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INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CITY CLERK
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IVIM I V R
Valerie Amezcua
MAYOR PRO TEM
Jessie Lopez
COUNCILMEMBERS
Phil Bacerra
Johnalhan Ryan Hernandez
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David Penaloza
Thai Vlat Phan
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Benjamin Vazquez
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CITY OF SANTA ANA
PARKS, RECREATION, AND COMMUNITY
SERVICES AGENCY
20 CIVIC Center Plaza a P.O. Box 1988
Santa Ana, California 92702
w .santa-ana.orc
April 19, 2023
Padres Unidos
Attn: Patricia Huerta-Meza, Executive Director
708 N. Garfield St.
Santa Ana, CA 92701
A-2022-069-15A
Re: Extension of Agreement (A-2022-069-15) 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
Padres Unidos ("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.
Sincerel
Cott
Execute
Finance and Management Services Agency
CITY OF SANTA ANA
Kristine Ridge
City Manager
APPROVED AS TO FORM
l3< on Salvatierra
Deputy City Attorney
ATTEST
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SUBRECIPIENT
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SANTA ANA CITY COUNCIL
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Mayor Me;pr Pm Tem,Wa,03 Waml Ward 'Werda Wand Wahl9
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Frankston, Emerson
From:
Sent:
To:
Subject:
Contractor
Name:
Project
Number:
Project
Name:
CTrax <certificate-request@ctraxjdidata.com>
Wednesday, August 31, 2022 2:42 PM
dthomas@wgis.com; Frankston, Emerson
Internal Notice of Compliance
COMPLIANCE NOTICE
Padres Unidos
TBD (13)
Agreement Between The City Of Santa Ana And Padres Unidos For 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
EXPIRATION
COI DATE
FILE NAME
NUMBER
DATE
PadresUnidos_Auto Liability
AUTOMOBILE LIABILITY
WAIVER
06/21/2023
08/23/2022
(Non -Use Agreement)
Request for Waiver.pdf
GENERAL LIABILITY
ME0122192022
07/30/2023
08/10/2022
SKM_C55822083011530.pdf
SEXUAL ABUSE
MEO 122192022
07/30/2023
08/30/2022
SKM_C5582208301153 Lpdf
WORKERS COMPENSATION AND EMPLOYERS'
PadresUnidos_WC
LIABILITY
WAIVER
06/21/2023
08/23/2022
Declaration Rev.2019-
Template.pdf
Thank you,
City of Santa Ana
Risk Management Division
in parinetship with
CTrax Plus Services Team
8/31/2022 5:42 PM
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