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HomeMy WebLinkAboutSHELTER PROVIDERS OF ORANGE COUNTY, INC., DBA HOMEAID ORANGE COUNTY (2)INSURANCE ON FILE WORK WY ?ROCEF UNl' ? of DATE: N-2021-030-01 FIRST AMENDMENT TO SUBCONTRACTOR AGREEMENT WITH HOME AID ORANGE COUNTY TO PROVIDE L1xg11 1ESS HOUSING, ASSISTANCE, AND PREVENTION THIS FIRST AMENDMENT to the above -referenced agreement is entered into on December , 2021, by and between Shelter Providers of Orange County, Inc., dba HoineAid Orange County, a California nonprofit organization ("Subcontractor"), 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, N-2021-146, dated June 1, 2021, by which Subcontractor agreed to provide planning services for the property located at 18 15 Carnegie Avenue, Santa Ana, California 92705, the future site of a City homeless shelter ("Agreement'). The tern of the Agreement continues through December 31, 2021. B, The parties now wish to extend the term of the Agreement. The Parties therefore agree: 1. Section 2, Term, is amended to extend the Term of the Agreement through June 30, 2022. 2. Except as modified by this First Amendment, all terms and conditions of said Agreement shall remain in fill force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to said Agreement on the date and year first written above. APPROVED AS TO FORM Sonia R. Carvallio CityA7 n By: Ryan Ho ge Assist t City Attorney RECOMMENDED FOR APPROVAL Steven Mendoza Executive Director Comtttunity Development Agency CITY OF SANTA ANA Kristine Ridge City Manager SUBCONTRACTOR 4} By: .611tkff .;'yt't'f Title: A:.r.V,,��i�t(.-1"1 c`,. Francine R. moini,s,ed eyFrancine e ae i Villareal rate vsaasaffik' /_aaN BUILIND-03 '4�� CERTIFICATE OF LIABILITY INSURANCE EY BURG DA1112312021TE Y) 11123/2021 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 endorsements . PRODUCER License # OC88587 CDS Insurance Services 2001 E. Financial Way, Suite 200 Glendora, CA 91741 cQ eCT Certificate Department PHONE FA% AIc, No. Eat): (626) 610-9500 AIc, No :(626) 610-9299 certificates@cdsinsurance.com INSURERS AFFORDING COVERAGE NAIC0 INSURER A : Travelers Ind Co of CT 25682 INSURED Shelter Providers of Orange County DBA: HomeAid Orange County 17821 17th Street, Suite 120 Tustin, CA 92780 INSURER B : Travelers Prop Cas Co of America 25674 INSURER c: State Compensation Ins. Fund 35076 INSURER D : INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: RFVIRION NIIMRFR- 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 OFINSU RANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR Com LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR P-660-506D7877-TCT-21 121112021 121112022 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED 300,000 MED EXP (Any one arson 5,000 PERSONAL& ADV INJURY Excluded GEN'L AGGREGATE LIMIT APPLIES PER T LOC 2,000,000POLICY COMP/OP AGG 21000,000OTHER:A AUTOMOBILE LIABILITY AUTO SCHEDULED AURRTEEOS ONLY AUU�T�0OIpSS AUrOS ONLYAMAGE BA-1 L302926-21.43-G 121112021 12/112022 WGENERALAGGREGATE$GREGATE INGLE LIMIT 1,000,000ANY Y Per arsonOWNED Y Per accidentXAlfrO60NLV B UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EX-8J573284.21.43 121112021 12/112022 EACH OCCURRENCE 5,000,000 X AGGREGATE 51000,000 DIED X RETENTION$ D C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEMEXECUTIVE YIN FMa'CER/Mdatoryin BER NH)EXCLUDED? Xyes, describe under DESCRIPTION OF OPERATIONS below N/A 9147184-21 111112621 111112022 j( IPER OTH- E.L. EACH ACCIDENT 1,ggg,000 E.L. DISEASE - EA EMPLOYE 1,000,D00 E.L. DISEASE -POLICY LIMB 1,OOQ000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Santa Ana, its officers, employees, agents, volunteers & representatives are named as Additional Insured on the General Liability with respects to the operations of the named insured per the attached endorsement form CG D411 04 08. Insurance is primary and non-contributory per attached policy form CG T1 00 0219. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92701 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 REPRESENTATIVE ACORD 25 (2016103) 01988-2015 ACORD The ACORD name and logo are registered marks of ACORD Rbk Management Malyst COMMERCIAL GENERAL LIABILITY POLICY NUMBER: P-660-506D.7877-TCT-21 ISSUE DATE: 12/1/2U1 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 Parson(s) or Organization(s): "ANY PERSON OR ORGANIZATION YOU ARE REQUIRED TO INCLUDE AS AN ADDITIONAL INSURED ON THIS POLICY BY A WRITTEN CONTRACT OR WRITTEN AGREENBNT IN EFFECT DURING THIS POLICY PERIOD AND SIGNED AND E%ECUTED BY YOU PRIOR TO THE LOSS FOR WHICH COVERAGE IS SOUGHT. - Section II — Who Is An Insured is amended to Include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage", 'personal injury" or "advertising Injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG D4 1104 0E ® 2008 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office, Inc, with Its permission. Penn 1 nF 1 ;i k [R EwED Rov®S . ®� r �Amow.e Q. V:�Mis� Risk Manzgement Analyst Policy No. P-660-506D7877-TCT-21 COMMERCIAL GENERAL LIABILITY c. Method Of Sharing If all of the other insurance 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 of the other insurance 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. d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contract or agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such insured which covers such insured as a named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury' or "property damage" for which coverage is sought occurs; and (2) The "personal and advertising injury' for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by you. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 6. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding websites, only that part of a website that is about your goods, products or services for the purposes of attracting customers or supporters is considered Page 16 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with Its permission. RiskMmvgernmtDiva Risk ManagementM lyst