HomeMy WebLinkAboutPADRES UNIDOS (4)INSURANCE NOT ON FILE
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CITY CLERK
MAYOR DATE:
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Valerie Amezoua
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MAYOR PRO TEM
Jessie Lopez
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Phil Bacerra
Johnathan Ryan Hernandez
David Penaloza
Thai Viet Phan
Benjamin Vazquez
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CITY OF SANTA ANA
PARKS, RECREATION, AND COMMUNITY
SERVICES AGENCY
20 Civic Center Plaza . P.O. Box 1988
Santa Ana, California 92702
v .santa-ans.om
April 19, 2023
Padres Unifies
Attn: Patricia Huerta-Meza, Executive Director
708 N. Garfield St.
Santa Ana, CA 92701
A-2021069-16A
Re: Extension of Agreement (A-2022-069-16) 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 Unties C'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.
Sincerely,_.(C_ —
�1�Gi ' l
Haw Scott _ v
Execu r or,
Finance and Management Services Agency
CITY OF SANTA ANA
Kris ink
City Manager
APPROVED AS TO FORM
Btanron Salvatierra
Deputy City Attorney
ATTEST
SUBRECIPIENT
By: Pa-tric: �YG�GS �EUa��
Title: !E r c"ve '\pir=rbr, NOI•reS uW Okos
SANTA ANA CITY COUNCIL
Valens Arh. u, Jo."ia_"oa Th., V..o Tmon Bo"'in Vezauaz Phi39ahm. JohnaNao Ryan Hemomae Usual Penamxa
Nh,,r Mayor Pro Tom. Word .l Ward1 N,od2 Word Wak5 Mods
loholl.alohl.,moaielagaYAaanU or. am Icgam'nlsanla-ane om .Wg d^_EAIaa®agnla ana.om
A-2020-069-16A
Frankston, Emerson
From:
Sent:
To:
Subject:
Contractor
Name:
Project
Number:
Project
Name:
CTrax < certificate- request@ctrax.jdidata.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
AUTOMOBILE LIABILITY
Lnam�:a�serc3len�
SEXUAL ABUSE
WORKERS COMPENSATION AND EMPLOYERS'
LIABILITY
Thank you,
City of Santa Ana
Risk Management Division
in partnership with
CTrax Plus Services Team
8/31/2022 5:42 PM
POLICY
EXPIRATION
NUMBER
DATE
COI DATE
FILE N.ANIE
PadresUnidos Auto Liability
WAIVER
062112023
08/2312022
(Non -Use Agreement)
Request for Waiver.pdr
ibIE0122192022
07/30/2023
08/10/2022
SKM—055822083011530.pdr
ME0122192022
07/30P023
08/302022
SKM_C5582208301153 Lpdr
PadmsUnidos WC
WAIVER
06171/2023
08/23/2022
Declaration Rev.2019.
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