HomeMy WebLinkAboutEL PUENTE COMMUNITY DEVELOMENT CORPORATION DBA KIDWORKS-2010
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CLERK Or COUN~_ \ / ) AMENDMENT TO AGREEMENT BETWEEN
NTF:. 'tt ,"2"2S' - V' THE SANTA ANA EMPOWERMENT CORPORATION
AND EL PUENTE CDC (KIDWORKS) FOR USE
OF EMPOWERMENT ZONE FUNDS
A-201O-052
THIS AMENDMENT, made and entered into this 15th day of March, 2010, by and between E1 Puente
Community Development Corporation dba Kidworks, a California non-profit public benefit 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").
RECIIAL~
1io ~ ~ A. The City and Subrecipient entered into that certain Agreement for use of Empowerment Zone Funds
""() dated on or about April 22, 2009, hereinafter referred to as "said Agreement".
B. The parties hereto now desire to amend certain terms of said Agreement
WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter
contained and made, and subj ect to all of the terms and conditions of said Agreement as hereby amended,
the parties hereto do hereby agree as follows:
1. Section 1. A. "Subrecipient's Obligations" Exhibit A to said Agreement regarding the Program shall be
amended as set forth in the "Goals, Activities, Timelines and Measurable Outcomes" attached hereto and
incorporated herein by this reference as Exhibit A-I.
2. Section IT. "SAEC's Obligations" shall be amended and increased to add additional funds of$35,000
with funding to Subrecipient pursuant to said Agreement and this Amendment in a total amount not to
exceed $116,136.00.
3. Subrecipient's Budget shall be amended to reflect the additional funds and services to be provided as set
forth in the KidWorks Proposed Budget for 2nd Round of FEZ Grant, attached hereto and incorporated
herein as Exhibit B-1.
4. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date
and year first above written.
ATTEST:
City of Santa Ana, a municipal
corporation of the State of California
-m ~.() f;{,'3O-""'-
Maria D. Huizar
Clerk of the Council
{L/i?K---
Davia N. Ream
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
Subrecipient:
L./ . /? I ...
{7{)A",,~ ~
By: Lisa Storck
Assistant City Attorney
Uv-fi/ ~
EI Puente CDC dba Ki works
Ava Steaffens
President/CEO
Federal Tax ill:
A
KidIIVorl<s-
T_.........-......"""'-.
GOALS, ACTIVITIES, TIMELINES & MEASURABLE OUTCOMES
OBJECTIVES ACTIVITIES RESPONSffiLE START END VALUE
ORGANIZATION DATE DATE $
2 Computer Classes Computer skills are taught Santa Ana College 3/1/2010 6/30/2010 $19,250
two days per week
1. 6/li09 -7/31/09:
Evening class, 3 hours per -~ 1-'
day, 2 days per week
2. 9/1109 - 12131109:
Evening class, 3 hours per
day, 2 days per week
3. 1/IlIIO - 06/12/1 0:
Evening class, 3 hours per
day, 2 days per week
Financial literacy Workshops on checking Bank of America 3/1/2010 6/30/2010 $1,160
workshops accounts, savings, loans,
4. 4 - one hour modules and credit
3 Latino Educational Latino Educational KidWorks 3/1/2010 6/30/2010 $1,360
Attainment Classes Attainment workshops as
six week sessions or one
5. 06/0]/09 - 7/31/09: time class
one time class for 2 hours
6. 9/1109 - 12/31/09: 6
week session
7. 1101/10-6/30/10: 6
week session
2 LEA Train-the-Trainer Parents who have taken the KidWorks 3/1/2010 6/30120 I 0 $1,360
trainings LEA workshop may
participate in Train-the-
8. 6/1/09 - 9/1/09: 2 three Trainer trainings so they
hour training sessions can teach LEA workshops
for other parents.
9. 9/1/09 - 6/12/10: 2
three hour training
sessions
One Parent Council of 12 The Parent Council meets Latino Health Access 3/1/2010 6/3012010 $ I ,800
active and regular on a regular basis to talk
participants about community issues
and plan events.
10.6/1/09-5/31/10: 2-
two hour meetings every
month
40fS
K;\Fundraising\Government\Empowerment Zone\2009-10\FEZ Budget for Mar-Jun 10 Proposalll.xlsx
EXHIBIT A-I
Page I
r1
KId\Norks'
1_h,."tl_...."""-'"
GOALS, ACTIVITIES, TIMELINES &. MEASURABLE OUTCOMES
3 Substance abuse to-week sessions are KidWorks :3/1120 I 0 6/30/2()10 $1,160
prevention programs to offered that teach families
!Provide support and to be resistant to risk
training for working factors such as substance
families abuse and violence.
11. 6/1109 - 8/31/09: 2
hour sessions per week
12. 9/1/09-12131/09: 2
bour sessions per week
13. 1/lilO - 5/31/10:
One 4 ho~ wo~op
2 Outreach Activities Community Forums to KidWorIcs 3/1/2010 6/30/2010 $2,170
bring resources to residents
14. 9/1/09-12/31/09:
One 2 hour Community
Forum
15. 1/1/10-5131/10: One
2 hour Community Forum
Evaluation Pre & Post tests for LEA, KidWorks 3/112010 6/30/2010 $2,350
test results from ESL and
16. Ongoing evaluation Computer Classes, civic
of classes and parent engagement log
involvement in
Program Costs:
Admin Costs:
TOTAL:
$30,610
$4.390
$35,000
Budget Note:
PROJECTED OUTPUTS:
Capacity Building
1. Number of EZfEC board members trained
2. Number of implementing agencies trained
3. Number ofEZ.EC residents trained
4. Number ofnon-EZlEC residents trained
5. Number of organizations supported
Original Grant
5
3
300
150
1
2nd Grant
o
o
50
50
o
Total
5
3
350
200
I
Submitted By:
Heather Huntley, Director of Program
Zajid Cava, D~
2:/ e>/ t 0
Date
3/</~
o te
SofS
K:\Fundralsing\Government\Empowerment Zone\2009-10\FEZ Budget for Mar-Jun 10 Proposalll.xlsx
EXHIBIT A-I
Page 2
f""
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KidWorks'
KidWorks Proposed Budget for 2nd Round of FEZ Grant - Mar - Jun 2010
T.~...d~r" l........~ Hape
Line Item Budget
2nd Round of FEZ Grant
T olal Hours FEZ
Worked on Hourly Additional
Project Rate Grant
AdultWorks Director
Payroll taxes
Employee benefits - not pension
Workers comp insurance
CEOlPresident 40 $ 39.04 $ 1,560
Director of Programs $ -
Director of Finance $ -
Volunteer Director 64 $ 19.24 $ 1,230
Volunteer Coordinator 64 $ 19_24 $ 1,230
Payroll taxes $ 246
Employee benefrts - not pension $ 124
Workers comp insurance $ -
Payroll Subtotal 168 $ 4,390
Specific assistance - ind
Professional fees - other
Temporary help - contract
Suppl ies
Food & beverage
Gifts & recognition expenses
Postage, shipping, delivery
Printing & copying
Books, subscriptions, reference
Gasoline, parking & mileage
Meetings & meals
Program Curriculum
Field trips and camps
Event expenses
Overhead indirect costs
Staff Development $ 1,600
Advertising expense $ 810
Outside computer services $ 1,000
Equipment $ 27,200
Total Program Cost
Total Charged to FEZ: $ 35,000
Leveraging/Other Revenues:
lofS
First Round of FEZ Grant
T olal Hours % Paid by Other
Worked on Hourly Funded Revenue
Project Rate Total by FEZ Cost to FEZ Source
2080 $ 20.10 $ 41,818 80% $ 33.454 I $ 8,364
$ 4,182 80% $ 3,345 $ 836
$ 4,200 80"10 $ 3,360 $ 840
$ 732 80% $ 585 $ 146
52 $ 39.04 $ 2,030 100% $ 2.030 $ -
208 $ 29.28 $ 6,090 100% $ 6.090 $ -
52 $ 29.28 $ 1,523 100% $ 1,523 $ -
$ 4,466 0% $ - $ 4,466
$ 3,249 0% $ - $ 3,249
$ 1,736 56% $ 964 $ 772
$ 1,472 43% $ 632 $ 840
$ 304 56% $ 169 $ 135
2392 $ 71,800 73% $ 52,1521$ 19.648
1,200 0% $ 1,200
$ 24,000 100% $ 24,000 $ -
$ 800 0% $ 800
$ 3.000 30% $ 910 $ 2,090
$ 1,300 67% $ 870 $ 430
$ 1.470 48% $ 710 $ 760
$ 148 50% $ 74 $ 74
$ 510 57% $ 289 $ 221
$ 320 50% $ 160 $ 160
$ 720 0% $ - $ 720
$ 120 100% $ 120 $ -
$ 14,658 100% $ 14,658 $ -
$ 4,200 100% $ 4,200 $
$ 9,500 19% $ 1,850 $ 7,650
-
$ 24,000 0% $ 24,000
$ 157,745
$ 99.993
0% $ 57,753
K:\Fundraising\Government\Empowerment Zone\2009-10\FEZ Budget for Mar-Jun 10 Proposalll.xlsx
EXHIBIT B-1
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P.O. Box 2508, Room 4010
Cincinnati OH 45201
KIDWORKS COMMUNITY DEVELOPMENT
CORPORATION
1902 W CHESTNUT AVE
`~'"+ SANTA ANA CA 92703-4304
~`
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In reply refer to: 4077550277
Apr.. 28, 2010 LTR 4168C 0
74-30.81569 000000 00
00030958
BODC: TE
COO P~(
Employer Identification Number: *~-***1569
Person to Contact: Ms Benjamin
Toll Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your Feb. 22, 2010, request for information
regarding your tax-exempt status.
Our records indicate that your organization was recognized as exempt
under section 501(c)(3) of the Internal Revenue Code in a
determination letter issued in July 2003.
Our records also indicate that you are not a private foundation within
the meaning of section 509(a) of the Code because you are described in
section(s) 509(a)(1) and 170(b)(1)(A)(vi).
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your use are deductible for Federal estate and gift tax purposes
if they meet the applicable provisions of sections 2055, 2106, and
2522 of the Code.
Beginning with the organization's sixth taxable year and all
succeeding years, it must meet one of the public support tests under
section 170(b)(1)(A)(vi) or section 509(a)(2) as reported on Schedule
A of the Form 990. If your organization does not meet the public
support test for two consecutive years, it is required to file Forrn
990-PF, Return of Private Foundation, for the second tax year that the
organization failed to meet the support test and will be reclassified
as a private foundation.
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
ACORD,,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD,YYY`n
02/03/2010
PRODUCER (g49) 218-0840
Global Program Managers & Ins . Srves . , Inc .
t Office Box 7119 THIS CERTIFICATE IS ISSUED AS A MATTER OF 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.
Ca istrano Beach GA 92624-7119 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: PHILADELPHIA INDEMNITY 18058
El Puente CDC / Kidworks INSURER B: EVEREST NATIONAL 10120
1902 West Chestnut Avenue INSURER C:
INSURER D:
Santa Ana CA 92703- INSURER E:
CAVFRAC;FR
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 ANp CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR ADD'L
INSR TYPE OF INSURANCE POLICY NUMBER PDATE MEIAppryyE PDpT~E MM/DDnON LIMITS
A GENERAL LIABILITY / / / / EACH OCCURRENCE 3 1, 000, 000
7C COMMERCUIL GENERAL LIABILITY PRE~NI SES Ea ~r ante s 100, 000
CLAIMS MADE ~ OCCUR PHPK 514 833 01/07/2010 01/07/2011 MEDEXP one arson s 5,000
PERSONAL 8 ADV INJURY s 1 , 000, 000
/ / / / GENERAL AGGREGATE S 3, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 3 , 000 , 000
X POLICY JEC LOC / / / /
AUTOMOBILE LIABILITY
ANY AUTO / / / / COMBINED SINGLE LIMIT
(Eaeccident)
s
All OWNED AUTOS / / / / BODILY INJURY
SCHEDULED AUTOS O FO (Per person] s
HIRED AUTOS ~p R
NON-0WNED AUTOS ++^ ~ / ~ T
ED A
J<'~4~- /~
1I-l/~i~"l ~--
~ / / / / BODILY INJURY
(Per acddeM)
s
~
r ~ PROPERTY DAMAGE
gTORGK (Perecci~nq s
GARAGE LIABILITY tant Ci'hl AUTO ONLY - EA ACCIDENT S
ANY AUTO Sis
, / / / / OTHER THAN EA ACC S
~ AUTOONLV: AGG S
EXCESSNMBRELLA LIABILJTY / / / / EACH OCCURRENCE 9
OCCUR ~ CWMS MADE AGGREGATE S
s
DEDUCTIBLE / / / / 9
RETENTION $ S
$ WORKERS COMPENSATION AND
' 59000012671-01 02/01/2010 02/01/2011 X TORYLIM~ITS ER
EMPLOYERS
LIABILITY
ANY PROPRlETORlPARTNERIEXECUTNE
E.L EACH ACCIDENT
9 ~- r 000 , 000
OFFICER/MEMBEREXCLUDED9 / / / / E.LDISEASE-EAEMPLOYEE B 1,000,000
If yes, describe urger
SPECIAL PROVISIONS below
E.L DISEASE -POLICY LIMIT
s 1, 000 , 000
A OTHER
PROFESSIONAL LL98
pHPK 514 833
01/07/2010
01/07/2011
SACS INCw~rrT $1, 000, 000
POLICY AGGREGATE $1, 000, 000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEStEXCLUS10N8 ADDED BY ENDORSEMENTlSPECIAL PROVISIONS
RE: FUNDING GRANT
CERTIFICATE HOLDER NAND AS ADDITIONAL INSURED PER ATTACHED MANUSCRIPT FORM FR~i THE CITY OF SANTA ANA, CA
IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN (10) DAYS NOTICE WILL BE GIVEN.
THE SANTA ANA EMPOWERMENT CORPORATION
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA (M-21)
SANTA ANA CA 92701-
~ ~s ronnvna~
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
030 DAYS WRITTEN NOTICE TO THE CERTIFlCATB HOLDER NAMED TO THE LEFT, BUT
FAILURE 70 DO SO SHALL NAPOSE NO OBLIGATK)N OR LIABILITY OF ANY KIND UPON THE
Flo yak 8" ~
nn ernon rnoonLaeTlnN 4oRA
~.~ ~nl$025 (0108).01 ELECTRONIC LASER FORMS, INC. - (800)327.0545 Page 7 of 2
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.
~ ,D 25 (2001108)
~~ INS025~o~oe).o~ ra9ezorz
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company PHILADELPHIA INDEMNITY INSURANCE COMPANY
This endorsement modifies such insurance as is afforded by the provisions of Policy # _PHPK
514 833_ relating to the fallowing:
1. The City of Santa Ana, 20 Civic Center Plaza, PO Box 1988, Santa Ana,
California 92702; 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 of the 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 -EXCEPT IN THE CASE OF THE CITY'S GROSS NEGLIGENCE
OR WILFUL MISCONDUCT.
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 (M-21), PO Box 1988 Santa Ana,
California 92702. Ten (10) days written notice for non-payment of premium.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective _January 7, 2010 to January 7, 2011_, this endorsement form as a part of
Policy # PHPK 514 833
Issued to EL PUENTE COMMUNITY DEVELOPMENT CORPORATION D/B/A
KIDWORKS
Named Insured
Countersigned by C u~ ~~'/~ CA License #OC64508_
Authorized Representative
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