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HomeMy WebLinkAboutCOMMUNITY ACTION PARTNERSHIP OR ORANGE COUNTY (3)MAYOR Vicente Sarmiento MAYOR PRO TEM Phil Bacerra COUNCILMEMBERS Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza Thai Viet Phan w%N�,e UN FILL A-2021-107-07B ORK MAY PROCEED -7 IL7 INSURANCE EXPIRES 1 • I • ZZ CITY MANAGER Kristine Ridge ;LERK OF COUNCIL CITY ATTORNEY T' Sonia R. Carvalho CLERK OF THE COUNCIL 4, Daisy Gomez APR 0 7 2022 CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY 20 Civic Center Plaza . P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.org March 3.2022 Community Action Partnership of Orange County Attn: Gregory Scott, President and CEO 11870 Monarch Street Garden Grove, CA 92780 Re: Extension of Agreement #A-2021-107-07 Dear Mr. Scott: Pursuant to Section T.B. ("Tenn of Agreement') of Agreement No. A-2021-107-07 ("Agreement"), as amended, entered into by Community Action Partnership of Orange County and the City of Santa Ana dated August 1, 2021, the parties hereby agree to extend the Term of the Agreement for a six (6) month period through September 30, 2022. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of said Agreement remain unchanged and in full force and effect. Sincerely, Steven Mendoza Executive Director, Community Development Agency CITY OF SANTA ANA: Kristine Ridge City Manager APPROVED AS TO FORM: Sonia R. Carvalho City Attorney Il Ry r� O'IHodge Assistant City Attorney PARTNERSHIP OF OC and CEO L✓ ATTEST: I Daisy Gomez Clerk of the Council SANTA ANA CITY COUNCIL Ncente Sarmianlo Phi19acena Thai Vkl Phan David Penaloza Jeasla topaz Johnalhan Ryan Hdoon laz Nelida &4odoza Mawr Mayor Pro Tern, Ward J Wardt Ward2 Ward Ward Ward enl�.�nla_ana om ppacertaa O75dn@ana.o9 lo,arAsanla-anaaro ddpe-n oza gTsanla-aria orq essielocez(dsanla a'.a or anh,,.ddr,a.nta-aria om rrla-an.orq A-2021 107-07 B { Digitally signed by Frandne R. Francine R. Villaregl"Viereal Ac R ® CERTIFICATE OF LIABILITY INSURANCE L..�.�". 7115/2021 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 Art hur J. Gallagher & Co. Insurance Brokers of CA., Inc. 505 N Brand Blvd, Suite 600 Glendale CA 91203 CONTACTNAME: Kim Tran ONE 118.539.8618 AX No 818.539.8617 MAIL aooREss: klm tran a ,com INSUI AFFORDING COVERAGE NAICif INSURER A: Insurance Company of the West 27847 License#: 0726293 INSURED COMMACT-20 Community Action Partnership of Orange County 11870 Monarch Street INSURER is: Nonprofits' Insurance Alliance of CA INSURER C: INSURER D.: Garden Grove, CA 92841 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 989075818 REVISION NUMeeR- 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. INTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDD/YYW POLICY EXP MM/DDIYYYY LIMITS B GENERAL LIABILITY Y 2021-00441 7/12021 7/1/2022 $1,000,000 4COMMERCIAL CLAIMS -MADE I OCCUR RE TED Eaoccunence $500,000 ny one erson) $20,000 REACHOCCURRENCEE &ADV INJURY $1,000,000 GEN'L AGGREGATE LI MIT APPLIES PER: GGREGATE $3,000,000 POLICY❑-❑-COMPIOP ECT LOG AGG $3,000,000 $ OTHER: B AUTOMOBILE LIABILITY 2021-00441 7/1/2021 7/1/2022 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY(Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSBODILY IX INJURY(Per accident) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Pareccldenl $ B UMBRELLA LIAR X OCCUR 2021-00441-UMB 7/1/2021 7/1/2022 EACH OCCURRENCE $5,000,000 X AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ R $ 1 A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN WVE 505610701 7/1/2021 7/112022 X STATUTE OERH E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETOWPARTNERlEXECUTIVE ❑ OFFICER/MEMBEREXCLUDEDP NIA E.L. DISEASE EA EMPLOYEE $1,000,000 (Mandatory in bin If yes, dascdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 B Director&Officers 2021-00441-DO-NPO 7/1/2021 7/1/2022 Each Wrongful Act $1,000,000 Aggregate Limit Retention $2,000,000 $5,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requlrad) Nonprofits' Insurance Alliance of CA - A.M. Best #: 011845 Policy: Improper Sexual Conduct Policy#: 2021-00441 Policy term: 7/1/2021 to 7/1/2022 Carrier: Nonprofits' Insurance Alliance of CA Per Claim: $1,000,000, Aggregate Limit: $3,000,000 See Attached... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza, AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 '. b ,, Rta�ManAgnnelttD[vu 4, �Y REaLvtEo6r APPNOV82 ©1988.20TS TACORD l �� - r 4.runuYa�a / , ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD gr,k xranannn.,,»n�An„ AGENCY CUSTOMER ID: LOC #: ACC>Ra ADDITIONAL REMARKS SCHEDULE -20 Page 1 of 1 AGENCY Arthur J. Gallagher & Co. NAMED INSURED Community Action Partnership of Orange County onarch Garden Grove, CAreet 92841 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 26 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE term: 7/1/2021 to 7/112022 Nonprofits' Insurance Alliance of CA aim: $1,000,000, Aggregate Limit: $3,000,000 Cyber Liability P ESK0132206967 term: 7/1/2021 to 711/2022 Underwriters at Lloyd's London late Limit: $1,000,000 / Deductible: $10,000 er Liability Include Network Security and Privacy Liability of Santa Ana, officers, agents, employees, and volunteers are named as additionally Insured on this policy pursuant to written contract, agreement, or norandum of understanding. The insurance provided In the General Liability policy is primary and any other Insurance shall be excess only, and not :ributing. Written notice shall be provided at least ten (10) days In advance of cancellation for non-payment of premium and thirty (30) days in advance for other cancellation or policy change. ACORD 101 (2008101) © 2008 A The ACORD name and logo are registered marks of ACORD NONPROFITS INSURANCE ALLIANCE Of CALIFORNIA A Head for Insurance. A Heart far Nonprofits. POLICY NUMBER: 2021-00441 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 � J{IeitMmxntl?[vlalort REVIEWED& APPROVED BY:: RiskhtFnag�men[Anal}zF. .NONPROFITS INSURANCE fit® ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart for Nonpraffts. POLICY NUMBER: 2021-00441 (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 1— COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (e) 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 insurers share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. TENET; # o AGYIEWEC7& APPACIHE[}$Y ,'7.'. ��---�'' N9R WkAnne,�O(({�nis}i7ak. POLICY NUMBER: 2021-00441 COMMERCIAL GENERAL LIABILITY Named Insured: Community Action Partnership of Orange County 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 L x Riekfidwn�m�attDhdefon 3 �I REVIEWED&APpR0VE68Y:. CG 20 10 12 19 © Insurance Services Office, Inc., 2012 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 wakrn�,gan�,tt��wn REMMvE rwP�oB ' WkhPnnEtenlgn7�VtafySP