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CATHOLIC CHARITIES OF ORANGE COUNTY (4)
City of Santa Ana Cleric of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. , f Is the agreement(s) a permanent record? Yes No Y Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. 0 The agreement with COTC Office Use Only CZo2-� City of Santa Ana Clerk of the Council A-2020-085-04 No. was completed on L% u2—i and final payment has been made. (List all amendments. Use space below if needed.) Department: Cbq- Phone/Ext.: i� - �L4 LA O— Signature: Date: iaagreementslformslform - agreement termination formwgoldenrod.doc 1t W I? (� ` ITO A-2020-085-04-02 i t 91 (-DA,OXMrnr i Lt to SECOND AMENDMENT TO THE SUBRECIPIENT AGREEMENT M°`r °k"') BETWEEN THE CITY OF SANTA ANA R�r AND CATHOLIC CHARITIES OF ORANGE COUNTY FOR THE USE OF COMMUNITY DEVELOPMENT BLOCK GRANT CORONAVIRUS (CDBG-CV) FUNDS (24 CFR Parts 570) THIS SECOND AMENDMENT TO THE AGREEMENT FOR THE USE OF COMMUNITY DEVELOPMENT BLOCK GRANT CORONAVIRUS (CDBG-CV) FUNDS is entered into this I" day of January, 2021, by and between the City of Santa Ana, a charter city and municipal corporation of the State of California ("City ), and Catholic Charities of Orange County, a California nonprofit organization ("Subrecipient"). RECITALS A. On May 11, 2020, the City entered into a Community Development Block Grant ("CDBG") Subrecipient Agreement #A-2020-085-04 with Catholic Charities of Orange County to provide CDBG-CV Funds from the United States Department of Housing and Urban Development ("HUD") to be used in the operation of a public service program to provide rental relief for residents of the City of Santa Ana ("said Agreement"). B. On September 11, 2020, HUD awarded the City with a special allocation of CDBG-CV3 program funds in the amount of $3,520,819, as authorized by the CARES Act, increasing the cumulative amount for all CDBG-CV allocation rounds to $6,894,836. C. In accordance with the terms and conditions of said Agreement, the parties desire to amend said Agreement to increase funds to Subrecipient, extend the term of said Agreement, and to add new performance requirements to the scope of said Agreement. 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: Section I, subsection B, shall be amended to increase the amount granted to Subrecipient by $775,404.00 in CDBG-CV Funds for the Coronavirus Rental Relief program. The new total sum shall not exceed $1,480,571.00 in CDBG-CV Funds. Additionally, the term in which the CDBG-CV Funds must be spent shall be extended until June 30, 2021. 2. Section I, subsection C, shall be amended to add the new performance outputs required of the new funds, as detailed in the Addendum to the Scope of Services attached hereto as Exhibit A and incorporated herein by reference. Section II, subsection A, shall be amended to increase funding to Subrecipient by $775,404.00, for a total sum not to exceed $1,480,571.00. Subrecipient's budget for these new funds is attached hereto as Exhibit B and incorporated herein by reference. A-2020-085-04-02 4. Except as hereinabove modified, the terms 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 1.`¢M DAISY GOMEZ _ STINE RIDGE ' Clerk of the Council City Manager APPROVED AS TO FORM: SUBRECIPIENT: Sonia R. Carvalho City Afwmo , // By: RY� O. I,FYODGE Name: Ellen Roy Zpr Assis{ant jity Attorney Title: Executive Director Tax ID#: 95-3031389 DUNS#: 027840086 RECOMMENDED FOR APPROVAL: STEVEN MENDOZA Executive Director Community Development Agency City of Santa Ana CARES for Tenant Rental Assistance Scope of Work Program Year 2020-2021 (May 11, 2020 - June 30, 2021) Name of Organization Name of Funded Program Program Accomplishment Goal 444 TOTAL 444 Santa Ana Participants 100% Schedule of Performance (estimated) MAY 11, 2020 - DEC 31, 2020 Month: JAN 1-JAN 31 Month: FEB 1 - FEB 28 Month: MAR 1 - MAR 31 Month: APR 1 - APR 30 Month: MAY 1 - MAY 31 Month JUN 1 - JUN 30 Unduplicated Estimated 4441 Low Income Participants 100°/ This assistance is intended to bean emergency grant that is issued to pay rent in response to solving an unexpected crisis. Families facing a financial crisis because of COVID-19 are eligible for $3,000 in rental relief payable to their landlord on their behalf. Eligibility Criteria: Santa Ana residents unable to pay rent due to impacts related to Coronavirus Disease 2019 (COVID-19) Households at or below 80%AMI (see 2020 HUD Income Limits) Households that are behind and/or on a payment plan due to Coronavirus Disease 2019 (COVID-19) Program Details: This program will be advertised by the City of Santa Ana via Nixie, on the City website, via social media and via direct email(s) Residents will apply online via a link on the City of Santa website. Two local nonprofits are available to assist in completing the application process, if needed. Once the applications is submitted, all applications will be lotterized and selected applications will be assigned to one of the following nonprofits to check eligibility, contact and receive documents from the landlord. The nonprofit agency will submit periodic invoices with back-up documentation (canceled rent checks) for reimbursement and reports will be provided through the application software. CDBG-CV 3 funding will be used for rent payments directly to landlords on behalf of Santa Ana residents and indirect expenses. The CARES forTenants Rental Assistace Program was originally launched in May 2020 using federal Community Development Block Grant - Coronavirus (CDBG-CV) funds to provide $1,500 in rental relief per household. In October 2020, the City revised the Program Guidelines to increase the amount of assistance per household from $1,500 to $3,000 to more effectively address the needs of families facing a financial crisis. The two local nonprofits are responsible to ensure that the families who originally received only $1,500 from May 2020 to September 2020 are recertified to receive an additional $1,500 In rental relief. As such, everyfamily underthe CARES for Tenants Program would receive $3,000 per household, including those families that were already assisted. EXHIBIT A FISCAL YEAR 2020-2021 PROGRAM BUDGET Organization Name Catholilc Charities of Orange County Program Name Santa Ana CARES for Tenants Rental Assistance Program EXPENDITURES Enter hndFet rataanA.c —A -;--A _ - - _- �—•--�__ _,.,,�,,..,�,.�� Category Pogram/AdministrativeStaff Salaries ��r Expenditures Funded By Santa Ana CDBG $135,064.00 prvposeo program: Expenditures Funded By Other Sources Program Budget $135,064 Total Organization Budget Direct Rental Assistance $1,332,000 $1,332,000 $0 Indirect Costs 10% $13,507 $13,507 TOTAL BUDGET $1,480,571 $0 $1,480,571 $p * Indirect cost rate: 10% Non -Federal entity without federaly recognized negotiated indirect cost rate, will charge a de minimis rate of 10% of modified total direct costs. PROGRAM RESOURCES LIST ALL OTHER PROGRAM RESOURCES FOR 2020-2021 Funding Source Total must equal Program Budget Total listed above. FUNDING SOURCE AMOUNT Santa Ana CDBG-CV 5 1,480,571 AL EXHIBIT B Certificate of Coverage Date:6/25/2020 Certificate Bolder This Certificate is issued as a matter of information only and The Roman Catholic Bishop of Orange confers no rights upon the holder of this certificate. This certificate 13280 Chapman Ave. Garden Grove, CA 92840 does not amend, extend or alter the coverage afforded below. Company Affording Coverage THE CATHOLIC MUTUAL RELIEF SOCIETY OF AMERICA 10843 OLD MILL RD Covered Location Catholic Charities of Orange County OMAHA, NE 68154 1820 E 16TH Street Santa Ana, CA 92701 Coverages This is to certify that the coverages listed below have been issued to the certificate holder named above for the certificate 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 coverage afforded described herein is subject to all the terms, exclusions and conditions of such coverage. Limits shown may have been reduced by paid claims. Type or Coverage )P g Certificate ;Dumber Coverage Effective Date Coverage Expiration Date Limits Property Real & Personal Property D. General Liability Each Occurrence 1,000,000 General Aggregate 2,000,000 ! Occurrence Products•Comp/OP Age ® Claims Made 9129 7/l/2020 7/I/2021 Personal & Adv Injury Fire Damage (Any one fire) Med Exp (Any one person) Excess Liability Each Occurrence Annual Aggregate Other Each Occurrence 700,000 Excess Auto Liability Claims Made 9129 7/1/2020 7/1/2021 Annual Aggregate Limit/Coverage Description of Operations/LocationsA'ehicles/Special Items (the following language supersedes any other language in this endorsement or the Certificate in conflict with this language) Coverage only extends for claims directly arising out of Catholic Charities Rental Assistance Program partnership with the City of Santa Ana commencing on July I, 2020 and expiring on June 30, 2021. This coverage is primary and non-contributory. The City of Santa Ana, its officers, employees, agents, and representatives are named as additional protected except as it pertains to their own active negligence. This coverage is primary and non-contributory. Certain high risk activities are excluded. CMRS Excess Liability S700,000 XS $300,000 CMIC Auto Liability. Total Auto Liability $1,000,000. Holder of Certificate Cancellation Additional Protected Person(s) REVIEWED & APPROVE Should any of the above described coverages be cancelled ')before By Risk MANArlcm MT DIViSI the expiration date thereof, the issuing company will Nendeavor City of Santa Ana to mail 30 days written notice to the holder of Risk Management Division L 21 2020 certificate named to the left, but failure to mail such notice shall 20 Civic Center Plaza impose no obligation or liability of any kind upon the company, Santa Ana, CA 92702 its agents or representatives. Authadxed Reprewnlative tr �. 01 t. VIT-LARLAI 0821002821 ENDORSEMENT (TO BE ATTACHED TO CERTIFICATE) Effective Date of Endorsement: 7/I/202P Cancellation Date of Endorsement: 7/1/2021 Certificate Holder: The Roman Catholic Bishop of Orange 13280 Chapman Ave. Garden Grove, CA 92840 Location: Catholic Charities of Orange County 1820 E 16TH Street Santa Ana, CA 92701 Certificate No. 9129 of The Catholic Mutual Relief Society of America is amended as follows: SECTION II -ADDITIONAL PROTECTED PERSON(S) It is understood and agreed that Section II - Liability (only with respect to Coverage D - General Liability), is amended to include as an Additional Protected Person(s) members of the organizations shown in the schedule, but only with respect to their liability for the Protected Person(s) activities or activities they perform on behalf of the Protected Person(s). It is further understood and agreed that coverage extended under this endorsement is limited to and applies only with respect to liability assumed by contract or agreement; and this extension of coverage shall not enlarge the scope of coverage provided under this certificate or increase the limit of liability thereunder. Unless otherwise agreed by contract or agreement, coverage extended under this endorsement to the Additional Protected Person(s) will not precede the effective date of this certificate of coverage endorsement or extend beyond the cancellation date. Schedule -ADDITIONAL PROTECTED PERSON(S) City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 Remarks (the following language supersedes any other language in this endorsement or the Certificate in conflict with this language): Coverage only extends for claims directly arising out of Catholic Charities Rental Assistance Program partnership with the City of Santa Ana commencing on July I, 2020 and expiring on June 30, 2021. This coverage is primary and non-contributory. The City of Santa Ana, its officers, employees, agents, and representatives are named as additional protected except as it pertains to their own active negligence. This coverage is primary and non-contributory. Certain high risk activities are excluded. CMRS Excess Liability S700,000 XS $300,000 CMIC Auto Liability. Total Auto Liability S 1,000,000. REVIEWED & APPROVED By RISK MANAGEMeNt DIV)SION J L 21 020 _Z41. i�_ hl<A 1. 12EAL Authorizq Representative PKS-122(10-11) AcoRU CERTIFICATE OF LIABILITY INSURANCE DATEIMMMONYYYI 06/30/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endorsements). PRODUCER 402-551-8765 D " T C.M.G. Agency Inc C.M.G. Agency, Inc PHONE 402-551-8765 acNot, __ .... 10843 Old Mill Road EJMAILADDRESS: INSURED The Roman Catholic Bishop of Orange 13280 Chapman Ave PnVFRAn FR rFRTIFIPATF MIIMRFO• Romm�u au we�m. NAICN_ ny ' 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, LTR.. TYPE OF INSURANCE ADOLB INqn BW MM! POUCYEFF POLICY NUMBER IMMODYYYY1 POLICYEXP - IMMIDDANY)hLIMITS COMMERCUIL GENERALDABILITY FACHOCCURRENGE . E DAMAGE TI5F[ITfffEtF__ CLAIMS -MADE OCCUR PREMISES Ee occorram.1 1 5 MEOIXP(Any one parson)_-f3 _-_ PERSONAL B ADV INJURY S- _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5PRO POLICY __IJET '_1 LOC PRODUCTS -COMPIOP AGO S _ I S OTHER B AUTOMOBILE LIABILITY COMaBINa DISINGLELI IT I S 300.Q00 ✓ ANY AUTO BODILY INJURY (Par parson) S - OWNED SCHEDULED AUTOS ONLY AUTOS - 0313006-09-122292 07/O'l/2020' 07/01/2021 BODILY INJURY (Pam amdanl) $ ,__. , ✓ HIRED NON -OWNED 'PROPERTY DAMAGE ♦ S _ AUTOS ONLY AUTOS ONLY (Pa_r NcnpenU _ S UMBRELLALIAe OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE 5 DED RETENTION5 E WORKERS COMPENSATION PER OTH- ANDEMPLOYEpS'LIABILITY YIN 1 _STATUTE_ ER ANYPROPRIETORIPARTNEWEXEC UTIVE OFFICERIMEMBER EXCLUDED O ❑ NIA EL. EACH ACCIDENT $ (Mandalp In NH) E L DISEASE - EA EMPLOYEE'S _ it yyes, describe und., - - DESCRIPTIONOFOPERATIONSWt. E. DISEASE -POLICY LIMIT S B Comprehensive G313006-09-122292 07101/2020 71 07/01/2021 $1,000 Deductible Collision 1 $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD iOi, Additional Remarks Schedule, may be aUeched I(more.pace I. required) Coverage only extends for claims directly arising out of Catholic Charities Rental Assistance Program partnership with the City of Santa Ana commencing on July 1, 2020 and expiring on June 30, 2021. This coverage is primary and non-contributory. The City of Santa Ana, its officers, employees, agents, and representatives are named as additional insured except as it pertains to their own active negligence. See attached Excess Liability. CERTIFICATE HOLDER CANCELLATION City of Santa Ana REVIEWED &APPROVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division By RISk MANACrMLYVf Div THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I51DN AC COROANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 JU 2120 120 0 AUTHORIZED REPRESENTATIVE /e. • •-• -• 1 -r, as- r.. T lIIr-AAICCAL ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ROMAN-5 Aa�ORen CERTIFICATE OF LIABILITY INSURANCE DAOAI9SI1MninnTEIMMIYI 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 pollcy(les) 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 PRODUCER AI BrekkeSchafnitzlns.0rokers Llcense#OK07568 ,.NAM L— PHDNE -.--- uc, Nn, Eat: 949.365-5104 �F—Ax --_--- - -- -- Iplc.Ner949-313-3255 28202 Cabot Road, Suite 600 E-MAIL _ - - Laguna Niguel, CA 92677.1251 .AGnaess _ _ — _ __ _ __ INSURERI6I AFFORDING COVERAGE_ N 190 INSURER A: GuideOne Mutual _— INSURED Catholic Charties of Orange INSURERS; County -�—T- 1820 E 16th Street INSURER c Santa Ana, CA 92701 INSURER INSURERE. INSURERF Prl\/FnAGFC CCOTICICATF MIIMGFO• OC\/ICIl1M MIIMCCO. 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 INSO BUB POLICY NUMBER POUCYEFF wonD7 POLICY UP LIMAS COMMERCIALGENERA.IJABaJTY EACH OCCURRENCE It CLAIMS -MADE OCCUR _ j DAMAGE TO RENTED �PREMMULEBnrsu®Alx) MED-EXP My 0n$pere0n PERSONALS ADV INJURY _,p . GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 4 _ POLICY � j _ LOG PRODUCTS COMP/OP AGO S _ AUTOMOBILEMY .COMBINED ANY AUTO AUTO BODILYp¢—�SINGLE BODILY INJURY (PerPermn S . SCHEDULED AUTOS ONLY ' AUTµOpS I BOOtLY INJ Y e-LIMIT 11 Ep .�I AU OS ONLY AUTOS ONLY (Pe�amEentQAMPGE UMBRELLA LAB __ OCCUR 'EACH OCCURRENCE S .-....-.-. EXCESS LAB J CLAIMSMAOE AGGREGATE DED RETENTIONS A WORKERS COMPENSATION ;Or X PER OTB- -AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERIEXECUTNE Y 10005295 07f01i2020 D7/0112021 E.L.ACH ACC E 1,000,o00 S OFFICENAIE M q EXCLUDED? NIAIP I NI_ (MXndalRry m NI) ;.E1. OI$EASE.-EA EMPLOYE 1,000,000 _—�L Il yee, dOeabP under _. _ 1.000,000 DESCRIPTION F E T b I w E POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101. Addltkeial RemarMe Shcedele. may be elWi,f e f if more epate b reyPlnd) Waiver of subrogation WC0403060484 Is extended on behalf of City of Santa Ana, its officers, employees, agents and representatives REVIEWED & APPROVED JU21 �° r l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Div 'a 20 Civic Center Plaza Santa Ana, CA 92702 ANL (l Vi�LAIZEAL AUTHORIZED REPRESENTATNE ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insured: Catholic Charities of Orange County Policy Number: 10005295 Corporate Id: WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees Person or Organization while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Schedule Job Description City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 REVIEWED & APPROVE. By RISk MANAQF.MVAq fl7•riSl�/: U 21 1020 FKAN INE Il. VILLARLAI WC 04 03 06 04 84 Page 1 of 1