LICENSE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH AND
SADDLEBACK CHURCH FOR USE OF SPACE AT THE HUNTINGTON BEACH
SENIOR CENTER IN CENTRAL PARK
THIS LICENSE AGREEMENT ("License") is made and entered into by and between the CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California ("City") and SADDLEBACK CHURCH, a nonprofit corporation ("Saddleback"), collectively (the "Parties").
WHEREAS, Saddleback seeks to occasionally use meeting space within the Huntington Beach Senior Center; and
City desires to allow such use on the terms and conditions contained within this License, NOW, THEREFORE, the parties hereto do hereby agree as follows:
1. TERM.
The Term of this License shall be three years commencing at 12:01 a.m. on 2026, and ending at 11:59 p.m. on , 2029, unless extended or sooner terminated as provided for herein. Either party may terminate this Agreement at any time for any reason, upon thirty (30) days prior written notice. This License may be extended upon mutual agreement of the parties for two (2) additional one (1) year periods.
GENERAL DUTIES AND RESPONSIBILITIES OF SADDLEBACK.
a. Saddleback shall provide a liaison for City to conduct daily business with and coordinate rental activities and efforts.
b. Saddleback will provide its own off site storage facility. Storage at the Senior Center will not be utilized, all equipment will be loaded in and out every usage. If storage is requested it must be mutually agreed upon by both City and Saddleback in writing.
C. Saddleback, from time to time, may require cancellation of meeting space on a regularly scheduled day. Saddleback will notify City 30 days in advance for all schedule changes.
Saddleback will follow all rental procedures and policies set forth in City's Policies Governing Use of Facility, a copy of which is attached hereto as Exhibit "A" and incorporated by this reference as though fully set forth herein. e. Saddleback will provide monthly payment 14 days after receipt of City's invoice for Saddleback's utilization of the space in the previous month. f. Saddleback will provide any necessary equipment beyond City's current available inventory at the Senior Center.
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GENERAL DUTIES AND RESPONSIBLITIES OF CITY.
City will provide rental space for the period of this contract as noted in the Schedule of Fees, Payment and Days of Use, a copy of which is attached hereto as Exhibit "B" and incorporated by this reference as though fully set forth herein. b City will provide staff to open and close the facility, and set up services according to the request of Saddleback site map to ensure a successful rental.
C. City will identify a liaison at the Senior Center to conduct daily business with and coordinate rental activities and efforts.
City from time to time may require cancellation of a meeting space rental on regularly scheduled days. City will notify Saddleback 30 days in advance for all schedule changes. City may also cancel reservations in an emergency or active disaster activation. City may, but is not required to, investigate the availability of alternative facility space before final cancellation of a rental.
e. Rentals will not be provided on City observed holidays, unless upon mutually agreed upon in advance and subject to the availability of City staff.
Storage at the Senior Center will not be provided. All equipment will be loaded in and out every usage. If storage is requested, it must be mutually agreed upon by both City and Saddleback in writing.
City will provide a clean and safe facility. Upon completion of rental, Saddleback is to work with City to restore the facility to original condition when received. h. City will provide standard toiletries for restroom use, cleaning supplies, tables and chairs, and A/V equipment as available.
i. City will invoice Saddleback monthly for the previous month's facility use.
NOTICES.
Any notice to be given hereunder shall be sent by registered mail, and shall be deemed to be given when so mailed to the party to be notified at the address herein below stated:
TO City: TO Saddleback:
City of Huntington Beach Saddleback Church
Dir. Community & Library Services Attn: William Johnston 2000 Main Street, S"' Floor 1 Saddleback Parkway
Huntington Beach, CA 92648 Lake Forest, CA 92630
2 26-18048/417277
City or Saddleback may change the name of the party to be notified by written notice to the other party.
INDEMNIFICATION, DEFENSE AND HOLD HARMLESS.
Saddleback hereby agrees to protect, defend, indemnify and hold harmless City, its officers, elected or appointed officials, employees, agents and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands and defense costs (including, without limitation, costs and fees of litigation (including arbitration) of every nature or liability of any kind or nature) arising out of or in connection with this License including but not limited to: (1) the use or occupancy of the Premises by Saddleback, its officers, employees or agents, oi (2) the death or injury of any person or the damage to property caused by a condition of the Gallery, or (3) the death or injury of any person or the damage to property caused by any act or omission of Saddleback, its officers, employees or agents, or (4) any failure by Saddleback to keep the Gallery in a safe condition, or (5) Saddleback's (or Saddleback's agents and/or sub agents, if any) performance of this License or its failure to comply with any of its obligations contained in this License by Saddleback, its officers, agents or employees except such loss or damage which was caused by the sole negligence or willful misconduct of City. Saddleback shall hold all meetings on the site at the sole risk of Saddleback and save City harmless from any loss or damage thereto by any cause whatsoever, except such loss or damage which was caused by the sole negligence or willful misconduct of City. Saddleback will conduct all defenses at its sole cost and expense and City shall approve selection of Saddleback's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as limitation upon the amount of indemnification to be provided by Saddleback.
6. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE.
Saddleback acknowledges awareness of Section 3700 et seq. of the California Labor Code, which requires every employer to be insured against liability for workers' compensation.
Saddleback covenants that it shall comply with such provisions prior to the commencement of this License. Saddleback shall obtain and furnish to City workers' compensation and employers' liability insurance in amounts not less than the State statutory limits. Saddleback shall require all sub agents and contractors to provide such workers' compensation and employers' liability insurance for all of the sub agents' and contractors' employees. Saddleback shall furnish to City a certificate of waiver of subrogation under the terms of the workers' compensation and employers' liability insurance and Saddleback shall similarly require all sub agents and contractors to waive subrogation.
7. GENERAL PUBLIC LIABILITY INSURANCE.
In addition to the workers' compensation and employers' liability insurance and Saddleback's covenant to defend, hold harmless and indemnify City, Saddleback shall obtain and furnish to City, a policy of general public liability insurance, including motor vehicle coverage against any and all claims arising out of or in connection with this License. This policy shall 3 26-18048/417277
indemnify Saddleback, its officers, employees and agents, while acting within the scope of their duties, against any and all claims arising out of or in connection with the License, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000.00) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000.00). This policy shall name City, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the License shall be deemed excess coverage and that Saddleback's insurance shall be primary.
Under no circumstances shall said above-mentioned insurance contain a self-insured retention, or a "deductible" or any other similar form of limitation on the required coverage.
8. CERTIFICATES OF INSURANCE, ADDITIONAL INSURED ENDORSEMENTS.
Prior to commencement of this License, Saddleback shall furnish to City certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverage as required by this License; these certificates shall:
a. provide the name and policy number of each carrier and policy; shall state that the policy is currently in force; and
shall promise to provide that such policies shall not be canceled or modified without thirty (30) days' prior written notice of City; however ten (10) days' prior written notice in the event of cancellation for nonpayment of premium, which 10-day notice provision shall not apply to any property insurance referenced herein.
Saddleback shall maintain the foregoing insurance coverage in force during the entire term of the License or any renewals or extensions thereof or during any holdover period.
The requirement for carrying the foregoing insurance coverage shall not derogate from Saddleback's defense, hold harmless and indemnification obligations as set forth in this License.
City or its representatives shall at all times have the right to demand the original or a copy of any or all the policies of insurance. Saddleback shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required.
Saddleback shall provide a separate copy of the additional insured endorsement to the Saddleback's insurance policies, naming the City, it's officers, elected and appointed officials, employees, agent and volunteers as Certificate Holder and Additional Insured by separate attached endorsement, to be approved prior to any payment hereunder.
9. CITY'S AUTHORITY TO CLOSE THE PREMISES.
4 26-18048/417277
City may close the Premises without liability and without advance notice to Saddleback therefore at any time as City in its sole discretion deems necessary for the protection of life, limb or property, or for public health, safety or welfare purposes, or upon reasonable notice to effect any repair, remodeling or rebuilding deemed necessary by City in its sole discretion.
10. MODIFICATION.
No waiver or modification of any language in this License shall be valid unless in writing and duly executed by both parties.
11. ATTORNEY'S FEES.
In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this License or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party.
12. GOVERNING LAW.
This License shall be governed and construed in accordance with the laws of the State of California.
13. NON-POSSESSORY INTEREST.
City retains full possession of the Property and Saddleback will not acquire any title or possessory interest, whether temporary, permanent, or otherwise by reason of this License, or by the exercise of the permission given herein. Saddleback will make no claim to any such interest and Saddleback will not claim that it has or ever had an irrevocable license in the Property.
14. ASSIGNMENTS.
This Agreement is personal to Saddleback, and Saddleback will not assign, transfer or sell this Agreement or any privilege hereunder in whole or in part, and any attempt to do so will be void and confer no right on any third party.
REST OF PAGE NOT USED
5 26-18048/417277
the partes acknenledge and apper that they are entenny anto the Licens beely and helmaniis dollomme edense and's length nepotations, and that each has had the opportunny deceased mad legal censed poo dogsecong this iccuse Me parties also acknowledge and done that no representations, mducements, promises, apreements on taurantics, oral or otherness, have been made be that party, or anyone acting on that party's behalf, which are not cobrated in dis t feense, and that that party has not excented des License in reliance on any apresentation, inducement, pronuse, aprcement, warranty, Tact or circumstance not expressly sel forth in this dacense The License, and the attached exhibits, contain the entire agrecinen! darren the parties respecting the subject matter of this License, the Promises, the use of the Premises lo Saddleback, or the license term crcated under this License, and supersede all prior understandings and agreements, whether oral or in writing between the partics respecting the subket matter herent
IN WITNESS WHEREOF the parties hereto have caused this MOl/ to be executed by and through their authorized officers on.. , 2026
SADDI EBACK: CITY:
Saddleback Church CITY OF LIUNTINGTON BEACH.
a California municipal corporation
Contriler
Mayor
AND
By William. Cohnston City Clerk
Its: Campus Partor
INITIATED AND APPROVED:
Director of Community & Library Services
REVIEWED AND APPROVED:
City Manager
APPROVED AS TO FORM:
City Attorney
6 15. ENTIRETY.
The parties acknowledge and agree that they are entering into this License freely and voluntarily following extensive arm's length negotiations, and that each has had the opportunity to consult with legal counsel prior to executing this License. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party, or anyone acting on that party's behalf, which are not embodied in this License, and that that party has not executed this License in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this License. The License, and the attached exhibits, contain the entire agreement between the parties respecting the subject matter of this License, the Premises, the use of the Premises by Saddleback, or the License term created under this License, and supersede all prior understandings and agreements, whether oral or in writing between the parties respecting the subject matter hereof.
IN WITNESS WHEREOF, the parties hereto have caused this MOU to be executed by and through their authorized officers on , 2026.
SADDLEBACK: CITY:
Saddleback Church CITY OF HUNTINGTON BEACH,
a California municipal corporation
By:
Its:
Mayor
AND
By:_ City Clerk
Its:
INITIATED AND APPROVED:
Director of Community & Library Services
REVIEWED AND APPROVED:
City Manager
APPROVED AS TO FORM:
City Attorney
le
6 26-18048/417277
City of Huntington Beach
Community & Library Services Department
2000 Main Street, Huntington Beach, CA 92648-2702
HUNTINGTON BEACH
(714) 536-5486 (714) 536-5600 (Senior Center)
Policies Governing Use of Facility
GENERAL:
• Per Huntington Beach City Ordinance 13.48.060, "no person shall operate, drive, ride, park, or leave standing any automobile, truck, motorcycle, motor scooter, motorized bicycle, go-cart, or any other motor vehicle or any other vehicle at any time in any park."
Any person or group causing damage to property and/or equipment will be required to pay for the same replacement (based on the current cost of repair or replacement).
POLYSTYRENE (STYROFOAM) POLICY:
• No utilization and/or distribution of expandable polystyrene products (commonly referred to by the trade name "Styrofoam") by any attendee or vendor including, but not limited to, caterers, entertainment, and rental equipment is allowed. If said product is used during your event, your deposit will be forfeited in full. Resolution 2005-1; Section 2; January 3, 2005: Excerpt.
MUSIC/AMPLIFIED SOUND:
The provisions of Municipal Code Chapter 13.48.080 must be adhered to in the use of public spaces. • No person shall maliciously or wilifully disturb the peace or quiet of a park or of any person therein, by loud or unusual noises, or by indulging in riotous, boisterous, threatening, indecent or offensive conduct, or by using abusive, profane, indecent or vulgar language. No person shall, within any park, disturb in any manner any picnic, meeting, services, concert, exercise or exhibition. No person shall play or utilize any sound-amplifying system within or upon any park or facility not set aside for such purpose by the City Council or the Director of Community & Library Services.
• Any person violating any provision of this chapter shall, upon conviction thereof, be guilty of a MISDEMEANOR and subject to a fine of not more than five hundred dollars ($500) or to be imprisoned in the City or County jail for a period not to exceed three (3) months, or both such fine and imprisonment. • If music and/or sound can be heard outside the perimeter of your group, this is an indication that music and/or sound are too loud and must be turned down. Please be considerate of surrounding homes, businesses, and park patrons. Event must conclude and music must be turned off no less than one-hour prior to end of reservation time.
There should be no adjustments made to the center's audio/visual systems by the rental applicant. Only Senior Center staff are allowed to adjust/work on the center's AN systems. • Violations of the above-mentioned rules will result in the forfeiture of your rental deposit in full.
NO SERVING OF ALCOHOL:
• If alcohol is found in or around the facility, it will result in immediate termination of the event and the forfeiture of all fees and deposits in full. The police will be called and your event will be shut down immediately.
City of Huntington Beach
Community & Library Services Department
2000 Main Street, Huntington Beach, CA 92648-2702
HUNTINGTON BEACH
(714) 536-5486 (714) 536-5600 (Senior Center)
Policies Governing Use of Facility
MISCELLANEOUS REGULATIONS:
• Time required for decorating (do not use staples or tape on the walls or windows) or other preparation must be included in the application. Facility must be cleaned to its original condition and vacated by the end time on your application.
• A Huntington Beach business license is required for all vendors providing a service for the event. • Building curfew: Sunday - Thursday 10:00 p.m., Friday and Saturday 11:00 p.m. (including the caterer).
Kitchen is to be used only by caterers approved by the City of Huntington Beach who have the required liability insurance and a Huntington Beach business license. All food must be removed from the kitchen upon conclusion of the event.
For storage, one fridge and one freezer will be available for use. • Food is not permitted in the Game Room, Dance Room, and Hailways. • Balioons inflated with helium are prohibited in the facility. No rice, birdseed, confetti, or other similar items shall be thrown on or around the facility.
• If the facility is not left in good order by the time specified on your application, you will be charged double the hourly rate and staff fee for at least one hour or forfeit the security deposit. • Rented tables and chairs must be removed at the end of the event. Patron is responsible for set up/ take down of all rental equipment not provided by the city. If furniture or the original setup needs to be adjusted, it should only be done by Senior Center staff to avoid damage to the facility. • Provided tables/chairs must remain inside the facility. Tables provided are rectangular and/or circular. Table coverings may be required depending on the type of event and/or room reservation. • Permits will only be issued to persons 21 years of age and over. The person signing the application must be present at the event
• An adult chaperone (21 years) is required for every 25 children at youth events.
The facility must be cleaned and left in good condition prior to the end time on the application. Clean up is the applicant's responsibility and includes clearing of all table tops, the lounge bar, ensuring chairs are clean, removing all trash from floors and disposing all trash into proper receptacles, removing all decorations and personal belongings.
• The caterer is responsible for cleaning the kitchen. Counter tops and kitchen equipment must be wiped clean including all spillage in refrigerators, freezers, ovens, and burners. All equipment and items owned and/or leased (non- City owned) must be removed from the premises. • The security deposit will be reduced if the cost to clean the facility exceeds the amount of the cleaning charge.
• Smoking is not allowed in the facility, on the patio, and within 20-feet of all entrances. • Fire, open flame, sparklers, incense, fog, hazer or smoke are not permitted in or outside the facility at any time.
• Animals are not permitted in the facility with the exception of service animals (animals trained to do work or perform tasks for people with disabilities) are permitted. • Lawn is for wedding ceremony use only.
• No tents or canopies allowed
City of Huntington Beach
Community & Library Services Department
2000 Main Street, Huntington Beach, CA 92648-2702
HUNTINGTON BEACH
(714) 536-5486 (714) 536-5600 (Senior Center)
Policies Governing Use of Facility
The provisions of Municipal Code Chapter 13.48, 9.22 and 13.52 must be adhered to in the use of public facilities. It is unlawful for any person to do or commit, or for any person to cause or permit to be done or committed on or within the premises of any public building within the city, any of the following:
• Disfiguration and Removal: Willfully mark, deface, disfigure, injure, tamper with, or displace or remove any building, bridges, tables, benches, fireplaces, railings, paving or paving material, waterlines or other public utilities or parts or appurtenances thereof, signs, notices or placards whether temporary or permanent, monuments, stakes, posts or other boundary markers, or other structures or equipment, facilities or park property or appurtenances whatsoever, either real or personal. • Restrooms and Washrooms: Fail to cooperate in maintaining restrooms and washrooms in a neat and sanitary condition. No person over the age of five years shall use the restrooms and washrooms designated for the opposite sex.
• Sanitation: Have brought in or shall dump deposit or leave any bottles, broken glass, ashes, paper, boxes, cans, dirt, rubbish, waste, garbage or refuse, or other trash. • Vending and Peddling: Expose or offer for sale any article or thing, nor shall he station or place any stand, cart or vehicle for the transportation, sale or display or any such article or thing. • Advertising: Announce, advertise or call the public attention in any way to any article for sale or hire.
Refund Policy:
• The security deposit will be refunded if the facility is left in clean and orderly condition and all reservation policies are followed. The $5.00 alcohol filing fee is non-refundable. • In the event of damage in violation of Municipal Code Chapter 13.48, 9.22 and 13.52, the applicant will be liable for expenses required to repair or replace the facility, its furnishings, and equipment to its original condition.
• The refund will be issued four (4) to six (6) weeks after the event through the original form of payment. Cash payments will be refunded by check.
Cancellation Policy:
• Any request to change times, dates, or to cancel a reservation must be made no later than thirty (30) days prior to the event. A $25 fee will be charged. IF A CANCELLATION IS MADE LESS THAN thirty (30) DAYS PRIOR TO THE EVENT, FEES WILL NOT BE REFUNDED.
Exhibit B
Fees, Payment, and Days of Use Senior Center in Central Park (Regular Sunday Use)
Regular Sunday Usage: Saddleback Church's primary, ongoing rental is for regular Sunday use of designated Senior Center in Central Park facilities. Any additional facility use beyond standard Sunday hours requires: a written request submitted at least 30 days in advance; and approval from the City, based on facility availability and the need to balance community programming demands. Approval for additional time is not guaranteed and may be limited due to other community requests and operational needs.
FY 2025-2026 Facility Fees: All fees are subject to change by Cily Council direction.
No Alcohol Allowed
Park View Room (includes stage & patio): $150/hour
Park View South (includes stage): $100/hour
Park View North (includes patio): $100/hour
The Lab: $70/hour
EMG 1: $70/hour
EMG 2: $60/hour
Game Room: $70/hour
Dance Room: $70/hour
Staff: $60/hour
Set-Up and Cleaning: $100 flat fee
Saddleback Church Discounted Rate Structure
Discounts apply to Friday-Sunday rentals, including regular Sunday facility use.
Year 1: 10% discount
Years 2 & 3: 7% discount
Years 4 & 5: (if applicable) 5% discount
At Year 3: Upon mutual agreement, the City and Saddleback Church will discuss and evaluate rate adjustments if a disparity exists between the market rate and Saddleback's discounted rate.
Monday-Thursday: No discounts. Fees assessed at current City Council-approved rates.
All discounts are applied to the current City Council-approved fee schedule.
Payment Schedule: Saddleback will remit payment in monthly installments for facility use. The City will invoice Saddleback by the 15th of each month for the prior month's facility usage.
Payment is due within 14 calendar days of invoice receipt. Payments must be postmarked no later than 14 calendar days from the invoice date. Late Payment Penalty: If payment is late, fees for that month revert to the current, full City Council-approved fee schedule, and future rentals may be subject to suspension.
Monday-Thursday Rentals (Occasional / As Needed): Requests must be submitted at least 30 days in advance. Approval is based on facility availability. Fees will be charged at the current City Council-approved rates (no discounts).
26-18048 / 418348
ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (AMDDAYYY) 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polly(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditlons of the policy, certaln pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements).
ChurchWest Insurance Services (AIG. No. Ext): (866) 216-2438 (877) 314-5382 201 Cajon St.
ADDRESS: [email protected]
Redlands, CA 92373
INSURERS) AFFORDING COVERAGE HAIC E
INSURERA: Brotherhood Mutual Insurance Company 13528
INSURED
INSURER B:
SADDLEBACK VALLEY COMMUNITY CHURCH INSURER C:
1 SADDLEBACK PKWY
INSURER O:
LAKE FOREST, CA 92630
INSURER E:
TYPE OF INSURANCI POLICY NUMBER
< COMMERCIAL GENERAL LIABILIT TS 2,000,000.00
CLAIMS-LIADE X OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence) s 2,000,000,00
MED EXP (Any one person). $ 10,000.00
A X 04M5A0383903 04/18/2026 04/18/2027 PERSONAL & ADV INJURY $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000.00 X POLICY L PECT LOC PRODUCTS - COMPIOP AGG $ 6,000,000.00 OTHER:
AUTOMOBILE LIABILITY SEEN SINGLE LIMIT
ANY AUTO BODILY INJURY (Per person) $
OWNED | SCHEDULED BODILY INJURY (Per accident) S
AUTOS ONLY AUTOS
HIRED NON-OWNED
AUTOS ONLY AUTOS ONLY PET SCENDANAGE $
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS MADE AGGREGATE ""
(WORKERS COMPENSATIONS. XISTATUTE I
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N
E.L. EACH ACCIDENT $ 1,000,000.00
A OFFICERA EMBEREXCLUDED? ¡NIA |04W5A0392484 07/01/2026 07/01/2027 (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000.00 ELL. DISEASE - POLICY LIMIT $ 1,000,000.00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allached if more space is required) By:
MICHAEL J. VIGLIOTTA
CITY ATTORNEY
CERTIFICATE HOLDER CANCELLATION CITY OF HUNTINGTON BEACH ity of Huntington Beac
300 Maln S
Huntington Beach, CA 92648 THE EXPIRATION SHE EXPIRATION DATE THERED, NOTICE SEE EDELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZEO REPRESENTATINE
Som Cutler
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 04M5A0383903
endorsement (BGL-150).
COMMERCIAL LIABILITY COVERAGE
PROVISION MODIFICATION
DESIGNATED ADDITIONAL INSURED(S)
SCHEDULE
(The information required below may be shown on a
separate schedule and/or supplemental declarations.)
Named Insured: SADDLEBACK VALLEY COMMUNITY Policy Number:
CHURCH 04M5A0383903
Additional City of Huntington Beach, its officers, elecled or appointed officials, Insured: employees, agents, and volunteers
2000 Main Street
Huntington Beach, California 92648
Applicable Coverage(s) and Limit(s):
Coverage L $2,000,000
Coverage Begins: 04/18/2026 Coverage Ends: 04/18/2027
Copyright 2018, Brotherhood Mutual Insurance Company
BGL-150 (4.5) All Rights Reserved Page 40 of 42
04M5A0383903
This Liability Coverage Endorsement is subject to the terms of the applicable Commercial Liability overage Form (GL-100) and the Liability and Medical Coverage Form (BGL-11). Only one liabili overage will apply to an occurrence and any related loss. This endorsement is attached to ar THIS INSURANCE ENDORSEMENT FORMS PART OF YOUR POLICY CONTRACT.
PLEASE READ IT CAREFULLY.
MINISTRY OPERATIONS
COMMERCIAL LIABILITY COVERAGE
PROVISION MODIFICATION
DESIGNATED ADDITIONAL INSURED(S)
AGREEMENT any liabilily coverage or any medical
coverage if any person has impaired our
We provide the modified coverage described right to recover. in this endorsement (BGL-150), but only if it is
properly designated in the declaratlons, and Walver of Subrogation Rights - An only with respect to the Additional Insured(s) insured may waive our right to recover designated on the schedule(s) attached to against an Additional Insured named in this endorsement. an endorsement properly designated in the declarations.
PROVISION MODIFICATION
11 Additional Insureds - With respect to
With respect to the Additional Insureds) any person or entity shown on any schedule attached to the Commercial
and the Applicable Coverages designated on Liability Coverage Provision Modification any schedule altached to this endorsement,
Condition 7 of the Conditions section of - Designated Additional Insured(s) endorsement (BGL-150), we will provide
the Commercial Liability Coverage Form
the Applicable Coverages shown on any
(GL-100) and Condition 11 of the Conditions
applicable schedule to the Additional
section of the Liability and Medical Coverage Insured named in that particular Form (BGL-11) are deleted and replaced by
the following: schedule. Any Applicable Coverages
under the atly coverager hame at
Additional Insured(s) designated on any
Copyright 2018, Brotherhood Mufual Insurance Company
BGL-150 (4.5) All Rights Reserved Page 1 of 44
04M5A0383903
schedule attached to this endorsement applicable coverage to you, or that is will be the lesser of: incurred after a previously-applicabl coverage terminates; o
a the limit shown on the applicable
schedule for any esignate
overage provided to that Additiona
Insured; or
b the amount of coverage required to
be provided to the Additional Insured Any coverage provided to the Additional under any applicable contract or Insured designated on the schedufe agreement; in this endorsement will be primar
and non-contributory in relation to othe
except that the limit of coverage provided insurance provided to them on a primary by this endorsement shall never be
grealer than the limits indicaled on the
declarations. Nothing in this endorsement will act to
Increase any limits of coverage, or to in any
The limit of coverage that applies to way modify any terms of the policy other thar the Additional Insured will be a shared the terms specified herein. limit of coverage (shared with all other
insureds under the Applicable Coverage
of the policy. Nothing in this provision wil OTHER PROVISIONS act to increase any limit of the policy.
o coverage will be orovided to an All other provisions of the applicable Commercial Liability Coverage Form
dditional Insured in relation to
(GL-100) and the Liability and Medical
a any liability incurred by an Additional Coverage Form (BGL-11) apply to the Insured, other than tort liability; or Additional Coverages of this endorsement, unless otherwise modified herein.
b liability that is incurred prior lo
the date that we provide an
Copyright 2018, Brotherhood Mutual Insurance Company
BGL-150 (4.5) All Rights Reserved Page 2 of 44
TONE GITY OF
BEACH HUNTINGTON BEACH
Human Resources/Risk Management Department
2000 Main St. Huntington Beach, CA 92648
Declaration of Permittee
I certify that no vehicle(s) will be used or operated in the performance of the tasks) or events) for which this permit is granted.
I authorize the City of Huntington Beach to immediately and retroactively revoke the license or permit issued in connection with or in the performance of said tasks) or event(s) if any vehicle(s) is used.
Buth A kles
Permittee Signature:_
Print Name: BRETT KOTRBA
Company Name (if applicable): SADLEBACK CHURCH
7/2/26
Date Signed:
Email: [email protected] Page 1 of 1 Phone: 714.374.5373