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HomeMy WebLinkAboutCITY NET (KINGDOM CAUSES, INC.) (4)A-2021-196-01 O•.COA ('Wrl e)(31)1 MAYOR Vicente Sarmiento t� MAYOR PRO TEM Phil Bacerra COUNCILMEMBERS Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza Thai Viet Phan INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES � � � • Zo23 --- - - CLERK OF COUNCIL DATE: CityNet Brad Fieldhouse Executive Director 2030 East Fourth Street Santa Ana, California 92705 CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.oro June 21, 2022 Re: Extension of Street Outreach and Engagement Agreement No. A-2021-196 Dear Mr. Fieldhouse, CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 3 ("TERM") of Street Outreach and Engagement Agreement No. A-2021-196, entered between Kingdom Causes, Inc., dba CityNet, and the City of Santa Ana, dated October 6, 2021 ("Agreement"), the parties hereby agree to extend the Term of said Agreement for a one (1) month period from June 30, 2022 to July 31, 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. If you have any questions regarding this matter, please contact Homeless Services Division Manager Terri Eggers in the Community Development Agency at (714) 647-5378. Sincerely, Digitally signed by Judson amvm DN:_=Judson grown, -City d5anta Judson Brown o emali=,bruwn@santa.a-9rg. =us r Date: 3631.06.2209:24:03417W 101 Steven Mendoza CITY OF SANTA ANA Executive Director Kristine Ridge Community Development Agency City Manager APPROVED AS TO FORM: Sonia R. Carvalho Cityttomey 4�� Ry O. Hodge Assistant City Attorney Vicente Sanniento Phil Became Thai Viet Phan Mayor Mayor Pro Tem, Ward 4 Ward 1 vsarmienlo(asanla-ana.om pbacerra DClsanta-an M tohanAsanta-ana.ory ATTEST: �r Daisy Gomez Clerk of the Council SANTA ANA CITY COUNCIL Nelida Mendoza Jessie Lopez Johnathan Ryan Hernandez David Penaloza Ward 2 Ward 3 Ward 5 Ward 6 nmendozaCplsanta-ana.orD iessielooez(alsanta-ana.org irvanhemandez(piZsanta-ana.oro doenaloza(o)santa-angora KINGCAU-Cl Uigitall I� N RAS CERTIFICATE OF LIABILITY I i by A gp631812 DI022 _ 3/8/22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON Tr,E � QOLDER. THIS CERTBELOW CATHIS CERT F CATEFIRMATOF INSURANCE DOES NOTTE DOES NOT AFIVELY ORLCONSTIV U,TEXND AECONTRAP IF ' I" .FW9 R Ill n5X REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. i IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIO14A'_ INSURED provisions or be en orsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may ,equire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(sl. PRODUCER ­1" n " WBA Insurance 13304 Philadelphia St Suite 200 Whittier, CA 90601 INSURED Kingdom Causes dba City Net 4608 Atlantic Avenue, Ste 292 Long Beach, CA 90807 [AZ, IJo, Ext): (562) 789-5704 1 ('a/c, No): (562) 789-5804 E-MAIL... maadaftwbainsurance.com INSURER F : Philadel COVERAGES CERTIFICATE NUMBER: REVISION Nl1MRPP- 18058 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MIDD POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X PHPK2368078 1/11/2022 1/11/2023 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOG GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X PHPK2368078 1/11/2022 1/11/2023 BODILY INJURY Per accident $ PROPERTYDAMAGEAUOS Per accident $ X N-VVNED HIRED E�NO ONLY ATOS ONLY UM13RELLALIA13 H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEgEXCLUDED? (Mandatory m NH) If yes, describe under NIA STATUTE �RH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liabili X PHPK2368078 1/11/2022 1/11/2023 Claims Made/2mil agg 2,000,000 A Sexual/PhysicalAbuse X PHPK2368078 1/1112022 111112023 Or Molestation -Occur DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 10 Days Notice of Cancellation for non-payment/ 30 Days Notice other than non-payment- Coverage is Primary & Non Waiver Subrogation -Contributory. of Included. The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named additional insured with respects to the operations of the named insured per the attached CG20260413 endorsement. Such insurance is primary and non-contributory. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th floor Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE "rahri REVIEWED & APPROVEDBY: ACORD 25 (2016fO3) ©1988-2015 ACORD 1 — `� Risk vhnQment spci,list A,$s:ti A The ACORD name and logo are registered marks of ACORD Policy Number PHPK2368078 Philadelphia Indemnity Insurance Co. THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following 18 added to the Other Insurance Condition (2) You have agreed in writing in a contract or agree - and supersedes any provision to the contrary: ment that this insurance would be primary and would not seek contribution from any other in. Primary And Noncontributory Insurance surance available to the additional insured. This insurance is primary to and will not seek con- tribution from any other insurance available to an additional insured under Your Policy provided that: (1) The additional Insured Is a Named Insured under such other insurance; and CG 20 01 04 13 Insurance Services Office, Inc., 2012 Insured RA Manigemerd D]Mslon VM RwexED&APPRC0YVM8Y. R1*Manaqcm;entSpe0a1j.3t V11"MM R-77�7 77 a POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1, 0 1 1A, I e o. 0. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization(s): All Persons or organizations where required by written contract i 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. 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 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 applicable Limits of Declarations. CG 20 26 04 13 - © Insurance Services Office, Inc., 2012 shall not increase the Insurance shown in the �- REVIEWED & APPROVE BY: — - -• Risk Managgment Specialist WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) 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 per- form 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 while engaged in the work described in the Schedule, The additional premium for this endorsement shall be 0 . 02 0 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Blanket Waiver of Subrogation as required by written Job Description contract This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Date: 0 3/ 01 / 2 0 2 2 Policy No. SAT I S 04 8 8 7 0 0 Endorsement No. Policy Effective Date: 03/01/2022 to 03/01/2023 Premium $ Insured: Kingdom Causes, Inc DBA: City Net Carrier Name / Code: Service American Indemnity Company Countersigned by AarsnyRle(xMans�xentDirisfan WC 04 03 06"? ReneXED&APPROVmBY.' t= (Ed. 4-84) frisk Minagment specialist KINCA-1 OP ID: CW CERTIFICATE OF LIABILITY INSURANCE DATE(M 03/14/20YYY) /2022 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 314-7464700 Digital Insurance LLC formerly Huntleigh McGehee NAonNTACT Daniel L. Stevens PHONE 314-746-4700 FAX 314-889-3700 (A/C, No, Ext): (A/C, No); 8235 Forsyth Boulevard, #1200 Clayton, MO 63105 Daniel L. Stevens E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA:Service American Indemnity Co 39152 I�SUR D Kingg Om Causes Inc dba City Net 4508 Atlantic Avenue Long Beach, CA 90807-1502 INSURER B INSURERC: INSURER D ; INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: RFVISInN INIIIMRI-R• 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 BYPAID CLAIMS, INSR L TYPE OF INSURANCE DDL g UBR D POLICY NUMBER POLICY EFF DIYYYYI POLICY EXP (MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: POLICY JECT LOG _ GENERALAGGREGATE $ PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS HIRED NONED AUTOS ONLY LAUT5RLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ A ANDKERSCOMEN COMPENSATION A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBE EXCLUDED? (Mandatory In NH) f yes, describe under DESCRIPTION OF OPERATIONS below N/A Y SATYSO488700 03/01/2022 03/01/2023 X STATUTE ERH E.L. EACH ACCIDENT _ $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Blanket Waiver of Subrogation applies where required by written contract. CITCA25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS, Risk Management Division 20 Civic Center Plaza, 4th FL AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 �hc+ Gym. �.en:.Ho R1ekManapmerttDivislan REVIEWED & APPROVED BY: ACORD 25 (2016103) © 1988-2015 ACORD I a Aiw4 The ACORD name and logo are registered marks of ACORD '— RiskManagcmentspcoalst