Loading...
HomeMy WebLinkAbout2-1-1 ORANGE COUNTY (6)N �SURANCE ON FILE N WORK MAY PROCEED UNTIL INSURANCE EXPIRES A-2021-062 `" 2.l•1A1.1 CLERK °SATE: OF COUNCIL FIRST AMENDMENT TO EMERGENCY SOLUTIONS GRANT S RECIPIENT AGREEMENT BETWEEN THE CITY OF SANTA ANA AND a'. CDR (11(Mivape Wq LlE) 211 ORANGE COUNTY (24 CFR Parts 91 and 576) THIS FIRST AMENDMENT TO THE EMERGENCY SOLUTIONS GRANT SUBRECII'IENT AGREEMENT is entered into this 41 day of May, 2021, by and between the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"), and 211 Orange County ("Subrecipient'). RECITALS A. On July 1, 2020, the City entered into an Emergency Solutions Grant Subrecipient Agreement with 211 Orange County 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'). B. In an effort to provide additional housing assistance activities to serve Santa Ana residents experiencing homelessness, $6,248 will be reallocated to the 211 Orange County HNIIS Data Collection. C. In accordance with the terms and conditions of said Agreement, the parties desire to amend to increase funds to the Subrecipient, which need to be spent by June 30, 2021. 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: Paragraph 5, shall be amended to increase funding to Subrecipient by $6,248 in additional Data Collection and Outreach and Engagement Services. The new total sum shall be increased from $15,028 to an amount not to exceed $21,276 in grant funding. 2. Section I, subsection A, shall be amended to add the specific tasks required of the new funds as depicted in Subrecipient's Scope of Services attached hereto as Exhibit A and incorporated herein by reference. 3. Section III, shall be amended to increase funding to Subrecipient by $6,248, for a total sum not to exceed $21,276. Subrecipient's Budget for these new funds is attached hereto as Exhibit B and incorporated herein by reference. 4. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. A-2021-062 IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to said Agreement the date and year first above written. I ATTEST: DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM: Sonia R. Carvalho City A 6&,ey By: RY O\ ODGE Assistant t ity Attorney RECOMMENDED FOR APPROVAL: STEVEN A. MENDOZA Executive Director Community Development Agency CITY OF SANTA ANA 4MI1NE RIDGE City Manager SUBRECIPIENT: Name: KAREN WILLIAMS 211 Orange County Tax ID# 33-0063532 DUNS# 884339003 EXHIBIT A SCOPE OF SERVICES Name of Organization City of Santa Ana Scope of Work People for Irvine Communitv Name of Funded Program - HMIS Data Collection Annual Accomplishment Goal I. Total number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the funded 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 pe rod. 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. Host user meetings Perform site visits Provide training and technical assistance Complete project set-ups Publish data quality and performance reports on our website (211oc.org) 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 30 Persons Quarter 2: October 1 - December 31 1 IPersons Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 ersons ersons otal 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 Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 A21276.00 Total Grant Exhibit A Page 1 of 1 EXHIBIT B BUDGET ESG Final Budget Organization Name People for Irvine Community Health DBA 2-1-1 Orange County (2110C) Program Name HMIS Data Collection Expenditures EJUS" '. Expenses Funded Total Program Total Organizational CategoryIts by Other Sources Budget Bud et Housing Relocation and Stabilization Services Financial Assistance Rent Deposit $ - Rental Application fees $ - Utility Deposit $ - Utilit $ - Movin2 Costs $ Service Assistance Hsg Search & Placement $ - Case Management $ - Mediation $ - Legal $ - Credit Repair $ - Rental Assistance Rent $ Other Salaries $ 451,826 $ 471,168 $ 1,996,303 Facility & Equipment $ 25,762 $ 25,762 $ 104,806 Other Expenses $ 142,839 $ 142,839 $ 212,939 $ Indirect Cost $ 46,325 $ 48,259 $ 385,952 $ Total 6, $ 666,752 $ 688,028 $ 2,700,000 LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED (Total Funds for Program must equal Total Program Budget above) Source Ammint Santa Ana $ 21,276 City of Anaheim $ 10,935 City of Garden Grove $ 5,242 HUD HMIS Consolidated $ 650,575 Total Funds for the Program $ 688,028 Exhibit B Page 1 of 1 DI91tally signed by Francine R. Francine R, Villareahylilareal � -a ACC>R CERTIFICATE OF LIABILITY INSURANCE `l DATE(MM/DD/YYYY)' 2/3/2021 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 (OC) Heffernan Insurance Brokers 18004 Sky Park Circle, Suite 210 Irvine CA 92614 CONTACT NAME: 0949-771-3400 FAX Net: 949-771-3401 ADDRESS: INSURERS AFFORDING COVERAGE NAIL # INSURER A: Nonprofits Insurance Alliance of California 1184 License#: 0564249 INSURED 211OC-000 211 Orange County 1505 E. 17th Street, Suite 108 INSURER B: Travelers Casualty and Surety Company of America 31194 INSURER C: INSURER D : Santa Ana, CA 92706 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1432178492 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 LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDOIYYYY POLICY EXP MMIDDIYVYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 2021-03104 2/1/2021 2/1/2022 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR D A ET RENTED PREMISES ERENTE once $500,000 MED EXP (Any one person) $ 20,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PEO- FX I LOC PRODUCTS-COMPIOP AGO $2,000.000 $ OTHER: A AUTOMOBILE AUTOMOBILE LIABILITY 2021-03104 2/1/2021 2/1/2022 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDUAUTOSLED AUTOS ONLY BODILY INJURY Per accident) $ X HIRED NON-OWNED AUTOS AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLALIAB X OCCUR 2021-03104UMB-NPO 2/l/2021 211/2022 EACH OCCURRENCE $8,000,000 AGGREGATE $8,000,000 EXCESSLIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION PER OTH- ANDEMPLOVERS'LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ OFFIC RIIMEMe REXCW EpANYPROPRIETOMPARTNEWEXp ECUTIVE ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Crime 107377947 2/1/2021 2/1/2022 Employee Then 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space;. required) Re: As Per Contract or Agreement on File with Insured. City of Santa Ana, its officers, agents, employees, representatives and volunteers are included as an additional insured (primary and non-contributory) on General Liability policy per the attached endorsement, if required. The Cancellation notice endorsement has been requested for the General Liability policy from the insurance company and if approved will be forwarded when received. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Floor 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. 1988-2015 ACORD C ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Ri mRnogenentDlVlaion i REmEwED6 APPROVED BY: II " F4t�r�6�•td4 P, Y�" ---.— RVA MandgeraditAn4lyst oo. NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for Insurance. A Hoart for Nonpreflts. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED NOTICE OF CANCELLATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART BUSINESS AUTO COVERAGE FORM Cancellation: 30 Days Notice of Cancellation Person or Organization City of Santa Ana If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, we will mail notice of cancellation to the person or organization shown above. We will mail such notice to the address shown at least the number of days shown for cancellation. NIAC-E64 10 12 IN �„� w„ RleleManagementl)[Wltm �. �y RktnEWEb &ppJNPRCYJt@9�Y}; t Lf F% ro M V:,%:FAKw' Rick A1daagente�l A�alys4 POLICY NUMBER: 2021-03104 COMMERCIAL GENERAL LIABILITY Named Insured: People for Irvine Community Health dba: 2-1-1 Orange CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED 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) Location(s) Of Covered Operations Any person or organization that you are required to All insured premises and operations. 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. 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 © Insurance Services Office, Inc., 2012 9 Rlal MeaganeaEUtvlalm @REVIEWED&MtPt,R,ovm Rr, Ru.F.Man�gement:Anr�lyst 2. That portion of "your work" out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, 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. CG 20 10 12 19 © Insurance Services Office, Inc., 2012 van"p R7nhMarwgnmeM.D[vtsfon z � gRRWEV%M&PA�PPtRW®BY�: � r"' T [R+6tVE•i tl.. YM1�RC Risk Managetrnnt Analyst NONPROFITS INSURANCE ALLIANCE Or CALIFORNIA A Head for Insurance. A Heart forNonproflts. POLICY NUMBER: 2021-03104 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: A. Section II —WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. 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. B. Section III — LIMITS OF INSURANCE is amended to include: 8. The limits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision A.4. above, are those specified in the written contract between you and that public entity, or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or NIAC-E61 02 19 �.0 .� lildeMxtugententDtvislon Remo & Mreovm By., WN RUW Winne rnent Analyst s: ,©NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for insurance. A Heart for Nonprofits. POLICY NUMBER: 2021-03104 (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE. (a) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. N IAC-E61 02 19 a: RIaFMarugernentDlWelon 1 APPRcrim By., PigP, V: ��� [t¢k Mana€�enrerrt R4��lYAt CERTHOLDER COPY P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-29-2021 CITY OF SANTA ANA COMM. DEVELOPMENT AGENCY 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 GROUP POLICY NUMBER: 9023428-2020 CERTIFICATE ID: 48 CERTIFICATE EXPIRES: 09-01-2021 09-01-2020/09-01-2021 This Is to certify that we have issued a valid Workers' Compensation Insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance Is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be Issued or to which it may pertain, the Insurance afforded by the policy described /herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT H2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-01-2012 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER PEOPLE FOR IRVINE COMMUNITY HEALTH A SP NON-PROFIT CORP. DBA: 2-1-1 ORANGE COUNTY 1505 E 17TH ST STE 108 SANTA ANA CA 92705 IREv.7-2014) PRINTED : 01 SP RWkMmra9e tD1*I0n g cO �aRENEWED &APPR,,OVV`ED BY'.' 8f F Z V&" Risk Management Analyst. POLICYHOLDER COPY SIR P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-29-2021 CITY OF SANTA ANA COMM. DEVELOPMENT AGENCY 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 GROUP: POLICY NUMBER: 9023428-2020 CERTIFICATE ID: 48 CERTIFICATE EXPIRES: 09-01-2021 09-01-2020/09-01-2021 This Is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. , We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance Is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded bby� tthhee,, policy described ,herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative% President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT H2O85 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-01-2012 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER PEOPLE FOR IRVINE COMMUNITY HEALTH A SP NON-PROFIT CORP. DBA: 2-1-1 ORANGE COUNTY 1505 E 17TH ST STE IDS SANTA ANA CA 92705 (REV.7-2014) PRINTED : 01 o"A. Rink MmApRentDivislan IRRLMEWED&APPRDVM t.�tBY.' F41A4":* Q &, Y+�Grl�l4tk Ruk Manageirnnt Analyst