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HomeMy WebLinkAboutBob Weast dba Athena Video Productions Inc; 2018-12-20;AGREEMENT FOR VIDEO PRODUCTION SERVICES BOB WEAST, OBA ATHENA VIDEO PRODUCTIONS, INC. g"HIS AGREEMENT is made and entered into as of the [l 0th day of QC o CC>b&A-, 20%, by and between the CITY OF CARLSBAD, a municipal corporation, ("City"), and Bob Weast, OBA Athena Video Productions Inc., a California corporation, ("Contractor"). RECITALS A. City requires the professional services of a video production company to include videography, photography, editing, lighting, graphic design, audio, writing and pre-production support related to city video productions, the city government channel and website. B. Contractor has the necessary experience in providing professional services and advice related to video production. C. Contractor has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services (the "Services") that are defined in attached Exhibit "A", which is incorporated by this reference in accordance with this Agreement's terms and conditions. 2. STANDARD OF PERFORMANCE While performing the Services, Contractor will exercise the reasonable professional care and skill customarily exercised by reputable members of Contractor's profession practicing in the Metropolitan Southern California Area, and will use reasonable diligence and best judgment while exercising its professional skill and expertise. 3. TERM The term of this Agreement will be effective for a period of three years from the date first above written. The City Manager may amend the Agreement to extend it for two additional one year periods or parts thereof. Extensions will be based upon a satisfactory review of Contractor's performance, City needs, and appropriation of funds by the City Council. The parties will prepare a written amendment indicating the effective date and length of the extended Agreement. 4. TIME IS OF THE ESSENCE Time is of the essence for each and every provision of this Agreement. 5. COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term will be on a time and materials basis not to exceed ninety thousand dollars ($90,000.00) per Agreement year, to be billed at the following rates: $700/half day; $1,000 full day (camera and operator, audio, lighting, production package) $1100/half day; $1500 full day (two person crew/camera, audio, lighting, production package) Hourly rate: $200/hour (camera and operator, audio, lighting and production package) City Attorney Approved Version 6/12/18 Editing $150/hour (includes graphics); pre-production/producing/scripting $650/day No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. If the City elects to extend the Agreement, the amount shall not exceed ninety thousand dollars ($90,000.00) per Agreement year. The City reserves the right to withhold a ten percent (10%) retention until City has accepted the work and/or Services specified in Exhibit "A". Incremental payments, if applicable, should be made as outlined in attached Exhibit "A". 6. STATUS OF CONTRACTOR Contractor will perform the Services in Contractor's own way as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be under control of City only as to the result to be accomplished, but will consult with City as necessary. The persons used by Contractor to provide services under this Agreement will not be considered employees of City for any purposes. The payment made to Contractor pursuant to the Agreement will be the full and complete compensation to which Contractor is entitled. City will not make any federal or state tax withholdings on behalf of Contractor or its agents, employees or subcontractors. City will not be required to pay any workers' compensation insurance or unemployment contributions on behalf of Contractor or its employees or subcontractors. Contractor agrees to indemnify City within thirty (30) days for any tax, retirement contribution, social security, overtime payment, unemployment payment or workers' compensation payment which City may be required to make on behalf of Contractor or any agent, employee, or subcontractor of Contractor for work done under this Agreement. At the City's election, City may deduct the indemnification amount from any balance owing to Contractor. 7. SUBCONTRACTING Contractor will not subcontract any portion of the Services without prior written approval of City. If Contractor subcontracts any of the Services, Contractor will be fully responsible to City for the acts and omissions of Contractor's subcontractor and of the persons either directly or indirectly employed by the subcontractor, as Contractor is for the acts and omissions of persons directly employed by Contractor. Nothing contained in this Agreement will create any contractual relationship between any subcontractor of Contractor and City. Contractor will be responsible for payment of subcontractors. Contractor will bind every subcontractor and every subcontractor of a subcontractor by the terms of this Agreement applicable to Contractor's work unless specifically noted to the contrary in the subcontract and approved in writing by City. 8. OTHER CONTRACTORS The City reserves the right to employ other Contractors in connection with the Services. 9. INDEMNIFICATION Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including attorneys fees arising out of the performance of the work described herein caused by any negligence, recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The parties expressly agree that any payment, attorney's fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City's self-administered workers' compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 2 10. INSURANCE Contractor will obtain and maintain for the duration of the Agreement and any and all amendments, insurance against claims for injuries to persons or damage to property which may arise out of or in connection with performance of the services by Contractor or Contractor's agents, representatives, employees or subcontractors. The insurance will be obtained from an insurance carrier admitted and authorized to do business in the State of California. The insurance carrier is required to have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. 10.1 Coverage and Limits. Contractor will maintain the types of coverage and minimum limits indicated below, unless the Risk Manager or City Manager approves a lower amount. These minimum amounts of coverage will not constitute any limitations or cap on Contractor's indemnification obligations under this Agreement. City, its officers, agents and employees make no representation that the limits of the insurance specified to be carried by Contractor pursuant to this Agreement are adequate to protect Contractor. If Contractor believes that any required insurance coverage is inadequate, Contractor will obtain such additional insurance coverage, as Contractor deems adequate, at Contractor's sole expense. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. 10.1.1 Commercial General Liability (CGL) Insurance. Insurance written on an "occurrence" basis, including personal & advertising injury, with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 10.1.2 Automobile Liability. (if the use of an automobile is involved for Contractor's work for City). $2,000,000 combined single-limit per accident for bodily injury and property damage. 10.1.3 Workers' Compensation and Employer's Liability. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. 10.1.4 Professional Liability. Errors and omissions liability appropriate to Contractor's profession with limits of not less than $1,000,000 per claim. Coverage must be maintained for a period of five years following the date of completion of the work. 10.2 Additional Provisions. Contractor will ensure that the policies of insurance required under this Agreement contain, or are endorsed to contain, the following provisions: 10.2.1 The City will be named as an additional insured on Commercial General Liability which shall provide primary coverage to the City. 10.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. 10.2.3 This insurance will be in force during the life of the Agreement and any extensions of it and will not be canceled without thirty (30) days prior written notice to City sent by certified mail pursuant to the Notice provisions of this Agreement. City Attorney Approved Version 6/12/18 3 10.3 Providing Certificates of Insurance and Endorsements. Prior to City's execution of this Agreement, Contractor will furnish certificates of insurance and endorsements to City. 10.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance coverages, then City will have the option to declare Contractor in breach, or may purchase replacement insurance or pay the premiums that are due on existing policies in order to maintain the required coverages. Contractor is responsible for any payments made by City to obtain or maintain insurance and City may collect these payments from Contractor or deduct the amount paid from any sums due Contractor under this Agreement. 10.5 Submission of Insurance Policies. City reserves the right to require, at any time, complete and certified copies of any or all required insurance policies and endorsements. 11. BUSINESS LICENSE Contractor will obtain and maintain a City of Carlsbad Business License for the term of the Agreement, as may be amended from time-to-time. 12. ACCOUNTING RECORDS Contractor will maintain complete and accurate records with respect to costs incurred under this Agreement. All records will be clearly identifiable. Contractor will allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of records and any other documents created pursuant to this Agreement. Contractor will allow inspection of all work, data, documents, proceedings, and activities related to the Agreement for a period of three (3) years from the date of final payment under this Agreement. 13. OWNERSHIP OF DOCUMENTS All work product produced by Contractor or its agents, employees, and subcontractors pursuant to this Agreement is the property of City. In the event this Agreement is terminated, all work product produced by Contractor or its agents, employees and subcontractors pursuant to this Agreement will be delivered at once to City. Contractor will have the right to make one (1) copy of the work product for Contractor's records. 14. COPYRIGHTS Contractor agrees that all copyrights that arise from the services will be vested in City and Contractor relinquishes all claims to the copyrights in favor of City. 15. NOTICES The name of the persons who are authorized to give written notice or to receive written notice on behalf of City and on behalf of Contractor under this Agreement. For City Name Kristina Ray For Contractor B ab 0 < '°'· ttl Name Title Communications Manager Title _ C_om_m_u_n~ity~O_ut_re_a_c_h_&_E_n~g~a_g_e_m_e_nt __ Address \os i ~ 4i b, i',L:e<:>...~ r---_ City of Carlsbad 1200 Carlsbad Village Drive Address Carlsbad, CA 92008 Email kristina.ray@carlsbadca.gov Phone No. 4 760-434-2957 Phone No. Email CAcls b P-b I CA. q ~o 1 \ ~ ') 'b 1..L 6\ ' \ o 7 ~ Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 16. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City requirements of the City of Carlsbad Conflict of Interest Code. investments or interests in all categories. Yes ,'9 17. GENERAL COMPLIANCE WITH LAWS Clerk in accordance with the The Contractor shall report Contractor will keep fully informed of federal, state and local laws and ordinances and regulations which in any manner affect those employed by Contractor, or in any way affect the performance of the Services by Contractor. Contractor will at all times observe and comply with these laws, ordinances, and regulations and will be responsible for the compliance of Contractor's services with all applicable laws, ordinances and regulations. Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986 and will comply with those requirements, including, but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants whose services are required by this Agreement. 18. DISCRIMINATION AND HARASSMENT PROHIBITED Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment. 19. DISPUTE RESOLUTION If a dispute should arise regarding the performance of the Services the following procedure will be used to resolve any questions of fact or interpretation not otherwise settled by agreement between the parties. Representatives of Contractor or City will reduce such questions, and their respective views, to writing. A copy of such documented dispute will be forwarded to both parties involved along with recommended methods of resolution, which would be of benefit to both parties. The representative receiving the letter will reply to the letter along with a recommended method of resolution within ten ( 10) business days. If the resolution thus obtained is unsatisfactory to the aggrieved party, a letter outlining the disputes will be forwarded to the City Manager. The City Manager will consider the facts and solutions recommended by each party and may then opt to direct a solution to the problem. In such cases, the action of the City Manager will be binding upon the parties involved, although nothing in this procedure will prohibit the parties from seeking remedies available to them at law. 20. TERMINATION In the event of the Contractor's failure to prosecute, deliver, or perform the Services, City may terminate this Agreement for nonperformance by notifying Contractor by certified mail of the termination. If City decides to abandon or indefinitely postpone the work or services contemplated by this Agreement, City may terminate this Agreement upon written notice to Contractor. Upon notification of termination, Contractor has five (5) business days to deliver any documents owned by City and all work in progress to City address contained in this Agreement. City will make a determination of fact based upon the work product delivered to City and of the percentage of work that Contractor has performed which is usable and of worth to City in having the Agreement completed. Based upon that finding City will determine the final payment of the Agreement. City Attorney Approved Version 6/12/18 5 Either party upon tendering thirty (30) days written notice to the other party may terminate this Agreement. In this event and upon request of City, Contractor will assemble the work product and put it in order for proper filing and closing and deliver it to City. Contractor will be paid for work performed to the termination date; however, the total will not exceed the lump sum fee payable under this Agreement. City will make the final determination as to the portions of tasks completed and the compensation to be made. 21. COVENANTS AGAINST CONTINGENT FEES Contractor warrants that Contractor has not employed or retained any company or person, other than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that Contractor has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift, or any other consideration contingent upon, or resulting from, the award or making of this Agreement. For breach or violation of this warranty, City will have the right to annul this Agreement without liability, or, in its discretion, to deduct from the Agreement price or consideration, or otherwise recover, the full amount of the fee, commission, percentage, brokerage fees, gift, or contingent fee. 22. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees that any Agreement claim submitted to City must be asserted as part of the Agreement process as set forth in this Agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that if a false claim is submitted to City, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act applies to this Agreement and, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of information. If City seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorney's fees. Contractor acknowledges that the filing of a false claim may subject Contractor to an administrative debarment proceeding as the result of which Contractor may be prevented to act as a Contractor on any public work or improvement for a period of up to five (5) years. Contractor acknowledges debarment by another jurisdiction is grounds for City to terminate this Agreement. 23. JURISDICTION AND VENUE Any action at law or in equity brought by either of the parties for the purpose of enforcing a right or rights provided for by this Agreement will be tried in a court of competent jurisdiction in the County of San Diego, State of California, and the parties waive all provisions of law providing for a change of venue in these proceedings to any other county. 24. SUCCESSORS AND ASSIGNS It is mutually understood and agreed that this Agreement will be binding upon City and Contractor and their respective successors. Neither this Agreement nor any part of it nor any monies due or to become due under it may be assigned by Contractor without the prior consent of City, which shall not be unreasonably withheld. 25. ENTIRE AGREEMENT This Agreement, together with any other written document referred to or contemplated by it, along with the purchase order for this Agreement and its provisions, embody the entire Agreement and understanding between the parties relating to the subject matter of it. In case of conflict, the terms of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions may be amended, modified, waived or discharged except in a writing signed by both parties. 6 26. AUTHORITY The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR By:~J~ (sign here) (print name/title) -(sign here) Sv1 C&nV\e W e.Qo+ (print name/title) ?< e ~u c),.-e IA V ARLSBAD, a municipal n of the State of California By: [INSERT TITLE OF PERSON AUTHORIZED TO SIGN (City Manager or Mayor or Division Director as authorized by the City Manager)] ATTEST: ~RBARA ENGLESON U"'Gfty Clerk If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups. Group A Group B Chairman, Secretary, President, or Assistant Secretary, Vice-PresidentCFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BRE1ryfi1y Attorney BY: f(;,_j (!____ Assistant City Attorney City Attorney Approved Version 6/12/18 7 EXHIBIT "A" SCOPE OF SERVICES Contractor shall provide video production services to include videography, photography, editing, lighting, graphic design, audio, writing and pre-production support related to city video productions, the city government channel and website. Communications Department will provide Contractor with detailed instructions to achieve end results to include direction on pre-production, writing, videography, directing, editing, lighting, audio recording, photography, and graphic design. Contractor will provide video archival support on an as needed basis. Contractor is responsible for providing all of its own editing and camera equipment as needed for the various assigned projects. On occasion and depending on the specific project, Contractor may use city equipment on an as-needed basis. Contractor warrants that if he uses city provided equipment that he will only use city equipment in which he is proficient in the proper use and functions. Contractor shall immediately notify the city's video production manager or designee if any piece of city equipment that he is using is damaged, becomes non-functional or is not functioning in a proper manner. Services under this contract are non-exclusive and if Contractor is unavailable for a given project; the city reserves the right to choose an alternate contractor to provide described service. Contractor shall bill hourly fees as set forth in this Agreement, Section 5 Compensation. It is agreed that Contractor's hourly rate for services are: $700/half day; $1,000 full day (camera and operator, audio, lighting, production package) $1100/half day; $1500 full day (two person crew/camera, audio, lighting, production package) Hourly rate: $200/hour (camera and operator, audio, lighting and production package) Editing $150/hour (includes graphics); pre-production/producing/scripting $650/day Other considerations: • All works submitted to and accepted by the city must be original material created by the Contractor. • All works submitted by the Contractor must be in standard U.S. English and adhere to the City of Carlsbad Writing Style Guide. A copy of this guide will be provided. • All written works must be submitted in Microsoft Word format. The work should appear in a non-balded Calibri, 12 point font. Please see Exhibit "B'' and Exhibit "C" for video format, acquisition specifications and file naming conventions. The city reserves the right to use all submitted works in perpetuity and in all current and/or future forms of current media and/or media to be developed. 8 EXHIBIT "B" V-d F 1 eo orma, cy e an t St I d T h . IS ec mca T f pec1 1ca ions Final Output for Distribution City Television Channel Master Format MPEG-2 -QuickTime - .mpg, .mpeg .mov Fps 29.97 29.97 rv'ideo City Television Channel Master Frame Size 720x480 1080p29.97 or 720p59.94 Aspect Ratio 14:3, .9 pixel 16:9 aspect ratio square pixels Codec MPEG-2 H.264 Bitrate 14-15 Mbps 8 Mbps Field Order Lower Proqressive Notes Letterbox or center-cut 1Widescreen PGMs. Do NOT deliver anamorphic. Observe safe title areas & broadcast safe levels. ~udio City Television Channel Master Codec MPEG-1 (layer 1,11, or Ill) or MC MPEG-2 Bitrate 192 kbps or better 192 kbps or better Sample Rate 148 kHz, 16-bit stereo 48 kHz, 16-bit stereo Video Acquisition and Shooting Style • Use a tripod for interviews and b-roll as conditions permit or as script requires • All b-roll should have audio (natural sound) • Shots should have sufficient pad at the beginning and end for editing and archiving purposes (minimum 30 frames) • Pans, tilts or zooms should generally be no longer than five to seven seconds • Use sufficient light and white balance to ensure the subject is properly exposed • Camera movements should be smooth, steady, dynamic, flowing and intentional • Provide proper headroom and look space for interviews (i.e. screen right/screen left) City Attorney Approved Version 6/12/18 9 • Leave room during an interview close-up to allow space for a lower third • Gather establishing shots and ample cutaways to support interviews and narration • Framing should vary between MS and CU during interviews to allow for cutting between answers Audio • Use proper microphones and windscreens to ensure clear audio • Allow ample time to rerecord sound if ambient noise interferes (airplanes, train horns, leaf blowers, etc.) • "Dress" lavaleir microphone cables so they are not visible. Editing • Please edit at 1080p29.97 • Refer to city brand guidelines for direction on fonts, lower thirds, onscreen graphics and titles Deliverables Finished programs are to be delivered in the following formats. High definition digital video files with 30 frames of black at the head and 40 frames at the tail: 1. QuickTime Master (H.264) 2. Channel files: (MPEG-2) Producer will deliver the following for each program according to established specifications: 10 1. All consolidated project files e.g. Final Cut/Avid/Premiere, Illustrator, Photoshop, After Effects, etc. and a digital version (Word file) of script reconciled to the final program. 2. All physical and digital media source files (Camera Master Volume, ingested video media, narration, graphics, music, animations and any other elements created for the project). Please transcode all raw files delivered to 1920x1080 ProRes422L T. 3. Digital media source files are to be delivered at the completion of the program via hard drive, DVD (data discs) or hard drive within two weeks of completion of the project. All video files must be named according to project, shot description and type of shot (i.e. Crosswalk Safety - guard crosses with child -MS). Only deliver files that are useable. Multiple clips of the same action should be significantly different in their content to warrant being included. The project will not be considered complete for final invoicing until files are delivered properly named. Please Exhibit "C" for more details on file naming. EXHIBIT "C" File Naming Conventions Starting a Project Please use the following file structure for all programs to ensure the project will be ready for archiving. When the video is complete, it will be delivered to the city on a hard drive to be transferred a central storage system. Name AUDIO -Imported VO files, recordings, '!if AUDIO sound effects. " DOCs DOCs -Scripts, transcripts, instructions, information. V GFX GFX Prepped -Images modified for video, • GFX Prepped i.e. editable Photoshop MASTERs, PNG outputs used in programs, resized photos, • GFX Source logos, lower thirds. "" MOV GFX Source-Native source files: EPS, "" " RENDERS Photo JPEGs, PowerPoint. MOV -Supplied video files not from tape, " WORK i.e. DVD rips, animations. • AE RENDERS -Animations created out of After • MOTN Effects or Motion for this project. WORK -Project files for content created for ''I' XPORTS this project. Create folders for LiveType, Maya, etc. AE -After Effects project files MOTN -Motion project files EXPORTS -QT ref, Audio, full res QTs for Compressor use The project will not be considered complete until delivered in this format. File Naming The City of Carlsbad video footage library contains thousands of clips that are searchable by data. To make it easy to find a particular clip it is important that they are named consistently and efficiently. Please follow the instructions below when naming clips for the file footage library. Please transcode all raw files to 1920x1080 ProRes422L T for editing and archiving. Naming Tape/Cards All tapes and cards are entered into a cataloging system. Please make sure the tape or card number (x of x) is listed in notes. The following information is listed on all media. Naming Clips Every shoot has a name that closely conforms to the project name. Examples have been provided below to show the relationship between the project name, location and how files are named. Keep the name as brief as possible to make it easier to identify clips in editing. Projects will not be considered complete until clips are labeled using these file naming conventions. Name of shoot Name of the project: Crosswalk Safety Event Subject of the shoot: School crossinq qua rd interview and b-roll Location Calavera Elementary School City Attorney Approved Version 6/12/18 11 Date Date/dates of shoots in notes Description of video Examples: in time code order 01:01:15-Kids cross street, car speeds through light 01 :01 :30 -Crossing Guard interview -describe question (i.e. John Smith -crossinq quard responsibilities) Videographer Who shot the footage -last name and first initial please (in notes) and if possible in the camera metadata i.e. SmithW 09 03 14 Additional Notes: Please note any additional shots that do not pertain to the project, but were acquired while on the shoot. For example, trail with flowers in bloom Please keep the names of clips as short and detailed as possible in this order. Naming Order: Project Prefix -Description of Action, ANGLE Example: Crosswalk Safety -guard crosses with kids MS The project prefix can also be the location of the shoot. For example, if you're recording b-roll of airplanes at the airport, Airport -jet takes off MS would be the file name. Example: If the project name is "Crosswalk Safety" there is no need to include crosswalks in the clip description since it is already listed. Crossing guard would be "guard" because it's included in the project prefix. This will help to keep clip names shorter. When there are multiple takes of the same action, add a number to differentiate. Only clip out the best useable footage for delivery and provide the best two takes of the action. When naming clips use WS = wide shot, MS = medium shot and CU = close up. Please use the descriptors below -do not use symbols i.e. (/<>\) as they do not read in searches and can result in corrupt clips. Rack Focus = RF Over the Shoulder = OTS Pan Riqht = PR Pan Left= PL Tilt UP= TU Tilt Down = TD Push/Zoom in = ZI Push/Zoom out = ZO Interview = I NTVW People= ppl Camera= cam With =w Interior= INT Exterior = EXT Foreqround = FG Background = BG 12 A~RD9 CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) 03/22/2018 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 CONTACT Jessica Lee NAME: Alvarado Pacific Insurance Services. Inc. PHONE (619) 668-4600 I r..e~.Nol: (619) 469-1569 I A/C No Ext\: 7777 Alvarado Rd. #605 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# La Mesa CA 91942-8282 INSURER A: Ohio Security Ins Co 24082 INSURED INSURERS: Athena Video Production, Inc. INSURERC: 6583 Robinea Drive INSURERD: INSURER E: Carlsbad CA 92011 INSURER F: COVERAGES CERTIFICATE NUMBER· CL1832120542 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 POLlCIES. 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INSR POLICYEFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER lMM/DDIYYYYl lMMIDDIYYYYl X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -D CLAIMS-MADE [81 OCCUR UAMA<..,c I U ~~• 11 cU PREMISES {Ea occurrence) $ 300,000 -MED EXP (Any one person) $ 5,000 -A y BKS(19)56470738 05/02/2018 05/02/2019 PERSONAL & ADV INJURY $ 1,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER· GENERAL AGGREGATE $ 2,000,000 / ~ •PRO-•LOG PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) -ANY AUTO BODILY INJURY (Per per,;on\ $ --OWNED SCHEDULED BODILY INJURY (Per accident) $ -AUTOS ONLY -AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) --$ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ -EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS' LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE • NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Evidence of Insurance as respects operations of the named insured • City of Carlsbad, its officials, employees and volunteers are named as additional insured as required by written contract per CG 8810 • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad' ACCORDANCE WITH THE POLICY PROVISIONS. 1200 Carlsbad Village Drive AUTHORIZED REPRESENTATIVE Carlsbad CA 92008 ()~S~ I © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ~LiberiJ. ~ Mutual. INSURANCE Named Insured Coverage Is Provided In: Ohio Security Insurance Company - a stock company Commercial General Liability Declarations Basis: Occurrence Agent Polley Number: BKS (19) 56 47 07 38 Policy Period: From 05/02/2018 To 05/02/2019 12:01 am Standard Time at Insured Mailing Location ATHENA VIDEO PRODUCTION INC ~ (619) 668-4600 ALVARADO PACIFIC INSURANCE SERVICES -== -~~ 1= -== !!!II!!!!.,;;;! -= ~~ 8 ;;;;;;;;;;;;;;; ...a= SUMMARY OF LIMITS AND CHARGES Co11111ercial General Liability Limits of Insurance DESCRIPTION Each Occurrence Limit Damage To Premises Rented To You Limit (Any One Premises) Medical Expense Limit (Any One Person) Personal and Advertising Injnry Limit General Aggregate Limit (Other than Products -Completed Operations) Products -Completed Operations Aggregate Limit Explanation of Charges DESCRIPTION General Liability Schedule Totals To report a claim, call your Agent or 1-800-362-0000 DS 70 22 01 08 56470738 POLSVCS 280 Total Advance Charges: INSURED COPY 001513 LIMIT 1,000,000 300,000 5,000 1,000,000 2,000,000 2,000,000 PREMIUM 194.00 $194.00 Note: This Ls not a b/11 PAGE 23 OF 146 ! ,, COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUBJECT NON-OWNED AIRCRAFT NON-OWNED WATERCRAFT PROPERTY DAMAGE LIABILITY -ELEVATORS EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) MEDICAL PAYMENTS EXTENSION EXTENSION OF SUPPLEMENTARY PAYMENTS -COVERAGES A AND B ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT PRIMARY AND NON-CONTRIBUTORY-ADDITIONAL INSURED EXTENSION ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT LIBERALIZATION CLAUSE BODILY INJURY REDEFINED EXTENDED PROPERTY DAMAGE WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU © 2013 Liberty Mutual Insurance CG 88 10 0413 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. 2 2 2 2 3 3 3 5 6 6 7 7 7 7 7 8 8 Page 1 of 8 b. The last paragraph of subsection 2. Exclusions Is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section Ill -Limits Of Insurance. 2. Paragraph 6. under Section Ill -Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Co~erage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) -Paragraph 9.a. of Definitions Is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are Included In your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I -Coverage C • Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS • COVERAGES A AND B 1. Under Supplementary Payments -Coverages A and B, Paragraph 1.b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: d. All reasonable expenses Incurred by the insured at our request to assist us in the investigation or defense of the clalm or "suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II -Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization Is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising Injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily Injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or © 2013 Liberty Mutual Insurance CG 88 10 0413 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 8 b. Premleea or faollltles rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations perfon:ned by you or on you-behalf for which the state or polltlcal subdlvlslon has Issued a permit subject to the followlng addltlonal provisions: (1) This Insurance does not apply to "bodily Injury', "property damage", or "personal and ad- vertising Injury" arising out of the operations performed for the state or polltloal subdivision; (2) Thia Insurance does not apply to "bodlly injury• or "property damage" Included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, drlv8'Nays, manholes, marquees, hoist 'fNIS'/ openings, sidewalk vaults, street banners, or decorations and slmllar expo-r sures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this Insurance. However: 1. The Insurance afforded to such additional Insured only applies to the extent permitted by law; and [, 2. If coverage provided to the addltlonal Insured Is required by a contract or agreement, the Insur- ance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. With respect to Paragraph 1.a. above, a parson's or organization's status as an additional Insured under this endorsement ends when: (1) All work, lnoludlng materials, parts er 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 lnsured(s) at the location of the covered operations has been completed; or (2) 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 prlnclpal as a part of the same project. With respect to Paragraph 1.b. above, a person's or organization's status as an additional Insured under this endorsement ends when their written contract or wrttten agreement with you for such premises or facUltlas ends. With respects to Paragraph 1.c. above, this Insurance does not apply to any "occurrence" which takes place after the equipment rental or leeae agreement has expired or you have returned such equipment to the lessor. " The Insurance provided by this endorsement applies only If the written contract or written agreement ls signed prior to the "bodffy Injury" or "property damage•. We have no duty to defend an addltlonal Insured under this endorsement until we receive written notloa of a "suit" by the additional Insured as required In Paragraph b. of Condttlon 2. Duties In the Event Of Occurrenqe, Offense, Claim Or Sult under Section IV -Commercial General Llablllty Condi• tlons. @ 2013Uberty Mutual Insurance CG 8810 0413 lrdJdes copyrighted ~al of Insurance S81v1058 Office, Inc., with Its permsston. Page 4 of 8 2. WHh respect to the Insurance provided by this endorsement, the followlng are added to Paragraph 2. Exclusions under Section 1., Coverage A-Bodlly Injury And Property Damage Uablltty: This Insurance does not apply to: a. "Bodily Injury" or "property damage" arlsng from the sole negligence of the addltlonal Insured. b. "Bodily Injury" or "property damage" that occurs prior to you commenolng operations at the location where such "bodily Injury" or "property damage• occurs. c. "Bodily Injury", "property damage" or "personal and advertising Injury" arising out of the render- Ing .of, or the fallure to render, any professlonal archltectural, engineering or surveying services, lncludlng: (1) The preparing, approving, or falllng to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, Inspection, architectural or engineering activities. This exclusion appllea even If the claims against any Insured allege negllgenca or other wrongdoing In the supervision, hl~ng. employmern, training or monltortng of others by that Insured, If the "oocur- rance• which caused the "bodily Injury" or 0property damage", or the offense which. caused the 0personal and advertising Injury", Involved the rendering of, or 1he faflure to render, any professional erchltectural, engineering or surveying servlcea. d. "Bodily Injury" or "property damage" occurring after: (1) AD work, Including materials, parts or equipment furnished In conneotlon with such work, on the project (other than service, matntanance or repairs) to be performed by or on behalf of the additional lnsured(s) at the locatlon of the covered operations has beefl completed; or (2) 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 perlormlng operations for a principal as a part of the same project. e. Any person or organization speclflcaDy designated as an additional Insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement ls- sued by us and made a part of this pollcy. 3. With respect to the Insurance afforded to these additional Insureds, the following Is added to Section m • Limits Of Insurance: If coverage provided to the additional Insured Is required by a contract or agreelll0flt, the most we will pay on behalf of the additional Insured is the amount of Insurance: ~ Required by the contract or agreement; or b. Avallable Wlder the applicable Limits of Insurance shown In the DeolaraUons; whichever Is less. This endorsement shall not Increase the applloable Limits· of Insurance shown In the Declaratlo ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applles to any person or organization who qualtlles as an addltlonal Insured under any form or endorsement under this policy. Condltlon 4. Other lnsuranae of SECTION IV • COMMERCIAL GENERAL 'LIABILITY CONDITIONS ls amend- ed as follows: a. The following Is ~ to Paragraph -a. Primary. Insurance: · , If an addltlonal lnsured's policy, has an other Insurance provision making Its policy excess, and you have agreed In a written contratj or written agreement to provide the addlflonal Insured coverage on a primary and noncontributory . basis, this policy shall be primary and we will not seek contribution from the addltlonal lnsured's poUcy for damages we cover. ) CG 8810 0413 @ 2013Uberty Mutual Insurance Inductee copyrlg hted materlal of Insurance Services Offloe, Inc., with Its penrisslon. Page 5 of 8 b, The followlng Is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other· than a premlsee lease, facilities rental contract or agreement, an equlpment rental or lease contract or agreement, or pem,lt lssuad by a state or pollUcal subdivision between you and an addltlonal insured does not require this insurance to be pnma,y or primary and non-contributory, this Insurance Is excess over any other Insurance for which the addl- tlonal Insured Is designated as a Named Insured. . Regardless of the written agreement between you and an additional insured, this Insurance Is 8XC888 CNar any other Insurance whether primary, excess, contingent or on any other basis for which the additional Insured has been added as an additional Insured on other policies. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" I Thfs provision applies to any person or organization who qualifies as an additional Insured under any fonn or endorsement under this policy. 1. The followlng Is added to Conclltfon 2. Duties In The Event Of Occurrence, Offense, Claim or Sult An additional Insured under this endorsement w!U as soon as praotlcable: a. Give written notice of an "occurrence" or an offense that may result In a claim or "suit" under this Insurance to us; b. Tender. the defense and Indemnity of any olalm or "suit" to all Insurers whom a1so have Insurance avanable to the additional Insured; and c. Agree to make avallable any other Insurance which the addltlonal Insured has for a loss we cover under this Coverage Part. d, We have no duty to defend or Indemnify an additional Insured under this endorsement untll we receive written notice of a "suit" by the addltlonal Insured. 2. The limits of Insurance applicable to the addltfonal Insured are those specified In a written contract or written agreement or the Omits of Insurance as stated In the Deolarat16ns of this policy and defined In Section Ill -Limit& of Insurance of this policy, whichever are less. These llmlts are Inclusive of and not In addition to the Omits of Insurance avallable under thls policy. J. WHO IS AN INSURED• INCIDENTAL MEDICAL ERRORS/ MALPRACTICE WHO IS AN INSURED .-FELLOW EMPLOYEE. EXTENSION -MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II -Who la An Insured Is replaced with the follow!ng: ( 1 ) •Bodily lnj ury" or "personal and advertising lnj ury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members {If you are a llmtted llablllty company), to a co-"employae" while In the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while perfum,lng duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co-"employee• or "volunteer worker" as a consequence of Paragraph (1) (a) above; - (c) For which there Is any obligation to share damages with or repay someone else who must pay damages because of the Injury described In Paragraphs (1) (a) or {b) above; or (d) Arlslng out of his or her provldlng or falling to provide professional health care services. However, If you are not in the buslness of providing professional health care services or providing profes- sional health care personnel to others, or If coverage for providing professional health care ser- vices Is not otherwise excluded by separate endorsement, this provision (Paragraph {cf)) does not apply. Paragraphs (a) and (b) above do not apply to "bodily Injury" or "personal and advertising Injury" caused by an "employee" who fs acting In a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibllltfes assigned by you, Includes the direct supervlslon of other "employ- ees" of yours. However, none of these "employees" are Insureds for ''bodily Injury" or apersonal and @ 2013 Liberty Mutual Insurance CG 8810 0413 lnclud es copyrtg hied malerlal of lnsLiance Sei"vlces Offloe, Inc., with Its permlsslo n. Page 6 of 8 II P. EXlcNDED PROPERTY DAMAGE Exclualon a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY Is replaced by the following: a. Expected Or Intended Injury "BodHy Injury" or "property damage" expected or Intended from the standpoint of the Insured. This excluslon does not apply to 'bodlly Injury• or "property damage" resultlng from the use of reasonable force to protect persons or property. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US -WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV• Commercial General Uablnty Concltlons, the followlng Is addad to Condition 8. Trans-· fur Of Rights Of Recovery Against Others To Us: · I We waive any right of recovery we may have against a person or organization because of payments we make for"lnJury or damage arising out of your ongoing operations or "your work" dona under a contract with that person or organization and Included In the "products-completed operations .hazard" provided: 1. You and that person or organization have agreed In writing In a contract or agreement that you waive such rights against that person or organization; and 2. Toe Injury or damage oocurs subsequent to the execution of the written contract or written agree- ment. ~ 2013 Lllerty Mutual Insurance . CG 8810 0413 Includes copyr1g hted matertal of I nsuranc:a Services Office, Inc., with Its permission. Page 8 of 8 IDS Property Casualty Insurance Company 3500 Packerland Drive De Pere, WI 54115-9070 Suzanne Weast \ Robert Weast 6583 Robinea Dr Carlsbad, CA 92011-2507 COVERAGE/LIMIT l BODILY INJURY LIABILITY $250,000 EACH PERSON $500,000 EACH ACCIDENT PROPERTY DAMAGE LIABILITY $100,000 EACH ACCIDENT MEDICAL EXPENSE -EXCESS COVERAGE $5,000 EACH PERSON UNINSURED MOTORIST BODILY INJURY $250,000 EACH PERSON 1 $500,000 EACH ACCIDENT UNINSURED MOTORIST PROPERTY DAMAGE CAR I-WAIVER OF COLLISION DEDUCTIBLE CAR 2-W AIYER OF COLLISION DEDUCTIBLE COLLISION , DEDUCTIBLES CAR 1-$250 2-$250 COMPREHENSIVE DEDUCTIBLES CAR 1-$250 2-$250 TOWING AND LABOR COSTS RENTAL EXPENSE . $30 PER DAY /$900 PER OCCURRENCE CONSOLIDATED VEHICLE ASSESSMENT FEE TOTAL SEMIANNUAL PREMIUM PER VEHICLE CONVENIENCE FEE* -SS.00 TOTAL SEMIANNUAL PREMIUM ALL VEHICLES -$773.74 RENEW AL DECLARATION' CALIFORNIA POLICY NUMBER: BX09422342 POLICY PERIOD: 09/19/2018 -03/19/2019 12:01 AM Standard Time LAPSE IN COVERAGE: NONE 2016 CHRY TOWN&COUN $197.00 INCL INCL $48.00 $1.00 $164.00 $24.00 NONELECT $10.00 $0.87 $444.87 2 ' FOR CLAIMS SERVICE CALL: 1-888--404-5365 FOR CLIENT SERVICE CALL: 2016 LEXS CT200H/CT $121.00 INCL INCL S27.00 INCL $143.00 $24.00 NONELECT ·$8.00 $0.87 $323.87 l-88S-404-5365 Coverage is provided only when both a premium and limit are shown. • Convenience Fee is $4 per monthly in3tallment if payment, is made by credit/debit card or SI per monthly installment for a preauthorized withdrawal method. adca0!a (001) 08/04/2018 ~ DRIVER INFORMATION 1. Suzanne Weast 2. Robert Weast 3. • QUALIFIES FOR GOOD STUDENT DISCOUNT + QUALIFIES FOR MATURE DRIVER DISCOUNT 4. 5. 6. # EXCLUDED DRIVER L CAR INFORMATION CARS KEPT AT LOCATION O,THER THAN RESIDENCE 2016 CHRY 2C4RC1BG3GR206671 2016 LEXS JTHKD5BH8G2274458 YOUR POLICY HAS THE FOLLOWING DISCOUNTS: MULTI-CAR, PREMIER SAFETY, FULL COVERAGE, TENURE, COSTCO 2016 CHRY -GOOD DRIVER, ANTI-TIIEIT DEVICE, DUAL AND SIDE AIRBAGS 2016 LEXS -GOOD DRIVER, ANTI-TIIEIT DEVICE, DUAL AND SIDE AIRBAGS I YOUR POLICY HAS THE FOLLOWING ENDORSEMENTS: SPECIAL EQUIPMENT/CUSTOMIZATION: NONE I LIENHOLDER INFORMATION 2016 CHRY TOWN & COUNTRY TOURING-Mission Federal San Marcos, CA cdcc09-CA CERTIFICATE OF EXEMPTION WORKERS' COMPENSATION/EMPLOYERS' LIABILITY INSURANCE Robert Weast th. Partner (with wife-Suzanne) I,--------------~ am e ______________ _ [insert name] [title] Of Athena Vldeo Productions h b rtify Athena Vldeo Productions I ere y ce that __________ _ [name of company] [name of company] has no employees and is not required by law to maintain workers' compensation or employers' liability insurance. Should Athena Vldeo Productions employ any person [name of company] . . . Video Production Services du.nng the term of the Agreement with the City of Carlsbad for ___________ _ [ description of project or work that is being contracted] then workers' compensation and employers' liability insurance will be obtained. Robert Weast [Name] Secretary, Athena Video Productions S-Corp [Title and name of company or corporation] - WAIVER REQUEST FORM FACTORS IN SUPPORT OF REQUEST TO MODIFY INSURANCE REQUIREMENT(S) Generally, a modification to the coverage requirement will be accepting a lower limit of coverage or waiving the requirement(s). Requested by: Kristina Ray, communications department (Name and Department) November 12, 2018 Date Proposed modification(s) to the PL requirement(s) for Athena Video Productions, Inc. (Type of insurance) (Name of contract) D Reduce coverage to the amount of ~ Waive coverage D Other: ----------------------------------- FACTOR(S) IN SUPPORT OF MODIFICATION(S) (check those that apply) •Significance of Contractor: Contractor has previous experience with the City that is important to the efficiency of completing the scope of work and the quality of the work-product [explain] ______ _ •Significance of Contractor: Contractor has unique skills and there are few if any alternatives. [explain: include number of candidates RFP sent to and number responded if applicable} __________ _ ~Contract Amount/Term of Contract: $90,000.00. Work will be completed over a period of 3 years •Professional Liability coverage is not available to this contractor or would increase the cost of the contract by $ [explain]. __________________________ _ ~Other (e.g. explain why exposures are minimal, how exposures are covered in another policy, exposure control mechanisms, and any other information pertinent to your request): Contractor will produce videos based on approved templates and specifications from the City of Carlsbad brand guidelines. Work products will be reviewed and approved by city staff with professional expertise in video production. Scripts will be reviewed and approved by city subject matter experts. Contractor will not distribute finished products; that will be the res_ponsibility of city staff. Due to this limited role, the risk of professional liability is minimal. Approved by Risk Manager for this contract only: l;.. --'!1-tf (Signature) (Date) H:\ WORD\Insurance\Admin Order #68 waiver modify insurance requirements.doc