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HomeMy WebLinkAboutMERCY HOUSE LIVING CENTERS, INC. (3)vvIDEK ilIM i r,ki li , ,14St l+It//��, TTS �MJ�Ijj 1 AMI O< C:P P4 Q) CENTERS TO OPERATE AN INTERIM EMERGENCY HOMELESS SHELTER THIS SECOND AMENDMENT to the above -referenced agreement is entered into on February S, 2019, by and between Mercy House Living Centers, Inc. ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City'). RECITALS A. The parties entered into Agreement No. A-2018-221, dated September 18, 2018, by which Contractor agreed to administer and operate an interim, low barrier emergency homeless shelter in the City of Santa Ana ("Agreement"), B. On October 16, 2018, the parties entered into First Amendment to Agreement No. A-2018-251 to provide additional indemnification in favor of Contractor relating to certain of Contractor's obligations under the separate, written lease entered into by Contractor to secure the premises for its obligations under the Agreement. C, The Agreement remains in effect, and the parties now wish to further amend the Agreement to increase the amount of funds to be expended in Year 1 of the Agreement due to additional start-up costs incurred by Contractor for improvements made to the premises. The Parties therefore agree: Section 3(c), Start -Lip Funding and Compensation, is amended to increase the total sum to be expended under Year 1 of the Agreement by up to $250,000, upon receipt from Contractor of proper invoices evidencing costs for services and reimbursable items to be provided by Contractor under the Agreement. In the event City and. Contractor agree to extend the Agreement for any period of time beyond its original term of one year, there shall be no contingency amount available for such extension period. 2. Except as modified by this Second Amendment, and all prior amendments, all terms and conditions of the Agreement shall remain in full force and effect, IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the Agreement on the date and year first written above. ATTEST NORMA MITRE Acting Clerk of the Council CITY OF SANTA ANA STEVEN A. MENDOZA Acting City Manager Page 1 of 2 APPROVED AS TO FORM MERCY HOUSE LIVING CENTERS, SONIA R. CARVALHO INC. City Attorney By: JVfJN M. FUNK Name; A4 Assistant City Attorney Title; (�U<<}� RECOMMENDED FOR APPROVAL STEVEN A. MENDOZA Executive Director Community Development Agency Pago 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DA0212112019Y o2r2ar261s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Dufour Insurance Services, LLC 5611 Littler Drive CONTACT N AME: Stephanie Dufour Ac"u_369.2998 4840.6357 No, E :714 Huntington Beach, CA 92649 Stephanie Dufour E-MAIL Ske hanfe dutourinsurance.com ADDRESS: P INSURER(S) AFFORDING COVERAGE NAICR CLAIMS -MADE a OCCUR INSURER A;Great_American Insurance Cornice 16691 $ 10,00 _ INSURED Mercy House Living Centers PA. Box 1905 Santa Ana, CA 92702 INSURER B: Great American Insurance Comps 16691 INSURER c: NOVA Casualty Company 42552 INSURER D:Greal American Insurance Group 37532 INSURER E:Philadelphia lndemnity 18058 A INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 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. INBR TYPE OF INSURANCEEFW POLICY NUMBER 'MXP TR M@D EYY MM ODIYEYYY LIMITS ACCORDANCE WITH THE POLICY PROVISIONS. GENERAL LIABILITY EACH OCCURRENCE $ 1,000,06 A X COMMERCIAL GENERAL LIABILITY Y PAC426088203 0510212018 05102/2019 PREMISES Ea oc�nDe<„-.e $ 100,00 CLAIMS -MADE a OCCUR MED EXP (Anyone person) $ 10,00 A X Prof. Liability PAC426088203 OW0212018 05/0212019 PERSONAL& ADV INJURY $ 1,000,00 X Sex Abuse/Miscond GENERAL AGGREGATE $ 2,000,00 A PAC426088203 05102/2018 05/02/2019 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 X _ POLICY .. PRO- LOC Ded: $0 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,00 AANYAUTO Y CAP 188045404 05/0212018 0510212019 BDDILY INJURY (Per person) $ ALL OWNED SCHEDULED X BODILY INJURY (Per accident) .�. _..__ $ $ AUTOS AUTOS X NON -OWNED IX PROPERTY DAMAGE $ 130,00 WIRED AU709 AUTOS PER ACCIDENT .... ComplColl Ded. $ 50 X I UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 5,000,00 B EXCESS LIAR CLAIMS-MADF Y LIMB 426088303 0510212018 05/0212019 AGGREGATE $ 5,000,60 DED X RETEMION$ 10000 _ $ WORKERS COMPENSATION WE STAT47. OT}'I' X X AND EMPLOYERS' LIABILITY Y� TORY OMITS t3, C ANY PROPRIErORIPARTNER/EXECUTIVE CFI -WK -10000043-03 02108/2019 02108/2020 F.L. EACH ACCIDENT $ 1,000,00 E OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA (ACCIDENT) PHLY78923350 1112112018 11/21/2019 E.L. DISEASE - EA EMPLOYE' $ 1,000,00 Dyes, Resorunder DESCRIPTIOONN OF OPERATIONS below EL.DISEASE -POLICY LIMIT "' $ 1,000,00 D Cyber Liability Y NLP3642944 01/2912019 0112912020 Per Occ 1,000,00 E D&O/EPLI Y PHSD1173663 10/1712018 1011712019 Aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additlonal Remarks Schedule, If more space N roqulrod) City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insureds with respect to the operations of the named insured & this policy is primary per the attached endorsement. gg Workes compensation waiver of subrogation included. 10 days notice of cancellation for non-payment of premium. CERTIFICATE HOLDER CANCELLATION 61988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cit of Santa Ana City ACCORDANCE WITH THE POLICY PROVISIONS. Frank Hernandez 20 Civic Center Plaza Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana, CIA 92702 (w L J� 61988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD