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HomeMy WebLinkAboutAGMT - Failla, Chris - See the Human LLC (Conduct Off-Site Workshop) et. Chris Failla SEE T'tR- frtJMAN 13E411NP THE WORK SPEAKING AGREEMENT Organization: City of Seal Beach Date Prepared: 5/20/24 Event Title: Event Date(s): 6/6/2024 Event Address: Client Address: City Hall 211 Eighth Street, Seal Beach, CA 90740 Client Email: Client Phone: Referred by: Deliverables and Price Deliverables Price Leadership Team Offsite, June 6, 2024 $15,000 1:1 Meetings with Tea - -r ge (Included) Inv Strengths Assessment (Included) Planning and Follow Up ails with Jill and Alexa (Included) APPROVED BY J0/- 1 OO -O01O - •lagO ACCT# and PO # DESCRIPTION Total $15,000 agrees to the above fee of $15,000 Client name Total fee 2945 HEMLOCK AVE I MORRO BAY, CA 93442 I CHRIS*CHRISFAILLA.COM I (805) 540-8013 Chris Failla SEE flit;ttVMAkN BE#tIND 1H WORK SPEAKING AGREEMENT The payment is non-refundable, but in the event of extenuating/emergency circumstances for either party, the speaking event may be rescheduled for within a year from the original event date. Audio and video may be recorded but may not be sold, and the speaker may receive a copy of any recordings. Additional Notes: Travel and assessments included in FEE Client Signature: Date: Approved by Speaker: Date: We look forward to working with you! 2945 HEMLOCK AVE I MORRO BAY, CA 93442 I CHRIS@CHRISFAILLA.COM (805)540-8013 Chris Failla SE,T1tE FtVMAN g-#tIND T)tti WORK SCOPE OF WORK Leadership Development Off-site Retreat Proposal for: City of Seal Beach, CA Leadership Team Focus The initiative aims to create a safe space off-site to foster open communication and build trust. The facilitator(s) will provide guidance, time and tools with the goal of strengthening teamwork and lines communication between each of the Department Heads, the City Manager, and other key staff. Request for Training and Coaching Services In response to City Manager Jill Ingram's request for leadership training services,this proposal focuses on an off-site leadership retreat, tentatively planned for June 6, 2024, at a yet-to-be determined location. The coaching and training intervention aims to enhance trust,teamwork, and communication among the City of Seal Beach department heads and leaders. It focuses on understanding personal communication styles, overcoming obstacles to effective communication, and appreciating the strengths, needs, and contributions of each team member. Emphasizing trust, active listening, and openness, the program encourages vulnerability and open discussions of challenges to foster better collaboration for the benefit of the team and the city. Objectives: 1. Improve support systems between department heads to expand organizational capacity and increase human sustainability 2. Build trust and teamwork by strengthening communication skills and channels 3. Leverage city and human resources more effectively through improved collaboration 2945 HEMLOCK AVE I MORRO BAY, CA 93442 I CHRIS@CHRISFAILLA.COM I (805)540-8013 • Chris Failla SEE T}tE I-ttJMA-N gEttIND THE WORK Timing and Roll out • Begin with 15-20 minute 1:1 calls between Chris Failla (primary facilitator) and each attendee,as schedules allow • Provide a 5-hour off-site retreat, scheduled for June 6, 2024 • Evaluation and planning meetings with Alexa and or Jill as needed to ensure the relevance and effectiveness of the training session • 60-minute follow up Strategy Session with Jill and Alexa to determine next steps • 30-minute 1:1 follow up/implementation calls with attendees(1 per attendee) based on need and availability Fees and Expenses Total investment: $15,000 (Includes travel, accommodations, and any assessments required) Confidentiality The content of individual conversations between participants and facilitator is completely confidential. 2945 HEMLOCK AVE I MORRO BAY, CA 93442 I CHRIS@CHRISFAILLA.COM I (805) 540-8013 • SEETHEH-01 DRECASENS coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 7/10/2024 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 License#NV#3324771 mom- Dawn Recasens Menath Insurance PHONE 775 831-3132 o 775 831-6235 1325 Airmotive Way Ste 320 (AIc,No,Ert):( ) I INC,1 1:� Reno, NV 89502 Main;drecasens@menath.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Allmerica Financial Benefit Ins Co 41840 INSURED INSURER 8: See The Human, LLC INSURERC: 2961 Hemlock Ave INSURERD: Morro Bay,CA 93442-1434 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR W POUCY NUMBER IY POLICY EFF POLICY EXP UNITS LTR INSD VDIMMIDDYYYI IMMIDD/YYYY► A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE OCCUR Z24 J771157 00 6/26/2024 6/26/2025 DAMAGE TO RENTED 1,000,000 X PREMISES(Ea occurtence) S 10,000 MED EXP(Any one person) $ PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY TIR LOC PRODUCTS-COMP/OP AGG $ Included OTHER: $ AUTOMOBILE LIABILITY (Ea ac id nt)SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED _ AUTOSRRE��� ONLY AUTOS BODILY BODILY INJURY(Per accident) $P _ A(JTOS ONLY AUTO ONLY (Per ac accident) $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 1,000,000 EXCESS UAB CLAIMS-MADE Z24 J771157 00 6/26/2024 6/26/2025 AGGREGATE S 1,000,000 DED I I RETENTIONS $ WORKERS COMPENSATION PER EH AND EMPLOYERS'UABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S QFFICER/MEMBER EXCLUDED? NIA — - (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 I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Cityof Seal Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 211 Eighth Street Seal Beach,CA 90740 AUTH OR IZED REPRESENTATIVE��� NT 4 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Z24 J771157 00 2301740 mortgagee, assignee, or receiver and the acts or omissions of those acting on your arising out of the ownership, maintenance behalf, but only with respect to: or use of a premises by you. a. Premises you own, rent, lease or occupy; This insurance does not apply to structural b. Your ongoing operations for the additional alterations, new construction or demolition insured(s) designated in the written operations performed by or for such contract, agreement or permit; additional insured. e. Grantor of Franchise c. "Your work" included in the "products- completed operations hazard", but only if: Any person or organization who is a grantor (1) The written contract, agreement or of a franchise to you, but only with respect permit requires you to provide such to their liability as grantor of a franchise to coverage to the additional insured; and you. (2) This Coverage Part provides coverage f. Lessor of Leased Equipment for"bodily injury" or"property damage" Any person or organization from whom you included within the "products- lease equipment is also an additional completed operations hazard". insured, but only with respect to liability for 2. The insurance afforded to such additional "bodily injury", "property damage" or insured described above: "personal and advertising injury"caused, in whole or in part, by your maintenance, a. Only applies to the extent permitted by law. operation or use of equipment leased to b. Will not be broader than the insurance you by such person or organization. which you are required by the written However, the insurance afforded to such contract, agreement or permit to provide for additional insured does not apply to any such additional insured. "occurrence" that takes place after the c. Applies on a primary basis and we will not equipment lease expires. seek contribution from any other insurance g. Manager or Lessor of Premises available to the Additional Insured, if that is required by the written contract, agreement Any person or organization from whom you or permit. lease premises is also an additional insured, but only with respect to liability d. Does not apply if the "bodily injury", arising out of the ownership, maintenance "property damage", or "personal and or use of that part of the premises leased to advertising injury" arises out of sole you. negligence of the additional insured. However, this provision does not apply to: e. Will not be broader than coverage provided (1) Any"occurrence"that takes place after to any other insured. you cease to be a tenant in the f. Does not apply if the "bodily injury", premises. "property damage" or "personal and advertising injury" is otherwise excluded (2) Structural alterations, new construction from coverage under this Coverage Part, or demolition operations performed by including any endorsements thereto. or for such additional insured(s). g. Does not apply unless the written contract B. Additional Insured by Contract, Agreement or or agreement was executed or permit was Permit With Completed Operations and Primary issued prior to the "bodilyinjury ' pp"property and Non-contributory damage", or "personal and advertising 1. Any person or organization who does not injury". qualify as an Additional Insured in A. h. Does not apply to any person or Automatic Additional Insured Provisions organization included as an insured by Including Primary and Non-contributory, 4. another endorsement issued by us and Additional Insureds, paragraphs a.through g. made part of this Coverage Part. above with whom you agreed in a written contract, agreement or permit to add as an i. Does not apply to any lessor of equipment additional insured on your policy is an after the equipment lease expires. additional insured only with respect to liability j. Does not apply to any: for "bodily injury", "property damage", or (1) Owners or other interests from whom "personal and advertising injury" caused, in land has been leased if the whole or in part, by your acts or omissions, or "occurrence"takes place or the offense 822-0001 08 19 Includes copyrighted material of the Insurance Services Office Inc.,with its permission. Page 4 of 14 Copyright 2019 The Hanover Insurance Company.All Rights Reserved. Insured Copy Z24 J771157 00 2301740 is committed after the lease for the land b. Up to$2500 for cost of bail bonds required expires; or because of accidents or traffic law (2) Managers or lessors of premises if: violations arising out of the use of any vehicle to which Bodily Injury Liability (a) The "occurrence" takes place or Coverage applies. We do not have to the offense is committed after you furnish these bonds. cease to be a tenant in that premises; or c. The cost of bonds to release attachments, but only for bond amounts within our Limit (b) The "bodily injury", "property of Insurance. We do not have to furnish damage", "personal and these bonds. advertising injury" arises out of structural alterations, new con- d. All reasonable expenses incurred by the struction or demolition operations insured at our request to assist us in the performed by or on behalf of the investigation or defense of the claim or manager or lessor. "suit", including actual loss of earnings up to $500 a day because of time off from k. Does not apply to "bodily injury", "property work. damage" or "personal and advertising injury" arising out of the rendering of or the e. All court costs taxed against the insured in failure to render any professional services. the"suit". However, these payments do not include attorneys' fees or attorneys' This exclusion applies even if the claims expenses taxed against the insured. against any insured allege negligence or other wrongdoing in the supervision, hiring, f. Prejudgment interest awarded against the employment,training or monitoring of others by insured on that part of the judgment we that insured, if the "occurrence" which caused pay. If we make an offer to pay the Limit of the "bodily injury" or "property damage" or the Insurance,we will not pay any prejudgment offense which caused the "personal and interest based on that period of time after advertising injury" involved the rendering of or the offer. failure to render any professional services by or g. All interest on the full amount of any for you. judgment that accrues after entry of the 3. With respect to the insurance afforded to these judgment and before we have paid, offered additional insureds, the following is added to to pay, or deposited in court the part of the SECTION III—LIMITS OF INSURANCE: judgment that is within our Limit of Insurance. The most we will pay on behalf of the additional insured for a covered claim is the lesser of the These payments will not reduce the Limits of amount of insurance: Insurance. 1. Required by the written contract, B. Alienated Premises agreement or permit described in B. SECTION I — COVERAGES, COVERAGE A — Additional Insured by Contract, BODILY INJURY AND PROPERTY DAMAGE Agreement or Permit With Completed LIABILITY,2. Exclusions,j.Damage to Property, Operations and Primary and Non- paragraph (2) is replaced by the following: contributory, paragraph 1. or (2) Premises you sell, give away or abandon, if the 2. Available under the applicable Limits of "property damage" arises out of any part of Insurance shown in the Declarations or any those premises and occurred from hazards that endorsement to this policy. were known by you, or should have reasonably This provision shall not increase the applicable been known by you, at the time the property Limits of Insurance shown in the Declarations. was transferred or abandoned. SECTION II—COVERAGE EXTENSIONS A. Supplementary Payments Extension C. Broad Form —Property Damage Legal Liability SECTION I — COVERAGES, SUPPLEMENTARY The following is added to SECTION III- LIMITS OF PAYMENTS—COVERAGES A AND B, paragraph INSURANCE, Paragraph 6. 1. is replaced by the following: The Damages to Premises Rented to You Limit 1. We will pay, with respect to any claim we shown on the Declarations will apply to a claim investigate or settle, or any "suit" against an because of "property damage" to any one insured we defend: premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily a. All expenses we incur. 822-0001 08 19 Includes copyrighted material of the Insurance Services Office Inc.,with its permission. Page 5 of 14 Copyright 2019 The Hanover Insurance Company.All Rights Reserved. Insured Copy WORKERS' COMPENSATION EXEMPTION DECLARATION for the CITY OF SEAL BEACH You are required to complete this form because you have not filed a certificate of workers'compensation insurance with the City of Seal Beach("City").California law requires all employers to carry workers'compensation insurance,even if they have only one employee, unless excluded under state law. It is your responsibility to comply with the law. If you do not know whether you are required to carry workers' compensation insurance, find out by contacting the California Department of Industrial Relations ("DIR"). Information is also available on the DIR's website at http://www.dir.ca.gov. If you are subject to the Workers' Compensation Laws of California, you must promptly file a certificate of Workers' Compensation Insurance with the City. Alternatively, if you have a certificate of self-insurance from the DIR, you must file that certificate with the City. DOCUMENT REFERENCE[insert contract,job number,location, etc.]: Example: Professional Services Agreement for On-Call Professional Automation and Implementation Services Amendment No. 1 dated January 25, 2023 Work to be performed on premises: ✓Yes No Nature of work to be performed: oaahriACOIT FitZ.4LA k fc$ Business Name: sir itIEinutoe $1,L. Business Contact Information: ML pl Z7ys fl►�q� ot �M s /,cA =MP- (name, address, telephone, email) i-ui Cal>LK B[.tiapA1L. A. A M -- LEGAL FORM: (check applicable box Sole Proprietor Limited Partnership General Partnership Corporation Business Trust Limited Liability Company Other: ACKNOWLEDGEMENT (initial) I am the authorized representative of the Business mentioned above. I warrant that the Business has no employees other than the owners, officers, directors, partners, or other principals who have elected to be exempt from workers' compensation coverage under California law. I further warrant that I understand the requirements of Section 3700 et seq. of the California Labor Code concerning providing workers' compensation coverage for any employees of the Business. (initial) The Business agrees to comply with the code requirements and all other applicable laws and regulations regarding workers' compensation, payroll taxes, FICA, and tax withholding, and similar employment issues. The Business agrees to hold the City of Seal Beach harmless from any loss or liability, which may arise from the Business's failure to comply with any such laws or regulations. Lir(initial) Should the Business or its subcontractors hire employees to perform the work referenced above, the Business or its subcontractor(s) shall obtain workers' compensation insurance and provide proof of the coverage to the City of Seal Beach. (initial) I understand that this form constitutes a declaration by the Business against its financial interest, relative to any claims it should assert against the City of Seal Beach under the California workers' compensation or labor laws and serves as an addendum to the agreement. (initial)The Business will defend, indemnify, and hold harmless the City of Seal Beach from all claims and liability, including workers' compensation claims and any liability that may be asserted or established by any party in the event the Business hires an employee in violation of this addendum. CERTIFICATION I declare and certify under the penalty of perjury under the laws of the State of California that the foregoing information provid d in this Exemption Declaration is true and correct. Executed this 19 day of.ecuelk , 2D23, at 01(41.4 e ' it , California. �ZY Busine s. TWE HU(10 44,UL By: Print ame VILLAI TIN*1QE> ►plic WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.