HomeMy WebLinkAboutEL PUENTE KIDWORKS 1-2004
iNSURAnCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
/_7-05
CLERK Of COUNCIL
DATE: 11- ao~O'-I
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A-2004-200
CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this Jj#'-- day of Dt!.kh-er" ,2004 by
and between EI Puente KIDWORKS CDC (hereinafter "Consultant"), and the City of Santa Ana,
a charter city and municipal corporation organized and existing under the Constitution and laws
of the State of California (hereinafter "City").
RECITALS
A. The City, as a grantee of the United States Department of Justice Weed and Seed Grant
Award, pursuant to Title I of the Omnibus Crime Control and Safe Streets Act of 1968,
42 U.S.C. 3701, et. seq. (hereinafter "the Act"), desires to enter this Agreement with
Consultant for the expenditure of Weed and Seed Grant funds to operate a Weed and
Seed Safe Haven site.
B. Consultant represents that it is able and willing to provide such services to the City.
C. The City and Consultant have duly executed this Agreement for expenditure of said
funds.
NOW THEREFORE, it is agreed by and between the parties that the foregoing Recitals are a
substantive part of this Agreement and the following terms and conditions are approved and,
together with all exhibits and attachments hereto, shall constitute the entire Agreement between
the City and Consultant:
1. SCOPE OF SERVICES
Consultant shall provide a Safe Haven Site and services as set forth in Exhibit A to this
Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement shall not exceed $16,800.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on October 1,2004 and terminate on September 30,
2005, unless terminated earlier in accordance with Section 14, below. The term of this
.
Agreement may be extended upon a writing executed by the Executive Director of the
Community Services Agency and the City Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee ofthe City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries
and wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section
3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured
against liability for worker's compensation or to undertake self-insurance. Prior to commencing
the performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
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(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
e. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section I of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If CONSULTANT receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care. "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party by any subsidiary and/or agent of the other
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party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation oflaw; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. SOURCE OF FUNDS
Consultant acknowledges that the funds being provided by City for Consultant's services
are received by City as a grant from the United States Department of Justice, and warrants that
expenditures of these funds shall comply with the laws, regulations and policies governing use of
said funds as set forth in Title I of the Omnibus Crime Control and Safe Streets Act of 1968, 42
U.S.C, 3701, et. seq.
10. CONSULTANT CERTIFICATIONS
Consultant agrees to be bound by all the terms and conditions of City's Grant Agreement with the
United States Department of Justice, including but not limited to:
a. Audit Report Requirements. Consultant agrees that if Consultant receives Three
Hundred Thousand Dollars ($300,000.00) or more in federal funds. Consultant shall
have an annual audit conducted by a certified public accountant in accordance with the
standards as set forth and published by the United States Office of Management and
Budget - OMB Circular A-B3. Consultant shall provide City with a copy of said Audit
by October 1.
b. Record KeepinglReporting. Consultant shall keep and maintain complete and adequate
records to assist City in meeting and maintaining its record keeping responsibilities
under the Act. City and the United States Government and/or their representatives shall
have access for purposes of monitoring, auditing and examining Consultant's activities
and performance, to books, documents and papers, and the right to examine records of
Consultant's subcontractors, bookkeepers and accountants, employees and participants
in regard to said program, Nothing herein shall be construed to require access to any
privileged or confidential information as set forth in federal or state law.
c. Use of Funds. Consultant certifies and agrees that it will not use funds provided through
this Agreement to pay for entertainment, meals or gifts.
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d. Lobbying. Consultant certifies that it will comply with federal law and regulations
found at 24 CFR Part 87, which provide that no appropriated funds may be expended by
the recipient of a federal contract, grant, loan or cooperative agreement to pay any
person for influencing or attempting to influence an officer or employee of any agency,
Member of Congress, or an officer or employee of a Member of Congress in connection
with awarding of any federal contract, the making of any federal grant or loan, entering
into any cooperative agreement and the extension, renewal, amendment or modification
of any federal contract, grant, loan or cooperative agreement.
e. Drug Free Workplace. Consultant certifies that it has established the following drug-
free workplace policy:
1. The unlawful manufacture, distribution, dispensing, possession or use of a
controlled substance is prohibited in the workplace for any employee involved in a
federally funded program.
2. As an employee working in conjunction with a federally funded program, the
employees of Consultant will be required to:
. Abide by the terms above in statement I.
. Notify appropriate officials of Consultant and City officials of any criminal drug
statute conviction for a violation occurring in the workplace not later than five
days after such conviction.
. The United State Department of Housing and Urban Development will be notified
within ten days after receiving notice of any such violation.
. Within 30 days of receiving such notice, appropriate personnel action will be
taken against such employee, up to and including termination.
. Each such employee shall be required to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for such purposes by a federal, state
or local health, law enforcement, or other appropriate agency.
f. Consultant assures and certifies that it will not use any funds appropriated under this
Agreement for religious activity or anti-religious activity, or to promote or oppose any
political candidate, party or belief.
g. Consultant assures and certifies that where applicable, classroom instructors are properly
credentialed, and training curriculums comply with State Education Codes.
h. Consultant assures and certifies that it is in good standing with the California Secretary
of State, Franchise Tax Board and Internal Revenue Service.
11. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
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mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of Community Development
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6736
and,
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Consultant:
EI Puente KIDWORKS CDC
2002 A South Grand Ave.
Santa Ana, California 92705
telefacsimile (714) 554-4020
Attn: Ava Steaffens
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
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12. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
13. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent ofthe City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
14. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
15. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
16. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any ofthe clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
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agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
17. PROFESSIONAL LICENSES
Consultant shall, throughout the term ofthis Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions, Said inability shall be cause for termination of this
Agreement.
18. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
PATRICIA E. HEALY
Clerk ofthe Council
CITY OF SANTA ANA
1~
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DAVIDN. REAM
City Manager
APPROVED AS TO FORM:
~~""Z
JOSEPH W. FLETC ER
City Attorney
CONSULTANT
~,.AiL1~
AVA STEAPFENS l
President
Tax ID#
7t/- JtJf/5t,f
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EXHIBIT A
SCOPE OF SERVICES
Consultant shall develop, coordinate and implement a "Weed and Seed Safe Haven" site
program to provide computer and academic tutoring services to youth at the Myrtle and
Townsend Centers. Consultant will serve a minimum of 100 youth during the term of this
Agreement. Academic tutoring will be offered in various subjects. Students will also have
access to top-of-the-line computers with Internet access.
Consultant will comply with all reporting requirements ofthe Executive Office for Weed and
Seed. Such requirements include providing monthly report to the City Community Development
Agency, describing the number of clients served and the type and level of services provided.
Consultant shall include the following documentation regarding the program:
Registration forms
Attendance sheets or sign-in sheets
Copies of flyerslmarketing materials used to promote the program
Pictures of special events
Pre and post tests to determine program effectiveness
Safe Haven survey
COMPENSATION
Consultant shall be compensated as follows:
2 Tutors - $14.00 per hour x 15 hours per week x 40 weeks
$16,800.00
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EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf ofthe named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy #
Issued to
, this endorsement form as a part of
Named Insured
Countersigned by
Authorized Representative
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ACORD~
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYV)
07/12/2004
THIS CERTIFICATE IS ISSUED AS A MATTER DF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Global Program
P. O. Box 8262
Newport Bea.ch I
P: 949-640-7935
Managers' Ins.
CA 92660
F: 253-595-8117
INSURERS AFFORDING COVERAGE
INSURED
EL PUENTE COMMTJNITY DEVELOPMENT
2002-A South Grand Avenue
CORPORATION
f_INSU~~~'~~!~EL_~~~_,.I~~ITY -.!~SURANCE__C~~__
: INSURER B
;--- .-.
INSURER C
[ tNS~~ER D~'~
; INSURER E:
-_._--_._~.,-- -- ---_._~-
Santa Ana
CA 92705-
COVERAGES
THE POliCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCe AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN ReDUCED BY PAlO ClAtMS.
INSR - ~E OF~~~~'~E r-~ --~~~ICY N~;;;;----- -- -P'OLlCY EFFECnVE 'POlicY EXPIRAnQNT LIMITS
A~ I:DG..EN:_p:...~._L.:_IA8.R..I~_..~~..GAD..E_:T_~_IAB_.L._IA~~: :1'. PHPK 070094 01/07/2004 01/07/2005 ~:~:~:;:~~} f. --- 1J~H~~
-- -- , " LPE".l~l?N~_&AOVINJURY li_- ____:1:-'--<!.O~L.9'O_O
~~E~~_A,~_RE~~.!E '" m~$ .~LOOO, 00<>,
GEN'L AGGREG~TE LIMIT AP_~LIE,S PER: I .,! PR9DUC:rS _ CgMP/O" AGG,~ S ~-'_ 000 , OQQ.
POLICY rr PRO- D LOC I
AUTOMOBILE L1A1UUTY
COMBINED SINGLE LIMIT
I (Eaao::ident)
1"~~Dll~ INJURY
~~~on).,_
: BDDll Y INJURY
i (Pef8Ccidenl)
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GARAGE UAElUTY
tr AN'( AUTO
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EXCESS UABILITY
o OCCUR [[II CLAIMS MADE
D DEDUCTIBLE
o RETENTION S
I WORKERS COMPENSATION AND
EMPLOYERS' UA8lLlTY
I
1- PROPERTY DAMAGE S
(Per accident)
~__~U!2 ONt Y_~_~_A AC_~I!,__~NT j'..
OTHER THAN EAA.~~,$
: AUTO ONt Y AGG'S
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j ~~~~ ~~~REN~E
I AGGREGATE
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: OTHER
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DESCRIPTION OF OPERA'71ONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPEQAL PROVISIONS
RE:FtJNDING GRANT TO RENOVATE 1902 W. CHESTNtJT AVENUE, SANTA ANA, CA
CANCELLATION WORDING AMENDED PER PRIOR PHILADELPHIA AUTHORlZATION-10 DAYS ONLY
PRIOR NOTICE FOR NON-PAYMENT OF PREMIUM. ADDITIONAL INSURED PER CG 20 26 11 85
CERTIFICATE HOLDER
ADOlTJONAL INSURED; INSURER LETTER: A
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELlED BEFORE THE EXPIRATION
DATE lltEREOF, THE ISSUING INSURER Will MAIL ~ DAYS WRITTEN
NOllCE TO THI! CERllFlCA1E HOLDER NAMED TO THE LEFT,
THE SANTA ANA EMPOWERMENT CORPORATION
ATTENTION: MELISSA ALVA
20 CIVIC CENTER PLAZA (M-21)
P.O. BOX 1988
SANTA ANA CA 92702-
;:
ACORD 25-5 (7/97)
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IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constnute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or aller the coverage afforded by the policies listed thereon.
~
ACORD 25-S t7197)
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POLICY NUMBER: PHPK 070 084
EL PUENTE COMMUNITY DEVELOPMENT CORPORATION
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization:
THE SANTA ANA EMPOWERMENT CORPORATION AND THE CITY OF SANTA ANA, AND THEIR
RESPECTIVE OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED
AS ADDITIONAL INSUREDS
ATTN: MELISSA ALVA
20 CIVIC CENTER PLAZA (M-21)
P,O. BOX 1988
SANTA ANA, CA 92702
RE: FUNDING GRANT TO RENOVATE 1902 W, CHESTNUT AVENUE, SANTA ANA, CA
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the
Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or
rented to you.
CG20261185
Copyright, Insurance j2ervices Office, Inc., 1984
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SECTION IV - COMMERCIAL GENERAL
LIABILITY CONDITIONS
1. Bankruptcy
Bankruptcy or insolvency of the insured or of the
insured's estate will not relieve us of our obliga-
tions under this Coverage Part.
2. Duties In The Event Of Occurrence, Offense,
Claim Or Suit
a. Yau must see to it that we are notified as soon
as practicable of an "occurrence" or an offense
which may resutt in a claim. To the extent
possible. notice should include:
(1) How, when and where the "occurrence" or
offense took place;
(2) The names and addresses of any injured
persons and witnesses; and
(3) The nature and location of any injury or
damage arising out of the "occurrence" or
offense.
b. If a claim is made or "suit" is brought against
any insured, you must:
(1) Immediately record the specifics of the
claim or "suit" and the date received; and
(2) Notify us as soon as practicable.
Yau must see to it that we receive written no-
tice of the claim or "suit" as soon as practica-
ble.
c. You and any other involved insured must:
(1) Immediately send us copies of any de.
mands, notices. summonses or legal pa-
pers received in connection with the claim
or "suit";
(2) Authorize us to obtain records and other
information;
(3) Cooperate with us in the investigation or
settlement of the claim or defense against
the "suit"; and
(4) Assist us, upon our request, in the en-
forcement of any right against any person
or organization which may be liable to the
insured because of injury or damage to
which this insurance may also apply.
d. No insured will, except at that insured's own
cost, voluntarily make a payment, assume any
obligation. or incur any expense, other than for
first aid, without our consent.
3. Legal Action Against Us
No person or organization has a right under this
Coverage Part:
a. To join us as a party or otherwise bring us into
a "suit" asking for damages from an insured; or
CG00010798
b. To sue us on this Coverage Part unless all of
its terms have been fully complied with.
A person or organization may sue us to recover
on an agreed settlement or on a final judgment
against an insured obtained after an actual trial;
but we will not be liable for damages that are not
payable under the terms of this Coverage Part or
that are in excess of the applicable limn of insur-
ance. An agreed settlement means a settlement
and release of liability signed by us, the insured
and the claimant or the claimant's legal represen-
tative.
4. Other Insurance
If other valid and collectible insurance is available
to the insured for a loss we cover under Cover-
ages A or B of this Coverage Part, our obligations
are lim~ed as follows:
a. Primary Insurance
This insurance is primary except when b. be-
low applies. If this insurance is primary, our
obligations are not affected unless any of the
other insurance is also primary. Then, we will
share with all that other insurance by the
method described in c. below.
b. Excess Insurance
This insurance is excess over:
(1) Any of the other insurance, whether pri.
mary, excess, contingent or on any other
basis:
(a) That is Fire, Extended Coverage,
Builder's Risk, Installation Risk or simi.
lar coverage for "your work";
(b) That is Fire insurance for premises
rented to you or temporarily occupied by
you with permission of the owner;
(c) That is insurance purchased by you to
cover your liability as a tenant for
"property damage" to premises rented
to you or temporarily occupied by you
with permission of the owner; or
(d) If the loss arises out of the maintenance
or use of aircraft, "autos" or watercraft
to the extent not subject to Exclusion g.
of Section I . Coverage A . Bodily In.
jury And Property Damage-Liability.
(2) Any other primary insurance available to
you covering liability for damages arising
out of the premises or operations for which
you have been added as an additional in-
sured by attachment of an endorsement.
~7
16
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Copyright, Insurance Services Office, Inc.. 1997
o
Page 9 of 13
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",.
When this insurance is excess, we will ,have no
duty under Coverages A or B to defend the in.
sured against any ~suit" if any other insurer has
a duty to defend the insured against that "suit".
If no other insurer defends, we will undertake
to do so, but we will be entitled to the insured's
rights against all those other insurers.
When this insurance is excess over other in-
surance, we will pay only our share of the
amount of the loss, if any, that exceeds the
sum of:
(1) The total amount that all such other insur.
ance would pay for the loss in the absence
of this insurance; and
(2) The total of all deductible and self.insured
amounts under all that other insurance.
We will share the remaining loss, if any. with
any other insurance that is not described in this
Excess Insurance provision and was not
bought specifically to apply in excess of the
Limits of Insurance shown in the Declarations
of this Coverage Part.
c. Method 01 Sharing
If all of the other insurance permits contribu.
tion by equal shares, we will follow this method
also. Under this approach each insurer con-
tributes equal amounts until it has paid its ap'
plicable limit of insurance or none of the loss
remains. whichever comes first.
If any of the other insurance does not permit
contribution by equal shares. we will contribute
by limits. Under this method, each insurer's
share is based on the ratio of its applicable
limit of insurance to the total applicable limits
of insurance of all insurers.
Premium Audit
We will compute all premiums for this Cover.
age Part in accordance with our rules and
rates.
b. Premium shown in this Coverage Part as ad~
vance premium is a deposit premium only. At
the close of each audit period we will compute
the earned premium for that period. Audit
premiums 'are due and payable on notice to
the first Named Insured. If the sum of the ad-
vance and audit premiums paid for the policy
period is greater than the earned premium, we
will return the excess to the first Named In-
sured.
c. The first Named Insured must keep records of
the information we need for premium compu.
tation, and send us copies at such times as we
may request.
Page 10 of 13
6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are accu-
rate and complete;
b. Those statements are based upon representa-
tions you made to us; and
c. We have issued this policy in reliance upon
your representations.
7. Separation 01 Insureds
Except with respect to the limits of Insurance,
and any rights or duties specifically assigned in
this Coverage Part to the first Named Insured, this
insurance applies:
a. As ~ each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom
claim is made or .suit" is brought.
8. Transfer 01 Rights 01 Recovery Against
Others To Us
If the insured has rights to recover all or part of
any payment we have made under this Coverage
Part, those rights are transferred to us. The in-
sured must do nothing after loss to impair them.
At our request, the insured win bring "suit" or
transfer those rights to us and help us enforce
them.
9. When lIVe Do Not Renew
If we decide not to renew this Coverage Part, we
will mail or deliver to the first Named Insured
shown in the Declarations written notice of the
nonrenewal not less than 30 days before the expi.
ration date.
If notice is mailed, proof of mailing will be suffi.
cient proof of notice.
SECTION V - DEFINITIONS
1. "Advertisement" means a notice that is broadcast
or published to the general public or specific mar~
ket segments about your goods, products or serv-
ices for the purpose of attracting customers or
supporters.
2. "Auto" means a land motor vehicle, trailer or
semitrailer designed for travel on public roads, in-
cluding any attached machinery or. equipment. But
"auto" does not include "mobile equipment".
3. "Bodily injury" means bodily injury, sickness or
disease sustained by a person, including death re-
sulting from any of these at any time.
4. "Coverage territory" means:
a. The United States of America (including its
territories and possessions), Puerto Rico and
Canada;
Copyright. Insurance Services Office, Inc.. 1997
CG 00 01 0798 0
SP
CERTHOLDER COpy
STATE
COMPENSATION
INSURANCE
FUND
P.O. BOX 807, SAN FRANCISCO,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
THE CLERK OF THE CITY COUNCIL SP
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA(M-30) PO BOX 1988
SANTA ANA CA 92702-6956
GROUP:
POLICY NUMBER: 1776218-2005
CERTIFICATE ID: 1
CERTIFICATE EXPIRES: 02-01-2006
02-01-2005/02-01-2006
JOB: WEED AND SEED GRANT
ISSUE DATE: 02-01-2005
It -~y -a-iJO
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer.
We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance. is not an insurance policy and does not amend. extend or alter the coverage afforded
by the policies listed herein, Notwithstanding any requirement, term, or condition of any contract or other document
with respect to which this certificate of insurance maybe issued or may pertain, the insurance afforded by the
policies described herein is subject to all the terms, exclusions and conditions of such policies.
~
~~t.
~
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUOING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.
ENODRSEMENT #2065 ENTITLEO CERTIFICATE HOLDERS' NOTICE EFFECTIVE 02-01-2005 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
EMPLOYER
LEGAL NAME
KIDWORKS
2002 S GRAND AVE STE A
SANTA ANA CA 92705
EL PUENTE COMMUNITY DEVELOPMENT CORPORAT
(REV.3-03)
PR'NTED: 01/19/2005 P0408
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND selF 10""