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HomeMy WebLinkAboutA9149 - MISS JANE'S GLAMOUR PUSS STUDIOCONTRACT ABSTRACT Contract prepared by: Janet Burns, Administrative Assistant Submitted on: 08/01/23 By: Janet Burns Note: Contract Company Name: Company Contact: Summary of Services: Contract Price: Funding Source: Contract Term: Munis Contract Number: Miss Jane’s Glamour Puss Studios Jane Guy Instructor for Tap Dance Classes $0, see Party Obligations None July 1, 2023 – June 30, 2024 Contract Administration Lead Department: Contract Administrator: Department of Parks and Recreation Yvonne Wise, Director Contract Approvals Council/ Community Redevelopment Agency Approval Date: Agenda Item No./ Resolution No.: Agreement No: N/A N/A A9149 Contract Compliance Exhibits: Signatures: Insurance: Bonds COMPLETED COMPLETED COMPLETED N/A DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 55575.18185\33964072.1 1 Instructor’s initials: CITY OF PALM SPRINGS INDEPENDENT CONTRACTOR 70/30 AGREEMENT FOR PARKS & RECREATION INSTRUCTORS FY 2023-2024 THIS INDEPENDENT CONTRACTOR AGREEMENT FOR A RECREATION INSTRUCTOR (“Agreement”) is made and entered into this _______ day of __________, 2023 (“Effective Date”), by and between Jane Guy (“Instructor”), and the City of Palm Springs (the “City”). The City and Instructor are sometimes individually referred to as “Party” and collectively as “Parties” in this Agreement. 1. RECITALS A. City is a public agency of the State of California in need of professional recreational instruction for: Tap Dance B. Instructor is an independent Instructor and possesses the necessary qualifications to provide such services. C. The Parties desire by this Agreement to establish the terms for City to retain Instructor to provide the services described herein. 2. PURPOSE: The City hereby engages Instructor for the purpose of providing Tap Dance instruction, as further detailed in the Scope of Work attached hereto as Exhibit “A” and incorporated herein by reference (the “Services”). Instructor shall complete the Services in a skillful and competent manner, in accordance with all applicable laws, rules and regulations, and in accordance with the terms of this Agreement. Instructor shall perform such other duties as are customarily performed by one holding such position in other same or similar businesses or enterprises as that engaged in by the City. 3. TERM: The term of this Agreement shall begin on Effective Date and shall expire on June 30, 2024, unless earlier terminated as provided in this Agreement. 4. INDEPENDENT INSTRUCTOR: The Parties intend and agree that at all times during the performance of services pursuant to this Agreement, Instructor is and shall be acting as an independent Instructor. Instructor understands and acknowledges that in entering into this Agreement Instructor is an Independent Instructor and not an employee of the City and is not eligible for any benefits of City employment. Instructor further understands and acknowledges that City does not maintain any Workers’ Compensation, accident or any type of insurance coverage for Independent Instructors. City shall not be liable for any payment or compensation in any form to Instructor other than as provided for herein. Other than the use of the facility, Instructor shall be responsible to use his or her own tools, supplies and equipment consistent with Section 6 herein and is responsible to determine the method and manner of instruction consistent with Section 2 herein. DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 3.00 August 55575.18185\33964072.1 2 Instructor’s initials: 5. EQUIPMENT AND LABOR: Instructor shall furnish all tools, equipment, apparatus, supplies, and materials (“Supplies and Equipment”) required for performance of the Services, unless otherwise mutually agreed by the City. Instructor assumes all risk of loss, damage, or harm to the Supplies and Equipment arising in connection with the Services of this Agreement. 6. COLLECTION OF FEES: Fees shall be collected by the City through set registration procedures implemented by designated City staff (“Registration Fees”). Instructor is not authorized to collect Registration Fees on behalf of the City. However, in some instances, additional fees for supplies and/or materials necessary for the participation in and the completion of the class, program, camp, activity, etc. may be imposed by Instructor and are not considered Registration Fees and therefore will not be collected by the City. These fees will be collected by and paid directly to the Instructor/Instructor. 7. COMPENSATION: City agrees to pay Instructor for the performance of Services on the following terms: A. 70% of class registration fees collected B. All compensation shall be paid at the end of each month, in accordance with the payroll schedule. C. Instructor shall not be entitled to any additional compensation. 8. PAYMENT: The compensation provided in Paragraph 7 of this Agreement shall be paid upon satisfactory completion of the Services. The City Department of Parks and Recreation will provide Instructor with a printed report from ActiveNet. ActiveNet report will state the number of people registered for the program and the amount of money collected. Instructor will review and approve record. 9. SUBCONTRACTORS: In the event Instructor will not be able to teach class due to illness or any other reason, Instructor shall implement the following procedure: a. Instructor shall procure a substitute Instructor equally or better qualified and acceptable to the City to instruct class at the prescribed time and place. Subcontractors must meet the criminal background screening and fingerprinting requirements according to California Public Resources Code Section 5164. All substitute Instructors must be approved by the Department of Parks and Recreation prior to providing services. b. All subcontracts shall contain a provision making them subject to all applicable terms and conditions of this Agreement. A copy of all subcontracts shall be provided to the City within fifteen (15) days of subcontract execution. c. Instructor shall notify assigned designated staff regarding the substitute’s name, qualifications, address, and phone information. Payment of all subcontractors shall be the responsibility of Instructor. DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 55575.18185\33964072.1 3 Instructor’s initials: d. If a substitute cannot be procured, the class will be canceled and a make-up class added to the end of the session. Instructor shall be responsible for notifying the students of the cancellation. 10. SUPERVISION: Instructor shall establish appropriate rules for participation in the Services and shall assume responsibility for student discipline to ensure adequate protection of students and facility. Instructor agrees to work with assigned City staff to maintain accurate enrollment records. 11. FACILITY: The City shall be responsible for providing a suitable facility for the conduct of the Services (the “Facility”) as specified in Exhibit A, unless otherwise noted under the “Special Arrangements” provision of this Agreement. As part of the Services, Instructor shall be solely responsible for setting up the Facility for instruction and maintaining the Facility in a clean, safe, and orderly manner. Instructor shall be responsible for cleaning and/or restoring the Facility to its usual condition following each class session. City representatives shall at all times have access to the Facility, whenever Services are in progress, to monitor programs for quality. 12. CONDUCT: Instructor understands that the City is a public entity under the laws of the State of California, and that the City’s purpose in engaging Instructor is to provide its residents with recreational activities in a manner that will foster a sense of community, security, fun, and fair play. Instructor agrees to conduct himself/herself in a manner that will further these goals. Instructor further acknowledges that failure to do so may result in immediate termination of this Agreement. 13. COORDINATION OF SCHEDULE: Instructor agrees to coordinate with the City specified time(s) and date(s) for the Services in order to avoid conflict of use as outlined in Exhibit A. Dates and times shall be contingent upon Facility operational hours, and availability due to holidays and other events. It is agreed that the resolution of any conflict is at the sole discretion of the City Manager or his/her designee. Coordination is for the sole purpose of coordinating City’s recreational program schedules and not to determine the method or means of performing the Instructor’s services. 14. PUBLICITY: Instructor shall not advertise, print, or publish any promotional materials in connection with the Services without the prior written approval of the City Manager or his/her authorized representative. The City reserves the right to broadcast, televise, and photograph the Services for the purpose of advertising. 15. INSTRUCTOR REPRESENTATIONS AND ACKNOWLEDGMENTS: By signing this Agreement, Instructor represents and acknowledges: a. That the information provided by the Instructor in the Contract Class/Program Proposal ("Proposal") and this Agreement is true and correct to the best of Instructor’s knowledge. Instructor further understands and agrees that any material misrepresentation may result in the immediate cancellation of this Agreement without prior notice or right of appeal. DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 55575.18185\33964072.1 4 Instructor’s initials: b. That the City will fingerprint all prospective instructors and substitute instructors for the Recreation Department who may have supervisory or disciplinary authority over minors, pursuant to Public Resources Code section 5164, prior to the commencement of instruction. Instructor understands the City will submit the fingerprints to the Department of Justice to obtain summary criminal history information on all such prospective instructors, as authorized by California Penal Code section 1105.3. Instructor understands that, as authorized by California Public Resources Code section 5164, the City will refrain from hiring any prospective instructor whose criminal summary record shows a conviction for any offense specified by that section. c. Instructor understands that a background investigation may be conducted in order to verify Instructor’s responses in the Proposal and/or Agreement and to otherwise obtain information as to Instructor’s character, reputation, personal characteristics, work habits, academic credentials, job performance, experience and/or criminal history from various private and public sources, along with other public records available. Instructor further understands that this investigation may involve an "investigative consumer report" that may include information as to Instructor’s character, general reputation, or personal characteristics, obtained through personal interviews with neighbors, friends, associates and/or others who may have knowledge of such items of information. Instructor understands that Instructor has a right within a reasonable period of time to request a complete and accurate disclosure of the nature and scope of the investigative consumer report. Instructor recognizes, however, that such disclosure will not include the names of sources, the information obtained, nor a copy of the investigative consumer report. 16. HOLD HARMLESS AND INDEMNIFICATION: Instructor shall defend, indemnify, and hold harmless the City, its officials, officers, agents, employees, and volunteers (“Indemnified Parties”) free and harmless from any and all claims, demands, causes of action, costs, expenses, liability, loss, damage, or injury in law or equity to property or persons, including wrongful death, in manner arising out of our incident to any alleged acts, omissions, or willful misconduct of Instructor, its employees, agents, consultants, Instructors, and volunteers arising out of or in connection with the performance of the Services or this Agreement, including without limitation the payment of all consequential damages and attorney’s fees and other related costs and expenses. Instructor shall pay and satisfy any judgement, award, or decree that may be rendered against the Indemnified Parties, or any of them, in any such suit, action, or other legal proceeding. Instructor shall reimburse the Indemnified Parties for any and all legal expenses and costs incurred by any of them in connection therewith or in enforcing the indemnity herein provided. Instructor’s obligation to indemnify shall not be restricted to insurance proceeds, in any, received by the Indemnified Parties. Such indemnification shall cover death or bodily injury to any person; injury to, loss, or theft of property, injury arising from the furnishing or use of any copyrighted or uncopyrighted composition, secret process, or patented or unpatented invention, or any other type of injury, whether such injury or damage occurs on or off City property. This provision shall survive any expiration or termination of this Agreement. DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 55575.18185\33964072.1 5 Instructor’s initials: 17. RELEASE OF LIABILITY; WAIVER OF CLAIMS: a. Instructor fully releases, waives all claims against and discharges the City, its officials, officers, directors, employees, agents, Instructors and volunteers (“Released Parties”) from any and all claims, actions, debts and liabilities for damages which Instructor or any of its subcontractors or related parties (“Instructor Parties”) now have or in the future may have against the Released Parties for any injuries, loss through theft, or damage to property suffered by the Instructor Parties by reason of performance of the Services, this Agreement, or by reason of the presence on City premises or in City facilities in conjunction with the performance of the Services. Instructor assumes full responsibility for any injuries, damages or losses that Instructor or the Instructor Parties may incur in performing this Agreement, regardless of any negligence on the part of the Released Parties. b. This waiver and release specifically constitutes a waiver of each and all of the provisions of California Civil Code section 1542. With respect to the matters released hereunder, Instructor waives any rights or benefits that he or she might otherwise have under California Civil Code section 1542, or any other similar law. California Civil Code section 1542 provides: “A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party.” c. Instructor has read and understands that the above waiver and release will prevent the Instructor or the Instructor’s estate from recovering damages in the event of bodily injury, death, or damage to property. Nevertheless, Instructor executes this Agreement freely and voluntarily and agrees that it will be binding upon the Instructor and the Instructor’s heirs, assigns, successors, and legal representatives. Instructor shall not allow any Instructor Parties to participate in the Services unless and until such Instructor Parties have executed a waiver and release containing the terms above. The above waiver and release shall survive any expiration or termination of this Agreement. 18. INSURANCE: The City reserves the right to require Instructor to maintain insurance for the duration of this Agreement. Insurance requirements, if any, are attached as Exhibit "B" and incorporated herein by reference. Instructor shall provide City with proof of insurance prior to the commencement of Services. 19. ASSUMPTION OF RISK: It is understood that Instructor and any subcontractors of Instructor are not covered by the City’s Worker’s Compensation Insurance and, therefore, perform the Services at their own risk. The City shall not be liable for any personal injuries incurred during the performance of the Services or this Agreement. Any substitute or subcontractor for Instructor shall not be a volunteer and shall not be considered an employee of Instructor. If Instructor has employees, Instructor shall be required to provide DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 55575.18185\33964072.1 6 Instructor’s initials: Worker’s Compensation Insurance as required by the State of California Employer’s Liability Insurance. This provision shall survive any expiration or termination of this Agreement. 20. TUBERCULOSIS SCREENING: If the Services involve park, playground, recreational centers used for recreational purposes by the City, and if the Services will include being in contact with children, prior to commencing performance of the Services, Instructor shall provide to the City a certificate showing that within the last two years the Instructor has been examined and has been found to be free of communicable tuberculosis. 21. GENERAL COMPLIANCE WITH LAWS. Instructor shall comply with all federal, state, and local laws, statutes, rules and regulations in any manner affecting the performance of the Services or this Agreement. 22. AMERICANS WITH DISABILITIES ACT: Instructor agrees that he or she shall make every attempt to accommodate people with physical and/or mental disabilities. Instructor shall not discriminate on the basis of such disabilities. 23. GOVERNING LAW: This Agreement shall be interpreted in accordance with the laws of the State of California. Venue shall be in Riverside County, California. 24. ATTORNEY FEES: In the event of litigation between the Parties, the prevailing Party shall be entitled to recover all reasonable costs incurred, including reasonable attorney's fees, as determined by the court. 25. BUSINESS LICENSE: Instructor shall obtain and follow all business license requirements as outlined in City Municipal Code Chapter 3.40. All business license requirements must be met prior to approval of this Agreement. 26. MODIFICATION: No amendment or modification of this Agreement is valid unless made in a writing signed by both Parties to this Agreement. 27. NON-ASSIGNMENT: Instructor shall not have any right to assign and/or transfer his or her rights and/or obligations under this Agreement without the prior written consent of the City. 28. DEFAULT: Failure to comply with any of the terms and/or conditions of this Agreement shall constitute default by the Instructor. 29. TERMINATION: This Agreement may be terminated for convenience by the City upon thirty (30) days written notice to Instructor. The City shall have the right to immediately terminate this Agreement for cause, without prior notice, and without penalty or liability on the part of the City. Termination for cause shall be made by written notice setting forth the effective date of termination. DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 55575.18185\33964072.1 7 Instructor’s initials: 30. NOTICE: Any notice required to be given pursuant to this Agreement may be personally served on the Parties or may be served by certified mail, return receipt request, to the Parties signing this Agreement, at the addresses specified on the signature page. 31. ENTIRE AGREEMENT: This Agreement constitutes the entire agreement between the parties concerning the subject manner hereof and supersedes all agreements, representations, statements, promises, and understandings, whether oral or written, with respect to the subject matter hereof. 32. SEVERABILITY: In the event any terms or condition of this Agreement shall be held to be invalid and unenforceable by a court of competent jurisdiction, the other terms and conditions of this Agreement shall be valid and binding on the Parties hereto. The unenforceability, invalidity or illegality of any provision(s) of this Agreement shall not render the other provisions unenforceable, invalid or illegal. Waiver by any Party of any portion of this Agreement shall not constitute a waiver of any other portion thereof. 33. SPECIAL ARRANGEMENTS: Special arrangements may be further detailed in Exhibit “A”. 34. COORDINATION OF WORK: Jane Guy, Tap Dance Instructor c/o 401 S. Pavilion Way, Palm Springs, CA 92262 (760) 472-7198 | gguy3141@gmail.com Yvonne Wise, Director of Parks & Recreation 401 S. Pavilion Way, Palm Springs, CA 92262 (760) 323-8272 | yvonne.wise@palmspringsca.gov 35. NON-EXCLUSIVE AGREEMENT: Instructor is not in an exclusive Agreement with the City and is free to perform the same or similar services for others without restriction by the City. [SIGNATURES TO FOLLOW] DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 55575.18185\33964072.1 8 Instructor’s initials: IN WITNESS WHEREOF, the Parties hereto have executed this Agreement as of the day and year last written below. CITY OF PALM SPRINGS RECREATIONAL INSTRUCTOR Yvonne Wise Jane Guy Director, Parks & Recreation Tap Dance Instructor APPROVED AS TO FORM: _____________________________ Jeff Ballinger City Attorney ATTEST: _____________________________ Brenda Pree City Clerk DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 8/3/20238/3/2023 8/3/2023 8/3/2023 55575.18185\33964072.1 9 Instructor’s initials: EXHIBIT A SCOPE OF WORK I. RECREATIONAL INSTRUCTION DESCRIPTION Instructor warrants that that he/she is qualified to provide professional recreation instruction services in a manner consistent with industry standards to teach adult tap dance to participants of all abilities and fitness levels. Must be 18 years of age or older. II. FACILITY Instructor shall utilize the Dance Studio at the Leisure Center. III. CLASS SCHEDULE Classes will be scheduled on Class hours may be adjusted based on seasons with written approval of the Parks & Recreation Director. The standard schedule is as follows: CLASS DAY DURATION TIME Almost Intermediate Mondays 1 hour 6:30 PM – 7:30 PM Absolute Beginners Mondays 1 hour 7:30 PM – 8:30 PM IV. CLASS PROMOTIONAL FLYER The City of Palm Springs Parks & Recreation staff shall produce a flyer to help promote the Instructor-led classes. V. CLASS FEE SCHEDULE Classes will be scheduled on Mondays after recreational facility standard operational hours. Fees shall be collected via the City of Palm Springs ActiveNet registration system. No waitlist will be utilized. CLASS REGISTRANT TYPE CLASS FEE MONTHLY $80 DROP-IN $25 VI. CITY OF PALM SPRINGS PARKS & RECREATION FEES A City of Palm Springs Annual Recreation Membership is required to participate in Instructor-led classes. City of Palm Springs recreation membership fees are set annually and are subject to change by subsequent City action. CITY OF PALM SPRINGS RECREATION MEMBERSHIP TYPE ANNUAL FEE Palm Springs Resident Proof of residency required Adult $5 Youth $5 (Ages 4-12) Non-Resident Adult $102 Youth $27 (Ages 4-12) DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 55575.18185\33964072.1 10 Instructor’s initials: VII. COMMUNITY EVENTS Instructor may be asked to provide Tap Dance demonstrations and/or educational sessions at City of Palm Springs Parks & Recreation Department community events and meetings, as requested. Activities may be scheduled up to two (2) times during the term of this Agreement with no additional compensation to the Instructor. DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9 CONTRACT ABSTRACT Contract prepared by: Janet Burns Submitted on: 06/09/22 By: Janet Burns Note: Contract Company Name: Company Contact: Summary of Services: Contract Price: Funding Source: Contract Term: Munis Contract Number: Miss Jane’s Glamour Puss Studios Jane Guy Instructor for Tap Dance Classes in Dance Studio $0, see Party Obligations None Mondays, 07/11/22 – 07/10/23 Contract Administration Lead Department: Contract Administrator: Parks and Recreation Jeannie Kays Contract Approvals Council/ Community Redevelopment Agency Approval Date: Agenda Item No./ Resolution No.: Agreement No: N/A N/A A9149 Contract Compliance Exhibits: Signatures: Insurance: Bonds N/A COMPLETED COMPLETED N/A DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 06/09/2022 Next First Insurance Agency, Inc.PO Box 60787Palo Alto, CA 94306 Jane GuyMiss Jane's Glamour Puss Studios753 E Alexander WayPalm Springs, CA 92262 (855) 222-5919 support@nextinsurance.com 9333873 A X X X 04/23/2022 04/23/2023 1,000,000.00 100,000.00 10,000.00 3,000,000.00 1,000,000.00 A City of Palm SpringsPO Box 2743Palm Springs, CA 92263 1,000,000.00 04/23/2022 NXT9U6X8AJ-01-GL 04/23/2023 Each Occurrence: Aggregate: $1,000,000.00 $3,000,000.00NXT9U6X8AJ-01-GLProfessional Liability X State National Insurance Company, Inc.12831 The Certificate Holder is City of Palm Springs. This Certificate Holder is an Additional Insured on the General Liability policy on a primary and non-contributory basis. AllCertificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. LIVE CERTIFICATE Click or scan to view DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0(760) 323-82726/9/2022Leisure Center Dance Studio, 401 S. Pavilion Way, Palm Springs, CA 922626/9/2022Jeff BallingerCity Attorney6/14/2022Interim City ClerkMonique Lomeli6/22/2022 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 DocuSign Envelope ID: D920A081-2732-4E0C-A73A-4EC91C9829A0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 04/23/2023 Next First Insurance Agency, Inc.PO Box 60787Palo Alto, CA 94306 Jane GuyMiss Jane's Glamour Puss Studios753 E Alexander WayPalm Springs, CA 92262 (855) 222-5919 support@nextinsurance.com 326806396 A X X X 04/23/2023 04/23/2024 1,000,000.00 100,000.00 10,000.00 3,000,000.00 1,000,000.00 A City of Palm SpringsPO Box 2743Palm Springs, CA 92263 1,000,000.00 04/23/2023 NXT9U6X8AJ-02-GL 04/23/2024 Each Occurrence: Aggregate: $1,000,000.00 $3,000,000.00NXT9U6X8AJ-02-GLProfessional Liability X State National Insurance Company, Inc.12831 The Certificate Holder is City of Palm Springs. This Certificate Holder is an Additional Insured on the General Liability policy on a primary and non-contributory basis. AllCertificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. LIVE CERTIFICATE Click or scan to view DocuSign Envelope ID: E13A4117-6A69-4F1C-82DC-3167F93731D9