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HomeMy WebLinkAboutTHOMAS HOUSE TEMPORARY SHELTERINSURANCE NOT ON FILE FORK MAY fVOT PROCEED WY CLERK N-2025-131 DATE; SAY 17 IRS HOMELESS HOUSING, ASSISTANCE AND PREVENTION PROGRAM SUBCONTRACTOR AGREEMENT FOR SERVICES COORDINATION BETWEEN THOMAS HOUSE TEMPORARY SHELTER AND THE CITY OF SANTA ANA THIS GRVT AGREEMINT (' HAP Agreement" or "Agreement") is made and entered into 0 : CC-OR�t-) on this J= day of May, 2025 by and between Thomas House Temporary Shelter, a California ,A1 S 4 \46''v�t'� nonprofit corporation ("Subcontractor"), 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 ("City" or "Contractor"). RECITALS A. The State of California established the Homeless Housing, Assistance, and Prevention Program ("HHAP" or "Program") pursuant to Chapter b (commencing with Section 50216) of Part 1 of Division 31 of the Health and Safety Code. (Amended by Stats. 2021, Ch. 111, Sec. 4 (AB 140) Effective July 19, 2021.) The Program is administered by the California Interagency Council on Homelessness ("Cal 1CH") in the Business, Consumer Services and Housing Agency. HHAP provides flexible block grant funds to Continuums of Care, large cities and counties to build on the regional coordination created through previous Cal ICH grant funding and support local jurisdictions in their unified regional responses to reduce and end homelessness. B. The City is the recipient of HHAP-4 funds from the State of California. In 2023, the City/Contractor entered into an agreement with the State of California, Agreement Number 23-HHAP-10015 receiving and recognizing $5,092,955.47 in HHAP4 grant funds to be used by the City to address immediate homeless challenges (collectively, "State HHAP-4 Contract"). A true and correct copy of the State HHAP-4 Contract is attached hereto as Exhibit A and incorporated herein by this reference. C. In accordance with the Program, the City will collaborate with Subcontractor to address accessibility and provide availability to a suitable living environment by coordinating services to transitional housing to low-income and at -frisk unhoused families with children from the City of Santa Ana. Subcontractor seeks to provide former Thomas House Temporary Shelter residents with Homeless Prevention Services to ensure they remain in permanent housing. Subcontractor also seeks to collaborate with the City to provide a continuum of high -quality programs and services that effectively address and ameliorate issues while keeping City residents safe, healthy, and on track to independence and economic self-sufficiency. D. Subcontractor has been made aware of the State HHAP-4 Contract and agrees to comply with the conditions of the State HHAP-4 Contract and he applicable State requirements governing the use of HHAP4 grant funds. E. In undertaking the performance of this Agreement, Subcontractor represents that it is knowledgeable in its field and that any services performed by Subcontractor under this Agreement will be performed in compliance with such standards as may reasonably be Page 1 of 10 #2048088v1 expected from a professional consulting firm in the field. Subcontractor also represents that it has the requisite qualifications, expertise, and experience to work within the provisions of the Program and is willing to use said HHAP grant Rinds to operate within said Program. F. This HHAP Agreement is contingent upon the award of HHAP grant funds from the State of California, California Homeless Coordinating and Financing Council in the Business, Consumer Services and Housing Agency. G. City and Subcontractor have duly executed this HHAP Agreement for the expenditure and utilization of said HHAP hinds. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Subcontractor shall perform during the tern of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Scope of Work and Budget - Exhibit B, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Subcontractor agrees to accept as total payment for its services for City, the rates and charges identified in Scope of Work and ]Budget µ Exhibit B. The total amount to be expended during the terra. of this Agreement shall not exceed $50,000.00. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Subcontractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH) transfers. Subcontractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Subcontractor's account(s) with financial institutions. 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 the date first written above for a one 4I1 year term with the option for the City to grant up to a one 1 year renewal, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 15, below. Page 2 of 10 #2048088vl 4. INDEPENDENT CONTRACTOR Subcontractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the 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 Subcontractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Subcontractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Subcontractor 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. S. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Subcontractor under this Agreement ("Documents & Data"). Subcontractor shall require all subcontractors to agree in writing that City is granted a non- exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Subcontractor represents and warrants that Subcontractor has the legal right to license any and all Documents & Data. Subcontractor makes no such representation and warranty in regard to Documents & Data which were provided to Subcontractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 6. INSURANCE Subcontractor shall procure and maintain for the duration of the Agreement, the following insurance coverages: MINIMUM SCOPE OF INSURANCE Subcontractor shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "-occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence and $2,000,000 aggregate. 2. Sexual Abuse or Molestation Liability (SAML): If the CGL policy referenced above is not endorsed to include affirmative coverage for sexual abuse or molestation, Page 3 of 10 #2048088v1 Subcontractor shall obtain and maintain a policy covering Sexual Abuse and Molestation within a limit of no less than $1,000,000 per occurrence or claim. 3. Automobile Liability (AL): Insurance Services Office Form Number CA 00 01 covering any auto (Code 1), with combined single limits of $11,000,000. In the event Subcontractor does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance with existing limits, which can be lower than $1,000,000. 4. Workers' Compensation (WIC): as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident, per employee, per policy for bodily injury or disease. This requirement can be waived if Subcontractor has no employees. If the Subcontractor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or higher limits maintained by the Subcontractor. Any available insurance proceeds in excess of the specified minirmun limits of insurance and overage shall be available to City. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. CGL, SAML and AL policies: City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Subcontractor including materials, parts, equipment, and personnel furnished in connection with such work. or operations. 2. All required insurance policies: Insurance company(ies) agrees to waive all rights of subrogation against City, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by ,Subcontractor for City. 3. All required insurance policies: For any claims related to this Agreement, Sttbeontractor's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. 4. All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Subcontractor's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. 5. Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non -renewed by the carrier, or materially changed except after thirty (30) days prior written notice has been given to City. Ten (10) days prior written shall be provided to City for policy cancellation or non -renewal due to non-payment. 6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Executive Director, Community Development Agency, 20 Civic Center Plaza M-25, Santa Ana, CA 92701. The name and location of event should be included in the Description of Operations section of each certificate. Page 4 of 10 #2048088v1 Self -Insured Retentions Self -insured retentions must be declared to and approved by the City. The City may require the Subcontractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability oflnsurers Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A:Vll, unless otherwise acceptable to the City. Verification of Coverage Subcontractor shall furnish the City with original certificates and amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to the City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive the Subcontractor's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Claims Made Policies If any of the required policies provide claims -made coverage: 1. The retroactive date must be drown, and must be before the date of the contract or the beginning of contract work, 2. Insurance must be maintained and evidence of insurance must be provided for at leant three (3) years after completion of the contract of work 3. If coverage is canceled or non -renewed, and not replaced with another claints-madepolkyform with a retroactive date prior to the contract effective date, the Subcontractor must purchase "extended reporting" coverage for a minimum of three (3) years after completion of work. Subcontractors Subcontractor shall require and verify that all stab -contractors maintain insurance meeting all the requirements stated herein, and Subcontractor shall ensure that the City is an additional insured on insurance required from stab -contractors. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. 7. INDEMNIFICATION Subcontractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability. (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of Page 5 of 10 #2448Q88vI claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Subcontractor, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 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 Subcontractor 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. Notwithstanding the foregoing, to the extent Subcontractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Subcontractor. S. INTELLECTUAL PROPERTY INDEIVINIFICATIION Subcontractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Subcontractor to the City pursuant to this Agreement. 9. RECORDS Subcontractor shall keep records and invoices in connection with the work to be performed under this Agreement. Subcontractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Subcontractor under this Agreement. All such records and invoices shall be clearly identifiable. Subcontractor shall allow a. representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Subcontractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Subcontractor under this Agreement. 10. CONFI.DENTIAUTY If Subcontractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Subcontractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and fLuthor agrees to exercise the same degree of care it uses to protect its own information of like Page 6 of 10 #2048088vl 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 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 Subcontractor disclosed in a publicly available source; (c) is in rightful possession of the Subcontractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Subcontractor without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE Subcontractor 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. 12. NON-DISCRIMINATION Subcontractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Subcontractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 1.3. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Subcontractor, 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 Subcontractor. 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 Subcontractor or 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 is not embodied herein. 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Subcontractor, Subcontractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the 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 Page 7 of 10 #2048088v1 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 Subcontractors retained by City. 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Subcontractor shall be entitled to receive and the City shall pay Subcontractor compensation for all services performed by Subcontractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Subcontractor to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Subcontractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shalt be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further 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. 18, PROFESSIONAL LICENSES Subcontractor shall, throughout the term of this 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. Subcontractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall because for termination of this Agreement. Page 8 of 10 #2048088vt 19. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement skull be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City Cleric City of Santa Ana 20 Civic Center Plaza (M-30) RO, Box 1998 Santa Ana, CA 92702-1989 Fax: 714- 647-6956 With courtesy copies to: Executive Director, Community Development Agency City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 Fax: 714-647-6956 To Subcontractor: Shalcoya Green Lang Chief Executive Officer Thomas House Temporary Shelter 12601 Morningside Avenue Garden Grove, CA, 92843 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, 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 seat by fax, 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. 20, MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below hag the power, authority and right to bind their respective parties to each of the terms of Page 9 of 14 #2048088v1 this Agreement, and shall indemnify City fully, including reasonable casts and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, field 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 WIMREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST- f Ci APPROVED AS TO FORM: SONtA R. CARVALHO City Attorney f By: 'Cu — Andrea Garcia -Miller Assistant City Attorney RECOMMENDED FOR APPROVAL: Michael L. Garcia Executive Director Community Development Agency CITY OF S TA 4 Alvaro Nunez City Manager SUBCONTRACTOR: Name: WLV) Lm"t Title: (,;CD Organization: Thomas House Family Shelter #2048088v1 Page 10 of 10 EXHIBIT A STATE HHAP-4 CONTRACT SCO ID; STATE OF CALIFORNIA - DEPARTMENT OF GENERAL SERVICES STANDARD AGREEMENT AGREEMENTNUMBER PURCHASING AUTHORITMR(ifp STD 213 (Rev.04/2020) 23-HHAP-10015 010725 1. This Agreement is entered into between the Contracting Agency and the Contractor named below: CONTRACTING AGENCY NAME Business, Consumer Services and Housing Agency CONTRACTOR NAME City of Santa Ana, Community Development Agency 2, The term of [his Agreement is; START DATE Upon BCSH approval THROUGH END DATE 12/31 /2027 3. The maximum amount of this Agreement is: $5,092,955.47 (Five Million Ninety Two Thousand Nine Hundred Fifty Five Dollars and Forty Seven Cents) 4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made a part of the Agreement. Exhibits Title Pages Exhibit A Authority, Purpose and Scope of Work & Exhibit B Budget Detail and Disbursement Provisions 3 Exhibit C General Terms and Conditions 1 Exhibit D Special Terms and Conditions _ Z + Exhibit E State of California General Terms and Conditions _ 1 Items shown with Rr1 rtttarrck /`[ nra hprah i inrnrnnrnra i h. .a a.o ra 1 These documents can be viewed athrtps.f/www.dgs.ca.gov/OLS/Resources IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO. CONTRACTOR CONTRACTOR NAME (if other than an individual, state whether a corporation, partnership, etc.) City of Santa Ana, Community Development Agency CONTRACTOR BUSINESS AD DRESS CITY STATE ZIP 20 Civic Center Plaza, M-25 Santa Ana, CA 92701 PRINTED NAME OF 9 CONTRACTOR AUT, PRIZED SIGNATURE DATE SIGNED ,S - If -7-3 Page 1 of 2 SCO ID: STATE OF CALIFORNIA- DEPARTMENT OF GENERAL SrRVICES STANDARD AGREEMENT FAGREEMENTNUMBER STD 213 (Rev.04/2026) 2,3-hIHAP-1001 5 STATE OF CALIFORNIA CONTRACTING AGENCY NAME Business, Consumer Services and Housing Agency CONTRAC7ING AGENCY ADDRESS 500 Capitol Mall, Suite 1850 PRINTED NAW OF PERSON SIGNING Lourdes Castro Ramirez LUNI RACTING AGENCY A UTHORVED SIGNATU RE u�rnnIi ONO UrULIVGIfAL�ILIIV0..t5 PURCHASING AUTHORITY NUMBER(WApp able) 010725 TITLE Secretary DATE SIGNED E 95814 Page 2 of 2 City of Santa Ana 23-HHAP-10015 Page 1 of 24 Homeless Housing, Assistance, and Prevention Program Round 4 (HHAP-4) Standard Agreement Contract for Funds EXHIBIT A AUTHORITY, PURPOSE AND SCOPE OF WORK 1) Authority The State of California has established the Homeless Housing, Assistance, and Prevention Program Round 4 ("HHAP-4" or "Program") pursuant to Chapter 6 (commencing with Health and Safety Code (HSC) section 50216) of mart 1 of Division 31 of the Health and Safety Code, (Amended by Slats. 2021, Ch, 111, Sec, 4. (AB 140) Effective July 19, 2021.) The Program is administered by the California Interagency Council on Homelessness ("Cal ICH") in the Business, Consumer Services and Housing Agency ("Agency"). HHAP-4 provides flexible block grant funds to Continuums of Care, large cities (population of 300,000+) and counties to build on the regional coordination created through previous Cal ICH grant funding and support local jurisdictions in their unified regional responses to reduce and end homelessness. This Standard Agreement/Contract for Funds along with all its exhibits ("Agreement") Is entered Into by Cal ICH and a Continuum of Care, a city, or a county ("Grantee") under the authority of, and in furtherance of the purpose of, the Program. In signing this Agreement and thereby accepting this award of funds, the Grantee agrees to comply with the terms and conditions of this Agreement, and the requirements appearing in the statutory authority for the Program cited above, 2) Purpose The general purpose of the Program is to (1) reduce homelessness by expanding or developing local capacity to address immediate homelessness challenges informed by a best -practices framework focused on moving homeless individuals and families Into permanent housing and supporting the efforts of those individuals and families to maintain their permanent housing; and (2) continue to build on regional coordination developed through previous rounds of HHAP funding (Chapter 6 (commencing with HSC section 50216). This funding shall: a) Continue to build regional collaboration between continuums of care, counties, and cities in a given region, regardless of Population, and ultimately be used to develop a unified regional response to homelessness. Iriitial HereTE City of Santa Ana 23-HHAP-10015 Page 2 of 24 b) Be paired strategically with other local, state, and federal funds provided to address homelessness in order to achieve maximum impact. Grantees of this funding are encouraged to reference Putting the FundingPieces Together: Guide to Strategic Uses of New and Recent State and Federal Funds to Prevent and End Homelessness to assist in using funding strategically for their planning efforts in the delivery of services to people experiencing homelessness in the community. c) Be deployed with the goal of reducing the number of people experiencing homelessness in a given region through investing in long-term solutions, such as permanent housing. d) Include the State as an integral partner through the provision of technical assistance, sharing of best practices, and implementing an accountability framework to guide the structure of current and future state investments. 3) Definitions The following HHAP-4 program terms are defined in accordance with Health and Safety Code section 50216, subdivisions (a) — (r): a) "Agency" means the Business, Consumer Services, and Housing Agency. b) "Applicant" means a Continuum of Care, city, county, or tribe. c) "City" means a city or city and county that is legally incorporated to provide local government services to its population. A city can be organized either under the general laws of this state or under a charter adopted by the local voters. d) "Continuum of Care" means the same as defined by the United States Department of Housing and Urban Development at Section 578,3 of Title 24 of the Code of Federal Regulations. e) "Coordinated Entry System" means a centralized or coordinated process developed pursuant to Section 578.7 of Title 24 of the Code of Federal Regulations, as that section read on January 10, 2019, designed to coordinate homelessness program participant intake, assessment, and provision of referrals. In order to satisfy this subdivision, a centralized or coordinated assessment system shall cover the geographic area, be easily accessed by individuals and families seeking housing or services, be well advertised, and include a comprehensive and standardized assessment tool. TE initial Here City of Santa Ana 23-HHAP-10015 Page 3 of 24 f) "Council" means the California Interagency Council on Homelessness, formerly known as the Homeless Coordinating and Financing Council created pursuant to Section 8257 of the Welfare and Institutions Code. g) "Emergency shelter" has the same meaning as defined in subdivision (e) of Section 50801. Ih) "Homeless" has the same meaning as defined in Section 578.3 of Title 24 of the Code of Federal Regulations, as that section read on January 10, 2019. 1) "Homeless Management Information System" means the information system designated by a Continuum of Care to comply with federal reporting requirements as defined in Section 578.3 of Title 24 of the Code of Federal Regulations. The term "Homeless Management Information System" also includes the use of a comparable database by a victim services provider or legal services provider that is permitted by the federal government under Part 576 of Title 24 of the Cade of Federal Regulations. j) "Homeless point -in -time count" means the most recent point -in -time count that requires a sheltered and unsheltered count pursuant to Section 578.3 of Title 24 of the Code of Federal Regulations completed by all applicants. k) "Homeless youth" means an unaccompanied youth between 12 and 24 years of age, inclusive, who is experiencing homelessness, as defined in subsection (2) of Section 725 of the federal McKinney-Vento Homeless Assistance Act (42 U.S.C, Sec. 11434a(2)). "Homeless youth" includes unaccompanied youth who are pregnant or parenting. 1) "Housing First" has the same meaning as in Section 8255 of the Welfare and Institutions Code, including all of the core components listed therein. m) "Jurisdiction" means a city, city that is also a county, county, or Continuum of Care, as defined in this section. n) "Navigation center" means a Housing First, low -barrier, service -enriched shelter focused on moving homeless individuals and families into permanent housing that provides temporary living facilities while case managers connect individuals experiencing homelessness to income, public benefits, health services, shelter, and housing. o) "Program" means the Homeless Housing, Assistance, and Prevention program established pursuant to this chapter. 1) "Round 1" of the program means the funding allocated under the program with moneys appropriated during the fiscal year beginning on July 1, 2019. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 4 of 24 2) "Round 2" of the program means the funding allocated under the program with moneys appropriated during the fiscal year beginning on July 1, 2020. 3) "Round 3" of the program means the funding allocated under the program with moneys appropriated during the fiscal year beginning on July 1, 2021. 4) "Round 4" of the program means the funding allocated under the program with moneys appropriated during the fiscal year beginning on July 1, 2022. p) "Program allocation" means the portion of program funds available to expand or develop local capacity to address immediate homelessness challenges. q) "Recipient" means a jurisdiction that receives funds from the Cal ICH for the purposes of the program. r) "Tribe" or "tribal applicant" means a federally recognized tribal government pursuant to Section 4103 of Title 25 of the United States Code. Additional definitions for the purposes of the HHAP-4 program: "Obligate" means that the Grantee has placed orders, awarded contracts, received services, or entered into similar transactions that require payment using HHAP-4 funding. Grantees, and the subrecipients who receive awards from those Grantees, must obligate the funds by the statutory deadlines set forth in this Exhibit A. "Expended" means all HHAP-4 funds obligated under contract or subcontract have been fully paid and recelpted, and no Invoices remain outstanding. 4) Scope of Work The Scope of Work ("Work") for this Agreement shall include uses that are consistent with Health and Safety Code section 50218.7, subdivision (e), and section 50220.8, subdivisions (e), (f), and (g), and any other applicable laws. The Grantee shall expend funds on evidence -based programs serving people experiencing homelessness among eligible populations, including any of the following eligible uses: a) Rapid rehousing, including rental subsidies and incentives to landlords, such as security deposits and holding fees. b) Operating subsidies in new and existing affordable or supportive housing units, emergency shelters, and navigation centers. Operating subsidies may include operating reserves. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 5 of 24 c) Street outreach to assist persons experiencing homelessness to access permanent housing and services. d) Services coordination, which may include access to workforce, education, and training programs, or other services needed to promote housing stability in supportive housing. e) Systems support for activities necessary to create regional partnerships and maintain a homeless services and housing delivery system, particularly for vulnerable populations Including families and homeless youth. Delivery of permanent housing and innovative housing solutions, such as hotel and motel conversions. g) Prevention and shelter diversion to permanent housing, including rental subsidies. h) Interim sheltering, limited to newly developed clinically enhanced congregate shelters, new or existing noncongregate shelters, and operations of existing navigation centers and shelters based on demonstrated need. Demonstrated need for purposes of this paragraph shall be based on the following: i) The number of available shelter beds in the city, county, or region served by a Continuum of Care. ii) The number of people experiencing unsheltered homelessness in the homeless point-in4ime count, iii) Shelter vacancy rate in the summer and winter months. Iv) Percentage of exits from emergency shelters to permanent housing solutions. v) A plan to connect residents to permanent housing. vi) Any new interim sheltering funded by HHAP-4 funds must be low barrier, comply wlth Housing First as provided in Chapter 6.5 (commencing with Section 8255) of Division 8 of the Welfare and Institutions Code, and prioritize interventions other than congregate shelters. i) Improvements to existing emergency shelters to lower barriers and increase privacy. In addition to the eligible uses described above, the Grantee's expenditure of its entire HHAP4 allocation must also comply with the following: Initial I-IereTE City of Santa Ana 23-HHAP-10015 Page 6 of 24 a) At least 10 percent of the funds shall be spent on services for homeless youth populations. b) Not more than 7 percent of funds may be used for administrative costs incurred by the city, county, or continuum of care to administer its program allocation. For purposes of this Agreement, "administrative costs" does not include staff or other costs directly related to implementing activities funded by the program allocation. 5) Cal ICH Contract Coordinator The Cal ICH's Contract Coordinator for this Agreement is the Council's Grant Director or the Grant Director's designee, unless otherwise instructed, any notice, report, or other communication requiring an original Grantee signature for this Agreement shall be mailed to the Cal ICH Contract Coordinator, If there are opportunities to send information electronically, Grantee will be notified via email by the Council's Grant Director or the Grant Director's designee. The Representatives during the term of this Agreement will be: ENTITY: PROGRAM Business Consumer Services and Housing Agency GRANTEE City of Santa Ana, Community Development Agency SECTION/UNIT: California Interagency Council on Homelessness (Cal ICH) ADDRESS: 500 Capitol Mall Suite 1850 20 Civic Center Plaza, M-25, Sacramento, CA, 95814 Santa Ana, CA 92701 CONTRACT COORDINATOR Jeannie McKendry Terri Eggers PHONE NUMBER: (916) 510-9446 (714) 647-5378 EMAIL ADDRESS: Jeannie. McKend bcsh.ca. g2v #e ers .santa-ana.ora All requests to update the Grantee information listed within this Agreement shall be emailed to the Cal ICH Grants Division general email box at calichgrants@bcsh.ca.gov. The Council reserves the right to change their representative and/or contact information at any time with notice to the Grantee. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 7 of 24 6) Effective Date Term of Agreement, and Deadlines a) This Agreement is effective upon approval by Cal ICH (Indicated by the signature provided by Cal ICH in the lower left section of page one, Standard Agreement, STD. 213), when signed by all parties, Funds will be disbursed in accordance with Section 3 of Exhibit B, b) This Agreement shall terminate on December 31, 2027, c) A grantee Shall contractually obligate no less than 75 percent and shall expend no less than 50 percent of their initial (50 percent) HHAP-4 disbursement by May 31, 2025. Upon demonstration by a grantee that it has complied with this requirement and remains on track to meet its outcome goals, as determined by the council pursuant to Health and Safety Code section 50223, the council shall disburse to that recipient the remaining 50 percent of Its total HHAP4 allocation pursuant to Health and Safety Code section 50218,7(a). l) Grantee will demonstrate compliance with these requirements by completing the certification documentation in the form and manner provided by the council. d) If a grantee has obligated less than 75 percent or expended less than 50 percent of their initial (50 percent) HHAP-4 disbursement by May 31, 2025, the grantee shall not contractually obligate or expend any remaining portion of its round 4 initial program allocation, and the council shall not allocate to the recipient the remaining 50 percent of its total allocation, unless both of the following occur: i) On or before June 30, 2025, the grantee submits an alternative disbursement plan to Cal ICH that includes an explanation for the delay. li) Cal ICH approves the alternative disbursement plan. If Cal ICH cannot approve an alternative disbursement plan, Cal ICH will provide the grantee with guidance on the revisions needed in order to approve the alternative disbursement plan, If the fronds identified in the approved alternative disbursement plan are not fully expended by December 31, 2025, the funds shall be returned to the Cal ICH to be allocated as bonus awards, e) Grantees that do not meet the final expenditure deadlines in Health and Safety Code section 50220.8(k) shall not be eligible for bonus funding. Initial HereTE City of Santa Ana 23-H HAP-10015 Page 8 of 24 P All HHAP-4 funds shall be expended by June 30, 2027. g) In accordance with Health and Safety Code section 60220.8, subdivision (k), Cal ICH retains the right to require a corrective action plan of grantees that are not on track to fully expend funds by the statutorily required deadline. h) Any funds not expended by June 30, 2027, including bonus funds, shall revert to and be paid and deposited in, the General Fund pursuant to Health and Safety Code section 50220.8(p). l) The council may request additional information from applicants, as needed, to meet other applicable reporting or audit requirements, j) Bonus Funds; Health and Safety Code section 50220.8 mandates the following, regarding a recipient's eligibility for Bonus Funding. 1) Recipients that do not meet the obligation requirements laid out in Health and Safety Code section 50220.8(k) shall not be eligible for bonus funding; lii) Recipients shall demonstrate no later than June 30, 2025, whether they have successfully met their outcome goals; and 111) Jurisdictions that have not met their outcome goals shall not be eligible for bonus funding and shall accept technical assistance from council staff. In addition, jurisdictions that have not met their outcome goals may also be required to limit allowable uses of program funds, as determined by the Council. Iv) If recipient receives bonus funding, the bonus funds will be distributed as an amendment to this contract. No additional contract will be executed. 7) Special Conditions Cal iCH reserves the right to add any special conditions to this Agreement it deems necessary to ensure that the goals of the Program are achieved. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 9 of 24 Homeless Housing, Assistance, and Prevention Program Round 4 (HHAP-4) Standard Agreement EXHIBIT B BUDGET DETAIL and DISBURSEMENT PROVISIONS 1) Budget Detail & Changes The Grantee agrees that HHAP-4 funds shall be expended on uses that support regional coordination and expand or develop local capacity to address immediate homelessness challenges. Such activities must be informed by a best -practices framework focused on moving people experiencing homelessness into permanent housing and supporting the efforts of those Individuals and familfes to maintain their permanent housing. The Grantee shall expend the HHAP-4 funds on eligible activities as detailed in Health and Safety Code section 50218.7(e) and section 50220.8, subdivisions (e), and (f). 2) General Conditions Prior to Disbursement All Grantees must submit the following forms prior to HHAP-4 funds being released: • Request for Funds Form ("RFF") • STD 213 Standard Agreement form and initialed Exhibits A through F • STD 204 Payee Data Record or Government Agency Taxpayer ID Form 3) Disbursement of Funds Initial Disbursement Fifty percent of a grantee's HHAP-4 funds will be disbursed to the Grantee upon receipt, review and approval of the completed Standard Agreement and RFF by Cal ICH, the Department of General Services (DOS) and the State Controller's Office (SCO), The RFF must include the proposed eligible uses and the amount of funds proposed for expenditure under each eligible use. The Initial disbursement of HHAP-4 funds will be disbursed in one allocation via mailed check once the RFF has been received by the SCO. Checks will be mailed to the address and contact name listed on the RFF. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 10 of 24 Remainder Disbursement a) Cal ICH will disburse the remaining fifty percent of HHAP-4 funds upon demonstration by a Grantee that it has compiled with the requirement to contractually obligate and expend a minimum amount of its round 4 program allocation, as described below, and remains on track to meet its outcome goals, as determined by the council pursuant to Section 50223. i) A grantee shall contractually obligate no less than 75 percent and shall expend no less than 50 percent of their initial (50 percent) HHAP-4 disbursement by May 31, 2025. Upon demonstration by a grantee that it has complied with this requirement and remains on track to meet its outcome goals, as determined by the council pursuant to Health and Safety Code section 50223, the council shall disburse to that recipient the remaining 50 percent of its total HHAP-4 allocation pursuant to Health and Safety Code section 50218.7(a). b) If a grantee has obligated less than 75 percent or expended less than 50 percent of their initial disbursement by May 31, 2025, the grantee shall not contractually obligate or expend any remaining portion of its round 4 initial program allocation, and the council shall not allocate to the recipient the remaining 50 percent of its total allocation, unless both of the following occur: i) On or before June 30, 2025, the grantee submits an alternative disbursement plan to Cal ICH that includes an explanation for the delay. II) Cal ICH approves the alternative disbursement plan, If Cal ICH cannon approve an alternative disbursement plan, Cal ICH will provide the grantee with guidance on the revisions needed in order to approve the alternative disbursement plan. 4) If a Grantee is not on track to meet outcome goals, grantee must agree to receive TA from Cal ICH to get back on track with the outcome goals before the Council allocates the remaining 50 percent of a recipient's allocation. Bonus Funds Disbursement If a Grantee qualifies for Bonus Funds pursuant to the requirements laid out in Health and Safety Code section 502207, Cal ICH will determine the amount of Bonus Funds the Grantee is eligible for and will disburse these Bonus Funds to the Grantee upon recelpt, review and approval of the completed Amended Standard Agreement and RFF by Cal ICH, the Department of General Services (DGS) and the State Controller's Office (SCO). The RFF must include the proposed eligible uses and the amount of funds proposed for expenditure under each eligible use. The Bonus Funds disbursement of Initial HeroTE City of Santa Ana 23-H HAP-10015 Page 11 of 24 HHAP-4 funds will be allocated in one disbursement via mailed check once the RIFF has been received by the SCO. Checks will be mailed to the address and contact name listed on the RIFF, a) 5x enditure of Funds All HHAP-4 funds must be spent in accordance with Health and Safety Code section 50218.7(e) and section 50220,8, subdivisions (e), and (f), and as described in Exhibit A, Section 4 "Scope of Work". G) Ineligible Gusts a) HHAP-4 funds shall not be used for costs associated with activities in violation of any law or for any activities not consistent with the intent of the Program and the eligible uses identified in Health and Safety Code section 50220.8, subdivisions (e), (f), and (g). b) Cal ICH reserves the right to request additional clarifying information to determine the reasonableness and eligibility of all uses of the funds made available by this Agreement. If the Grantee or Its funded subrecipients use HHAP-4 funds to pay for ineligible activities, the Grantee shall be required to reimburse these funds to Cal ICH. e) An expenditure which is not authorized by this Agreement, or by written approval of the Grant Manager or his/her designee, or which cannot be adequately documented, shall be disallowed and must be reimbursed to Cal ICH by the Grantee. Cal ICH, at its sole and absolute discretion, shall make the final determination regarding the allowability of HHAP-4 fund expenditures, d) Program funds shall not be used to supplant existing local funds for homeless housing, assistance, or prevention. HHAP funds cannot replace local funds that are committed to an existing or developing homeless assistance program, However, if funds previously supporting a service or project end or are reduced for reasons beyond the control of the grantee and services or housing capacity will be lost as a result of these funds ending, HHAP funds may be used to maintain the service or program. Examples include, but are not limited to, a time - limited city and/or county tax or one-time block grant, such as HEAP. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 12 of 24 Homeless Housing, Assistance, and Prevention Program Round 4 (HHAP-4) Standard Agreement EXHIBIT C GENERAL TERMS AND CONDITIONS 7) Termination and Sufficiency of Funds a) Termination of Agreement Cal ICH may terminate this Agreement at any time for cause by giving a minimum of 14 days' notice of termination, in writing, to the Grantee. Cause shall consist of violations of any conditions of this Agreement, any breach of contract as described In paragraph 6 of this Exhibit C; violation of any federal or state laws, or withdrawal of Cal ICH's expenditure authority. Upon termination of this Agreement, unless otherwise approved in writing by Cal ICH, any unexpended funds received by the Grantee shall be returned to Cal ICH within 30 days of Cal ICH's notice of termination. b) Sufficiency of Funds This Agreement is valid and enforceable only if sufficient funds are made available to Cal ICH by legislative appropriation, In addition, this Agreement is subject to any additional restrictions, limitations or conditions, or statutes, regulations or any other laws, whether federal or those of the State of California, or of any agency, department, or any political subdivision of the federal or State of California governments, which may affect the provisions, terms or funding of this Agreement in any manner. 2) Transfers_ Grantee may not transfer or assign by subcontract or novation, or by any other means, the rights, duties, or performance of this Agreement or any part thereof, except as allowed within Exhibit C Section 12 (Special Conditions — Granteesisub Grantee) or with the prior written approval of Cal ICH and a formal amendment to this Agreement to affect such subcontract or novation. 3) Grantee's Application for Funds Grantee has submitted to Cal ICH an application for HHAP-4 funds to support regional coordination and expand or develop local capacity to address its immediate homelessness challenges. Cal ICH is entering Into this Agreement on the basis of Grantee's facts, information, assertions and representations contained in that application. Any subsequent modifications to the original funding plans submitted within the original application must be requested through the formal HHAP Budget Modification Request Process and are subject to approval by Cal ICH. Initial hereTE City of Santa Ana 23-HHAP-10015 Page 13 of 24 Grantee warrants that all information, facts, assertions and representations contained in the application and approved modifications and additions thereto are true, correct, and complete to the best of Grantee's knowledge, In the event that any part of the application and any approved modification and addition thereto is untrue, incorrect, incomplete, or misleading in such a manner that would substantially affect Cal ICH approval, disbursement, or monitoring of the funding and the grants or activities governed by this Agreement, then Cal ICH may declare a breach of this Agreement and take such action or pursue such remedies as are legally available. 4) Repbrting/Audits a) Annual Reports By January 1, 2024, and annually on that date thereafter until all funds have been expended, the Grantee shall submit an annual report to Cal ICH in a format provided by Cal ICH. Annual Reports will include a request for data on expenditures and people served with HHAP-4 funding, details on specific projects selected for the use of HHAP-4 funding, and data regarding the progress towards outcome goals. If the Grantee falls to provide such documentation, Cal ICH may recapture any portion of the amount authorized by this Agreement with a 14-day written notification. No later than October 1, 2027, the Grantee shall submit a final report, in a format provided by Cal ICH, as well as a detailed explanation of all uses of the Program funds. b) Quarterly Expenditure Reports In addition to the annual reports, Cal ICH requires the Grantee to submit quarterly expenditure reports due -no later than 30 days following the end of each fiscal quarter. Grantee shall submit a report to Gal ICH on a form and method provided by Cal ICH that Includes the ongoing tracking of the specific uses and expenditures of any program funds broken out by eligible uses listed, including the current status of those funds, as well as any additional information Cal ICH deems appropriate or necessary. If the Grantee fails to provide such documentation, Cal ICH may recapture any portion of the amount authorized by this Agreement with a 14-day written notification. c} Reporting Requirements i) Annual Report: The annual report shall contain detailed information in accordance with Health and Safety Code section 50223, subdivision (a). This information includes the following, as well as any additional information deemed appropriate or necessary by Cal ICH: (1) data collection shall include, but not be limited to, information regarding individuals and families served, including demographic information, information regarding partnerships among entities or lack thereof, and participant and regional outcomes. Initial HereTE City of Santa Ana 23-HHAP-10016 Page 14 of 24 (2) The performance monitoring and accountability framework shall include clear metrics, which may include, but are not limited to, the following: (a) The number of individual exits to permanent housing, as defined by the United States Department of Housing and Urban Development, from unsheltered environments and interim housing resulting from this funding. (b) Racial equity, as defined by the council in consultation with representatives of state and local agencies, service providers, the Legislature, and other stakeholders. (c) Any other metrics deemed appropriate by the council and developed in coordination with representatives of state and local agencies, advocates, service providers, and the Legislature. (3) Data collection and reporting requirements shall support the efficient and effective administration of the program and enable the monitoring of j&sdiction performance and program outcomes. Data shall include progress towards meeting the grantee's outcome goals, If significant progress toward outcome goals has not been made, the applicant shall: (a) Submit a description of barriers and possible solutions to meet those barriers (b) Accept technical assistance from Cal ICH (c) Include the progress towards outcome goals in all subsequent quarterly reports, until significant progress is made as deemed by Cal ICH ii) Expenditure Deport: The expenditure report shall contain data on expenditures of HHAP-4 funding including but not limited to obligated funds, expended funds, and other funds derived from HHAP-4 funding. ill) Final Expenditure Plan: During the final fiscal year of reporting, grantees may be required to include a plan to fully expend HHAP-4 grant funding. This plan must be submitted with the quarterly expenditure report in a format to be provided by Cal ICH. Initial HereTE City of Santa Ana .23-H HAP-10015 Page 15 of 24 iv) Grantees or their subcontractors must report client data into their local Homeless Management Information Systems (HMIS) pursuant to the requirements of Assembly gill (AB) 977 (Chapter 397, Statutes of 2021) v) Cal ICH may require additional supplemental reporting with written notice to the Grantee, vI) Grantee ma►y, at their discretion, fully expend their HHAP-4 allocation prior to the end date of the grant term and will not be required to submit quarterly fiscal reports after the quarter in which their allocation was fully expended, d) Auditing Cal ICH reserves the right to perform or cause to be performed a financial audit. At Cal ICH request, the Grantee shall provide, at its own expense, a financial audit prepared by a certified public accountant. HHAP-4 administrative funds may be used to fund this expense: Should an audit be required, the Grantee shall adhere to the following conditions; 1) The audit shall be performed by an independent certified public accountant. €€) The Grantee shall notify Cal ICH of the auditor's name and address immediately after the selection has been made. The contract for the audit shall allow access by Cal ICH to the independent auditor's working papers. 1€I) The Grantee is responsible for the completion of audits and all costs of preparing audits. Iv) If there are audit findings, the Grantee must submit a detailed response acceptable to Cal ICH for each audit finding within 90 days from the date of the audit finding report. a) Inspection and Retention of Records a) Record Inspection Cal ICH or its designee shall have the right to review, obtain, and copy all records and supporting documentation pertaining to performance under this Agreement. The Grantee agrees to provide Cal ICH, or its designee, with any .relevant information requested. The Grantee agrees to give Cal ICH or its designee access to its premises, upon reasonable notice and during normal business hours, for the purpose of interviewing employees who might reasonably have information related to such records, and of inspecting and copying such books, records, accounts, and other materials that may be relevant to an investigation of compliance with the Homeless Housing, Assistance, and Initial HereTE City of Santa Ana 23-HHAP-10015 Page 16 of 24 Prevention Program laws, the HHAP-4 program guidance document published on the website, and this Agreement, In accordance with Health and Safety Code section 50220,8, subdivision (m), if upon inspection of records Cal ICH identifies noncompliance with grant requirements, Cal ICH retains the right to impose a corrective action plan on the Grantee, b) Record Retention The Grantee further agrees to retain all records described in subparagraph a for a minimum period of five (5) years after the termination of this Agreement. If any litigation, claim, negotiation, audit, monitoring, inspection, or other action has been commenced before the expiration of the required record retention period, all records must be retained until completion of the action and resolution of all Issues which arise from it. c) Public Records Act The grantees' final HHAP-4 application, this contract, and other documents related to the grant are considered public records, which are available for public viewing pursuant to the California Public Records Act. 6) Breach and Remedies a) Breach of Agreement Broach of this Agreement includes, but is not limited to, the following events: 1) Grantee's failure to comply with the terms or conditions of this Agreement. III) Use of, or permitting the use of, HHAP-4 funds provided under this Agreement for any ineligible activities. iii) Any failure to comply with the deadlines set forth in this Agreement. b) Remedies for Breach of Agreement In addition to any other remedies that may be available to Cal ICH in law or equity for breach of this Agreement, Cal ICH may: i) Bar the Grantee from applying for future HHAP funds; ii) Revoke any other existing HHAP-4 award(s) to the Grantee; iii) Require the return of any unexpended HHAP-4 funds disbursed under this Agreement, Initial HereTE City of Santa Ana 23-HHAP-10015 Page 17 of 24 iv) Require repayment of HHAPk4 funds disbursed and expended under this Agreement; v) Require the immediate return to Cal ICH of all funds derived from the use of HHAP-4 funds A Seek, in a court of competent jurisdiction, an order for specific performance of the defaulted obligation or participation in the technical assistance in accordance with HHAP-4 requirements. c) All remedies available to Cal ICH are cumulative and not exclusive. d) Cal ICH may give written notice to the Grantee to cure the breach or violation within a period of not less than 15 days, 7) Waivers No waiver of any breach of this Agreement shall be held to be a waiver of any prior or subsequent breach. The failure of Cal ICH to enforce at any time the provisions of this Agreement, or to require at any time, performance by the Grantee of these provisions, shall in no way be construed to be a waiver of such provisions nor to affect the validity of this Agreement or the right of Cal ICH to enforce these provisions. 8) Nondiscrimination During the performance of this Agreement, Grantee and its subreciplents shall not unlawfully discriminate, harass, or allow harassment against any employee or applicant for employment because of sex (gender), sexual ofientation, gender identity, gender expression, race, color, ancestry, religion, creed, national origin (including language use restriction), pregnancy, physical disability (including HIV and AIDS), mental disability, medical condition (cancer/genetic characteristics), age (over 40), genetic information, marital status, military and veteran status, and denial of medical and family care leave or pregnancy disability leave. Grantees and Sub grantees shall ensure that the evaluation and treatment of their employees and applicants for employment are free from such discrimination and harassment. Grantee and its subreciplents shall comply with the provisions of California's laws against discriminatory practices relating to specific groups: the California Fair Employment and Housing Act (FEHA) (Gov. Code, § 12900 et seq.); the regulations promulgated thereunder (Cal. Code Regs., tit, 2, § 11000 et seq,); and the provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of the Government Code (Gov. Code, §§ 11135 - 11139.5). Grantee and its subreciplents shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other agreement. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 18 of 24 9) Conflict of Interest All Grantees are subject to state and federal conflict of interest laws. For instance, Health and Safety Code section 50220.6, subdivision (1) states, "For purposes of Section 1090 of the Government Code, a representative of a county serving on a board, committee, or body with the primary purpose of administering funds or making funding recommendations for applications pursuant to this chapter shall have no financial interest in any contract, program, or project voted on by the board, committee, or body on the basis of the receipt of compensation for holding public office or public employment as a representative of the county." Failure to comply with these laws, including business and financial disclosure provisions, will result in the application being rejected and any subsequent contract being declared void. Other legal action may also be taken. Additional applicable statutes include, but are not limited to, Government Code section 1090 and Public Contract Code sections 10410 and 10411. a) Current State Employees: No State officer or employee shall engage in any employment, activity, or enterprise from which the officer or employee receives compensation or has a financial interest, and which is sponsored or funded by any State agency, unless the employment, activity, or enterprise is required as a condition of regular State employment. No State officer or employee shall contract on his or her own behalf as an independent Grantee with any State agency to provide goods or services. b) Former State Employees. For the two-year period from the date he or she left State employment, no former State officer or employee may eater into a contract in which he or she engaged in -any of the negotiations, transactions, planning, arrangements, or any part of the decision -making process relevant to the contract while employed in any capacity by any State agency. For the twelve- month period from the date he or she left State employment, no former State officer or employee may enter into a contract with any State agency if he or she was employed by that State agency in a policy -making position In the same general subject area as the proposed contract within 'the twelve-month period prior to his or her leaving State service. c) Employees of the Grantee: Employees of the Grantee shall comply with all applicable provisions of law pertaining to conflicts of interest, including but not limited to any applicabfo conflict of interest provisions of the Political Reform Act of 1974 (Gov. Code, § 81000 et seq.). d) Representatives of a County: A representative of a county serving can a board, committee, or body with the primary purpose of administering funds or making funding recommendations for applications pursuant to this chapter shall have no financial interest in any contract, program, or project voted on by the board, Initial HereTE City of Santa Ana 23-HHAP-10015 Page 19 of 24 committee, or body on the basis of the receipt of compensation for holding public office or public employment as a representative of the county. 10) Drug -Free Workplace ertification Certification of Compliance: By signing this Agreement, Grantee hereby certifies, under penalty of perjury under the laws of State of California, that it and its subrecipients will comply with the requirements of the Drug -Free Workplace Act of 1990 (Gov, Code, section 8350 et seq.) and have or will provide a drug -free workplace by taking the following actions: Publish a statement notifying employees and subrecipients that unlawful manufacture distribution, dispensation, possession, or use of a controlled substance is prohibited and specifying actions to be taken against employees, Grantees, or subrecipients for violations, as required by Government Code section 8355, subdivision (a)(1). a) Establish a Drug -Free Awareness Program, as required by Government Code section 8355, subdivision (a)(2) to inform employees, Grantees, or subrecipients about all of the following: i) The dangers of drug abuse in the workplace; il) Grantee's policy of maintaining a drug -free workplace; iii) Any available counseling, rehabilitation, and employee assistance program; and iv) Penalties that may be imposed upon employees, Grantees, and subrecipients for drug abuse violations. la) Provide, as required by Government Code section 8355, subdivision (a)(3), that every employee andlor subreciplent that works under this Agreement: Q Will receive a copy of Grantee's drug -free policy statement, and ii) Will agree to abide by terms of Grantee's condition of employment or subcontract. 11) Child Support Compliance Act For any Contract Agreement in excess of $100,000, the Grantee acknowledges in accordance with Public Contract Code 7110, that: Initial HereTE City of Santa Ana 23-HHAP-10015 Page 20 of 24 a) The Grantee recognizes the importance of child and family support obligations and shall fully comply with all applicable state and federal laws relating to child and family support enforcement, including, but not limited to, disclosure of information and compliance with earnings assignment orders, as provided in Chapter 8 (commencing with section 5200) of Part 5 of Division 9 of the Family Code; and b) The Grantee, to the best of its knowledge is fully complying with the earnings assignment orders of all employees and is providing the names of all new employees to the New Hire Registry maintained by the California Employment Development Department, 12) Special Conditions — Grantees/Subgrantee The Grantee agrees to comply with all conditions of this Agreement Including the Special Conditions set forth in Exhibit ❑. These conditions shall be met to the satisfaction of Cal ICH prior to disbursement of funds. The Grantee shall ensure that all Subgrantees are made aware of and agree to comply with all the conditions of this Agreement and the applicable State requirements governing the use of HHAP-4 funds. Failure to comply with these conditions may result in termination of this Agreement. a) The Agreement between the Grantee and any Subgrantee shall require the Grantee and its Subgrantees, if any, to: 1) Perform the work in accordance with Federal, State and Local housing and building codes, as applicable. II) Maintain at least the minimum State -required worker's compensation for those employees who will perform the work or any part of it. iii) Maintain, as required by law, unemployment insurance, disability insurance, and liability insurance in an amount that is reasonable to compensate any person, firm or corporation who may be injured or damaged by the Grantee or any Subgrantee in performing the Work or any part of it. iv) Agree to include all the terms of this Agreement in each subcontract. 13) Compliance with State and Federal Laws Rules Guidelines and Regulations The Grantee agrees to comply with all state and federal laws, rules and regulations that pertain to construction, health and safety, labor, fair employment practices, environmental protection, equal opportunity, fair housing, and all other matters applicable and/or related to the HHAP-4 program, the Grantee, its subrecipients, and all eligible activities. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 21 of 24 Grantee shall also be responsible for obtaining any and all permits, licenses, and approvals required for performing any activities under this Agreement, including those necessary to perform design, construction, or operation and maintenance of the activities. Grantee shall be responsible for observing and complying with any applicable federal, state, and local laws, rules or regulations affecting any such work, specifically those including, but not limited to, environmental protection, procurement, and safety laws, rules, regulations, and ordinances. Grantee shall provide copies of permits and approvals to Cal ICH upon request. 14) Inspections of Grantee shall inspect any work performed hereunder to ensure that the work is being and has been performed in accordance with the applicable federal, state and/or local requirements, and this Agreement. b) Cal ICH reserves the right to inspect any work performed hereunder to ensure that the work is being and has been performed In accordance with the applicable federal, state and/or local requirements, and this Agreement. c) Grantee agrees to require that all work that is determined based on such inspections not to conform to the applicable requirements be corrected and to withhold payments to the subrecipient until it is corrected. 15) Litigation„ a) If any provision of this Agreement, or an underlying obligation, Is held invalid by a court of competent jurisdiction, such invalidity, at the sole discretion of Cal ICH, shall not affect any other provisions of this Agreement and the Initial of this Agreement shall remain in full force and effect. Therefore, the provisions of this Agreement are and shall be deemed severable. b) The Grantee shall notify Cal ICH immediately of any claim or action undertaken by or against it, which affects or may affect this Agreement or Cal ICH, and shall take such action with respect to the claim or action as is consistent with the terms of this Agreement and the interests of Cal ICH. Initial HereTE City of Santa Ana 23-HHAP-10015 Page 22 of 24 Homeless Housing, Assistance, and Prevention Program Round 4 (HHAP-4) Standard Agreement EXHIBIT D SPECIAL TERMS AND CONDITIONS 1) All proceeds from any interest -bearing account established by the Grantee for the deposit of HHAP-4 funds, along with any interest -bearing accounts opened by subrecipients to the Grantee for the deposit of HHAP-4 funds, must be used for HHAP-4-eligible activities and reported on as required by Cal ICH, 2) Per Health and Safety Code section 50220.8 (g), any housing -related activities funded with HHAP4 funds, including but not limited to emergency shelter (per Health and Safety Code section 50220.8(e)(8)(F)), rapid -rehousing, rental assistance, transitional housing and permanent supportive housing, must be in compliance or otherwise aligned with the core components of Housing First, as described in Welfare and Institutions Code section 8255, subdivision (b), Individuals and families assisted with these funds must not be required to receive treatment or perform any other prerequisite activities as a condition for receiving shelter, housing, or other services for which these funds are Used, In addition, HHAP-4 funding shall be used to adopt a Housing First approach within the entire local homelessness response system, including outreach and emergency shelter, short-term interventions like rapid re -housing, and longer -term interventions like supportive housing. 3) Grantee shall utilize its local Homeless Management Information System (HMIS) to track HHAP-4-funded projects, services, and clients served, Grantee will ensure that HMIS data are collected in accordance with applicable laws and in such a way as to identify individual projects, services, and clients that are supported by HHAP-4 funding (e.g., by creating appropriate HHAP-4-specific funding sources and project codes in HMIS), 4) Grantee shall participate in and provide data elements, including, but not limited to, health information, in a manner consistent with federal law, to the statewide Homeless Management Information System (known as the Homeless Data Integration System or "HDIS"), in accordance with their existing Data Use Agreement entered into with the Council, if any, and as required by Health and Safety Code section 50220.6 and Welfare and Institutions Code section 8256. Any health information provided to, or maintained within, the statewide Homeless Management Information System shall not be subject to public inspection or disclosure under the California Public Records Act (Chapter 3.5 (commencing with Section 60250) of Division 7 of Title 1 of the Government Code), For purposes of this paragraph, "health information" means "protected health information," as defined in Part 160.103 of Title 45 of the Code of Federal Regulations, and "medical Initial.HereTE City of Santa Ana 23-HHAPµ10015 Page 23 of 24 information," as defined in subdivision @ of Section 56.05 of the Civil Code, The Council may, as required by operational necessity, amend or modify required data elements, disclosure formats, or disclosure frequency. Additionally, the Council, at Its discretion, may provide Grantee with aggregate reports and analytic$ of the data Grantee submits to HDIS in support of the Purpose of this Agreement and the existing Data Use Agreement. 5) Grantee agrees to accept technical assistance as directed by Cal ICH or by a contracted technical assistance provider acting on behalf of Cal ICH and report to Cal ICH on programmatic changes the grantee will make as a result of the technical assistance and in support of their grant goals. 6) Grantee agrees to demonstrate a commitment to racial equity and, per Health and Safety Code section 50222 (a)(2)(B), the grantee shall use data provided through HDIS to analyze racial dlsproportionality in homeless populations and, in partnership with Cal ICH, establish clear metrics and performance monitoring for achieving equity in provision of services and outcomes for Black, Native, and Indigenous, Latinx, Asian, Pacific Islanders and other People of Color who are disproportionately impacted by homelessness and COVID-19. 7) Grantee should establish a mechanism for people with lived experience of homelessness to have meaningful and purposeful opportunities to inform and shape all levels of planning and implementation, including through opportunities to hire people with lived experience. Initial Here TIE City of Santa Ana 23-HHAP-10015 Page 24 of 24 Homeless Housing, Assistance, and Prevention Program Round 4 (HHAP-4) Standard Agreement EXHIBIT E STATE OF CALIFORNIA GENERAL TERMS AND CONDITIONS This exhibit is incorporated by reference and made part of this agreement, The General Terms and Cond€bons (GTC 04/2017) can be viewed at the following link: htt s:/Iwww.d s,ca. ov/-/medialDivisions/OLS/Resources/GTC-A 01-2017- FINALapril2017.pdf?la=en&hash=3A64979F777D5B9D35309433EE81969FD69052D2 In the interpretation of this Agreement, any inconsistencies between the State of California General Terms and Conditions (GTC - 04/2017) and the terms of this Agreement and its exhibits/attachments shall be resolved in favor of this Agreement and its exhibits/attachments. Initlal HereTE EXHIBIT B SCOPE OF WORK AND BUDGET THOMAS HOUSE FAMILY SHELTER Q 5iu M86 Scope of Work SCOPE OF SERIVCES This project is designed to provide availability and accessibility to a suitable living environment by providing transitional housing to low-income and at -risk unhoused families with children from Santa Ana, Calif. The project will also provide former shelter residents with Homeless Prevention Services to ensure they remain in permanent housing. Thomas House Temporary Shelter will collaborate with the City of Santa to provide an unprecedented continuum of high -quality programs and services that effectively address and ameliorate issues while keeping Santa Ana residents safe, healthy, and on track to independence and economic self-sufficiency. The Transitional Shelter hosts 86 beds in its 20 apartment units. Between June 1, 2025, and May 31, 2026, Thomas House Temporary Shelter will provide the following activities for low -to -moderate income (LMI) individuals from Santa Ana, Calif.: 1. Rent-free housing through its Transitional Shelter 2. Case Management for Shelter and Homeless Prevention families 3. Support Services such as mental health services, housing navigation, career development, financial literacy, parenting classes, and youth development services for Shelter and Homeless Prevention families Case management and support services begin as families join our programs. The program anticipates serving 7-10 households, approximately 25-30 individuals. Prggrarrt Evaluation and Outcomes The success of our pros ams is measured through case management and exit interviews. We record the number and percentage of families participating in and graduating from our program, those securing permanent housing upon graduation, and those securing employment through our guidance. At intake, residents complete an intake form and a needs assessment. Their progress toward the program outcomes is tracked weekly through weekly meetings and then compiled into residents' case management records. Additionally, Thomas House requires families to save 80% of their income each month. The Transitional Shelter and Supportive Services program anticipates the following outcomes: • 90% of adults will obtain an increased level of employment; • 90% of fanulies will save two months' rent; • 90% of families will obtain pertmanent housing; and 90% of our school -aged children will improve their academic standing. The Homeless Prevention program anticipates the following outcomes: • 80% of the fanulies will retain permanent housing for 12 months or longer; • 90% of our school -aged children will improve their academic standing; and • 100% of families will receive temporary assistance (food, clothing, and more). Office 714.554.0357 * Fax 714.265.0640 • P.O. Box 2737 Garden Grove. California 92842 • www.ThoiiiasHouseShelter org Nan -Profit Tax 113# 3 3-0204757 2024 Clients Served Thomas :House Family Shelter served 67 unduplicated ftunilies in 2024 through its Transitional Shelter and Homeless Prevention Services program, including 14 unduplicated families from Santa Ana. Of the 14 families served, three have transitioned into permanent housing in 2024, four families are currently part of our Shelter program (five in total, one moved into the Shelter in 2025, and 1.0 Santa Ana families served in Homeless Prevention in 2024 (3 of the 10 were also in the transitional shelter in 2024). BUDGET Thomas House's annual budget is $1,977,054. Funds would support salaries for staff who will be providing direct services to families from Santa Ana, Calif. This includes; • Case Managers • Housing Navigation • Career Development Specialist • Operations Manager Thomas House Family Shelter Transitional Shelter and Homeless Prevention Services Revenue Amount Requested City of Santa Ana $50,000 Total $50,000 Expenses Salary and Wages Benefits and Taxes $50,000 Total $50,000 FY25/26 Total Budget $50,000 $50,000 $50,000 $50,000 CERTIFICATE OF LI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITU REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the If SUBROGATION IS WAIVED, subject to the terms and conditions of t this certificate does not confer rights to the certificate holder in Ileu of s PRODUCER Arthur J. Gallagher Risk Management Services, LLC 18201 Von Karman Ave Suite 200 Irvine CA 92612 INSURED Thomas House Temporary Shelter PO Box 2737 Garden Grove CA 92842 ABILITY INSURANCE DATEJMMIDDIYYYY) 11/8/2024 Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. he policy, certain policies may require an endorsement. A statement on uch endorsement(s). NANEpCT Julie Fernandez PHONE FA . 949-349-9821 c No :949-349-9987 E-MAIL ESS• Julle Fernandez a' .com INSURERS AFFORDING COVERAGE NAIC# INSURERA: Wesco Insurance COm an 25011 INSURER B : Service American Indemnl!y Company 39152 INSURER C: Security National Insurance Companv 19879 INSURER D : Arch Insurance Company 11150 INSURER E : INSURER F: -- -^ 1 • --- v %r rrra.n I c Imulvimcm- 141 lOZd3'13 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUBR LTR TYPE OF INSURANCE 11= Wvo POLICY NUMBER POLICY EFF POLICY EXP MMIDDIYYYY MM7pD1YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY SPPI821824 10/3/2024 1013/2G25 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR DAMAGE 7 RENTED _PREMISES Ea occurrence $100,000 MED EXP (Any one arson) $ 5,000 PERSONAL A ADv INJURY $ 1,000,000 GEN'LAGGRFGATELIMITAPPLIESPER: GENERAL AGGREGATE $3,000,000 X PRO- ❑ LOC JECT PRODUCTS-COMPlOPAGG POLICY ❑ $3,000,D00 OTHER: $ C AUTOMOBILE LIABILITY SPPI822-167 00 10/3/2024 10/312025 (Ea eBBINEDiSINGLE LIMIT $1,OOQ000 ANY AUTO OWNED SCHEDULED BODILY INJURY (Per person) $ AUTOS ONLY AUTOS BODILY INJURY (per accident) $ X HIRED X NON -OWNED Palo- ROYDAMgG£ AUTOS ONLY AUTOS ONLY Per accident $ $ A X UMBRELLA LIAB X OCCUR WUM182911805 10/3/2024 10/312025 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $1,000,000 DED I X I RETENTION$ 8 WORKERS COMPENSATION SAT1S0394904 PER OTH- $ AND EMPLOYERS` LIABILITY 10/112024 10/1/2025 X STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE YIN OFRCERWEMBEREXCLUDED? ❑ NIA E.L-EACH ACCIDENT $1,000,000 (Mandatory in NHI E.L, DISEASE - EA EMPLOYEE $ 1,000,000 under If yes, describeunder DESCRIPTION OF OPERATIONS below E.L. DISEASE . POLICY LIMIT $ 1,000,000 C Scclal Services Prof, LiablF&O 8PP1821824 10/3/2029 101312D25 Each IncldenVA C Sexual or Physical Abuse 99 $1 M 1$3M 17 Executive Package- See below SPP1821824 10/312024 10/3/2025 Each Incldent/Agg $1 M 1$3M N FP012112207 11/23/2023 1112W2024 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Executive Package - 11/23/2024-1112312025 Policy#NFP012112207 Director &Officers & Employment Practices Liability: Limit of Liability: $1,000,000 Deductible $5,000 Fiduciary; Limit Of Liability; $250,000 Deductible $0 CERTIFICATE HOLDER — 1-1 , A -- Proof of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED F O 1088-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD -- -^ 1 • --- v %r rrra.n I c Imulvimcm- 141 lOZd3'13 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUBR LTR TYPE OF INSURANCE 11= Wvo POLICY NUMBER POLICY EFF POLICY EXP MMIDDIYYYY MM7pD1YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY SPPI821824 10/3/2024 1013/2G25 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR DAMAGE 7 RENTED _PREMISES Ea occurrence $100,000 MED EXP (Any one arson) $ 5,000 PERSONAL A ADv INJURY $ 1,000,000 GEN'LAGGRFGATELIMITAPPLIESPER: GENERAL AGGREGATE $3,000,000 X PRO- ❑ LOC JECT PRODUCTS-COMPlOPAGG POLICY ❑ $3,000,D00 OTHER: $ C AUTOMOBILE LIABILITY SPPI822-167 00 10/3/2024 10/312025 (Ea eBBINEDiSINGLE LIMIT $1,OOQ000 ANY AUTO OWNED SCHEDULED BODILY INJURY (Per person) $ AUTOS ONLY AUTOS BODILY INJURY (per accident) $ X HIRED X NON -OWNED Palo- ROYDAMgG£ AUTOS ONLY AUTOS ONLY Per accident $ $ A X UMBRELLA LIAB X OCCUR WUM182911805 10/3/2024 10/312025 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $1,000,000 DED I X I RETENTION$ 8 WORKERS COMPENSATION SAT1S0394904 PER OTH- $ AND EMPLOYERS` LIABILITY 10/112024 10/1/2025 X STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE YIN OFRCERWEMBEREXCLUDED? ❑ NIA E.L-EACH ACCIDENT $1,000,000 (Mandatory in NHI E.L, DISEASE - EA EMPLOYEE $ 1,000,000 under If yes, describeunder DESCRIPTION OF OPERATIONS below E.L. DISEASE . POLICY LIMIT $ 1,000,000 C Scclal Services Prof, LiablF&O 8PP1821824 10/3/2029 101312D25 Each IncldenVA C Sexual or Physical Abuse 99 $1 M 1$3M 17 Executive Package- See below SPP1821824 10/312024 10/3/2025 Each Incldent/Agg $1 M 1$3M N FP012112207 11/23/2023 1112W2024 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Executive Package - 11/23/2024-1112312025 Policy#NFP012112207 Director &Officers & Employment Practices Liability: Limit of Liability: $1,000,000 Deductible $5,000 Fiduciary; Limit Of Liability; $250,000 Deductible $0 CERTIFICATE HOLDER — 1-1 , A -- Proof of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED F O 1088-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Proof of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED F O 1088-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AC"Rbr CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) IiN.� 5/27/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ios) must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER Arthur J. Gallagher Risk Management Services, LLC 18201 Von Karman Ave COW" Julie Fernandez E. PHONE FAx • 949-349.9821 AIc NO: 949-349-9967 Suite 200 Irvine CA 92ti 12 F-MAILss: Julie Fernandez@ajg.com INSURERS AFFORDING COVERAGE NAIL N INSURER A: Wesco Insurance Company 25011 License* oDs9293 INSURED THOMHOU-D2 Thomas House Temporary Shelter PO Box 2737 INSURER B : Service American Indemnity Company 39152 INSURER C: Security National Insurance Company 19879 INSURER o: Arch Insurance Company 11150 Garden Grove CA 92842 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 2279R6gR7 Pr-VICIAM 1dIIMi3C0& THIS IS TO CERTIFY THAT 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, EXCLJSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EPP MMIDDIYYYY POLICY EXP MMMDfYYYY LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Y Y SPP1821824 10/3/2024 10/3/2025 EACH OCCURRENCE $1,000,000 DAMAGE 0E TED PREMISES fEa occurrence $ 100.000 MED EXP (Any one parson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: PRO- POLfCY JECT LOC GENERAL AGGREGATE $ 3,000,000 GEN'L X PRODUCTS -CCMPIOPAGG $3,000,00o $ OTHER: C AUTOMOBILE LIABILITY Y Y SPP1822767 Oo 10/3/2024 10l3/2025 0Q QBI ot51NGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED X NON -OWNED AJTOS ONLY AUTOS ONLY XI$ PROPERTY DAMAGE par accident $ A X UMBRELI.ALIAB X OCCUR Y Y WUM182911805 10/3/2024 10/3/2025 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPRCPRIETOP4PARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? El NIA SATIS0344904 10/1/2024 10/112025 X STATUTE aTRN E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1.000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C C O SocdaE Services Prof. Liab/E&O SexualvePhysicalAbuse Executive Package -See below SPP1821824 SPP1821824 NFP012112208 10l312024 10/3/2024 11/23l2024 101312025 1013l2025 11/23/2025 Each IncidenllAgg EachIncidentlAgg $1 M ! $3M $1M/$3M DESCRIPTION OF OPERATIONS l LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Executive Package - 11/23/2024-11123/2025 Policy #NFP012112207 DigltallysIgned Director &Officers & Employment Practices Liability: TU Tran byTeTran Limit of Liability: $1,000,000 Deductible $5,000 rg yen N g uyeh aatt Ze25.e6.24 Fiduciary: 15110-e7ac Limit of Liability: $260,000 Deductible $0 City of Santa Ana, Attention: Community Development Agency, Homeless Services, 20 Civic Center Plaza, M25 Santa Ana, CA 92701 are lisred as additional insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Community Development Agency, Homeless 20 Civic Center Plaza, M25 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 - (0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Security National Insurance Company Policy Number: 4455 LBJ Freeway, Suite 700 SPP1821824 00 FA Dallas, Texas 75244 Named Insured: Thomas House Temporary Shelter COMMERCIAL COMMON POLICY DECLARATIONS POLICY INTEREST SCHEDULE PRIMARY AND NONCONTRIBUTORY —OTHER INSURANCE CONDITION CG20010413 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US CG24040509 City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers Attention: Community Development Agency, Homeless 20 Civic Center Plaza M25 Santa Ana, CA 92702 Issued Date: 6/23/2025 ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION CG20260413 City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers Attention: Community Development Agency, Homeless 20 Civic Center Plaza M25 Santa Ana CA 92702 Location #: 1 ILPISCH 0414 Page 2 of 2 POLICY NUMBER: SPP1821824 00 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 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 Additional Insured Person(s) Or Organization(s): City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers Attention: Community Development Agency, Homeless 20 Civic Center Plaza M25 Santa Ana CA 92702 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your.acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: I. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: SPP1821824 00 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROD UCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 13 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you per- form work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees white engaged in the work described in the Schedule. The additional premium for this endorsement shall be ,See Below % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers Job Description Attention: Community Development Agency, Homeless 20 Civic Center Plaza, M25, Santa Ana CA 92702 Specific Waiver is $200 Flat Charge This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Date: 0 6/ 12 / 2 0 2 5 Policy No. SAT I S 0 3 4 4 9 0 4 Policy Effective Date: 10 / 01 / 2 024 to 10 / 01 / 2 02 5 Insured: Thomas House Temporary Shelter D BA: Carrier Name/ Code: Service American Indemnity Company Countersigned by WC 04 03 06 (Ed.4-84) Endorsement No. Premium $ Page 1 of 11 ACOR" CERTIFICATE OF LIABILITY INSURANCE `� DATE(MM/DD/YYYY) 1 10/27/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER Arthur J. Gallagher Risk Management Services, LLC 2050 Main Street 1250 CONTACT NAME: Chloe Huckabay PHONE FAX A/C No EXt: 559-635-3559 A/c,No: E-MSuite ADDRESS: Chloe Huckaba a' _ Y@ 19.com INSURER(S) AFFORDING COVERAGE NAIC# Irvine CA 92614 INSURERA: Wesco Insurance Company 25011 License#:OD69293 INSURED THOMHOU-02 INSURERB: Service American Indemnity Company 39152 Thomas House Temporary Shelter PO Box 2737 INSURERC: Security National Insurance Company 19879 INSURERD: Arch Insurance Company 11150 Garden Grove CA 92842 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:731591517 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS C X COMMERCIAL GENERAL LIABILITY Y Y WPP2087817 10/3/2025 10/3/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR PREMISES DAMAGE TO ccurrence PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY PRO ❑ JECT LOC X PRODUCTS - COMP/OP AGG $ 3,000,000 $ OTHER: C AUTOMOBILE LIABILITY Y Y SPP1822767 01 10/3/2025 10/3/2026 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR WUM1829118 06 10/3/2025 10/3/2026 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LAB CLAIMS -MADE DED X RETENTION $ 1 n nnn $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE Y SATIS0344905 10/1/2025 10/1/2026 X PER OTH- STATUTEI ER E.L. EACH ACCIDENT $ 1,000,000 OFFICE R/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Social Services Prof. Liab/E&O WPP2087817 10/3/2025 10/3/2026 Each Incident/Agg $1M / $3M C D Sexual or Physical Abuse Executive Package- See below WPP2087817 NFP012112208 10/3/2025 11/23/2024 10/3/2026 11/23/2025 Each Incident/Agg $1M / $3M DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Executive Package - 11/23/2024-11/23/2025 Policy #NFP012112208 Director &Officers & Employment Practices Liability: Digitally signed by APPROVED Limit of Liability: $1,000,000 Deductible $5,000 Tu Tran TuTran Nguyen By Tu Tran Nguyen at 8:19 am, Nov 04, 2025 Nguyen Date: 39 5.11.04 Fiduciary: osa9s9-os'oo' -08 00' Limit of Liability: $250,000 Deductible $0 City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers are included as Additional Insured as respects General Liability and Auto Liability policies, pursuant to and subject to the policy's terms, definitions, conditions and exclusions. Waiver of Subrogation applies to (CH/AI entities) as See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Community Development Agency, Homeless AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza, M25 Santa Ana CA 92701 D. L�---_V e �-7 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: THOMHOU-02 LOC #: 4COR0� AIIIIITIMIA1 REMARKS Srw=n II F AGENCY NAMED INSURED Arthur J. Gallagher Risk Management Services, LLC Thomas House Temporary Shelter PO Box 2737 POLICY NUMBER Garden Grove CA 92842 CARRIER I NAIC CODE EFFECTIVE DATE: kDDITIONAL REMARKS Paae 1 of 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE respects to General Liability, Auto Liability and Workers Compensation policies, pursuant to and subject to the policy's terms, definitions, conditions and exclusions. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you per- form work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be See Below % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers Job Description Attention: Community Development Agency, Homeless 20 Civic Center Plaza, M25, Santa Ana CA 92702 Specific Waiver is $200 Flat Charge This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Date:10 / 01 / 2 0 2 5 Policy No. SAT I S 0 3 4 4 9 0 5 Endorsement No. Policy Effective Date: 10/01/2025 to10/01/2026 Premium$ Insured: Thomas House Temporary Shelter DBA: Carrier Name / Code: Service American Indemnity Company Countersigned by WC 04 03 06 (Ed. 4-84) Page 1 of 1 POLICY NUMBER: WPP2087817 00 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 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 Additional Insured Person(s) Or Organization(s): City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers Attention: Community Development Agency, Homeless 20 Civic Center Plaza M25 Santa Ana CA 92702 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: WPP2087817 00 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 Business Auto Coverage Expansion Summary • Certain newly acquired or formed organizations covered up to 180 days • Your employees are defined as an insured for autos rented in their own name (with your permission) in the conduct of your business • Blanket additional insured status when required by a covered contract or agreement • Increased supplementary payments for expenses incurred by you at our request • Fellow employee exclusion removed • Towing and labor cost covered if labor is performed at the place of disablement; limit $500 per disablement with no deductible • Increased temporary transportation expenses for covered theft of a private passenger auto (limits $50 per day / $1,000 maximum with 48-hour wait period) • Accidental airbag discharge recovery cost • Loss payee/lessee loan gap coverage for a covered total loss of an auto • Single deductible applies on multi -unit claims • Narrowed requirements for knowledge of loss AmTrust's Business Auto Coverage Expansion is a comprehensive coverage enhancement designed for small businesses. For minimal cost, your insureds can have business auto coverages second to none. Please see a few highlights of this coverage below. • Blanket waiver of subrogation granted for an insured contract • Failure to disclose wording broadened for unintentional acts • Hired car physical damage coverage amendment of other insurance provisions as to covered autos and autos rented by individual employees in your business; you must have hired and non -owned auto coverage for this physical damage enhancement to apply • Deductible waived for covered auto on glass if "repaired" • Limited personal effects coverage in covered auto up to $2,500 per loss with no deductible • Downtime loss coverage up to a maximum of $100 per day / 30 days • Rental Reimbursement coverage up to a maximum of $100 per day / 30 days • Diminishing deductible with loss -free policy periods • Insurance is primary and noncontributory This coverage highlight of AmTrust North America's Business Automobile Expansion Coverage Endorsement CA990187 does not grant any coverage, nor form a part of your policy. For the actual coverage wording, please refer to the applicable form CA990187. $250 flat charge per policy. I• AmTrust North America An AmTrust Financial Company Business Auto 7/15 Your Success is Our Policy° POLICY NUMBER: COMMERCIAL AUTO CA990187 07 15 This Endorsement Changes The Policy. Please Read It Carefully BUSINESS AUTO COVERAGE EXPANSION ENDORSEMENT This endorsement modifies insurance provided by the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the COVERAGE FORM apply unless modified by the endorsement. A. Newly Acquired or Formed Organizations, Employee Hired Car Liability and Blanket Additional Named Insured Status for Certain Entities. Item 1. Who is an Insured of Paragraph A. Coverage under SECTION II — COVERED AUTOS LIABILITY COVERAGE is amended to add: d. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership of a majority interest (greater than 50%), will qualify as a Named Insured; however, (1) coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier; (2) coverage does not apply to "bodily injury", "property damage" or "covered pollution cost or expense" that results from an "accident" which occurred before you acquired or formed the organization; and (3) coverage does not apply if there is other similar insurance available to that organization, or if similar insurance would have been available but for its termination or the exhaustion of its limits of insurance. This insurance does not apply if coverage for the newly acquired or formed organization is excluded either by the provisions of this coverage form or by endorsement. e. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. f. Any person or organization you are required by written contract or agreement to name as an additional "insured", but only with respects to liability created in whole or in part by such agreement. B. Increase Of Loss Earnings Payment Subpart (4) of a. Supplementary Payments of Item 2. Coverage Extensions of Paragraph A. Coverage under SECTION II — COVERED AUTOS LIABILITY COVERAGE is amended to read: (4) We will pay reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $1,000 per day because of time off from work. C. Fellow Employee Injured By Covered Auto You Own Or Hire Item 5. Fellow Employee of Paragraph B. Exclusions under SECTION II — COVERED AUTOS LIABILITY COVERAGE is amended to add: This exclusion does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire. Such coverage as is afforded by this provision is excess over any other collectible insurance. D. Limited Automatic Towing Coverage Item 2. Towing, of Paragraph A. Coverage, under SECTION III — PHYSICAL DAMAGE COVERAGE is amended to read: 2. Towing Page 1 of 4 Includes Copyrighted Material of Insurance Services Offices, Inc. CA990187 07 15 Used with permission We will pay for towing and labor costs each time that a covered "auto" is disabled. All labor must be performed at the place of disablement of the covered "auto". a. The limit for towing and labor for each disablement $500; b. No deductible applies to this cover- age. E. Item 3. Glass Breakage — Hitting A Bird Or Animal — Falling Objects or Missiles of Paragraph A. Coverage under SECTION III — PHYSICAL DAMAGE COVERAGE, is amended to add: Glass Repair Coverage We will waive the Comprehensive deductible for Glass, if one is indicated on your covered "auto", for glass repairs. We will repair at no cost to you, any glass that can be repaired without replacement, provided the "loss" arises from a covered Comprehensive "loss" to your "auto". F. Increase Of Transportation Expense Coverage Subpart a. Transportation Expenses of Item 4. Coverage Extensions of Paragraph A. Coverage under SECTION III — PHYSICAL DAMAGE COVERAGE is amended to read: a. Transportation Expenses We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage or Theft Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". G. "Personal Effects" Coverage Item 4. Coverage Extensions of Paragraph A. Coverage, under SECTION III - PHYSICAL DAMAGE COVERAGE, is amended to add: "Personal Effects" Coverage We will pay actual cash value for "loss" to "personal effects" of the "insured" while in a covered "auto" subject to a maximum limit of $2,500 per "loss", for that covered "auto" caused by the same "accident". No deductible will apply to this coverage. H. "Downtime Loss" Coverage Item 4. Coverage Extensions, of Paragraph A. Coverage, under SECTION III. PHYSICAL DAMAGE COVERAGE, is amended to add: "Downtime Loss" Coverage We will pay any resulting "downtime loss" expenses you sustain as a result of a covered physical damage "loss" to a covered "auto" up to a maximum of $100 per day, for a maximum of 30 days for the same physical damage "loss", subject to the following conditions: a. We will provide "downtime loss beginning on the 5th day after we have given you our agreement to pay for repairs to a covered "auto" and you have given the repair facility your authorization to make repairs; b., Coverage for "downtime loss" expenses will end when any of the following occur: (1) You have a spare or reserve "auto" available to you to continue your operations. (2) You purchase a replacement "auto". (3) Repairs to your covered "auto" have been completed by the repair facility and they determine the covered "auto" is road -worthy. (4) You reach the 30 day maximum coverage. I. Item 4. Coverage Extensions, of Paragraph A. Coverage, under SECTION III. PHYSICAL DAMAGE COVERAGE, is amended to add: We will pay any resulting rental reimbursement expenses incurred by you for a rental of an "auto" because of "loss" to a covered "auto" up to a maximum of $100 per day, for a maximum of 30 days for the same physical damage "loss", subject to the following conditions: a. We will provide rental reimbursement incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy expiration, with the number of days reasonably required to repair or replace the covered "auto". If the "loss" is caused by theft, this number of days is the number of days it takes to locate the covered "auto" and return it to you or the Page 2 of 4 Includes Copyrighted Material of Insurance Services Offices, Inc. CA990187 07 15 Used with permission number of days it takes for the claim to be settled, whichever comes first. b. Our payment is limited to necessary and actual expenses incurred. c. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. on it, we will pay, in the event of a covered total "loss", any unpaid amount due on the lease or loan for a covered "auto", less: a. The amount paid under the Physical Damage Coverage Section of the policy; and b. Any: d. If a "loss" results from the total theft of a (1) Overdue lease or loan covered "auto" of the private passenger payments including penalties, type, we will pay under this coverage interest or other charges only that amount of your rental resulting from overdue reimbursement expenses which is not payments at the time of the already provided for under the Physical "loss"; Damage Coverage Extension. (2) Financial penalties imposed under a lease for excessive use, J. "Personal Effects" Exclusion abnormal wear and tear or high Paragraph B. Exclusions under SECTION mileage; III — PHYSICAL DAMAGE COVERAGE, is (3) Costs for extended warranties, amended to add: Credit Life Insurance, Health, "Personal Effects" Exclusion Accident or Disability Insurance purchased with the loan or We will not pay for "loss" to "personal lease; effects" of any of the following: (4) Security deposits not refunded a. Accounts, bills, currency, deeds, by the lessor; and evidence of debt, money, notes, securities or commercial paper or (5) Carry-over balances from other documents of value. previous loans or leases b. Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry; watches; precious or semi-precious stones. c. Paintings, statuary and other works of art. d. Contraband or property in the course of illegal transportation or trade. e. "Loss" caused by theft, unless there is evidence of forced entry into the covered "auto" and a police report is filed. K. Accidental Airbag Discharge Coverage Item 3.a. of Paragraph B. Exclusions under SECTION III — PHYSICAL DAMAGE COVERAGE is amended to read: a. Wear and tear, freezing, mechanical or electrical breakdown. The exclusion relating to mechanical break -down does not apply to the accidental discharge of an air bag. L. Loan or Lease Gap Coverage Paragraph C. Limit Of Insurance under SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add: If a covered "auto" is owned or leased and if we provide Physical Damage Coverage M. Aggregate Deductible Paragraph D. Deductible under SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add: Regardless of the number of covered "autos" involved in the same "loss", only one deductible will apply to that "loss". If the deductible amounts vary by "autos", then only the highest applicable deductible will apply to that "loss". N. Diminishing Deductible Paragraph D. Deductible under SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add: Any deductible will be reduced by the percentage indicated below on the first "loss" reported during the corresponding policy period: Loss Free Policy Periods With the Expansion Endorsement Deductible Reduction on the first "loss" 1 0% 2 25% 3 50% 4 75% 5 100% Page 3 of 4 Includes Copyrighted Material of Insurance Services Offices, Inc. CA990187 07 15 Used with permission If we pay a Physical Damage "loss" during the policy period under any BUSINESS AUTO COVERAGE FORM you have with us, your deductible stated in the Declaration's page of each such COVERAGE FORM will not be reduced on any subsequent claims during the remainder of your policy period and your deductible reduction will revert back to 0% for each such COVERAGE FORM if coverage is renewed. O. Knowledge of Loss and Notice To Us Subsection a. of Item 2. Duties In the Event of Accident, Claim, Suit or Loss of Paragraph A. Loss Conditions under SECTION IV -- BUSINESS AUTO CONDITIONS is amended to add: However, prompt notice of the "accident", claim, "suit" or "loss" to us or our authorized representative only applies after the "accident", claim, "suit" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) An "executive officer" or director, if you are a corporation; (4) A manager or member, if you are a limited liability company; (6) Your insurance manager; or (6) Your legal representative. P. Waiver Of Subrogation For Auto Liability Losses Assumed Under Insured Contract Item 6. Transfer Of Rights Of Recovery Against Others To Us of Paragraph A. Loss Conditions under SECTION IV — BUSINESS AUTO CONDITIONS is amended to read: 6. Transfer of Rights of Recovery Against Others To Us If any person or organization to or for whom we make payments under this Coverage From has rights to recover damages from another, those right are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after an "accident" or "loss" to impair them. However, if the insured has waived those rights to recover through a written contract, we will waive any right to recovery we may have under this Coverage Form. Q. Insurance is Primary and Noncontributory Subpart a. of Item 6. Other Insurance of Paragraph B. General Conditions under SECTION IV — BUSINESS AUTO CONDITIONS is amended to read: a. This insurance is primary and noncontributory, as respects any other insurance. R. Other Insurance — Hired Auto Physical Damage Subpart b. of Item 6..Other Insurance of Paragraph B. General Conditions under SECTION IV — BUSINESS AUTO CONDITIONS is amended to read: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contact in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". S. Unintentional Failure To Disclose Hazards Paragraph B. General Conditions under SECTION IV — BUSINESS AUTO CONDI- TIONS is amended to add: 9. Your failure to disclose all hazards existing as of the inception date of this policy shall not prejudice the coverage afforded by this policy, provided that such failure to disclose all hazards is not intentional. However, you must report such previously undisclosed hazards to us as soon as practicable after its discovery. T. Additional Definition SECTION V — DEFINITIONS is amended to add: "Personal effects" means personal property owned by the "insured". "Downtime loss" means actual loss of "business income" for the period of time that a covered "auto": Page 4 of 4 Includes Copyrighted Material of Insurance Services Offices, Inc. CA990187 07 15 Used with permission 1. Is out of service for repair or replacement as a result of a covered physical damage "loss" and 2. Is in the custody of a repair facility if not a total "loss". "Business Income" means: 1. Net income (Net profit of loss before income taxes that would have been earned or incurred; and 2. Continuing normal operating expenses incurred, including payroll. In this endorsement, Headings and Titles are inserted solely for the convenience and ease of reference. They do not affect the coverage provided by this endorsement, nor do they constitute any part of the terms and conditions of this endorsement. All other policy wording not specifically changed, modified, or replaced by this endorsement wording remains in effect. Page 5 of 4 Includes Copyrighted Material of Insurance Services Offices, Inc. CA990187 07 15 Used with permission