HomeMy WebLinkAboutCOMMUNITY HEALTH INITIATIVE ORANGE COUNTY (3)INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
_GTRR
CITY CLERK
DATE;
A-2023-084-06
FIRST AMENDMENT TO COMMUNITY DEVELOPMENT BLOCK GRANT
SUBRECIPIENT AGREEMENT BETWEEN THE CITY OF SANTA ANA AND
COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY
9!C A(0) Aqi (24 CFR Part 570)
V) THIS FIRST AMENDMENT TO THE COMMUNITY DEVELOPMENT BLOCK GRANT
AGREEMENT ("First Amendment") is entered into this 11 day of July 2023, by and between the
City of Santa Ana, a charter city and municipal corporation organized and existing under the
C= Constitution and laws of the State of California ("City") and Community Health Initiative of
u7 Orange County, a California nonprofit organization ("Subrecipient"). (24 CFR Part 570)
r
RECITALS
A. On July 1, 2022, the City entered into Community Development Block Grant ("CDBG")
Subrecipient Agreement #A-2022-092-18 with Subrecipient to provide CDBG Funds from
the United States Department of Housing and Urban Development ("HUD") to be used in
the operation of a public service program for Santa Ana residents to access health and
social service programs by providing outreach, education, enrollment, and case
management services to vulnerable populations ("Agreement").
B. In accordance with the terms and conditions of the Agreement, the parties desire to amend
the Agreement to report the current Catalog of Federal Domestic Assistance ("CFDA")
Number and Federal Award Identification Number ("FAIN") for Subrecipient, and to
report the current federal award date and amount of the award as required for pass -through
entities.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to
the terms and conditions of the Agreement, except as herein modified, the parties agree as
follows:
1. Recital A shall be amended to update the City's current CFDA Number to 14.218 and FAIN
to B-23-MC-06-0508 in accordance with the requirements for pass -through entities outlined in
2 CFR 200.332.
2. Article II, Section A, shall be amended to report the current federal award date of July 1, 2023,
and update the amount of the award to be $4,808,057.00 in accordance with the requirements
for pass -through entities outlined in 2 CFR 200.332.
3. Except as modified by this First Amendment, all terms and conditions of the Agreement, shall
remain in full force and effect.
Page 1 of 2
A-2023-084-06
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Agreement on the date and year first written above.
ATTEST
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We
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By. 44d"'4&14ka-/j�
Andrea Garcia -Miller
Assistant City Attorney
RECOMMENDED FOR APPROVAL
Michael L. Garcia
Executive Director
Community Development Agency
CITY OF SANTA ANA
Knstme Ridge
City Manager
SUBRECIPIENT:
Georgik4jIaJdedadu-�
Executive Officer
Tax ID # 47-2671013
Unique Entity ID: VKR2UX2NZMD7
Page 2 of 2
Vega, Brenda
From: City of Santa Ana <certificate-request@ctraxjdidata.com>
Sent: Friday, November 18, 2022 1:40 PM
To: agomez@chioc.org; Vega, Brenda; certs@paychex.com;
jeremy@thecomprehensiveinsurance.com
Subject: Internal Notice of Compliance
NOTICE OF COMPLIANCE
CITISTAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO TIIE CLERK OF THE COUNCIL
Contractor Community Health Initiative of Orange County
Name:
Project A-2022-092-18
Number:
Project Agreement Between The City Of Santa Ana And Community Health
Name: Initiative Of Orange County For Use Of Community Development Block
Grant 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 EXPIRATION COI DATE FILE NAME
NUMBER DATE
AUTOMOBILE LIABILITY
202244927 10/15/2023 09/14/2022 COI Certificate
101523.pdf
ACORD Form
GENERAL LIABILITY
202244927 10/15/2023 11/03/2022 20221103-
085512.pdf
Cormnunity
WORKERS COMPENSATION AND
Health Initiative
EMPLOYERS' LIABILITY
9289091 1 t/05/2023 11/14/2022
of Orange
County.pd£
Thank you,
City of Santa Ana
Risk Management Division