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Home My WebLink AboutCHARITABLE OF VENTURES OF ORANGE COUNTY DBA PROJECT KINSHIP (2)INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES N cz, MAYOR 15 Vicente Sarmiento MAYOR PRO TEM CLERK OF COUNCIL M David Penaloza DATE: N COUNCILMEMBERS Q__ Phil Bacerra Cl- Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan C'. (CQA) (A) (0c)VOI4 (SA) March 15, 2021 Steven Kim Project Kinship 2215 North Broadway #2 Santa Ana, CA 92706 A-2020-141-01 CITY MANAGER Kristine Ridge .arr_u•'. CITY ATTORNEY Sonia R. Carl CLERK OF THE COUNCIL �.- Daisy Gomez CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 (714) 647-5360 www.santa-ana.ora Re: Extension of Agreement A-2020-141 Dear Mr. Kim: Pursuant to Section 3 ("Term") of the Agreement under the Workforce Innovation And Opportunity Act, No. A-2020-141, entered into by and between Charitable Ventures of Orange County, dba Project Kinship and the City of Santa Ana, dated July 7, 2020, the time -period for said Agreement is hereby extended from July 1, 2021, through December 31, 2021. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any question regarding this matter, please contact Sandy Barba in the Community Development Agency at 714-565-2611. Sincerely, � ram_ Tor CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM: Sonia R. Carvalho CityAttorney RyzlIOifHodge Assistant City Attorney ATTEST: Daisy Gomez Clerk of the Council RECOMMENDED FOR APPROVAL: Steven Mendoza, Executive Director Community Development Agency SANTA ANA CITY COUNCIL Vicente Sarmiento David Penaloza Thai Viet Phan Jessie Lopez Phil Bacena Jabnaffian Ryan Hernandez Nelida Mendoza Mayor Mayor Pro Tem, Wand 2 Word Wand Wendt Wed Wartl6 v ento(a!santa-anaom doenabzai�nsanaa n or, ohon[aii.M.-anaom eesielooez®santa-ana.om abaceaardsanta-anaom 'Nanhentandeanianta-ana om hendozonaanta-anaom Francine H. eianaov nn„ea ev na„=me a. vaia,eai Villareal m,e: xozc.aa.on oe.aens A� CERTIFICATE OF LIABILITY INSURANCE CAM(MM/DD/YYYY) 07/30/2020 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(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 WANED, 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 each endorsements . PRODUCER Dickerson Insurance Services an Alera Group Company 1918 Riverside Drive, Los Angeles, CA 90039 License #OM29112 CONTACT Nora Wolkoff NAME PNDNE 12,00. 323-805-2918 FAc No: E,mAIL . Nora@dlckerson-group,com INSURE S AFFORDINOCCVERAGE MAC p INSURERA: Philadelphia Indemnity Insurance Company 18058 INSURED Charitable Ventures of Orange County 4041 MacArthur Blvd Ste 510 Newport Beach, CA 92660-2503 INSURER e: Service American Indemnity Company 39152 INSURER c : INSURERD: INSURER E INSURERF: 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. IN50. LTRTYPE OF INSURANCE ADDL SueR POLICY NUMBER NNuDE� LINILID�� UNITS XJ COMMERCNLGENERALLU1amITY EACH OCCURRENCE S 1.000,000 CIAIM"AOE ® OCCUR PREMISES Ee 000 Trance S 100,OOD MED EY.P An one anon $ 5,000 Sewlal/Physical Abuse PERSONAL S ADV INJURY $ 1,000,000 A Y PHPK2137436 07/15/2020 07/15/2021 DEVIL AGGREGATE UMr APPLIES PER: GENERALAGGREGATE S 2,000,000 POLICY ❑ JECT O LOC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: S I PA AGGREGATE s 300.000 AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT Eaacadent S 1,000,000 BODILY INJURY (Per person) S ANY AUTO A AOWr AI)TO SCCHHEEDDULED HIRED NON-0wPIED AUTOS ONLY AUTOS ONLY Y PHPK2137435 07/152020 07/15/2021 BODILY INJURY (Per aetidem) s PROPERTY DAMAGE Per aoddem S S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE s 4,000,000 A EKCESa UAB CIAIMSM4DE Y PHUB723821 07/152020 07/152021 OEO RETENTIONS 10,000 S B WORKERS COMPENSATION TY AND EMPLOYERS UABIUY ANYPROPRIEe RIPART EIVE EVE � OFFICERIMEM(Mandatory In NH) NIA SATIS0326700 07/152020 07/15202.1 STATUTE ER E.L EACH ACCIDENT a 1,000,000 E.L. DISEASE - EA EMPLOYE S 1,000,000 Ir ))es, daeai0e un0er DESCRIPTION OFOPERATIONS W. E.L. DISEASE - POLICY UNIT S 1,000,000 q Property / Equipment Coverage PHPK2137435 07I152020 071152021 Limit of Insurance $127,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remade Schedule, may be adeemal R more space Is required) CITY —Its officers, employees, agents, volunteers, and representatives are Included as Additional Insureds with respect to the operations of the named insured subject to policy terms and Conditions. City of Santa Ana Risk Management Division, 4th Floor 20 C6vic Center Plan Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE NORA WOLKOFF [off. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD RidrManagement Division v�'93 RREmejvED&pAPPROVE) BY. ' rvWYi�-FZ ram. V�1[�. �i ® Risk Management Analyst ADDITIONAL INSURED ENDORSEMENT Insurance Company Philadelphia Indemnity Insurance Company This endorsement modifies such insurance as is offered by the provisions of Policy Number: PHPK2137435 relating to the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 07/15/2020 this endorsement form part of Policy #PHPK2137435 Issued to (Name Charitable Ventures of Orange County Insured) Nma ` atlll:4 Countersigned by I ,& Rldc Managammt bivieI! RW= APPROVta BY.. ® Ruk Management Analyst PROJECT ORI OC COUNTy ESL Lma = Aaron Reyes Charitable Ventures/Project Kinship 2215 N Broadway Suite 2 Santa Ana, CA 92706 July 30, 2020 Audrey Goodson Santa Ana WORK Center 801 W. Civic Center Dr., Suite 200 Santa Ana, CA 92701 RE: Non -Owned Vehicles Dear Audrey, This letter is to affirm the Charitable Ventures/Project Kinship will not use Non -Owned vehicles for transportation of participants enrolled into the WIOA or P2E program or any City of Santa Ana affiliated program. Should you have any questions, please feel free to reach me at (714) 941-8009 X114 or by email at aarongproiectkinship.org. Sincerely, A on Reyes / irector of Operations Project Kinship 2215 N. Broadway, Suite 2, Santa Ana, CA 92706 1 P: 714-941-8009 1 F www.projectkinship.org Risk Mmagementt)Msisn [RenEWEo 6 AJTRUtD BY. `® Risk Management Analyst