HomeMy WebLinkAboutCAMBODIAN FAMILY, THE (14)INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES A-2023-084-20
CM AX,
CITY CLERK
DATE:
FIRST AMENDMENT TO COMMUNITY DEVELOPMENT BLOCK GRANT
SUBRECIPIENT AGREEMENT BETWEEN THE CITY OF SANTA ANA AND
THE CAMBODIAN FAMILY
(24 CFR Part 570)
THIS FIRST AMENDMENT TO THE COMMUNITY DEVELOPMENT BLOCK GRANT
AGREEMENT ("First Amendment") is entered into this I` day of July 2023, by and between 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") and The Cambodian Family, a
California nonprofit organization ("Subrecipient'). (24 CFR Part 570)
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RECITALS
A. On July 1, 2022, the City entered into Community Development Block Grant ("CDBG")
Subrecipient Agreement #A-2022-092-03 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 the Plan Ahead Youth Program that will help
120 of Santa Ana's low-income youth and parents from immigrant families thrive in areas
of academics, leadership and parenting skills so that they are able to engage in more
positive after school activities, stay off the streets, and avoid destructive or gang related
activity ("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:
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-2023-084-20
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Agreement on the date and year first written above.
ATTEST
Jennifer 11
City Clerk
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By.LtG%rc
Andrea Garcia -Miller
Assistant City Attorney
RECOMMENDED FOR APPROVAL
Michael L. Garcia
Executive Director
Community Development Agency
CITY OF SANT� A
Kristine Ridge
City Manager
SUBRECIPIENT:
Vattana Peong
Executive Director
Tax ID # 95-3854831
Unique Entity ID: UBXWTJ4QV 1Z3
Page 2 of 2
Vega, Brenda
From: City of Santa Ana <certificate-request@ctrax.jdidata.com>
Sent: Wednesday, March 1, 2023 10:10 AM
To: stacy@lakeins.com, Vega, Brenda
Subject: Internal Notice of Compliance
NOTICE OF COMPLIANCE
CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL
Contractor The Cambodian Family
Name:
Project A-2022-092-03
Number:
Project Agreement Between The City Of Santa Ana And The Cambodian Family
Name: 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
PHPK2510614 03/09/2024 02/17/2023 City of Santa
Ana.pdf
GENERAL LIABILITY
PHPK2510614 03/09/2024 02/17/2023 City of Santa
Ana.pdf
COI for City of
WORKERS COMPENSATION AND
906498621 06/30/2023 07/07/2022 Santa Ana 3-9-
EMPLOYERS' LIABILITY
2023 & WC
063023.pdf
Thank you,
City of Santa Ana
Risk Management Division
in partnership with
CTrax Plus Services Team
3/1/2023 1:09 PM
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