HomeMy WebLinkAboutAMERICA ON TRACK (9)INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
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CITY CLERK
MAYOR DATE:
Valerie Amezcua p� �n
MAYOR PRO TEM JUN 0 2 2#21,
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COUNCILMEMBERS
Phil Became
Johnathan Ryan Hernandez
David Penaloza
Thai Viet Phan
Benjamin Vazquez
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America on Track
CITY OF SANTA ANA
PARKS, RECREATION, AND COMMUNITY
SERVICES AGENCY
20 Civic Center Plaza • P.O. Box 1988
Santa Ana, California 92702
W vyvsanta-ana.ora
April 19, 2023
Attn: Claire Braebum, Executive Director
600 W. Santa Ana Blvd., Suite 710
Santa Ana, CA 92701
A-2022-069-02A
Re: Extension of Agreement (A-2022-069-02) for Use of American Rescue Plan Act
(ARPA) Funds
CITY MANAGER
Kristine Ridge
CITY ATTORNEY
Sonia R. Carvalho
CITY CLERK
Jennifer L. Hall
Pursuant to Section I.B. ("Term of Agreement") of the above -referenced Agreement, entered into by
America on Track ("Subrecipient" ), and the City of Santa Ana, dated May 3, 2022, the time period of
the Agreement is hereby extended for an additional one-year period through June 30, 2024. Any
insurance certificates are required to be extended and/or renewed to cover this extension. All other
terms and conditions of the Agreement remain unchanged and in full force and effect.
Sincer
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Ha k Scott
Execu ' . ectc r,
Finance and Management Services Agency
CITY OF SANTA ANA
Kristine Ridge
City Manager
APPROVED AS TO FORM
ATTEST
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Jerk
SUBRECIPIENT
B on Salvatierra By: Claire Braeburn
Deputy City Attorney Title: Executive Director
SANTA ANA CITY COUNCIL
Valerie Amemua Jessie Lopez Thal Viet Phan Benjamin Vazquez Phil Be.. Johnalhan Ryan Hemandez oavid Penal..
Mayor Mayor Pm Tem, Ward 3 Word Want Ward Ward Ward
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Garcia, Stephanie
From: City of Santa Ana <certificate-request@ctraxjdidata.com>
Sent: Tuesday, May 23, 2023 12:11 PM
To: Garcia, Stephanie
Subject: Internal Notice of Compliance
NOTICE OF COMPLIANCE
CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL
Contractor America On Track
Name:
Project A-2022-069-02
Number:
Project Agreement Between The City Of Santa Ana And America On Track For
Name: Use Of American Rescue Plan Act (ARPA) Funds
The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the
insurance requirements. No further action is required at this time.
The compliant coverage(s) are:
TYPE OF INSURANCE POLICY NUMBER EXPIRATION COI DATE FILE NAME
DATE
ACORD Form
AUTOMOBILE LIABILITY
202206180
09/01/2023
08/03/2022
20220816-
090140.pdf
ACORD Form
GENERAL LIABILITY
202206180
09/01/2023
08/03/2022
20220816-
090140.pdf
IMPROPER SEXUAL CONDUCT LIABILITY SOCIAL
ACORD Form
202206180
09/01/2023
08/03/2022
20220816-
SERVICE PROFESSIONAL LIABILITY
090140.pdf
WORKERS COMPENSATION AND EMPLOYERS'
ACORD Form
93304922023
01/01/2024
12/30/2022
20221230-
LIABILITY
110802.pdf
Thank you,
City of Santa Ana
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