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HomeMy WebLinkAboutDELHI CENTER - 2007 CDBG 1ST AMENDAGREEMENT TEKMINATION Please complete this form when the attached agreement is no longer in effect W' o Am 7--5 Return form to the Deputy Clerk of the Council (M-30). Call 647-5238 if you ghave any questions t ,A --------------------- The agreement with No.'s A ---2C)0-7- I85 -D 15-0 j OLIN) was completed on Sr�G-✓� and final payment has been made. Department: 4f1- Signature: Date: 2�/6�« City of Santa Ana Clerk of the Council Revised 05-22-08 INSURANCE NOI ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL A-2007-105-015-01 DATE: 6 " ° s FIRST AMENDMENT TO AGREEMENT CPA z n;�THIS AMENDMENT, made and entered into this I' day of July, 2008, by and between Delhi Center, a California non-profit corporation (`Subrecipient"), and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The City and Subrecipient entered into that certain "Agreement Between The City of Santa Ana and Delhi Center for Use of Community Development Block Grant Funds" ("CDBG Agreement" all terms and conditions incorporated herein by reference) dated July 1, 2007, to use $5,000.00 in CDBG funding for the Delhi Senior program. B. The parties hereto now desire to amend and extend the time period of the CDBG Agreement. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said CDBG Agreement as hereby amended, the parties hereto do hereby agree as follows: The "Time Period of Agreement" section of said CDBG Agreement will be extended to June 30, 2009. 2. Except as hereinabove modified, all of the terms and conditions of said CDBG Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said CDBG Agreement the date and year first above written. ATTEST: L Patricia E. Healy Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City /Attorney �} By: Lisa E. Storck Assistant City Attorney CITY OF SANTA ANA I DadNReam, Manager SUBRECIPIENT: Delhi Center Title: /yjIrv/ EX�C'vr�dP 06/16/2008 09:22 WESTLAND INSURANCE BROKERS a 17146476515 ACORD_ CERTIFICATE 01 7 LIABILITY INSUTIRANGtz LIED ABI A MATTE vaopucEP (9a9)553-9700, Fax (989)553-9797 ONLY NO CONFERS NO RIGHTS UPON Westland Insurance Brokers HOLDER THE COVERAGE AFFORDED BY THE 1 2302 Martin, suite 315 Iq - CQaOr)- eo/a ^e rnUFRAGE INSURED Center INSURER B Delhi COxuenutLi ty rn$uaeac 505 South Central Ave. INBURER D Santa Ana CA 927073504 INSURERS TERM OR CONDITION OF ANY F AFFORDED BY THE POLIO TAGENERAL LIABILITY 9502SS301001 X COMMEAC WL GENERAL LIABILITY CLAIMS MADE OCCUR . PL4 DATE Y UED TO THE INSURED NAMED ABOVE FON 1$1I 111 I-- •^ --. -- - IO EREIN OMENT ISUSUBIECTTTO ALLLRESPECT T E TERMTO ICH THIS CERTIFICATE MAY BE IS U S. EXCLUSIONS AND CONDITIONS EOFOSUCH Y POLICIES 12/14/2007112/14/2008 DAmAGETORENWO_ It 1,000 3 :ICATE HOLDER SHOULD ANY OP IN ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E,MI TON DATE THEREOF, THE MWMG INSURER WELL ENDFAVdt TO NAIL City of Santa Ana Community Development AgEmcy * 30 DAYS WRITTEN NOTCE To CERT "CATS HOLDER NAMED Tp THE LEFT. BV Attn = FranCi.9C0 Hernandez FAILURE TO DO80 SRALL IMPOSE NO OBMGaT10N OR LIABILITY DE PN+KIND UPON THE PO Box 1988, M25 INSURER ITSAGENTS OR REPRFSENTPTVFS. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE��—/1�� Alfonso Galvez/PAT OACORD CORPORATION 1988 Raga I or7 I 2 (2DO1108) A Y JCIT LO 12/14/2007 12/14/2008 COMBINED SINGLE LIMIT y 1,00010 AUTOMOBILE LIAmuTY 850255307001 v>tri IEa xaMMl ANY AUTO L BODILY INJURY T A AIL OWNED AlnO$ y-: x �-_'� (PFaelwn) SCHEOULEDAUTOS BODILY INJURY E X HIRED AUTO$`' j/ X NON-OWNEDAUTOS •i l.'..,;C`.•': PROPERTY DAMAGE I lL vly (PN K00e^I) AUTOONLY EAACCIOENT GeRAGE LIABILITY OTHER THAN FA AC e ANY AUTO AUTO ONLY AOG ; 12/14/2007 12/14/2008 , 1,000,1 EXCE99NHBRELLA LUBIUTY 460295307003 AGGREGATF p 1,000,I X CLAIMS MADE E OCCUR I A DEDUCTIBLE S X RETE ION $ 10,000 Wf. STATU,. 0TH. T WORKERS COWITNSAMN ANO EL EACH ACCIDENT ; EMPLOY'ERSLIABILITY ANY PROPRIE70RIPNITNER1EXECUTVE EL DISEASE. U EMPLOYEE 1 OFFICERJMEMBER EXCLUDED) y, DISUSE- POLICY LIMIT E II yr, 4SFFM^ u'aw SP IAL PR IONS HAIPw 12/14/2007 12/14/2008 $1,000,000 EACH INCIDENT A OTHER MVESSIONAL 850299307001 $3,000,000 AGGREGATE LIABILITY DESCmPTON OF OPEMTON9tOCATIONRNEHICLESJRxCLUSION$ AWED BY ENpOR9EMENTISPECIAL - 7/7/2009-2008 PRONSIp!$ Liras Development Fldeliry Bond: The Rattford 072EDDAW830 Agmnta, Bop Santa Ane, its Of£ide=a, EEIploAA eentative0andeVolunte8re of5the Community is Prsmary and The Cary of A, the City Of 9amra Ans am aasedef s per ano",, f0cancel cancellation agency of *x:cept non-pmymen p =Rmiumerh ch IS ad10 day Non -Contributory. :ICATE HOLDER SHOULD ANY OP IN ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E,MI TON DATE THEREOF, THE MWMG INSURER WELL ENDFAVdt TO NAIL City of Santa Ana Community Development AgEmcy * 30 DAYS WRITTEN NOTCE To CERT "CATS HOLDER NAMED Tp THE LEFT. BV Attn = FranCi.9C0 Hernandez FAILURE TO DO80 SRALL IMPOSE NO OBMGaT10N OR LIABILITY DE PN+KIND UPON THE PO Box 1988, M25 INSURER ITSAGENTS OR REPRFSENTPTVFS. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE��—/1�� Alfonso Galvez/PAT OACORD CORPORATION 1988 Raga I or7 I 2 (2DO1108) 06i16i2008 0922 WESTLF7ND INSURANCE BROKERS 4 17146476515 N0.854 W02 POLICY NUMBER: 8502SS307001 - 0 COMMERCIAL GENEAACR20IABILI 26 07 04 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 Of Additional Insured Person(s) Or CITY OF SANTA ANA, COMMUNITY DEVELOPMENT P C BOX'1938 M25, SANTA ANA, CA 92702 CITY OF SANTA ANA AND IT;'S OFFICERS, AGENTS AND EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN CONNECTION WITH THE NAMED INSURED IT IS AGREED THAT ANY INSURANCE MAINTAINED BY THE CITY OI' SANTA ANA SHALL APPLY I'N EXCESS OF, AND NOT CONTRIBUTE WITHr INSURANCD PROVIDED BY THIS POLICY to if not shown above, will be shown in the Section 11 - Who Is An Insured Is amended to Include as an additional insured the person(s) or organization(s) shown in the Schedule, but t arty with ge.? actto-personal rand "bodily injury' cause caused, In whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; B. In connection with your premises owned by or rented to you. Page 1 of 1 E3 CG 20 26 07 04 Copyright, ISO Properties, ire., 2004