MEMORANDUM OF UNDERSTANDING
This Memorandum of Understanding ("MOU") is made and entered into this 151" day of May 2022 by and between the City of Placentia ("City") located at 401 E. Chapman Ave., Placentia, and the Placentia Chamber of Commerce ("PCC") located at 117 N. Main St., Placentia, Ca, 92870,
RECITALS
WHEREAS, the PCC wishes to hold the Placentia Jazz and Art Festival event ("Event") in the City; and
WHEREAS the City desires provide a space for the PCC to facilitate the Event that will benefit residents, and
WHEREAS, the City is a rightful possessor with a right to transfer use of Munoz Athletic Field at the Placentia Champions Sports Complex ("Space"), described in Exhibit "A", to PCC during the term of this MOU for the Event.
NOW, THEREFORE, the parties hereto agree as follows:
1. TERM
This MOU shall commence on the Effective Date and continue for a period of one day, ending on May 16, 2022, unless previously terminated as provided herein or otherwise agreed to in writing by the parties.
The City may terminate this MOU with or without cause any time after the effective date, by providing written notice to PCC.
2. SCOPE OF USE
City hereby grants to PCC, including its officers, employees, agents, contractors and volunteers, clients, invitees, visitors, and other users of the Space ("Users"), during the term of this MOU, the right to enter onto, access, occupy and use the Space for the duration of the MOU during the hours of use referenced below. The Space is to be utilized by PCC and Users for the Event.
3. SCOPE OF SERVICES
A. PLACENTIA CHAMBER OF COMMERCE RESPONSIBILITIES
1. Designate a PCC member to act as the PCC representative for all matters related to the Event and its participation in the Event. Designee will communicate directly with the designated City staff representative
2. Ensure that any food vendors and/or food booths at the event comply with all Orange County Health Care Agency and City Requirements, including, but not ATTACHMENT 3
limited to having current and valid Health Care Agency Permits and a City Business License.
3. Operate the Beer and Wine Garden in compliance with all State and City regulations including obtaining appropriate permits from the Department of Alcoholic Beverage Control (ABC)
4. Obtain private security to secure the Beer and Wine Garden area.
5. The PCC at their own expense will provide the participants of the Event, the necessary items such as all canopies, tables, chairs, decorations, and other needed equipment to facilitate the Event in a uniform and professional business manner per the City's approval (unless otherwise specified below).
6. Coordinate all set up starting no earlier than 8:00 a.m., with the event open to the public from 10:00 a.m. to 8:00 p.m., and clean-up of all Event related booths and supplies no later than 10:00 p.m. Any questions regarding set-up procedures to be pre -arranged with the City staff representative.
7. Coordinate with designated City staff representatives the Event layout and submit a scale plot map of the layout to City staff by Thursday, May 5, 2022.
Event booths cannot obstruct walkways and cannot be placed in parking areas, driveways, or areas with vehicle traffic.
8. Coordinate with designated City staff representatives' arrival times and procedures for Event participants including arrival time of vendors, offsite parking for vendors, and parking areas for participants.
9. Ensure all participants of the Event are informed of and follow any logistical set- up and egress of the event established by the City.
10. Utilize professional and business -like decorations and signage for the Event.
11. Provide City a copy of all promotional material for the Event.
12.Obtain an encroachment permit from the City for additional parking at the Space.
13. Provide the City a parking plan including an alternate parking location and utilize shuttles to transport participants. Any fees associated to the rental of shuttle services or securing a parking location will be paid for by the PCC.
14. Provide comprehensive general liability insurance policy in the amount of one million dollars ($1,000,000) covering Event related activities naming City and their respective elected and appointed officials, officers, employees, agents, and representatives as additional insured by endorsement to the policy. Worker's compensation insurance shall be required to be maintained in accordance with state law.
7 ATTACHMENT 3
15. To the extent allowable by law, PCC shall indemnify, defend, and hold harmless the City, its officers, employees, contractors and volunteers from and against any and all liability, loss, damage, expense, costs (including reasonable attorneys' fees) or claims for injury or property damages to the extent arising out of or in connection with PCC's acts and/or omissions arising from or related to this MOU, including use of the City's property by PCC the performance of this MOU, but only in proportion to and to the extent such liability, loss, expense, attorneys' fees, or claims for injury and/or damages and/or losses of property, regardless of severity and including death, are caused by or result from the negligent or intentional acts or omissions of the PCC, its officers, agents or employees.
16. Be responsible for its independent operation, execution, planning and accounting of the event as a separately governed operation by the PCC.
17. This MOU is by and between the City and the PCC and is not intended, and shall not be construed, to create the relationship of agent, servant, employee, partnership, joint venture, or association as between the City and the PCC.
Each of City and the PCC understands and agrees to bear the sole responsibility and liability for administering the Workers' Compensation benefits to any person deemed legally entitled to such benefits for injuries arising from or connected with this MOU.
B. CITY'S RESPONSIBILITIES
Provide Space to the PCC to host the Event and access to the facility (Aguirre Building).
2. Ensure the field lights are turned on from dusk until the end of the Event at the Space.
I Coordinate with a designated PCC representative all arrival and set up information for all Event participants.
4. Provide one (1) Community Services Staff and from 10:00 a.m. to 10:00 p.m. to assist with event coordination and monitoring. As well as operate a station for minor First Aid needs during the Event.
5. Assist with advertising for the event through Placentia's Weekly Newsletter and social media. The City will also advertise for the event through the City's website, Placentia Palm Quarterly Newsletter, and with targeted emails if and/or when possible.
3 ATTACHMENT 3
4. CONTACT INFORMATION
PCC Designee: Michele Severson
Executive Director
117 N. Main Street,
Placentia, Ca, 92870
Office: 714-528-1783
Fax: 714-528-1879
Email: [email protected]
City Staff Representatives: Karen Crocker, Director of Community Services Veronica Ortiz, Community Services Supervisor
Matthew Brand, Community Services Coordinator
401 E. Chapman Ave.
Placentia, CA 92870
Office: (714) 993-8222
Fax: (714) 961-0283
Email: [email protected]
IN WITNESS WHEREOF, the parties herein have caused this MOU to be executed by and through their respective officers, as of the date last written below.
CITY OF PLACENTIA
Damien Arrula
City Administrator
Date
APPROVED AS TO FORM:
Christian Bettenhausen, City Attorney
Placentia Chamber of Commerce
at—a&—'
�
Michele Severson
Executive Director
Date
11 ATTACHMENT 3
,acorrr�` CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
11/2212021
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
C NTACT Jennifer Lamb
yAME•
Jennifer Lamb Insurance Agency
PHONE
Qfo: (714) 209-9911 FAX ao 7149488140
ADORIE I [email protected]
949 Williams Ave
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: SENTINEL INS CO LTD 11000
Placentia CA 92870
INSURER B: USLI 25895
INSURED
INSURER C :
Placentia Chamber of Commerce
INSURER D,
117 N Main St
INSURER E:
INSURER F
Placentia CA 92870
COVERAGES
CERTIFICATE NUMBER: 3
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.
ILTR NSR AOIDLEXP
TYPE OF INSURANCE I N S nWntA PDLCYNllMRFR 1NNOj/LDJDMYY MO/DU/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 2,000,000
PREMISES Y[Ea �n� $ 1,000,000
CLAIMS -MADE X OCCUR
MED EXP An oneperson) $ 10,000
PERSONAL & ADV INJURY $ 2,000,000
A
X
X
72 SBA BC7422
10/16/2021
10/16/2022
OKN'LAGGREGATELIMIT APPLIES PER:
A POLICY JE� LOC
GENERAL AGGREGATE $ 4,000,000
PRODUCTS - COMP/OP AGG $ 4,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SIN LE LIM T $ 2 OOt),Ot)0
a c em
BODILY INJURY (Per person) $
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
X
72 SBA BC7422
10/16/2021
10/16/2022
BODILY INJURY ( Per accident) $
X
HIRED V NON -OWNED
AUTOS ONLY /� AUTOS ONLY
PROPERTY DAMAGE $
$
UMBRELLA LIAR F1
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LAB
CLAIMS -MADE
DED I I RETENTION
$
WORKERS COMPENSATION
V pER7 OR
A
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVEEL.
OFFICER/MEMBEREXCLUDED? ❑N
N/A
X
72WECAD8MLC
09/27/2021
09/27/2022
EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICYLIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS below
D& O
D 8 0 1,000,000
B
ND01581054 10/10/2021 10/10/2022
I
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Placentia and its elected and appointed boards, officers, officials, agents, employees, and volunteers are additional insureds with respect to: Liability arising out of activities performed by or on behalf of the consultant pursuant to its contract with the City; products and completed operations of the consultant; premises owned, occupied or used by the Consultant; automobiles owned, leased, hired, or borrowed by the Consultant.
I
CERTIFICATE HOLDER
City of Placentia
Attn: City Administrator
401 E Chapman Ave
Placentia
ACORD 25 (2016/03)
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
CA 92870
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGE
This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated below:
Policy Number: 72 SBA BC7422 SC
Named Insured and Mailing Address; PLACENTIA CHAMBER OF COMMERCE 117 NORTH MAIN STREET
PLACENTIA CA 92870
Policy Change Effective Date: 03/02/22 Effective hour is the same as stated in the Declarations Page of the Policy.
Policy Change Number: 001
Agent Name: JENNIFER LAMB INSURANCE AGENCY
Code: 253333
POLICY CHANGES:
SENTINEL INSURANCE COMPANY, LIMITED
ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS.
THIS IS NOT A BILL.
NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE
FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE:
IH12001185 ADDITIONAL INSURED - MANAGER/LESSOR
PRO RATA FACTOR: 0.625
THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN.
Form SS 12 11 04 05 T Page o o 1
Process Date: 03 / 02 / 22 Policy Effective Date: 10/16/21 Policy Expiration Date: 10/16/22
POLICY NUMBER: 72 SBA BC7422
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - MANAGER/LESSOR
LOC 001 BLDG 001
CITY OF PLACENTIA
401 E. CHAPMAN AVE,
PLACENTIA, CA 92870
COUNTY OF ORANGE, OC PARKS
117 N MAIN ST,
PLACENTIA, CA 92870
THE CITY OF PLACENTIA AND ITS ELECTED & APPOINTED BOARDS, OFFICERS,
OFFICIALS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSUREDS WITH RESPECT TO: LIABILITY ARISING OUT OF ACTIVITIES PERFORMED BY OR ON BEHALF OF THE CONSULTANT PURSUANT TO CONTRACT WITH THE CITY:
PRODUCTS AND COMPLETED OPERATIONS OF THE CONSULTANT: PREMISES OWNED, OCCUPIED OR USED BY THE CONSULTANT: AUTOMOBILES OWNED, LEASED, HIRED
OR BORROWED BY THE CONSULTANT
401 E. CHAPMAN AVE,
PLACENTIA, CA 92870
Form IH 12 00 1185 T SEQ. NO. 001
Process Date: 03/02/22
Printed in U.S.A. Page 001
Expiration Date: 10/16/22
(Policy Provisions: WCOOOOOOC)
INFORMATION PAGE
WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY
INSURER: Sentinel Insurance Company Ltd.
ONE HARTFORD PLAZA HARTFORD CT 06155
NCCI Company Number: 1 13161
Company Code: A
i
POLICY NUMBER: 172WECAD8MLC
Previous Policy Number: 172 WEC AD8MLC
1. Named Insured and Mailing Address: PLACENTIA CHAMBER OF COMMERCE (No., Street, Town, State, Zip Code) 117 N MAIN ST
PLACENTIA CA 92870
FEIN Number: 95-2224033
State Identification Number(s):
The Named Insured is: Non Profit
Business of Named Insured: Business Associations
Other workplaces not shown above: 117 N MAIN STREET
PLACENTIA CA 92870
2. Policy Period:
From 09/27/20 To 09/27/21 ANNUAL
12:01 a.m., Standard time at the insured's mailing address.
Producer's Name:
JENNIFER LAMB INSURANCE AGENCY
949 WILLIAMS AVENUE
PLACENTIA CA 92870
Producer's Code:
72186924
Issuing Office:
THE HARTFORD BUSINESS SERVICE CENTER
3600 WISEMAN BLVD
SAN ANTONIO TX 78251
(877) 853-2582
Suffix
LARS RENEWAL
9—
Total Estimated Annual Premium: $630
Deposit Premium:
Policy Minimum Premium: $600 CA
Audit Period: ANNUAL Installment Term: Twelve Pay (8.33%Down+11 @8.33%) The policy is not binding unless countersigned by our authorized representative.
Countersigned by I,, 1�&11��
Authorized Representative
Form WC 00 00 01 A (1) Printed in U.S.A.
Process Date: 08/18/20
08/18/20
Date
Policy Expiration Date: 09/27/21
INFORMATION PAGE (Continued)
Policy Number: 72 WEC AD8MLC
3. A. Workers Compensation Insurance: Part one of the policy applies to the Workers Compensation Law of the states listed here: CA
B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A.
The limits of our liability under Part Two are:
Bodily injury by Accident $1,000,000 each accident
Bodily injury by Disease $1,000,000 policy limit
Bodily injury by Disease $1,000,000 each employee
C. Other States Insurance: Part Three of the policy applies to the states, if any , listed here:
ALL STATES EXCEPT NORTH DAKOTA, OHIO, WASHINGTON, WYOMING, U.S.TERRITORIES AND STATES DESIGNATED IN ITEM 3.A. OF THE INFORMATION PAGE.
D. This policy includes these endorsements and schedule:
SEE ENDORSEMENT -WC 99 03 68
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit.
Premium Basis
Classifications Total Estimated Rates Per Estimated
Code Number and Annual $100 of Annual
Description _ Remuneration Remuneration Premium
Total Standard Premium
Extended Broad Form Coverage
Expense Constant
Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement Estimated Annual Premium (before Surcharges)
Total Estimated Surcharges
*See the attached Schedule(s) of Operations for Location and State Level Premium Information Total Estimated Annual Premium: $630
Deposit Premium:
Policy Minimum Premium: $600 CA
Interstate/Intrastate Identification Number: Refer to Schedule of Operations Labor Contractors Policy Number:
NAICS: 813910
SIC: 8611
$400
$3
$200
$7
$610
$20
Form WC 00 00 01 A (1) Printed in U.S.A. Page 2
Process Date: 08/18/20 Policy Expiration Date: 09/27/21