Includes copyrighted material of Insurance Services Office, Inc., with its permission. © 2011 Philadelphia Indemnity Insurance Company
Coverage Part, Paragraph 3.a. is deleted in its entirely and replaced by the following:
a. Coverage under this provision is afforded until the end of the policy period.
2. Each of the following is also an insured:
a. Medical Directors and Administrators Your medical directors and administrators, but only while acting within the scope of and during the course of their duties as such. Such duties do not include the furnishing or failure to furnish professional services of any physician or psychiatrist in the treatment of a patient.
b. Managers and Supervisors Your managers and supervisors are also insureds, but only with respect to their duties as your managers and supervisors. Managers and -
employment by you or performing duties
related to the conduct of your business.
This provision does not change Item 2.a.(1)(a) as it applies to managers of a limited liability company.
c. Broadened Named Insured Any organization and subsidiary thereof which you control and actively manage on the effective date of this Coverage Part. However, coverage does not apply to any organization or subsidiary not named in the Declarations as Named Insured, if they are also insured under another similar policy, but for its termination or the exhaustion of its limits of insurance.
d. Funding Source Any person or organization with respect to their liability arising out of:
(1) Their financial control of you; or
(2) Premises they own, maintain or control while you lease or occupy these premises.
This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. e. Home Care Providers At the first Named Insured's option, any person or organization under your direct supervision and control while providing for you private home respite or foster home care for the developmentally disabled.
f. Managers, Landlords, or Lessors of Premises Any person or organization with respect to their liability arising out of the ownership, maintenance or use of that part of the premises leased or rented to you subject to the following additional exclusions:
This insurance does not apply to:
(1) e a tenant in that premises; or
(2) Structural alterations, new construction or demolition operations performed by or on behalf of that person or organization.
g. Lessor of Leased Equipment Automatic Status When Required in Lease Agreement With You Any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization is to be added as an additional insured on your policy. Such person or Docusign Envelope ID: 2EDEF034-2B20-82DB-8064-CB7FD98B907F Item 8.b
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or
aused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization.
A
when their contract or agreement with you for such leased equipment ends.
With respect to the insurance afforded to these additional insureds, this insurance does not
h. Grantors of Permits Any state or political subdivision granting you a permit in connection with your premises subject to the following additional provision:
(1) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with the premises you own, rent or control and to which this insurance applies:
(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 exposures;
(b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. i. Vendors
which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions:
(1) The insurance afforded the vendor does not apply to:
(a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement;
(b) Any express warranty unauthorized by you;
(c) Any physical or chemical change in the product made intentionally by the vendor; (d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; Docusign Envelope ID: 2EDEF034-2B20-82DB-8064-CB7FD98B907F Item 8.b
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(g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or
(h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to:
(i) The exceptions contained in Sub-paragraphs (d) or (f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing.
j. Franchisor Any person or organization with respect to their liability as the grantor of a franchise to you.
k. As Required by Contract Any person or organization where required by a written contract executed prior to the occurrence of a loss. Such person or organization is an additional insured for "bodily injury," "property damage" or "personal and advertising injury" but only for liability arising out of the negligence of the named insured. The limits of insurance applicable to these additional insureds are the lesser of the policy limits or those limits specified in a contract or agreement. These limits are included within and not in addition to the limits of insurance shown in the Declarations
l. Owners, Lessees or Contractors Any person or organization, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" caused, in whole or in part, by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured when required by a contract.
With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
(a) 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
(b) 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.
Docusign Envelope ID: 2EDEF034-2B20-82DB-8064-CB7FD98B907F Item 8.b
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m. State or Political Subdivisions Any state or political subdivision as required, subject to the following provisions:
(1) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit, and is required by contract.
(2) This insurance does not apply to:
(a) "Bodily injury," "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality; or
(b) "Bodily injury" or "property damage" included within the "products-completed operations hazard."
M. Duties in the Event of Occurrence, Claim or Suit
SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 2. is amended as follows:
a. is amended to include:
This condition
(1) You, if you are an individual;
(2) A partner, if you are a partnership; or
(3) An executive officer or insurance manager, if you are a corporation. b. is amended to include:
This condition
is known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership; or
(3) An executive officer or insurance manager, if you are a corporation.
N. Unintentional Failure To Disclose Hazards
SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, 6. Representations is amended to include the following:
It is agreed that, based on our reliance on your representations as to existing hazards, if you should unintentionally fail to disclose all such hazards prior to the beginning of the policy period of this Coverage Part, we shall not deny coverage under this Coverage Part because of such failure.
O. Transfer of Rights of Recovery Against Others To Us
SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, 8. Transfer of Rights of Docusign Envelope ID: 2EDEF034-2B20-82DB-8064-CB7FD98B907F Item 8.b
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Recovery Against Others To Us is deleted in its entirety and replaced by the following:
If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them.
Therefore, the i ecovery prior to the occurrence of a
loss, provided the waiver is made in a written contract.
P. Liberalization
SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, is amended to include the following:
If we revise this endorsement to provide more coverage without additional premium charge, we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state.
Q. Bodily Injury Mental Anguish
SECTION V DEFINITIONS, Paragraph 3. Is deleted in its entirety and replaced by the following:
njury means:
a. Bodily injury, sickness or disease sustained by a person, and includes mental anguish resulting from any of these; and
b. Except for mental anguish, includes death resulting from the foregoing (Item a. above) at any time.
R. Personal and Advertising Injury Abuse of Process, Discrimination
If COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY COVERAGE is not otherwise excluded from this Coverage Part, the definition of amended as follows:
1. SECTION V DEFINITIONS, Paragraph 14.b. is deleted in its entirety and replaced by the following:
b. Malicious prosecution or abuse of process;
2. SECTION V DEFINITIONS, Paragraph 14. is amended by adding the following:
Discrimination based on race, color, religion, sex, age or national origin, except when:
a. Done intentionally by or at the direction of, or with the knowledge or consent of:
(1) Any insured; or
(2) Any executive officer, director, stockholder, partner or member of the insured; b. Directly or indirectly related to the employment, former or prospective employment, termination of employment, or application for employment of any person or persons by an insured;
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c. Directly or indirectly related to the sale, rental, lease or sublease or prospective sales, rental, lease or sub-lease of any room, dwelling or premises by or at the direction of any insured; or d. Insurance for such discrimination is prohibited by or held in violation of law, public policy, legislation, court decision or administrative ruling.
The above does not apply to fines or penalties imposed because of discrimination.
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22YJ
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
05/22/2025
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
AON RISK SERVICES SOUTH INC
3550 LENOX ROAD NORTHEAST
SUITE 1700
ATLANTA GA 30326
CONTACT
NAME: Aon Risk Services, Inc of Florida
PHONE
(A/C, No, Ext): 833-506-1544 FAX(A/C, No):
EMAIL
ADDRESS: [email protected]
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Indemnity Insurance Company of North America 43575
INSURED
TriNet Group, Inc. L/C/F Scopa Has A Dream, Inc. DBA Corazon Healdsburg 1 Park Place, Suite 600
Dublin, CA 94568-7983
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 15905253 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE ADDLINSR
SUBR
WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $
OTHER $
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO BODILY INJURY (Per person) $
OWNED
AUTOS ONLY
SCHEDULED
AUTOS BODILY INJURY (Per accident) $
HIRED
AUTOS ONLY
NON-OWNED
AUTOS ONLY
PROPERTY DAMAGE
(Per accident) $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DEC RETENTION $
A
WORKERS COMPENSATION
Y / N
N
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A X WLR_C73143585 07/01/2025 07/01/2026
X
PER
STATUTE
OTHER
E.L. EACH ACCIDENT $ 2,000,000
E.L. DISEASE - EA EMPLOYEE $ 2,000,000
E.L. DISEASE - POLICY LIMIT $ 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Compensation coverage is limited to worksite employees of Scopa Has A Dream, Inc. DBA Corazon Healdsburg through a co-employment agreement with TriNet HR III, Inc.
List of additional covered entities under the above policy:
dba Corazon Healdsburg
Waiver of subrogation in favor of City of Healdsburg as required by written contract.
CERTIFICATE HOLDER CANCELLATION
City of Healdsburg
401 Grove Street
Healdsburg, CA 95448
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
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 2EDEF034-2B20-82DB-8064-CB7FD98B907F Item 8.b
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Workers' Compensation and Employers' Liability Policy
Named Insured
TriNet Group, Inc. L/C/F Scopa Has A Dream, Inc. DBA Corazon Healdsburg 1 Park Place, Suite 600
Dublin, CA 94568-7983
Endorsement Number
Policy Number
Symbol: WLR Number: C73143585
Policy Period
07/01/2025 TO 07/01/2026
Effective Date of Endorsement
07/01/2025
Issued By (Name of Insurance Company)
Indemnity Insurance Company of North America
Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in item 3.A. of the Information Page.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us.
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.
Schedule
1. ( X ) Specific Waiver
Name of person or organization:
City of Healdsburg
401 Grove Street
Healdsburg, CA 95448
( ) Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations:
3. Premium:
The premium charge for this endorsement shall be INCLUDED percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described.
4. Minimum Premium: INCLUDED
___________________________________
Authorized Representative
WC 90 03 75 (05/18)
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Certificate Of Completion
Envelope Id: 2EDEF034-2B20-82DB-8064-CB7FD98B907F Status: Completed Subject: MOU_City of Healdsburg,_Corazón Healdsburg_Healthcare Foundation Northern Sonoma County_ADLCC Source Envelope:
Document Pages: 24 Signatures: 9 Envelope Originator:
Certificate Pages: 6 Initials: 0 Tyler Kettmann
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
401 Grove St
Healdsburg, CA 95448
[email protected]
IP Address: 192.184.232.254
Record Tracking
Status: Original
5/5/2026 3:02:58 PM
Holder: Tyler Kettmann
[email protected]
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Signer Events Signature Timestamp
Tyler
[email protected]
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 192.184.232.254
Sent: 5/5/2026 3:16:57 PM
Resent: 5/7/2026 6:17:22 AM
Viewed: 5/7/2026 6:26:18 AM
Signed: 5/7/2026 6:27:00 AM
Electronic Record and Signature Disclosure:
Accepted: 5/7/2026 6:26:18 AM
ID: 73cef14c-c49f-4f16-a4e5-5b5fa9ad79a9
Amy Ramirez
[email protected]
Executive Director
Security Level: Email, Account Authentication
(None) Signature Adoption: Drawn on Device
Using IP Address: 2a04:4e41:6404:4723::9d32:f723
Signed using mobile
Sent: 5/7/2026 6:27:02 AM
Resent: 5/13/2026 4:04:49 PM
Viewed: 5/13/2026 5:54:00 PM
Signed: 5/13/2026 5:54:26 PM
Electronic Record and Signature Disclosure:
Accepted: 5/7/2026 8:38:38 AM
ID: 6424dcc4-7be6-4f2a-a7ff-7a4830bc2cd8
Marcy Flores
[email protected]
Executive Director
Corazón Healdsburg
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 73.222.11.254
Sent: 5/13/2026 5:54:29 PM
Resent: 5/15/2026 12:49:32 PM
Viewed: 5/19/2026 4:46:09 PM
Signed: 5/19/2026 4:47:23 PM
Electronic Record and Signature Disclosure:
Accepted: 10/26/2022 8:59:35 AM
ID: 30f78db0-863e-4c97-b995-538f2efb4bbd
Samantha Zutler
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 83.142.148.202
Sent: 5/19/2026 4:47:25 PM
Viewed: 5/20/2026 1:13:47 PM
Signed: 5/20/2026 1:13:55 PM
Electronic Record and Signature Disclosure:
Accepted: 5/20/2026 1:13:47 PM
ID: 115d7599-fbde-4cde-928c-f20a59cc8636
Item 8.b
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Signer Events Signature Timestamp
Mark Themig
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address:
2607:fb90:9c20:3ad9:4863:a4ec:89d5:31ea
Sent: 5/20/2026 1:13:58 PM
Viewed: 5/22/2026 8:25:45 AM
Signed: 5/22/2026 8:26:00 AM
Electronic Record and Signature Disclosure:
Accepted: 3/11/2024 12:54:12 PM
ID: ed13e77f-6866-4b5a-a690-e723df70de7b
Tyler Kettmann
[email protected]
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 192.184.232.254
Sent: 5/22/2026 8:26:02 AM
Viewed: 5/22/2026 8:39:56 AM
Signed: 5/22/2026 8:41:41 AM
Electronic Record and Signature Disclosure:
Accepted: 4/29/2026 11:29:30 AM
ID: e6ba1529-8584-427f-9db3-8fc7c03c6996
Tyler Kettmann
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 192.184.232.254
Sent: 5/22/2026 8:41:43 AM
Viewed: 5/22/2026 8:42:04 AM
Signed: 5/22/2026 8:42:08 AM
Electronic Record and Signature Disclosure:
Accepted: 4/29/2026 11:29:30 AM
ID: e6ba1529-8584-427f-9db3-8fc7c03c6996
Katie Edgar
[email protected]
Finance Director
Security Level: Email, Account Authentication
(None) Signature Adoption: Pre-selected Style
Using IP Address: 192.184.232.254
Sent: 5/22/2026 8:42:10 AM
Viewed: 5/26/2026 9:42:12 AM
Signed: 5/26/2026 9:46:14 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Jeffrey Kay
[email protected]
City Manager
City of Healdsburg
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 192.184.232.254
Sent: 5/26/2026 9:46:17 AM
Viewed: 5/26/2026 10:49:39 AM
Signed: 5/26/2026 10:49:49 AM
Electronic Record and Signature Disclosure:
Accepted: 5/26/2026 10:49:39 AM
ID: 1fd70f5d-7bcf-4906-bc76-3ae4e9b6be65
Raina Allan
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 192.184.232.254
Sent: 5/26/2026 10:49:53 AM
Resent: 5/27/2026 11:09:04 AM
Viewed: 5/28/2026 8:12:38 AM
Signed: 5/28/2026 8:13:24 AM
Electronic Record and Signature Disclosure:
Accepted: 5/28/2026 8:12:38 AM
ID: 1effad17-580f-414b-91e2-ae0ebf968e91
Item 8.b
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In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
AP
[email protected]
Security Level: Email, Account Authentication
(None)
Sent: 5/28/2026 8:13:26 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Tom Campbell
[email protected]
Security Level: Email, Account Authentication
(None)
Sent: 5/28/2026 8:13:27 AM
Viewed: 5/28/2026 10:10:15 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/5/2026 3:16:57 PM
Certified Delivered Security Checked 5/28/2026 8:12:38 AM Signing Complete Security Checked 5/28/2026 8:13:24 AM
Completed Security Checked 5/28/2026 8:13:27 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Item 8.b
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ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Healdsburg (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.
Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 5/26/2021 11:16:12 AM Parties agreed to: Tyler, Amy Ramirez, Marcy Flores, Samantha Zutler, Mark Themig, Tyler Kettmann, Tyler Kettmann, Jeffrey Kay, Raina Allan Item 8.b
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Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.
How to contact City of Healdsburg:
You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:
To contact us by email send messages to: [email protected] To advise City of Healdsburg of your new email address
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PLANNING COMMISSION MEETING
REPORT TO THE CITY COUNCIL
MEETING DATE: August 25, 2026
RECOMMENDED ACTION: No action required.
1. ROLL CALL
Commissioners Present: Barber, Gentry, Gerlach, McKay, Pearlman, Schadlich, Wood Commissioners Absent: None
City Staff in attendance: Community Development Director Scott Duiven, Senior Planner Ellen McDowell, and Administrative Technician Amanda Gray
2. ADMINISTRATIVE ACTIONS:
A. Approval of Agenda: The Commission voted 7-0-0 to approve August 25, 2026, agenda.
B. Approval of Minutes: The Commission voted 7-0-0 to approve August 11, 2026, regular meeting minutes.
C. Acceptance of Communications and Correspondence:
Agenda Item No. 4A:
• Mathieu and Dory Isaacs
D. Declaration of Conflict of Interest: Commissioner Gentry declared a conflict of interest with Agenda Item No. 4b and stated he would recuse himself from that discussion.
E. Disclosures of Ex Parte Communications: None.
3. PUBLIC COMMENTS
None.
4. PUBLIC HEARINGS
A. 430 Foss Street Tasting Room Extension of Time
The Planning Commission voted 7-0-0-0 to adopt a Resolution approving an extension of time for CUP-0003-2024.
B. Consideration of a Major Conditional Use Permit Amendment for the Seghesio Winery located at 700 Grove Street (APN 089-120-090) to allow winery-related events on site for up to 200 guests and amplified music The following member of the public spoke to the item: Mathieu Isaacs The Planning Commission voted 7-0-0-1 (Gentry recused) to adopt a Resolution approving Major Conditional Use Permit Amendment (CUP-0005-2026) based on the suggested findings and subject to the recommended conditions of approval, with the following revision to Condition of Approval number 11:
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11. All speakers used for lightly amplified music or speech shall be directed to the east towards the winery and away from the homes opposite Grove Street.
C. 444 Healdsburg Avenue - Live/Work
The Planning Commission voted 7-0-0-0 to adopt a Resolution approving Major Design Review (DR-0005-2026) to allow a live-work development consisting of 2,284 square feet of combined live/work development with two integrated office spaces on the ground floor and a single living unit on the first and second floors located at 444 Healdsburg Avenue (APN 002-171-013).
5. BUSINESS ITEMS
None.
6. COMMISSIONER AND SUBCOMMITTEE REPORTS
None.
7. DIRECTOR'S REPORT
Director Duiven reported on items of interest to the Planning Commission.
8. ADJOURNMENT
The meeting adjourned at approximately 7:25 PM.
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SENIOR CITIZEN ADVISORY COMMISSION
MEETING REPORT TO THE CITY COUNCIL
MEETING DATE: August 26, 2026
RECOMMENDED ACTION: No action required.
1. ROLL CALL
Commission Members Present: Brown, Cordova, Erickson, Go, O’Brien and Riley Commission Members Absent: None
City Staff in attendance: Community Services Director Mark Themig, Active Adult and Senior Services Supervisor Anna Grant, and Office Assistant Lisa Licea Approval of Minutes: The Commission approved the February 25th, 2026 meeting minutes.
2. CITY COUNCIL LIAISON REPORT: Vice Mayor Ron Edwards presented the City Council Liaison Report to the Commission.
3. ANNOUNCEMENTS/PRESENTATIONS: None
4. PUBLIC COMMENTS: The Commission received public comment regarding the Bistro Dining Program. One individual offered to provide training on computers, home security, and other technology to help boost attendance at the Dining Program on Mondays, if needed.
Another individual emphasized that tracking all feedback provided by seniors during the pilot period of the revised dining program will be extremely important to fully understand how the program revisions are being received and whether they are meeting the needs of participants.
5. BUSINESS ITEMS:
Older Adult Dining Program – Supervisor Anna Grant presented several options to the Commission aimed at improving the financial sustainability of the Older Adult (Bistro) Dining Program. The options included several scenarios involving Catered by Patti, other local meal vendors, and the Council on Aging. The Commission discussed the various options. Chair Brown recommended continuing with the current meal provider for a threemonth pilot period, with the following revisions: suspending Monday meal service, reducing the number of meal offerings from three to two, and increasing the fees for lunch and Supper Club from $5 to $6. The Commission voted unanimously to recommend these revisions to the City Council. (Ayes – 6, Noes – 0, Absent – 0)
6. INFORMATION AND REPORT OF COMMUNITY SERVICES ACTIVITIES Supervisor Grant provided an update on upcoming programs and events at the Senior Center.
Director Themig also informed the Commission of the upcoming corporate use of the Foley Pavilion by Jeep Corporation, marking the Pavilion’s first corporate use.
7. COMMISSION REPORTS ON MATTERS OF INTEREST: Commissioner O’Brien shared positive feedback and appreciation for the Senior Center’s first ever Car Show Social.
8. ADJOURNMENT: The meeting was adjourned at 5:28 PM.
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ARTS AND CULTURE COMMISSION MEETING
REPORT TO THE CITY COUNCIL
MEETING DATE: August 26, 2026
RECOMMENDED ACTION: No action required.
1. ROLL CALL
Commission Members Present: Conklin, Davy, Frank, Jeppson, and Riner Commission Members Absent: Harris and Rauda
City Staff in attendance: Community Services Director Mark Themig, Arts & Culture Program Administrator Taryn Möller Nicoll, and Office Assistant Lisa Licea Approval of Minutes: The Commission voted to approve the December 3, 2025 Special Meeting Minutes, on the condition that a correction be made to paragraph one under ‘New Business’ clarifying an event’s co-sponsorship.
2. CITY COUNCIL LIAISON REPORT: Councilmember Ariel Kelley provided the Council Liaison Report to the Commission.
3. ANNOUNCEMENTS/PRESENTATIONS: The Commission received an event planning update on the Healdsburg Arts Festival.
4. PUBLIC COMMENTS: A member of the public commended the Commission’s efforts and encouraged positivity and support for artists, particularly young artists, in future community projects. The Commission also received public comments regarding the proposed FY 2026- 27 Workplan, including clarification of Arts Education Committee events and a suggested revision to the Arts Education Goal’s wording to include the term “initiatives.” Another member of the public shared positive feedback regarding the website map.
5. BUSINESS ITEMS: Arts and Culture Commission Fiscal Year 2026-27 Workplan Adoption – Staff presented the Commission’s FY 26-27 Workplan which reflected the Commission’s feedback provided at their August 10 work session. After discussion and receiving public comments, the Commission voted to adopt their Workplan and confirm Committee assignments.
Arts and Culture Website Map – The Commission reviewed the Website Committee’s Arts & Culture Website Map and provided feedback.
6. COMMITTEE UPDATES: The Commission received an update from Arts for All Grant recipient Jake Messing about his mural “River of Dreams”. In addition, several other Committees provided updates on their progress, including the newly formed Committee that will focus on developing the “Artist of the Year” Program.
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7. INFORMATION AND REPORT OF COMMUNITY SERVICES ACTIVITIES: Staff updated the Commission on upcoming September meetings, including the Abel de Luna Community Center Multicultural Project Murals, which will be presented to the City Council for review at its September 8 meeting, and the Percent for Arts Program update, scheduled for the September 23 Arts & Culture Commission meeting.
Additionally, staff reported that the final concert in the “Tuesdays in the Plaza” Concert Series was held this week and that Jeep Corporation will utilize the Foley Pavilion this weekend, which will be the Pavilion’s first corporate use.
8. COMMISSION REPORTS ON MATTERS OF INTEREST: Vice Chair Riner shared positive feedback on a recent performance at the Raven. Commissioner Frank provided an update on the upcoming Scarecrow Festival and September scarecrow-building workshops.
Chair Jeppson suggested that Heartizens provide an update at the September Arts & Culture Commission meeting. Commissioner Conklin noted clarification regarding committee composition, and staff reiterated that the Commission serves as the appointed decisionmaking body while considering input from community members serving on committees.
9. ADJOURNMENT: The meeting was adjourned at 8:06 PM.
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9/2/2026 – Page 1
CITY OF HEALDSBURG
CITY COUNCIL FUTURE AGENDA ITEMS
(NOTE: The schedule is tentative and subject to change pending final publication and posting of the City Council meeting agenda) September 21, 2026 Creek Week Proclamation
Acceptance of the Abel De Luna Community Center Multicultural Center and Resilience Hub Tier 1 painting project
Milestone Events Group Management Agreement Extension for the Villa Chanticleer Multicultural Center Corazon and Healthcare Foundation MOU Amendment for Tiers 2 and 3 and Design Contract for Tiers 2 and 3
Review Capital Improvement Program and Reestablish Appropriations in Fiscal Year 2026-27 for Continuing Projects
SMART Update Presentation to Council
October 5, 2026 Employee Anniversaries – Jeff McGee (5 years) Appeal of Planning Commission Decision of 359 Hudson Street Foley Family Community Pavilion Phase 2 Operations Plan October 19, 2026 Proclamation recognizing Domestic Violence Awareness Month Affordable Multi-Family Appliance Replacement Program Phase 2 4th of July Alternative to Fireworks Discussion
Climate Mobilization Strategy Update
Agriculture & Open Space District Agreements for Laura Fish Somersal Park and Badger Park Community Services Financial Plan - Part 1 - Long-Term Strategy/Goals Magical Bridge Playground Fundraising Update, Feasibility Study, Design and Construction Agreement, Funding Commitment and Badger Park Schematic Design Contract November 2, 2026 Community Services Budget, Part 2 - Service Prioritization, Program Expenditures and Revenue Adjustments
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9/2/2026 – Page 2
Microtransit (on demand) Update
November 16, 2026
2027 Master Calendar of Events and Requests for City Partnerships Contract Amendment to Housing Land Trust of the North Bay December 7, 2026
Senior Center Older Adult Dining Program Agreement
December 21, 2026
Farmers’ Market Agreement
Community Services Budget: Part 3 - Financial Plan
(NOTE: The schedule is tentative and subject to change pending final publication and posting of the City Council meeting agenda) Item 12.a
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