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Home My WebLink AboutCOMMUNITY SERVICE PROGRAMS, INC. 5A~. City of Santa Ana Clerk of the Council AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer ~, _, ,~ ~ , in effect. Return form to the Clerk of the Council Office (M-30). ~ 5 ~ ~ ~ f`~ Call 647-5237 if you have any questions. ~- - ~- ~ `~ ' `- The agreement with No. A-2007-210 was completed on +~I ~'' I ~~ "~ and final payment has been made. Revised 07-23-07 Department: Phone/Ext.: ~~ g~ Signature: `~iA~'G1.t.P et^~~/ Date: ~1~IS1 ~~' INSURANCE NOT ON FILE ~~-ORK MAY NQI PROCEED FpK OF COUNCIL D~-TEAUG 3 1 2001 FIRST AMENDMENT TO GRANT AGREEMENT O: Police C27 ~l~ B , THIS FIRST AMENDMENT TO GRANT AGREEMENT is entered into on August 20, 2007, by and between Community Service Programs, a California non-profit corporation ("CSP") and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). RECITALS: A. The parties entered into Agreement A-2007-052, dated March 5, 2007, (hereinafter "said Agreement") by which CSP has operated a domestic violence victim advocacy program. B. The City has been awarded additional DVVA grant funds, a portion of which City desires to pass on to CSP to provide continuing services. C. In accordance with the terms and conditions of said Agreement, the parties wish to increase the Compensation to extend the program for an additional six-month term. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Consultant Agreement, the parties agree as follows: 1. Section 1, PURPOSE, shall be amended to increase the DVVA grant funds available for disbursement by $33,683.00, for a total amount of $92,973.00. A-2007-210 2. Section 4, DISBURSEMENT OF FUNDS, shall be amended to increase the allocated funds to $92,973.00. a. Section 4.A. shall be amended to extend the time during which services may be provided from June 30, 2007 through December 31, 2007. b. Section 4.C. shall be amended to read, in full: "C. SUBGRANTEE agrees to submit requests for disbursement fifteen (15) days after the end of each calendar quarter during the term of the AGREEMENT. The dates for the requests for disbursement are: 1. July 1, 2006 through January 31, 2007 2. February 1, 2007 through March 31, 2007 3. April 1, 2007 through June 30, 2007 4. Julv 1, 2007 through September 30, 2007 S. October 1, 2007 through December 31 2007 3. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Grant Agreement on the date and year first written above. ATTEST: ~~ _ PATRICLA E. HEALY Clerk of titer Council APPROVED AS TO FORM: ~~~, J PH W. FLETCH City Attorney CITY OF SANTA ANA ~~ % ~~ ~~~,,~DAVID N. REA City Manager COMMUNITY SERVICE PROGRAMS sr~~~ . A ) (Title) ACORD CERTIFICATE OF LIABILITY INSURANCE oP ID p DATE IMMIDDIYYVY) COMMU-6 12/26/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO Chapman & Associates ~ -~op~- al0 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License #0522024 A- ~~~- 0 5 a HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . 0. Hox 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO Pasadena CA 91117-0455 Phone: 626-405-8031 Fax: 626-405-0585 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. RiVexport Ineuaartce Company INSURER B. $VE!re9t National Community Service Programs, Inc INSURERC ' 1821 H. Dyer Road Ste. 200 INSURER D. Santa Ana CA 92705 INSURER E. 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 BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED 8Y PAID CLAIMS. LTR NSR TYPE OFINSURANCE POLICY NUMBER DATEYMM OINYYE PUATEV MMIDO TION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10000 OO A X COMMERCIAL GENERAL UnawTY RI00008559 10/01/07 li 10/O1/OB PREMISES (Ea nccurenca) $ 100000 CLAIMS MADE rrX OCCUR ~! L ~ MED E%P (Anyone person) $SOOO X _ Sexual Abuse RI00008559 10/01/07 ' 10/01/08 PERSONALSnovINJURY $ 1ppp000 X PROFHSSIONAL CONTRACTUAL LIABIL TY10/01/07 10/01/08 GENERAL ACCRECnre $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 1000000 POLICY 'PRO- LOC ~ JECT Sm Ben. 1000000 AUT OMOBILE LIABILITY COMDINED SINGLE LIMIT $ 1000000 A X ANV AUTO RIC0008559 10/01/07 10/01/09 IEa accident) ALL OWNED AUTOS BODILY INJURY S 'i SCHEDULED AUTOS I (Per person) ' X HIRED AUTOS ~ BODILY INJURY $ X NON~OWNED AUTOS (Per accident) PROPERTY DAMAGE $--. IPer accidenry I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ~! ANV AUTO OTHER THAN EA ACC $ ~' AUTO ONLY'. AGG 3 EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A X OCCUR ~ CLAIMS MADE R$LD008560 10/01/07 10/01/08 AGGREGATE $ 1000000 $ DEDUCTIBLE S RETENTION $ 8 WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS'LIABNTY ANY PROPRIETOR/PARTNERIEXECUTIVE 6600000007071 07/01/07 ', 07/01/08 EL. EACH ACCIDENT $ 1000000 OFFICERIMEMBER EXCLUDEDP E.L. DISEASE-EA EMPLOYEE $ 1000000 It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $lOOOOOO OTHER A $mployee Dishonest RI00008559 10/O1/07i 10/O1/OB Limit 450,000 A Pro ert RICD006559 10/01/07 '. 10/01/08 Contents 249,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I E%CLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Re: Agreement #A-2007-210. The City of Santa Ana, Ito Officers, Employees, Agents, Volunteers and Representatives are named as additional insured with regard to Liability and defense of suite arising from the operations of the named insured per the attached endorsement. Such insurance is primary and non-contributory. Workers compensation coverage excluded, (Contd...) CANCELLATION SANTANA ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O OAVS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, RS AGENTS OR REPRESENTATIVES. ~{ ~~ ,iy only. 10 days notice of cancellation for non-payment of premium. 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 constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ~I)I~ITId~`AL IA51'Rt:l) I:y1X)RSF,~1F;tiT FdR COLI~IFRCIAL. GENERAL LI.YBILITI' PdLICYr lnsurance Company Rivarport Insurance Company -- Thin andarszmant modifies snob ijrsttrance as is afforded lay the provisions of Policy ti RIC0008559 relating to the following: Y. 'Ihe City ol'Sanla Ana, 20 Civia Center Plaza, Santa Ana, Calit'omia 92741: its officers, employees, agents, volunteers zmd representatives are Warned as additional insureds ("additional insureds"} with regard to liability and defense of suits arising from the operatirnrs and uses pth-fiarnted by or un haltalf of the named. insured. 2. With respect to claims arising otrt ofiha operations and uses parfi~rmed by or on bzhalFofthz namedtnsured, such insurance as is alTurded by this policy is primary and is not additional to ar contribtning with any other insurance carried by or for the beneFit of the additional insureds. 3. 'This insurance 7pplies separately to each insured against whom claim is made ur suit is brought except with respect to the compare}~s limits of liability. The inclusion of any parson or organization as an insured shall not affect any right which such person or organization would Nava as a elaimazt[ if not su included. 4, LUith respect to the additional. insureds, this insurance shall not be cancellzd, or materially reduced in aovcrage or limits except after thirty {30} days written notico has bean given to the City of Santa Arta, 2p Civic Canter Plaza, Santa r1na, Califarnia 42701. {Completion o#'tlte fallowing, including countersignature, is required to make this endorsement effective:} Effective __ 1001 X67-10,'Q1i0R ,this endorsement frtrm as a part of Policy =' R1Ct'1CI08559 - -- - Issued W __ ~tnnntuttity Senica Proerams. lnc. Nanrad lnsrtrad Countersigned by G~~~`--'~ _.. __ Authorized Itepreserttaiivc