liberty Mutual ,nsure nca CG 88 10 04 13 include; ocoy,iehred material of Insurance Services Offlca, inc.,,m.th its permission. Page a of a advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3, of Section II - Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV - Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1, of Section II - Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee" N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. 0. BODILY INJURY REDEFINED Under Section V - Definitions, Definition 3. is replaced by the following: aQ�< 3. "Bodily Injury" means physical injury, sickness or disease sustained 8�d perXTirncludes mental anguish, mental injury, shock, fright or death that results {rftdi such phsick- nessordisease. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office. Inc., with its permission. Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV • Commercial General Liability Conditions, the following is added to Condition 8. Trans- fer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- F-,ant, 2013 Liberty Mutual Insurance CO 38 10 04 13 Includes copyrighted ma tarial of Insurance Services Office, Inc., with its permission. Page 8 of 8 a►�orra CERTIFICATE OF LIABILITY INSURANCE DA 5TE /3/2o1700 5/a/ 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) 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 endorsement(s). PRODUCER CON qC NAME: Dorothy Berryhill NFP P & C Services, Inc. - Orange County PNONN ,xl, (714)505-5550_ (714)97E-9966 1552. N. Tustin Ave nooalEs.dorothy.berryhill@nfp.com Suite 500 _ I NSU RER,($) AFFORD IND COVERAG E ----"-- NAICN Santa Ana CA 92705 INSURERA:Ohio Security Ins Cc INSURED INSURERS All. america Financial Benefit Ins Cc Stage Plus, Inc. (( NSURERC: ..�__......._..._.......... P ' O. Box 11060 INSURER NSURERE: Santa Ana CA 92711 INSURER F: COVERAGES LICK I I FIUA I G NURf1cH'l AJL14 -1Ubl 43 OCVICVINI LIIIBeBED 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE POLICY NUMBER MMIDI DY EPY AM1G1100NE YP LIMNS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 OAMAGETORENT -0 PREMISES Ee occurrence 8 1,000, 00G A CLAIMS -MADE Fx I OCCUR MED UP (Anone pereon $ 15,000 X ESE 17 57243578 7/29/2016 7/29/2017 PERSONAL &ADV INJURY $ 11000,000 AGGREjG�ATE LIMIT APPLIES PER: PRO. GENERALAGGREGATE $ 2, 000, C00 CELL %t PRODUCTS-COMPIOPAGG $ 2,000,000 POUCY L� JECT LOC ❑ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 8 $ ANYAUTO BODILY INJURY(PBr person) __. ALL OWNED SCHEDULED AUTOS _I.. AUTOS AK3 D163942-00 3/5/2017 3/5/2018 BODILY INJURY(Per awIdenn —PROPERTY $ X HAEDAUTOS X NO OWNED AUI05 DAMAGE $ Per Brcldenit UMBRELLA JAB OCCUR EACH OCCURRENCE $ EXCESS LIA E CLAIMS -MADE nn e AGGREGATE $ OED I RETENTIONSWORKERS nn GJ PERT ANDEMPLOYERS' IA I�TY yrH OER _--. - t7`1 ERN OWICERIMEMBANY EXCLUDED?ECUTIVE ❑NrA f �e `\'�, E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYE $ Ndan hlori msul,eNH) yBe, dPecrlbe under r\� \a VV'n i` E.L. DISEASE - PDLICY LIMIT $ 0 DESCRIPTION OF OPERATIONS belal° t? DESCRI PTION O F OPERATIONS LOCATIONS I VEHICLES(AGORD 101, Addltimul Remarke SChedUle, may he Mach, Y if more sp oo B regclTedl City of Santa Ana, its officers, employees, agents and representiaves are named as Additional Insured in regards to General Liability per attached BP7996 0713, City of Santa Ana Attn: PRCSA 20 Civic Center Plaza - M-23 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11 reserved ALIUKU zo (4U"141O1f I ne AOURLT name antl logo are registered marks of ACOR❑ INS025 (Rm4m) A� O® CERTIFICATE OF LIABILITY INSURANCE DATE,MM/BD,YYYY) 5/- 17 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 pollcy(les) 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 endorsement(s). PRODUCER CONTACT Dori Jared-Ferranto NAME: Assistance Insurance Agency P`AHONtEa, Exq; (714)245-2777. PAS NeI o1a)2as-27ee..._ 215 N Second Ave. EMAIL d aredB assistanceins. com ADDRESS; 7 _ Suite D INSURERLS1 AFFORDING COVERAGE NAIC4 Upland CA 917E6 INSURERA State Compensation Insurance Fund INSURED INSURER B : _......._ .............. __-_. _-_... _.... ............ Manuel Hnante, DDA: Stage Plus, Inc. INSURER .......... _._ _._- ... . _... .. 2330 S. Susan St. INSURERD: INSURER E: Santa Ana CA 92704 1INSURER F: COVFRAr:FS CERTIFI(`.ATENHMRERtl7-18 WC 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. ASR AODL SUER - - LTR TYPE OFINSURANCE 0 vD POLICY NUMBER - POLICY EFF - POLICY EXP - IMMIDDIYVYYJ UMMIODMYYLIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGEr"o RENTED .. $._ __.. CLAIMS MADE OCCUR _ PREMISES Ea occurrence) MED EXP (Any ono parson) $ PERSONAL&ADV INJURY $ GE_NLAGGREGATE UMITAPPLIES PER GENERAL AGGREGATE $ POLICY PRO JECT LOC -. PROOUCTSCOMP/UP AGO 8 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 8 (Ea accidan9 ANY AUTO BODILY INJURY(Per person) $ ALL OS -----SCHEDULED BODILY INJURY (Peraccitlen) $ _ WNED e ac denDAMAGE $ HRTEDSAU rOS ANON UTO _(PROPERTY UMBRELLA LIAR OCCUR EACI'I OCCURRENCE $ EXCESS LIAS CLAIMS -MADE AGGREGATE 8 DED RETENTION $ $ WORKERS COMPENSATION YPER ` STATUTE ERH AND EMPLOYERS' LIABILITY YIN — .-- -- -- -- ANYPROPRIETORPARTNER/EXECUTIVE )^ EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDEDI NIA�� A (Mandatory In NH) 1T86318-17 "" -' 217 5/1/2018 LDISEASE EA EMPLOYEE$ 1 Do 0, 000 If yyes, descnbe under As.OF OPERATIONS below EL. DISEASE -POLICY LIMIT 5 1,000,000 n e , DESCRIPTION OF OPERATIONS /LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schadule,'V v e�lP\ space Is required) The City of Santa Ana, its officers, employees, ag�ng uftt� s and representatives Proof of Insurance The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 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 Jared-Ferrant0/STEP n 1OHR_9D1d AC(IRn r,nhte ACORD 2512014/01) The ACORD name and logo are registered marks of ACORD INS025 nnte0n STAGPLU-01 GLORIAZIMMERMAN ,acoRoa CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 081231201E THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(sl. PRODUCER NFP Property & Casualty Services, Inc. 1551 North Tustin Avenue Suite 500 Santa Ana, CA 92705 INSURED Stage Plus, Inc. P.O. Box 11060 Santa Ana, CA 92711 A- aol—Oslp A-alo n— 0SU"O r CONTACT Gloria Zimmerman NAME: PHO NE o, Ear): (714) 605-6550 INN, Nel:(714) 975-8966 INSURER(S) AFFORDING COVERAGE _ _ NAIC INSURERA:OhI0 Security Insurance Company 24082 INSURER B:AIImerlca Financial Benefit Insurance Company 41840 NSURERC: INSURERD__ INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTWTH 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. IN SR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN D WVO POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X I OCCUR X BKS58241997 07129/2018 07/2912019 EACH OCCURRENCE $ 1,000,000 LDAMAGE To RENTED PREMISESRENT rrence 500,000 $ _ ED EXPLAny oneperson) $ 15,000 _ PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a PERT LOC — PRODUCTS-COMP/OPAGG $ 2,000,000 — — - _ $- OTHER: B AUTOMOBILE LIABILITY L COMBINED SINGLE LIMIT Ea accident 1,000,000 $ $ Z ANY AUTO AW3D163942 03/0512018 03/05/2019_BODILY INJURY LPerperson AUTOS ONLY X AUTOSULED BODILY INJURY Peraccidenl -__ _) $_ _ E� p pW X .AUTOS ONLY X .AUTOS ONL� A (Per acctlent) DAMAGE UMBRELLA LIAR OCCUR EACH OCCURR_E_NCE. $ $ EXCESS LIAB - CLAIMS -MADE AGGREGATE $ DEB RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY CCPROPREIIETggO��RRqIPARTNER/EXECUTIVE (MFantlaroryln NH) EXCLUDED' u NIA PER OTH- STATUTE ER EL EACHACCIDENT $ _ -- — EL.DISEASE -EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS betm EL. DISEASE -POLICY LIMIT $ I I DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD till, Additional Remarks Schedule, may be aaached if more space is required) City of Santa Ana, its officers, employees, agents and representatives are named as Additional Insured in regards to Gene*,?,, lability per art ed CG8810 0413, includes primary and non-contributory wording... ej City of Santa Ana PRCSA 20 Civic Center Plaza, M-23 Santa Ana, CA 92701 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 ACORD 25 (2016/03) 91988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A� " CERTIFICATE OF LIABILITY INSURANCE DA E(mMoor w) 08/22/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dori Jared-Fermnto NAME: Assistance Insurance Agency AIC NO E#: (714)245-2777 nlc, No: (714)245-2788 123 E. 9th Street E-MAIL ADDRESS: djared@assistanceins.com INSURER(S) AFFORDING COVERAGE NAIC# Unit 314 INSURERA: State Compensation Insurance Fund Upland CA 91786 INSURED INSURERS: Manuel Huante, DBA: Stage Plus, Inc. INSURERC: 2330 S. Susan St. INSURER D : INSURER E Santa Ana CA 92704 INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 WC 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 I-M TYPE OF INSURANCE INSD MD POLICYNUMBER POLICYEFF MMIDDNWY POLICY EXP MMIDDM'YV LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ EO PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL B ADV INJURY $ GEN-L AGGREGATE LIMIT APPLIES PER: POLICY PRLOC GENERALAGGREGATE $ PRODUCTS - COMP/OPAGG $ $ OTHER' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANVAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Paramitlen0 $ PROPERTYDAMAGE Poraaitlent $ HIRED I NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN CUTIVE ❑ ANY CERIMEETOREXCL EXCLUDED' OFFICER/MEMBH) EXCLUOEO9 in NH) (fyes,d NIA 1786316-16 O$/Oi/2018 OS/01/2019 PER OTH- STATUTE ER EL EACH ACCIDENT $ 1,000,000 E.L. DISEASEEAEMPLOYEE g 1,000,000 describe Dyes, describe under DESCRIPTION OF OPERATIONS below OF O E.L. DISEASE - POLICY LIMIT 8 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) y� ' The City of Santa Ana, its officers, employees, agents, volunteers and representatives V e Proof of Insurance \a �a lel a:4111201 Li$OPIUM lial aJd;laJ9,rl_V Ul;-i%l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 P&4'11 C)19RR-2n15 ACORO CORPORATION All rinhfa reenrvnd ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Other Named Insureds Stage Plus, Inc. Additional Named Insureds Doing Business As OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC I COMMERCIAL GENERAL LIABILITY CG88100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON -OWNED AIRCRAFT 2 NON -OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY -ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGESAAND B 3 ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - `QA WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU eg1Z ? g © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 8 With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section 1 - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON -OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52feet long; and j (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY -ELEVATORS 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing; Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system 'to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or d /� \ (ii) Contents that you rent or lease as part of a premises rental or lease agre( to 0n 01 more than 7 days. s Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage' er1 premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described i act!Qr�NU: Limits of Insurance. © 20131-iberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 8 b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. 2. Paragraph 6. under Section III - Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I - Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 1. Under Supplementary Payments - Coverages A and B, Paragraph 1.1b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: d. Al reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" cat d in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your In the nce of your on going operations for the additional insured that are the subjecA the written t't or written agreement provided that the "bodily injury" or "property damage" occ ,�t sonal and advertising injury" is committed, subsequent to the signing of suctgn cct or written agreement; or G,\, —ak\ © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 8 b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. 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 insur- ance 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. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.e. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial Genergl,,6*bitity Condi- tions. CO? e�G © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 4 of 8 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section 1 - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured- b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "Bodily injury" or "property damage" occurring after: (1) All work, Including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. 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: a. Required by the contract or agreement; or b. 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 Declaratio ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's J\2 policy has an Other Insurance provision making d,�epolicy exce n ypu have agreed in a written contract or written agreement to provide the additional insured v$ra �1t s primary and noncontributory basis, this policy shall be primary and we will not see �e�ri u(�from the additional insured's policy for damages we cover. \ G © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 8 b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an 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. I. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO ISAN INSURED -INCIDENTAL MEDICAL ERRORS/ MALPRACTICE WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II -Who Is An Insured is replaced with the following: (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care seryok Howeve if you are not in the business of providing professional health care services or_ i viding pr s- sional health care personnel to others, or if coverage for providing professiof he tpy �r- vices is not otherwise excluded by separate endorsement, this provision 0agrapp�( @spy apply. r. Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising V( W5 sed by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity u m means the "employee's" job responsibilities assigned by you, includes the direct superv' on of�"employ- 5 ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and © 20131-iberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 8 advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section 11 -Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV - Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior 'occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior 'occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an 'occurrence", offense, claim or "suit' by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section 11 - Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. 0. BODILY INJURY REDEFINED Under Section V - Definitions, Definition 3. is replaced by the following: 3. 'Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physsiigpj�injury, sick- ness or disease. 2� 5 © 2013 Liberty Mutual Insurance l�CJ CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. p`_ Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV - Commercial General Liability Conditions, the following is added to Condition 8. Trans - far Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" s provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 8 of 8