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2-1-1 ORANGE COUNTY (2)
A-2018-291 INSURANCE NOT REQUIRED WORK MAY PROCEED CLERK OF COUNCIL ,nnTM JAN 14 2019 ITIRST AMENDMENT TO EMERGENCY SOLUTIONS GRANT SUBRECIPIENT AGREEMENT BE TWEE ' THE CITY OF SANTA ANA AND 211 ORANGE COUNTY (24 CFR Parts 91 and 576) THIS FIRST AMENDMENT IV wNTO THE EMERGENCY SOLUTIONS GRANNT SUBRECIPIENT 1� "- AGREEMENT is entered into this — day of December, 2018, by and between the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"), and 211 ORANGE COUNTY, a California nonprofit organization C Subrecipient"). !tea �7.Y.ViL�� A. On July 1, 2018, the City entered into an Emergency Solutions Grant Subrecipient Agreement #A-2018-133-07 with Subreciplent to provide Emergency Funds from the United States Department of Housing and urban Development (HUD) to be used in the operation of an emergency solution program for the homeless or at risk of homelessness of the City of Santa Ana ("said Agreement"}. E. In an effort to capture and report critical data surrounding Santa Ana's Interim Emergency Homeless Shelter, this First Amendment to said Agreement will reallocate unspent fiscal year 2017-2018 ESG funds to 2-1-1 Orange County to work in conjunction with a Mercy House Data Specialist to enhance the City's Homeless Services webpage with a dashboard of successful outcomes, While a Mercy House Data Specialist will specifically work on integrating clients into the Homeless Services Management Information System and the County's Continuum of Care within the Coordinated Entry System, 2-1-1 Orange County will create on -going status reports to respond to the immediate data needs of the Santa Ana community at large. C. In accordance with the terms and conditions of said Agreement, the parties desire to amend said Agreement to increase funds to the Subrecipient, wbich need to be spent by June 30, 2019. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: 1. Paragraph 5, shell be -amended to increase funding to Subrecipient by $10,282,68, which will go to additional Homeless Management Information Services (HIMS) funds. The new total sum shall not exceed $24,555.68 in grant funding. 2. Section I, subsection A, shall be amended to add the specific tasks required of the additional funds, which will be applied to enhance the City's Homeless Services webpage with a dashboard of successful outcomes, as well as on -going status reports to respond to the immediate data needs of the Santa Ana community at large. 3. Section III, shall be amended to increase funding to Subrecipient by $10,282.69, for a total sum not to exceed $24,555.68. Subrecipient's new budget for these additional funds is attached hereto as Exhibit A and incorporated herein by reference. 4. Except as hereinabove modified, the terns and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF„ the parties hereto have executed this First Amendment to said Agreement the date and year first above written. ATTEST: CITY OF SANTA ANA IYV o� M RIA D. HUIZAR RAUL GODINEZ 11 Clerk of the Council City Manager APPROVED AS TO FORM: Sonia nrvalho Cit tj n By: R N O. ODGE A rstant ityAttomey RECOMMENDED FOR APPROVAL: STEVEN A. MENDOZA Executive Director Community Development Agency SUBRECIPIENT: UtcL Karen Williams Executive Director Tax ID# 33-0063532 DUNS# 88-433=9003 City of Santa Ana Name of Organization Name of Funded Program Annual Accomplishment Goal I. Total number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the fund_ _ ed program, named above, during the 12-month contract period. �; Persons II. Number of unduplicated Santa Ana residents expected to be served by the funded program during the 12-month contract period. 1i___UQTI Persons Program and Funding Description III. Description of Work - In the space below, describe the program to be funded during the 12-month contract period. What specific activities will be undertaken during the contract period. Please be concise in your response. Only the viewable space will print. SaSan Santa Ana has requested that 2110C create a Performance and Demographic Dashboard for the new Santa Ana 200 bed Emergency Shelter. This dashboard will track weekly progress as reported into the Homeless Management Information System for this new shelter. Upon approval of funding, 2110C will meet with designated Santa Ana employee responsible for direction on the Dashboard development. 2110C will need 2-3 weeks to complete the design, and will provide Santa Ana a link to the Dashboard, and Santa Ana ill post on the city website. Weekly tracking will be dependent on timely HMIS entry by he Emergency Shelter operator. This SOW covers a 0.011 FTE for the development and 0.092 FTE for 54 weeks of dashboard updates. Schedule of Performance Estimate the number of unduplicated Santa Ana residents to be served by the funded program during the 12-month contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served in quarter 1 do not count them again in quarter 2) Quarter 1: July 1 - September 30W200 Persons Quarter 2: October 1 - December 31Persons Quarter 3: January 1 - March 31 Persons Quarter 4: April 1 -June 30 Persons Total unduplicated Santa Ana Residents to be served. Schedule of Invoicing Estimate the amount of grant funds to be requested during the 12-month contract period on a quarterly basis. Quarter 1: July 1 - September 30 Quarter 2: October 1 - December 31 "91=$0,000011 Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 $ 10,282.68 (Total Grant Exhibit A ESG Final Budget Organization Name People for Irvine Community Health dba 2-1-1 Orange County Program Name Performance and Demographic Dashboard Expenditures i ,iobnses�Funded' Expenses Funded Total Program Organizational Category ;Z by'Sarita Ana "" by Other Sources Budget Budget mow. . -r .1�. - _ $ HMIS- Data Collection $fig .10;2835 $ 10,283 , 7� 71 .. _ .. - $ _ 77 $ - �,�s $ R r .. .. $ f> N e $ — 4 $ _ $ . r $ $ $ - - Total `10',283. $ $ 10,283 $ LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED (Total Funds for Program must equal Total Program Budget above) Source Amount Santa Ana $ 10,283 HUD-HMIS $ 499,000 i Total Funds for the Program $ 509,283 Exhibit B Page 1 of 1 ESG Funded Personnel Name of Organization: le for Irvine Community Health dba 2-1-1 Orange County (21 Name of Program Performance and Demographic Dashboard for Santa Ana Emergency Shelter Program Staff Position Title (only list funded positions) Budget Category Annual Salary Hourly Rate Approximate # of Hours per month serving Santa Ana Total Amount Requested Data Analyst HMIS $ 70,800 $ 34 3.20% $ 4,248.00 Director of Data and Information HMIS $ 100,300 $ 48 2.40% $ 4,418.02 CEO Dec 2018 only $ 177,000 $ 85 0.4% $ 1,191.35 Finance & Admonistration Dec 2018 only $ 147,500 $ 71 0.2% $ 567.31 Total ESG Requested $ 10,424.68 211 OC-0000 HRCTnA CERTIFICATE OF LIABILITY INSURANCE DATE 02/08/2019Y) 02l0612019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S 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 ri hts to the certificate holder in lieu of such endorsement(s). PRODUCER License IS 0554249 MqACM` T Heffernan Insurance Brokers 18004 Skp Park Circle, Suite 210 Irvine, CA 92614 PHC - lac, E Exq: 1 (949) 771.3400 (A C, NPI:(949) 771_-3401 E INSUBER(SIAPFORDIN_G COVERAGE N IC# _ INSURERA:NonorofltsInsurance Alliance ofCalifornia 101184 INSURED 2-1-1 Orange County 1505 E. 17th Street INSURER B:QBEInsurance CorpOratlon 39217 -- INSURER C: INSURER D: _ Suite 108 _ INSURER E: Santa Ana, CA 92705 INSURER F : C VERAGES 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 REOUIREMENT, 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 HEREINIS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS_ OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE Of INSURANCE AOOL SUER POLICY NUMBER PODCYHFFDNYYYI POIJCY E%P UNITS A X COMMERCIAL GENERAL LVUEUTY CLAIMSWADE TX OCCUR Improper Sexual Cond X 201903104NPO 02toinfl19 02/0112020 EACH OCCURRENCE S 1,000,000 DAMAGEETORR4NTO 5 500,000 X P IMv one oerson) S,__ 20,000 _ PERSONAL B ADV INJURY 11000,000 NL AGGREGATE LIMIT APPLIES PER. POLICY�jECVT uLOC _IS GENERAL AGGREGATE S 2,000,000 IG _ PRODUCTS-COMPA)PAG $_^ 2,000,000 SOCIAL SERVICE 5 1,000,000 OTHER: A AUTOMOBILE LIABILITY ANY AUTO 201903104NPO 02/0112019, 0210112020 COMBINED SINGLE LIMIT 1 S 1,000,000 �5 .X _ 0 IF r SCHEDULED A�U�kRTE( �S ONLY F AUOoTN,NOSYWVNNEEpp AUTOS ONLY X AUTOIONLV BODILY INJURY Per persons BODILY INJURY (Per accident'_, 15 PPOFgEAeno'4MAGE $ A X UMBRELLALIAS X EXCESSUAB OCCUR CLAIMS -MADE 1201903104UMBNPOQUOTE 02/0112019 02/01/2020 EACH OCCURRENC° 2,000,000 AGGREGATE _S ' $ 2,000,000 OED RETENTIONS S j WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANVPROPRIETOR?XCLUDEIE%ECUTIVE YIN OFFICEPIMEEMBER !EXCLUDED? �IINIA (Mentlde-1,e and If yes. desenbe under DESCRIPTION OF OP RATIONS peiaw PER OTH- "E_ E.L. CHA C ENT S EL.FACHAE-EA EMPLOYEE ,.,,_,_,.,,,., S — E.L. DISEASE -POLICY LIMIT -- S g 201903104ACC 02/0112019 02/01/2020 Aggregailet 1,000,000 �Dlsabfiity-AD&D-Trav A Professional Liabili I201903104NPO I 07JO112019 02O112020 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES IACORD 101, AComonal Remarks Schedule, me W allachetl a more space la nqulndl Re: As Per Contract or Agreement on File with Insured. City of Santa Ana, Community Development Agency Is included as an additional insured (and Primary) on General Liability policy per the attached endorsement, If required. TE HOLDER rAMrCI I ATInAd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1AUTHOMEO Community Development Agency, ACCORDANCE WITH THE POLICY PROVISIONS. Administrative Services Division M-25 REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92701 //f7L--� ACORD 25 J2015103) 01988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2019-03104 Named Insured: People for Irvine Community Health' COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required to complete this Schedule, If not shown above, will be shown in the Declarations. I A. Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by your ads or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance 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. CG 20 26 04 13 B. With respect to the insurance afforded to these additional insureds, the fallowing Is added to Section fill — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: 2019-03104 NMINONPROFITS _ INSURANCE A Nrvdfo InSYMOre A heartfe, Nonprojrrs. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Promises (Part Leased To You): Name Of Person(s) Or Organization(s) (Additional Insured): Any person or organization acting as a manager or lessor of a premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becoming effective during the term of this policy. Additional Premium: Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to Include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you, and only with respect to liability for "bodily injury', "property damage", or "personal and advertising injury', caused, in whole or in part, by your acts or omissions, or the acts or omissions of those acting on your behalf, subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Any offense which constitutes "personal and advertising injury" which is committed after you case to be a tenant in that premises; or 3. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organizations) shown in the Schedule. However. 1. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and 2. If coverage provided to the additional insured is required by a contractor agreement, the insurance 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. B. With respect to the insurance afforded to these additional insured, the following is added to Section III Limits Of Insurance: If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured Is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. NIAC-E67 08 17 Page 1 of 1 POLICY NUMBER: 2019.03104 NONPROFITS INSURANCE At LIANC IL 0f C.nl l t vwvtA A Neoa/or rnsuranre. A Neert fpr Nonprofits. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY - FOR DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional Insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "damages" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in the performance of your ongoing operations. The insurance extended by this endorsement Is primary coverage when you have so agreed In a written contract or agreement and will be considered non-contributory with the additional insured(s) own insurance. NIAC E02 0117 Page 1 of 1