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HomeMy WebLinkAbout2022 CON Federico Guerrero Instructor Contract - Ballet Folklorico ClassesCALIFORNIA �- INST . CTOR CONTRACT This Instructor Contract (;'Contract„) is entered into on this 2/ 1 I O22, between. Federico Guerrero. an individual hereinafter referred to as "Contractor." and the City of National City, a l� municipal corporation. oration. hereinafter referred to as the ' Cit ., Contractor and City may be referred � to in this Contract individually as .lPart" or collectively as '`Parties,. PURPOSE. The purpose of this Contract is to provide the City with recreational activities and programs that will be available to all National City residents. The City Maintains recreational areas throughout its jurisdiction and wishes to use these areas to benefit the City and its residents. The Contractor must be trained and experienced in providing instruction and guidance on the activity that is the subject of the Contractor's instruction. ENGAGEMENT OF CONTRACTOR. The City will engage the Contractor to provide recreational services and the Contractor will perform the services described in this Contract in accordance \\ ith all terms and conditions herein described. The Contractor represents that a I I services shall be performed ed directly by the Contractor or under direct supervision of the Contractor. 3. WRITTEN PROPOSAL PRIOR TO EXECUTION OF CONTRACT. Contractor understands that the detailed written proposal. submitted n l of 1 /', which describes the 1 � services that the Contractor plans to provide. ('Class/Program")must be approved by the City. If approved.. the Contractor's written proposal becomes part of this Contract. attached hereto as Exhibit . The Contractor understands that the City has full discretion livhether to approve, modif , or deny the Contractors' written proposal. The Contractor understands that the Contractor may only engage in the activities as set forth in Contractors' proposal, those of which are previously aproved, and mayonly perform other duties that are customarilyperformed bya Ply Contractor in the safe or a similar business. If Contractor seeks to adjust the Class/Program 4 the Community Services Department Director. or designee may approve adjustments to the Class/Program at their. or designee's, sole discretion. 4. SEASONAL SCHEDULE. The City shall develop an annual program schedule dividing the year into (four) seasons: spring. summer. Vali and \\ liner ('Program Schedule"). Each season shalt be approximately 10 (ten) weeks lone;. with a 3 (three) weekbreak between seasons. Instructor Contract Page 1 of 8 o t t i t. National Co.),and Revised )ctcober 2019 Federico Guerrero Contractors sh .lt offer the Class/Program during the 1 (ten) week season and adhereto each (thIee) week break. If Contractor seeks to ff r the Class/Program during different timeframes than the Program Schedule, the Community Services Department Director, or designee, may approve adjustments to the Class/Program at their, or designee's, sole discretion. Contractor must submit Class/Program details such as dates, days, times, ages, and description by the deadlines noted in the Program Schedule for each season. Any lass Program that does not meet the deadlines noted in the Program Schedule shall be cancelled. . ADMINISTRATION AND PUBLICITY. The City shall collect and manage all Class Program registrations, refunds, and credits through an online and in -person registration system. The City shall provide the Contractor with Class Program rosters before the first day of instruction. The City shall notify the Contractor of any late registered participants. All other administrative duties are the responsibility of the Contractor. The City shall provide publicity for the Class/Program though the City's quarterly newsletter, the City's website within the Community Services Department webpages, the City's email distribution list, and the City's social media accounts. The Contractor is solely responsible for the success of the Class/Program and additional publicity may be required to increase enrollment. Contractor is responsible for any additional publicity desired for the Class/Program. Any additional publicity must be reviewed and approved by the Community Services Department Director, or designee, before being distributed to the public. If the Contractor providesClass/Program flyers, the City shall provide a space to display flyers at appropriate City facilities as determined by the City. The City shall not pay to advertise the Class Program. The City may ask the Contractor to participate in open house events showcasing the Contractor's Class/Program or perform during City special events. 6. SECURITY CLEARANCIE. Contractor, and any other individuals, including lLInteers, who a.ssist Contractor in teaching the Class/Program ("Subc ntract r" , must complete and pass a security clearance, including a background nd check and fingerprinting, before the Class/Program begins. The Contractor{ must complete the security clearance, including the background check and fingerprinting, and pay all associated costs. This Contract will immediately terminate if a Contractor or Subcontractor does not complete and pass a security clearance, including a background check. I.f a Contractor hires a new Subcontractor after executing this Contract, the Subcontractor nm.st complete and pass a. security clearance, including a. background ground check and fingerprinting, before the Subcontractor can assist with the Class Program. . JNDEPiNDENT CONTRACTOR. In the performance of this Contract, both Parties will be acting in an independent capacity and not as agents, employees, partners, or joint venturers with one another.. Neither the Contractor nor the Contractor's Subcontractors are employees of the City, and are not entitled to any ofthe rights, benefits, or privileges of the City's employees, including but not limited to retirement, medical, unemployment, or workers' compensation insurance. Instructor Contract Page 2 of 8 CityofNational City and Revised October 2019 Federico Guerrero This Contract contemplates the personal services of the Contractor and the Contractor's Subcontractors, and it is recognized by the Parties that a substantial inducement to the City for entering into this Contract was, and is, the professional reputation and competence of the Contractor and its Subcontractors. All agreements by Contractor with its Subcontractor shall require the Subcontractor follow the applicable terms of this Contract. 8. NATURE/PLACE OF SERVICE. Contractor will provide services at the following location : El To on Recreation Center, 2005 t11 St., National City, CA 91950. The Contractor understands that the locations of services may change because of unforeseen circumstance. The City shall notify the Contractor within a reasonable time if the location for instruction changes. The Contractor must cooperate with. the City in relocating the planned Class/Program if a conflict in location arises. The Contractor is responsible for notifying the Class/Program participants of any location change. 9. TERM. This Contract shall become effective on this 2 1 2022 and terminates on 1/31 202 . The City rnay terminate this Contract with or without cause. Termination with or without cause shall be effective upon ten day' s written notice to Contractor. 1. O. SUBCONTRACTORS. Any Subcontractors who will assist in the instruction of the Class/Program must be 18 years of age or older and lasted in this Section 10 below. Contractor understands that any Subcontractor will be reuiredto complete a security clearance before the Subcontractor can assist with the Class/Program, as noted in Section 4 Security Clearance, and may be held liable for any loss or harm caused to the City or Class/ProgramClass/Program participants. The City may immediately terminate a Class/Program if Contractor fails to list a Subcontractor. if a Contractor hires a new Subcontractor after executing this Contract, the Contractor is responsible for notifying, in writing, the Community Services Department Director, or designee. Nai.ne: Mayra Del Rio Title: Substitute Instructor Name: Rosemary Quijas Title: Substitute l.n tru.ctor Name: Alexis Barrera Title.: Substitute Instructor Name: Jackie Alvarez Title: Substitute Instructor 11. CLASS/PROGRAM FEES AND CONTRACTOR COMPENSATION. The Contractor shall charge $60 Residents/$84 Dori -Residents for the Class/Program as noted in Exhibit B, the fee calculation sheet. This fee is calculated and established by the City and Contractor, following the City of National. City User Fee Schedule. The City shall collect all Class/Program registration fees through an online and in -person registration system. Contractors cannot collect Class/Program registration fees from Class Program pa.i icipants. If the Contractor; seeks to adjust the fee for the Class/Program, the Community Services Director, or designee, may approve adjustments to the Class Program at their, or designee's, sole discretion. Contractor is permitted to charge participants a materials fee to cover the cost of specific materials that the participant shall retain. Material fees are not included in Exhibit B, the fee Instructor Contract Page 3 of 8 City off`National City and Revised October 20!9 Federico Guerrero calculation sheet. The Contractor must collect material fees, distribute materials, and refund material ees as necessary. Per the City of National City User Fee Schedule, the City shall pay Contractor 70% (severity percent) of all Class/Program registration fees, less refunds and credits, for the Contractor's services. The City shall retain 30% (thirty percent) to cover costs including, but not limited to, administrative support, use of facilities, and publicity. Contractor shall receive one payment per season (as described in Section at the conclusion of the season as per the Program Schedule, Checks will be processed and available on a day designated by the City. Checks will be available for pickup for ten 1 days at Community Services office. Any checks not picked up by the tenth 1 oth day, w111 be mailed to the Contractor's last known address on file with the City. 12. EVALUATION. City will conduct Contractor and Subcontractor evaluations and survey participants to determine whether a class may continue. Representatives of the City may, at the City's sole discretion, attend any Class/Program in order to observe andevaluate the Class/Program, Contractor, and/or Subcontractor. Success and continuation of a Class/Program will be determined by the City, including but not limited to, evaluation of enrollment trends, complaints ardor compliments, and Contractor's attendance and reliability, 13. P RFORM NCT of DUTIES TO CIT 'S REASONABLE SATISFACTION. Contractors agree that they will perform, to the best of their ability and experience, all duties that may be reasonably required pursuant to the express terms of this Contract. Contractor shall behave .faithfully and diligently at all times. Contractor understands that City retains sole discretion to accept their actions are subject to the reasonable satisfaction ofthe City and the City retains full discretion of that satisfaction. The City may terminate this Contract if reasonable satisfaction is not met. 14. CONTRACTOR TI S. Contractor certifies that they are qualified to instruct the Class/Program and instruct participants on the services described in the proposal described in Exhibit A. Contractor must notify the City, in writing andwithin a reasonable time, if details for the Class/Program are changed in anyway, from the original submitted proposal. Contractor is responsible for all class curriculum development. Contractor understands that they are responsible for all supplies, materials, and equipment that are necessary for the Class/Program, at the Contractor's sole expense. Contractor shall keep any equipment used in the instruction of the Class/Program in working condition and shall be responsible for; all repairs and maintenance to that equipment. •Storage for supplies, materials, and equipment shall not be providedat a City facility and is the responsibility of the Contractor. Contractor shall restore the premises to its original condition at the conclusion of;the Class/Program. Contractor shall be liable for any damage to the premises, including damage causedby pollution. Contractor shall not exclude anyone from participation in Class/Program due to race, religious creed, color, national origin, ancestry, physical disability, medical condition, marital statute, sex, sexual orientation, or any other impermissible basis under applicable law. Instructor Contract Page 4 of 8 City of National City and Revised October 20I 9 Federico Guerrero Furthermore, Contractor shall not discriminate on similar grounds when hiring Subcontractor. Contractor shall follow the requirements of the Americans with Disabilities Act in the execution of this Contract. 15. POLICIES. - ----mow a. Cancellations of a Cass/Program: A Class Program may be cancelled if the minimum number of participants required to perform the Class/Program do not enroll. The minimum number of participants required for each Class/Program is determined in Exhibit B, the fee calculation sheet. The City may, in its sole discretion, cancel a class du.e to low enrollment and pursuant to Exhibit B, the fee calculation sheet. The City shall be responsible for notifying Class/Program participants of a canceled Class Program due to low enrollment. b. Cancellation Oa single class, If a class is cancelled by the City or the Contractor, the City and Contractor shall coordinate a makeup class at a suitable date, time, and location based on availability. If a class must be canceled clue to a scheduling conflict, the City shall make a. reasonable attempt to relocate the class. The Contractor is responsible for notifying participants of any canceled, makeup, or relocated classes. c. Refunds: Refunds may be issued in rare circumstances. In most cases, participants shall receive a credit to the participant's account for future use to register for a Class/Program. If a Class/Program is cancelled by either the City or Contractor for an indefinite time the City shall notify Class/Program participants and participants shall receive a credit to the participant's account for future use to register for a Class/Program. Contractor does not receive payment from the City for participants that request refunds and/or credits. d. Food and Beverages: Contractor is not permitted to sell food and beverages to participants. 'File Contractor may host end -of -season parties with food andbeverages with City approval. Alcohol is not permitted. l 6. INSURANCE. The Contractor, at its sole cost and expense, shall purchase and maintain, and shall require its Subcontractors, when applicable, to purchase a.nd maintain throughout the term of this Contract, the following insurance policies: a. Commercial General Liability Insurance, with minimum limits of either $1,000,000per occurrence and $2,000,000 aggregate, covering all bodily injury and property damage arising out of its operations, work, or performance under this Contract. The policy shall name the City a.nd its officers, agents, employees, and volunteers as additional insureds, d.s, and separate additional insuredendorsement shall be provided. The general aggregate limit must apply solely to this "project" or location". The "project" or "location" should be noted with specificity on an endorsement that shall be incorporated into the policy. The Commercial General Liability required by this Section must include Sexual Misconduct Liability coverage with minimum limits of $250,000 per occurrence and $250,000 in the aggregate. For the avoidance f doubt, the City understands that part of the coverage limits hereunder shall be satisfied by Contractor's excess umbrella policy. Contractor represents to City that its excess umbrella policy does not exclude coverage for Sexual Misconduct Liability. b. Workers' Compensation Insurance a.. in are amount sufficient to meet statutory requirements covering all of Contractor's employees and employers' yers' liability insurance with instructor Contract Page 5 of8 City of Nationai City and Revised October 2019 Federico Guerrero limits of at least $1,000,000 per accident. In addition, the policy shall be endorsed with a waivers of subrogtion in favor of the City. Said endorsement shall be provided prior to commencement of work under this Contract. c. If Contractor has no employees subject to the California Workers' Compensation and Labor laws, Contractor shall execute a Declaration to that effect. Said Declaration shall be provided to Contractor by City, d. The aforesaid policies shall constitute primary insurance as to the City, its officers, officials, employees, and volunteers, so that any other policies held by the City shall not contribute to any loss under said insurance. Said policies shall provide for thirty 3 days prior written notice to the City's Risk Manager, at the address listed in subsection f below, of cancellation or material change. e* if required insurance coverage is provided on a "claims made" rather than "occurrence" form, the Contractor shall maintain such insurance coverage for three years after expiration of the term (and any extensions) of this Contract. In addition, the "r tr " date must be on or before the date of this Contract. f. The Certificate Holder for all policies of insurance required by this Section shall be: City of National City c/o Risk Manager 1243 lational City Boulevard National City, CA 1 0-4 97 g. Insurance shall be written with only insurers authorized l to conduct business in California. that hold a current policy holder's alphabetic and financial size category rating of not less than :VII according to the current Best's Key Rating Guide, or a company of equal financial stability that is approved by the City's Risk Manager. In the event coverage is provided by non -admitted "surplus lines" carriers, they must be included on the most recent List of Approved Surplus Line Insurers ("LASLI") and otherwise meet rating requirements. l . This Contract shall not take effect until certificate(s) or other sufficient proof that these insurance provisions have been complied with, are filed with and approved by the City's Risk Manager. If the Contractor does not keep all insurance policies required by this Section in full force and effect at all times during the term of this Contract, the City may treat the failure to maintain the requisite insurance as a. breach of this Contract and terminate the Contract as provided herein. i. All deductibles and self -insured retentions in excess of $10,000 nmst be disclosed to and approved by the City. City reserves the right to modify the insurance requirements of this Section, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. j. If the Contractor maintains broader coverage or higher limits (or both) than the minimum limits shown above, the City shall be entitled to the broader coverage or higher; limits (or both) maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. instructor Contract page 6 of 8 City of National City and Revised October 2019 Federico Guerrero 17. INDEMNIFICATION & HOLD HARMLESS. The Contractor agrees to defend, indemnify, and hold harmless the City, its officers, officials, agents, employees, and volunteers against and from any and all liability, loss, damages to property, injuries to, or death of any person or persons, and all claims, demands, suits, actions, proceedings, reasonable attorneys' 5 ' fees, and defense costs, of any kind or nature, including workers' compensation claims, of or by anyone whomsoever, resulting from or arising out of the Contractor negligent performance of this Contract; provided, however, that this indemnification and hold harmless shall not include any claims or liability arising from the established sole negligence or willful misconduct of the City, its agents, officers, employees or volunteers. City will cooperate reasonably in the defense of any action, and Contractor shall employ competent counsel, reasonably acceptable to the City Attorney. . The indemnity, defense and hold harmless obligations contained herein shall survive the termination of this Contract for any alleged or actual omission, act, or negligence under this Contract that occurred during the term of this Contract. 18. GOVERNING LAW. This Contract shall be governed by and construed in accordance with the laws of the State of California. The venue for any legal action arising under this Contract shall be in either state or federal court in the County of San Diego, State of California, 19. RIGHT TO INSPECT & BSE it: V 4 City representatives may observe the Class/Program and also inspect the premises of the Class Program at all times during the term of this Contract to verify that Contractor complies with the terms and conditions of this Contract. 20. ENTIRE AGREEMENT. This Contract supersedes any prior agreements, negotiations and communications, oral or written, and contains the entire agreement between the Parties as to the subject matter hereof. No subsequent agreement, representation, or promise made by either Party hereto, or by or to an employee, officer, agent or representative of any Party hereto shall be of any effect unless it is in writing and executed by the Party to be bound thereby. [Signature page to follow.] rnstnictor Contract Page 7 of 8 City of National City and Revised October 2019 Federico Guerrero IN WITNESS WHEREOF, the Parties hereto have executed this Contract on the date and year first above written. CITY OF NATIONAL CITY By: Brad aulstoi ity Manager APPROVED AS TO FORM: Charles E. Bell, Jr. City Attorney By: Charles . Bell, Jr. City Attorney iTederico Guerrero] t orpor-crfivn — signatures af two 'Corporate o eer#s required) Ry: (Name) Fe(lke‘f e cr (Print) Tr‘Srfr' -1--t (Title) By: (Nam e) (Print) (Title) 'instructor structor Contract Page 8 of City ofNational City and Revised October 20 [ 9 Federico Guerrero Exhibit Program Proposal The City of National City Community Service Department prograrn proposal for youth and adults in leisure enrichment, fitness, sports and adapted activities. All staff/contract instructors must complete the foi1owing information before implementing any program: Instructor's Name: J Phone: = R M Class/Program/CampName: Season: Year: E-mall: Description of proposed class/activity: Class/camp size (# of participants): Minimumat) Maximum imu Space/equipment requirements: Le, classroom, tables, seating, etc.) Preferred day(s) I T ims, Proposed fee (per ass/session): Location: Class/camp session fen :h (Le., 6 weeks): a Age Group: ca:_:L'Ir Preferred tlrn (): Cim.°! D3 1.4 Multiple sessions (yes or no)? End of season presentation (yes or no) ADDITIONAL INFORMATION: Please include any past work experience In this field: 44- r egc r re) • `*�% Sjeell 9ia Se:k+ Learning Outcomes (What will the participant learn/what are the benefits of taking this class); 4 is' INA ,6;401 rks cr.)) intedlcoe. tc Jew, I . IZeca,, Marled, Plan (Type of marketing you'll be working on to bring in participants) 'SC<i ytiw rek } F y ers# Inventory (Supplies needed for class that center already has available) Purchases (Supplies still needed .fnter inventory) tAtio Maze attach marketing templates, purchase list, inventory, and agenda forth full session Exhibit B Class Name ('non-residents): Folk!orico Contract Period: 2022 - 2023 Only complete blue highlighted sections Class Information Minimum Age Minimum Participants Meetings Length of Meeting (in hours) Is the Class held inside a facility? Yes=1, No=O Total Program Hours City Cost Factors Registration (540 per season) Onsite Staff ($6 per hour) Outdoor Facility Fee ($5 per hour) Indoor Facility Fee ($10 per hour) National City Guide ($20 per issue) Total City Costs Revenue Requirements Recovery Level (70% Youth, 70% Adult) Minimum Recovery (70% of Total City Costs) Smallest fee that can be charged to met recovery Assigned Fee information Fee Assigned. Revenue at this fee with minimum enrollment nt City 0°A Portion (rout be greater than Minimum o ov ry) Instructor 70% Portion 5 20 26 1.0 1.0 26 40.00 156.00 FALSE 260.00 20.0() 4 0.0H 70% 55.53 S 84.00 $ 1,680.00 504 1 176.00 Exhibit B Contractor Class Fee Calculation Sheet Class Name (Residents): Folk/orico Contract Period: 2022 - 2023 Only complete blue highlighted sections Class Information Minimum Age Minimum Participants l"Jeetings Length of Meeting (in hours) Is the Class held inside a facility? Yes=1, No=0 Total Program Hours City Qpst Factors Registration ($40 per season) Onsite Staff ($6 per hour) Outdoor Facility Fee ($5 per hour) Indoor Facility Fee ($10 per hour) National City Guide ($20 per issue) Total City Costs Revenue egyire en is Recovery Level (40°/ Youth, 40% Adult) Minimum Recovery (40% of Total City Costs) Smallest fee that can be charged to meet recovery Assigned Fee Information Fee Assigned Revenue at this fee with minimum enrollment City 0 ° % Portion (must be greater r than Minimum Recovery) Instructor 70°' Portion 5 20 26 1.0 1.0 26 40.00 156.00 FALSE 260.00 20.00 476.00 40% 190.40 31,73 60.00 1..00.00 0.00 840.00 4/0 1/ 51 0 . AW R 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. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD!YYYY) 01 / 8/2 021 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, ED, the poiicy(Ies) must have ADDITIONAL INSURED ED 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 Iieu of such endorsernent(s). PRODUCER Hiscox inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor New York, NY 10022 INSURED FEDERICO GUERRERO 8623 Tommy Dr San Diego CA 92119 COVERAGES PHONE (Af alo, Ext): E-MAIL ADDRESS; INSURER A : INSURER B : INSURER C : INSURER D : (888) 202-3007 contact©hiscox.00m INSURER(S) AFFORDING COVERAGE Hiscox Insurance Company Inc INSURER E : CERTIFICATE NUMBER: INSURER F REVISION NUMBER: NAIL# 10200 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 I E UII EIv)ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE E AFFORDED DED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LlIvIITS SHOWN MAY HAVE BEEN DEDUCED BY PAID CLAIMS. LNSI LTR A TYPE OF INSURANCE COMME RCIALGENI RAL LIABILITY CLAIMS -MADE POLICY OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY UMBRELLA LIAB EXCESS LIAB OCCUR SCHEDULED AUTOS NON -OWNED AUTOS ONLY DED . RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANC'PROPRIE=TOR PARTNEI JEXEOUTEVE OFFIC ERJM EMBE R EXLU DED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below OCCUR CLAIMS -MADE Professional Liability SU BR VD POLICY NUMBER N!A POLICY EFF MM/DD/YYYY 02/22/2021 POLICY EXP MM/DD[YYYY EACH OCCURRENCE DAMAGE TO RENTED PREIVIISES Ea occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP}OP AGG COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident 021 2/2022 EACH OCCURRENCE AGGREGATE PER STATUTE E.L, EACH ACCIDENT El. DISEASE - EA EMPLOYEE E.L, DISEASE - POLICY LIMIT Each Claim: Aggregate: DESCRIPTION OF OPERATIONS / LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be ttaohed if more space is required) $ 250,000 250,000 CERTIFICATE HOLDER City of National City c/o Risk Manager 1243 National City Blvd National City, CA 91950-4397 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE TA►TIVE CI 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 ('1 /0 The ACORD name and logo are registered marks of ACORD D ACi3120� CERTIFICATE OF LIABILITY INSURANCE F-- DATE (MMJDD!YYYY) 01 / 8/ 021 THIS CERTIFICATE IS ISSUED AS A MATTER F INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY ATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED DED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN 1RER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) rust 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 s PRODUCER Hiscox Inc. d/b{ 1 1-11scox Insurance Agency in CA 520 Madison Avenue 32nd Floor New York, NY 10022 INSURE} FEDEI ICO GUERRERO 8623 Tommy Dr San Diego CA 9211 COVERAGES CERTIFICATE NUMBER: : CONTACT NAME: PHONE A/C. Na Ext : ) [FAX { -(ABC, No): ADDRESS: contact@hiscox.com INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A : I-iiscox Insurance Company Inc 10200 INSURER B : INSURER C : INSURER D : INSURER E a INSURER F : REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIO' 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 IBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rX] OCCUR GENII_ AGGREGATE LIMIT APPLIES PER: POLICY LOC PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY UMBRELLA LIAB EXCESS LIAB SCHEDULED AUTOS NON-OVVNED AUTOS ONLY DED RETENTION ADOL SUER POLICY EFF POLICY EXP — - I SD WVD POLICY NUMBER _ CMM?DD/ YYY)(MM1DD!YYYV) OCCUR CLAIMS -MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRCETOR/PARTNERlEXECUTIVE OFF ICERtN1 EM BER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below YJN _ N ( A UDC-470400-CGL-1 0 / / 021 02/ 1 0 2 LIMITS EACH OCCURRENCE $ 00 000 DAMAGE TO RENTED PREMISES (Ea occurrence) aED EXP Any one person) 100,000 $ S,000 PERSONAL & ADV INJURY $ 9 ,000,000 GENERAL AGGREGATE 1,000,000 PRODUCTS - COMP/OP AC $ SIT Gen, A g. COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident] EACH OCCURRENCE AGGREGATE PER TOT STATUTE 1 ER E.L. EACH ACCIDENT E.L, DISEASE - EA EMPLOYEE E,L. DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER City of National City cio Risk Manager 1243 National City Blvd National City, CA 91950-4397 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-15 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD