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HomeMy WebLinkAboutHUMAN OPTIONS, INC. (3) INSUR0CE ON FILE WORK MAY PROCLED UIVI INSUP(NCL EXPIRES CtiTY CLERK DATE, AUG 11 2025 AGREEMENT BETWEEN THE CITY OF SANTA ANA AND o,V CM HUMAN OPTIONS,INC.FOR USE OF COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS This Agreement is hereby made and entered into this 1 st day of July, 2025, by and between 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"), and Human Options, Inc., a California nonprofit corporation ("SUBRECIPIENT"), RECITALS: A. The CITY, as an entitlement recipient and grantee of the United States Department of Housing and Urban Development ("HUD") Community Development Block Grant ("CDBG") Entitlement Program, Catalog of Federal Domestic Assistance(CFDA)Number 14.218, and Federal Award Identification Number (FAIN) B-25-MC-06-0508, desires to enter into this Agreement with the SUBRECIPIENT for the expenditure of CDBG funds in accordance with Title 24, Part 570 of Code of Federal Regulations 24 CFR 570.000,etseq. ("CDBG REGS"). B. CITY has applied for and received CDBG funds from HUD pursuant to Title I of the Housing and Community Development Act of 1974,Public Law 93-383,as amended("ACT"). C. The SUBRECIPIENT is a private nonprofit corporation that has been selected by the CITY to receive CDBG funds and administer such financial assistance; and to provide the services described in Exhibit A, in accordance with the Schedule of Performance included therein, hereinafter referred to as "said program". SUBRECIPIENT represents that it is qualified and willing to operate said program and certifies that the activities carried out with funds provided under this Agreement will meet one or more of the CDBG program's National Objectives(24 CFR 570.208). D. SUBRECIPIENT agrees that it will adhere to the performance measurements and outcomes as indicated on Exhibit A (Schedule of Performance). Failure to follow the measurements and meet the stated outcomes may constitute breach of contract that could result in termination of this Agreement or serve as reason for the City to recapture the grant funds awarded to SUBRECIPIENT pursuant to this Agreement. WHEREFORE, it is agreed by and between the parties that the foregoing Recitals are a substantive part of this Agreement and the following terms and conditions are approved and together with all exhibits and attachments hereto, shall constitute the entire Agreement between the CITY and SUBRECIPIENT: I. SUBRECIPIENT'S OBLIGATIONS A. Nonprofit Status-Representations and Warranties. (a) Authority. SUBRECIPIENT is a duly organized and existing nonprofit corporation in good standing and authorized to do business under the laws of the State of California. SUBRECIPIENT has full right, power and lawful authority to accept the funding hereunder and to undertake all obligations as provided herein and the execution, performance and delivery of this Agreement by SUBRECIPIENT has been fully authorized by all requisite actions on the part of SUBRECIPIENT. (b) Experience. SUBRECIPIENT is a qualified provider of the services to be provided _ hereunder. I (c) Familiarity With Services Required. By executing this Agreement, SUBRECIPIENT warrants that (i) it has thoroughly investigated and considered the services to be performed and provided hereunder, (ii) it has carefully considered how the services should be performed, and (iii) it fully understands the facilities, difficulties and restrictions attending performance of the services under this Agreement. (d) No Conflict. To the best of SUBRECIPIENT'S knowledge, SUBRECIPIENT'S execution, delivery and performance of its obligations under this Agreement will not constitute a default or a breach under any contract, agreement or order to which SUBRECIPIENT is a party or by which it is bound. (e) No Bankruptcy, SUBRECIPIENT is not the subject of any current or threatened bankruptcy proceeding. (1) No Pending Legal Proceedings. SUBRECIPIENT is not the subject of a Current or threatened litigation that would or may materially affect SUBRECIPIENT'S performance under this Agreement. (g) Application Veracity. All provisions of and information provided in SUBRECIPIENT'S application for funding submitted to CITY, including any exhibits, are true and correct in all material respects. (h) No Pending Investigation. SUBRECIPIENT has no knowledge that it is the subject of any current or threatened criminal or civil action investigation by any .public agency, including without limitation a police agency or prosecuting authority, that would relate to or affect performance of the Agreement or provision of services hereunder. B. Amount of Grant/Term and Quarterly Disbursement. The amount granted to SUBRECIPIENT is $34,860 ("CDBG FUNDS"), for a one-year terse from July 1, 2025 through June 30, 2026 for the program named: Promoting Community Safety in Santa Ana by Assisting Domestic Violence Victims. Such funds shall be expended by SUBRECIPIENT on or before June 30, 2026. The Term of this Agreement may be extended by a writing executed by the City Manager, or his or her designee, and the City Attorney. The CDBG FUNDS shall be disbursed by CITY to SUBRECIPIENT on a quarterly basis subject to and upon receipt and approval of a complete quarterly activity report from SUBRECIPIENT, with the final payment subject to the satisfaction of the condition precedent of submittal of complete reporting information due on or before July 15 of the applicable funding year, as hereinafter more fully set forth. SUBRECIPIENT shall be obligated to perform such duties as would normally extend beyond the term, including, but not limited to, obligations with respect to indemnification, audits, reporting, data retention/reporting, and accounting. Failure to provide any of the required documentation and reporting will cause CITY to withhold all or a portion of a request for reimbursement, or return the entire reimbursement package to SUBRECIPIENT, until such documentation and reporting has been received and approved by CITY. The CITY reserves the right to reduce the amount of CDBG FUNDS to SUBRECIPIENT, or to completely terminate this Agreement, in the CITY's sole discretion, if there is a reduction in CDBG FUNDS provided to the CITY for program years 2025-2026. The CITY reserves the right to reduce the grant application if the CITY's fiscal monitoring indicates that SUBRECIPIENT's rate of expenditure will result in unspent funds at the end of the program years. Amendments in the grant allocation will be made after consultation with SUBRECIPIENT. 2 i C. Use of Funds. SUBRECIPIENT agrees to use all federal funds provided by CITY to SUBRECIPIENT pursuant to this Agreement to operate said program, as set forth in "Exhibit A," attached hereto and by this reference incorporated herein. SUBRECIPIENT'S failure to perform as required may, in addition to other remedies set forth in this Agreement,result in readjustment of the amount of funds CITY is otherwise obligated to pay to SUBRECIPIENT hereunder. D. Allowable Costs. SUBRECIPIENT agrees to complete said program on or before June 30, 2026, and to use said funds to pay for necessary and reasonable costs allowable under the federal law and regulations to operate said program. Said amounts shall include,but not be limited to,wages, administrative costs,payroll taxes, and indirect costs. Other allowable program costs are detailed in the budget,as set forth in "Exhibit B" (summary) and "Exhibit B-1" (detail), attached hereto and by this reference incorporated herein. SUBRECIPIENT shall use all income received from said funds only for the same purposes for which said funds may be expended pursuant to the terms and conditions of this Agreement. SUBRECIPIENT has the ability to adjust line item amounts in the budget with the written approval of the CITY's Executive Director of the Community Development Agency, or designee, so long as the total budget amount does not increase. Pursuant to 2 CFR §200.331(a)(4), the .Indirect Cost Rate for the SUBRECIPIENT's award shall be an approved federally recognized indirect cost rate negotiated between the SUBRECIPIENT and the Federal government, or, if no such rate exists, the de minimis indirect cost rate as defined in 2 CFR §200.414(f)Indirect(F&A)costs. For this agreement, the maximum amount of the de minimis indirect cost rate per 2 CFR 200.414(f)will apply, E. Licensing. SUBRECIPIENT agrees to obtain and maintain all required licenses, registrations, accreditation and inspections from all agencies governing its operations. SUBRECIPIENT shall ensure that its staff shall also obtain and maintain all required licenses, registrations, accreditation and inspections from all agencies governing SUBRECIPIENT's operations hereunder. Such licensing requirements include obtaining a City business license,as applicable. F. Zoning. SUBRECIPIENT agrees that any facility/property used in fiirtherance of said program shall be specifically zoned and permitted for such use(s)and activity(ies). Should SUBRECIPIENT fail to have the required land entitlement and/or permits, thus violating any local, state or federal rules and regulations relating thereto, SUBRECIPIENT shall immediately make good-faith efforts to gain compliance with local, state or federal rules and regulations following written notification of said violation(s) from the CITY or other authorized citing agency. SUBRECIPIENT shall notify CITY immediately of any pending violations. Failure to notify CITY of pending violations, or to remedy such known violation(s) shall result in termination of grant funding hereunder. SUBRECIPIENT must make all corrections required to bring the facility/property into compliance with the law within sixty(60)days of notification of the violation(s); failure to gain compliance within such time shall result in termination of grant funding hereunder. G, Separation of Accounts. All funds received by SUBRECIPIENT from CITY pursuant to this Agreement shall be maintained in an account in a federally insured banking or savings and loan institution with record keeping of such accounts maintained pursuant to applicable 2 CFR 200.302 requirements. SUBRECIPIENT is not required to maintain separate depository accounts for CDBG FUNDS; provided however, the SUBRECIPIENT must be able to account for receipt, obligation and expenditure of CDBG FUNDS pursuant to applicable 2 CFR 200.302 requirements. H. Audit Report Requirements. SUBRECIPIENT agrees that if SUBRECIPIENT expends One Million Dollars ($1,000,000) or more in federal funds, SUBRECIPIENT shall have an annual audit 3 conducted by a certified public accountant in accordance with the standards as set forth and published by the United States Office of Management and Budget(2 CFR 200.501(a)). SUBRECIPIENT shall provide CITY with a copy of said audit by April I of the year following the program year in which this Agreement is executed. 1. Record Kee in eportin . SUBRECIPIENT shall keep and maintain complete and adequate records and reports on program participants to determine their initial and continuing eligibility for the program services being provided to assist CITY in meeting and maintaining its record keeping responsibilities under the CDBG REGS,including the following: (1) Records a. Documentation evidencing program income requirements in conformity with 24 CFR 570.504(b)(2)(i), (ii) and 24 CFR 570.503(b)(3) and 24 CFR 570.208(a)(2)(i)(B) of the income level of persons and/or families participating in or benefiting by the SUBRECIPIENT program. b. Documentation of the number of persons and/or families participating in or benefiting by the SUBRECIPIENT program. c. Household information shall include number of persons, identification of head of household,race/ethnicity, and income verification of all household members ages 18 and over. d. Documentation of all CDBG FUNDS received from CITY, e, Documentation of expenses as identified in the Budget Proposal, including evidence of incurring the expense, invoices for goods or services, copies of any and all contracts or documentation pertaining to costs for subcontractors,plus all other invoices and proof of payment for which CDBG FUNDS were expended, and any payments therefor. f. Any such other related records as CITY shall reasonably require or as required to be maintained pursuant to the CDBG REGS. (2) Res a. Payment Request. Concurrently with the submittal of each quarterly report, on or before the 15th day of October, January, April and July, SUBRECIPIENT shall submit both: an original invoice/request for reimbursement and true copies of invoices, receipts, canceled checks, bank statements, credit card statements, procurement documentation for goods or services, timesheets, payroll records, benefit statements, agreements, contracts or documentation pertaining to costs for subcontractors, and/or other documentation supporting and evidencing how the CDBG FUNDS have been expended during the applicable quarter. b. Quarterly Progress Report. SUBRECIPIENT agrees to keep records of all ethnic and racial statistics of persons and families benefited by SUBRECIPIENT in the performance of its obligations under this Agreement, including, but not limited to, the number of low and moderate income persons and households assisted in accordance with federal income limits, the number of female heads of households assisted, new program information and year-to-date program statistics on expenditures, caseload and activities. Failure to provide any of the required documentation and reporting will cause CITY to withhold all or a portion of a request for reimbursement, or return the entire reimbursement package to SUBRECIPIENT, until such documentation and reporting has been received and approved by CITY. 4 i J. Access to Records. CITY and the United States Government and their representatives or auditors shall have access for purposes of monitoring, auditing, and examining SUBRECIPIENT's activities and performance, to books, documents and papers, and the right to examine records of SUBRECIPIENT's subcontractors,bookkeepers and accountants, employees and participants in regard to said program. CITY and the United States Government and their representatives or auditors shall also schedule on-site monitoring at their discretion, Monitoring activities may also include,but are not limited to, questioning employees and participants in said program and entering any premises or any site in which any of the services or activities funded hereunder is conducted or in which any of the records of SUBRECIPIENT are kept. Nothing herein shall be construed to require access to any privileged or confidential information as set forth in federal or state law. K. Location of Records/Rqguired Length of Record Kee in . All accounting records, reports, and evidence pertaining to all costs, expenses and the CDBG FUNDS of SUBRECIPIENT and all documents related to this Agreement shall be maintained and kept available at SUBRECIPIENT'S office or place of business for the duration of the Agreement and thereafter for five (5) years from the date of final payment under this Agreement. Records which relate to .(a) complaints, claims, administrative proceedings or litigation arising out of the performance of this Agreement, or (b) costs and expenses of this Agreement to which CITY or any other governmental agency takes exception, shall be retained beyond the five (5) years until complete resolution or disposition of such appeals, litigation claims, or exceptions. In the event SUBRECIPIENT does not make the above-referenced documents available within the city of Santa Ana, California, SUBRECIPIENT agrees to pay all necessary and reasonable expenses incurred by CITY in conducting any audit at the location where said records and books of account are maintained. L. Compliance with Law/Progrram Income. SUBRECIPIENT acknowledges that the funds being provided by CITY for said program are received by CITY pursuant to the ACT as amended and that expenditures of these funds shall be in accordance with the ACT and all pertinent regulations issued by agencies of the federal government, including, but not limited to, all regulations found at Title 24 of the Code of Federal Regulations. Program income received by SUBRECIPIENT shall be returned to CITY unless otherwise provided for in this Agreement. SUBRECIPIENT agrees to comply fully with all federal, state and local laws and court orders applicable to its operation whether or not referred to in this Agreement. M. Debarment. To protect the public interest and ensure the integrity of Federal programs, CITY may only conduct business with responsible persons and may not make any award or permit any award to any party which is debarred or suspended or is otherwise excluded from or ineligible for participation in Federal assistance programs under Executive Order 12549, "Debarment and Suspension". See also 24 CFR 570.609. SUBRECIMENT must review and sign Exhibit C "Debarment", which is attached hereto and incorporated herein by this reference. SUBRECIPIENT shall be in good standing, without suspension by the California Secretary of State, Franchise Tax Board and Internal Revenue Service. Any change in the corporate status or suspension of SUBRECIPIBNT shall be reported immediately to CITY. N. Confidenddity. Without prejudice to any other provisions of this Agreement, SUBRECIPIENT shall, where applicable, maintain the confidential nature of information provided to it concerning participants in accordance with the requirements of federal and state law. However, SUBRECIPIENT shall submit to CITY and/or HUD or its representatives, all records requested, including audit, examinations, monitoring and verifications of reports submitted by SUBRECIPIENT, costs incurred and services rendered hereunder. 5 O. Independent Contractor. SUBRECIPIENT agrees that the performance of obligations hereunder is rendered in its capacity as an independent contractor and that it is in no way an agent of CITY. P. Violation of Terms and Conditions. SUBRECIPIENT agrees that if SUBRECIPIENT violates any of the terms and conditions of this Agreement or any prior Agreement whereby CDBG funds were received by SUBRECIPIENT, or if SUBRECIPIENT reports inaccurately, or if on audit there is a disallowance of certain expenditures, SUBRECIPIENT agrees to remedy the acts or omissions causing the disallowance and repay CITY all amounts spent in violation thereof. If SUBRECIPIENT engaged in fraudulent activity to obtain and/or justify expenditure of the CDBG funds granted hereunder, SUBRECIPIENT shall be required to reimburse the CITY of all such funds that were obtained and/or spent under fraudulent circumstances. Q. Equipment. SUBRECIPIENT agrees to maintain a record for each item of non-expendable personal property acquired under the terms of this Agreement. Said record shall be made available to CITY upon request. The term"non-expendable personal property"shall include leased and purchased equipment. R. Prohibited Use. SUBRECIPIENT hereby certifies and agrees that it will not use funds provided through this Agreement to pay for entertainment,meals or gifts,or other prohibited uses. S. Lobbing. SUBRECIPMNT certifies that it will comply with federal law(31 U.S.C. 1352) and regulations found at 24 CFR Part 87,which provide that no appropriated funds may be expended by the recipient of a federal contract, grant, loan or cooperative agreement to pay any person for influencing or attempting to influence an officer or employee of any agency; Member of Congress, or an officer or employee of a Member of Congress in connection with awarding of any federal contract, the making of any federal grant or loan, entering into any cooperative agreement and the extension, renewal, amendment or modification of any federal contract, grant, loan or cooperative agreement. SUBRECIPIENT shall sign a certification to that effect in a form as set forth in "Exhibit D," attached hereto and by this reference incorporated herein. SUBRECIPIENT shall submit said signed certification to CITY prior to performing any of its obligations under this Agreement and prior to any obligation arising on the part of CHY to pay any sums to SUBRECIPIENT under the terms and conditions of this Agreement. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit a "Disclosure Form to Report Lobbying,"in accordance with its instructions(Exhibit D). SUBRECIPIENT shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontractors, sub-grants, and contracts under grants, loans, and cooperative agreements), and agrees to take all actions necessary to ensure that all subrecipients shall similarly certify and disclose accordingly. T. Financial Interest. SUBRECIPIENT agrees that except for the use of CDBG funds to pay salaries and other related administrative or personnel costs, no persons who exercise or have exercised any function with respect to CDBG activities assisted under the terms of this Agreement, or who are in a position to participate in a decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a CDBG-assisted activity of SUBRECIPIENT, either for themselves or those with whom they have family or business ties, during their tenure or for one year thereafter. This prohibition applies to any person who is an employee, agent, consultant, officer, or elected or appointed official of CITY, or of any designated public agency, or the SUBRECIPIENT. 6 U. Labor Standards. The SUBRECIPIENT agrees to comply with the requirements of the Secretary of Labor in accordance with the Davis-Bacon Act as amended, the provisions of Contract Work Hours and Safety Standards Act(40 U.S.C. 3701 et seq.) and all other applicable Federal, state and local laws and regulations pertaining to labor standards insofar as those acts apply to the performance of this Agreement. The SUBRECIPIENT agrees to comply with the Copeland Anti-Kick Back Act (18 U.S.C. 874 et seq.) and its implementing regulations of the U.S. Department of Labor at 29 CFR Part 5, The SU 3RECIPIENT shall maintain documentation that demonstrates compliance with hour and wage requirements of this part. Such documentation shall be made available to the CITY for review upon request. SUBRECIPIENT agrees that, except with respect to the rehabilitation or construction of residential property containing less than eight (8)units, all contractors engaged under contracts in excess of $2,000.00 for construction, renovation or repair work financed in whole or in part with assistance provided under this contract, shall comply with Federal requirements adopted by the CITY pertaining to such contracts and with the applicable requirements of the regulations of the Department of Labor, under 29 CFR Parts 1, 3, 5 and 7 governing the payment of wages and ratio of apprentices and trainees to journey workers; provided that, if wage rates higher than those required under the regulations are imposed by state or local law, nothing hereunder is intended to relieve the SU13RECIPIENT of its obligation, if any, to require payment of the higher wage. The SUBRECIPIENT shall cause or require to be inserted in full, in all such contracts subject to such regulations, provisions meeting the requirements of this paragraph. V. Section 3 of the Housing and Urban Development Act of 1968. SUBRECIPIENT will make every effort to provide training opportunities for low-and moderate-income persons residing within the community where the construction project is located and contracts awarded to local businesses therein to the greatest extent feasible as required under the provisions of Section 3 of the Housing and Urban Development Act of 1968, the regulations set forth in 24 CFR Part 75, and all applicable rules and orders issued hereunder prior to the execution of this Agreement. Compliance with the foregoing requirements shall be a condition of the federal financial. assistance provided under this Agreement and binding on the SUBRECIPIENT. Failure to fulfill these requirements shall subject the SUBRECIPIENT, its successors and designees, to those sanctions specified by the Agreement through which federal assistance is provided. The SUBRECIPIENT certifies and agrees that no contractual or other disability exists which would prevent compliance with these requirements. SUBRECIPIENT shall make every effort to ensure that all projects funded wholly or in part by CDBG funds shall provide equal employment opportunities for minorities and women. W. Drug Free Worl Iace. SUBRECIPIENT agrees to provide a drug-free work place and to execute a certification as set forth in"Exhibit E" attached hereto and incorporated herein by this reference. X. Uniform Administrative Re uirements Cost Principles, and Audit Requirements for Federal Awards. The following requirements and standards must be complied with: 2 CFR Part 200 et al. SUBRECIPIENT shall procure all materials, property, or services in accordance with the requirements of 2 CFR 200,318 through 2 CFR 200.326. Y. Sub art K of 24 CFR 570. SUBRECIPIENT will cant'out its activities in compliance with the requirements of Subpart K of 24 CFR Part 570, However, SUBRECIPIENT does not assume the CITY's environmental responsibilities or the responsibility for initiating the environmental review process under 24 CFR Part 52. Z. Women- and Minority-Owned Businesses (W/MBE). SUBRECIPIENT will use its best efforts to afford small businesses, minority business enterprises, and women's business enterprises the maximum practicable opportunity to participate in the performance of this Agreement in accordance with 7 the requirements of 2 CFR 200.321 "Contracting with small and minority businesses, women's business enterprises, and labor surplus area firms". As used in this Agreement, the term "small business"means a business that meets the criteria set forth in section 3(a) of the Small Business Act, as amended(15 U.S.C. 632), and "minority and women's business enterprise" means a business at least fifty-one percent (51%) owned and controlled by minority group members or women. For the purpose of this definition, "minority group members" are African-Americans, Spanish-speaking, Spanish surnamed or Spanish- heritage Americans, Asian-Americans, and American Indians. SUBRECIPIENT may rely on written representations by businesses regarding their status as minority and female business enterprises in lieu of an independent investigation. U. CITY'S OBLIGATIONS A. Payment of Funds. On July 1, 2025, the CIIY was allocated $4,190,178 for fiscal year 2025- 2026 from the United States Department of Housing and Urban Development ("HUD") Community Development Block Grant ("CDBG") Entitlement Program. Subject to the terms of this Agreement, and contingent on CITY receiving at least the same amount of CDBG funds from HUD for the 2025-2026 program year, CITY agrees to pay to SUBRECIPIENT when, if and to the extent federal funds are received a sum not to exceed Thirty Four Thousand Eight Hundred and Sixty Dollars ($34,860) (FY 2025-2026) for SUBRECIPIENT'S performance in accordance with the Budget attached hereto as "I+xhibit B" during the period of this Agreement. Payments shall be made to SUBRECIPIENT through the submission of invoices/reimbursement requests. CITY shall pay such invoices/reimbursement requests within thirty(30) days after receipt thereof provided CITY is satisfied that such expenses have been incurred and documented within the scope and provisions of this Agreement and that SUBRECIPIENT is in compliance with the terms and conditions of this Agreement. Failure to provide any of the required documentation and reporting will cause CITY to withhold all or a portion of a request for reimbursement, or return the entire reimbursement package to SUBRECIPIENT, until such documentation and reporting has been received and approved by CITY. Documentation may include, but is not limited to, true copies of invoices,receipts, canceled checks, bank statements, credit card statements, procurement documentation for goods or services, timesheets, payroll records, benefit statements, agreements, contracts or documentation pertaining to costs for subcontractors, and/or other documentation supporting and evidencing how the CDBG FUNDS have been expended during the applicable quarter. B. Audit of Account. CITY shall include an audit of the account maintained by SUBRECIPIENT in CITY's annual audit of all CDBG FUNDS in accordance with Title 24 of the Code of Federal Regulations and other applicable federal laws and regulations. C. Common Rule: Pursuant to 2 CFR 200.32.8(a), the CPTY manages the day-to-day operations of each grant and subgrant supported activities. CITY staff has detailed knowledge of the grant program requirements and monitors grant and subgrant supported activities to assure compliance with Federal requirements. Such monitoring covers each program, function and activity and performance goals are reviewed periodically. D. Environmental Review: In accordance with 24 CFR Part 58, the CITY is responsible for undertaking environmental review and maintaining environmental review records for each applicable project. E. Performance Monitoring: CITY shall monitor the performance of SUBRECIPIENT against goals and performance standards required herein. The SUBRECIPIENT shall be responsible to accomplish the levels of performance as set forth in Exhibit A and report such measures quarterly to the 8 CITY. If the SUBRECIPIENT estimates such goals will not be met, the SUBRECIPIENT is to contact the CITY, at which time the CITY will determine if any adjustments to the grant award is appropriate. Substandard performance as determined by the CITY will constitute non-compliance with this Agreement. Should the CITY determine that the SUBRECIPIENT has not performed its obligations as stated in this contract in a satisfactory manner, or if the CITY determines that insufficient supporting information has been submitted, the CITY shall notify the SUBRECIPIENT in writing of its determination specifying in full detail the objections which it has to the SUBRECIPIENT's performance. If action to correct such substandard performance is not taken by the SUBRECIPIENT after being notified by the CITY, within a reasonable period of time as stipulated in the written notification, contract suspension or termination procedures will be initiated. III. NONDISCRI NATION A. SUBRECIPIENT agrees to comply with Executive Order 11246 which requires that during the performance of this Agreement, SUBRECIPIENT agrees not to discriminate against any employee or applicant for employment because of race, religion, sex, color or national origin. Such action shall include, but not be limited to the following; employment,upgrading, demotion, or transfer,rates of pay or other forms of compensation, and selection for training, including apprenticeship. SUBRECIPIENT agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the SUBRECIPIENT setting forth the provisions of this nondiscrimination clause, B. SUBRECIPIENT agrees to comply with Title VI of the Civil Rights Act of 1964 which indicates that no person shall, on the ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or be subject to discrimination under any program of activity receiving federal financial assistance. C. No person shall, on the grounds of race, sex, creed, color,religion, marital status,national origin, age, sexual orientation, or physical or mental handicap be excluded from participation in, be refused the benefits of, or otherwise be subject to discrimination in any activities,programs or employment supported by this Agreement. SUBRECIPIENT is prohibited from discrimination on the basis of age or with respect to an otherwise qualified handicapped person as provided for under Section 109 of the Housing and Community Development Act of 1974,as amended. D. SUBRECIPIENT agrees to comply with the Age Discrimination Act of 1975 which requires that during the performance of this Agreement,SUBRECIPIENT agrees not to discriminate against any employee or applicant for employment because of age. Such action shall include, but not be limited to the following; employment upgrading, demotion, or transfer,rates of pay or other forms of compensation, and selection for training, including apprenticeship. SUBRECIPIENT agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the SUBRECIPIENT setting forth the provisions of this age discrimination clause. E. SUBRECIPIENT agrees to comply with Section 504 of the Rehabilitation Act of 1973 which requires that no otherwise qualified individual with a disability in the United States, shall, solely by reason of his or her disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance or under any program or activity conducted by any executive agency or by the United States Postal Service. IV. CONFLICT OF INTEREST Pursuant to the conflict of interest requirements set forth in 24 CFR 570.611 and 2 CFR 200.112, SUBRECIPIENT certifies that no member, officer, employee, agent or assignee of CITY having direct or 9 indirect control of any CDBG monies granted to the CITY, inclusive of the subject CDBG FUNDS, shall serve as an officer of SUBRECIPi1ENT. Further, any conflict or potential conflict of interest of any officer of SUBRECIPMNT shall be fully disclosed in writing prior to the execution of this Agreement and said writing shall be attached and deemed fully incorporated as a part hereof. Notice shall be sent by SUBRECIPIENT to CITY regarding any changes or modifications to its board of directors and list of officers. V. SPECIAL CERTIFICATION FOR RELIGIOUS ENTITIES If SUBRECIPIENT is a religious entity, SUBRECIPTF,NT hereby agrees that in connection with the provision of the services SUBRECIPIENT shall provide with CDBG funds, in accordance with 24 CFR 570.2000): A. SUBRECIPIENT shall not discriminate against any employee or applicant for employment on the basis of religion and shall not limit employment or give preference in employment to persons on the basis of religion. B. SU13RECIPIENT shall not discriminate against any person applying for the services SUBRECIPIENT agrees to provide under the terms of this Agreement on the basis of religion and shall not limit such services or give preference to applicants for such services on the basis of religion. C. SUBRECIPIENT shall NOT provide religious instruction or counseling, conduct any religious worship or services, or engage in any religious proselytizing, or exert any religious influence in the provision of the services in said program.:The parties agree that this covenant is intended to and shall be construed for the limited purpose of assuring compliance with respect to the use of CITY funds by SUBRECIPIENT with applicable constitutional limitations respecting the establishment of religion as set forth in the establishment clause under the First Amendment of the United States Constitution and Article I, Section 4 of the California Constitution, and is not in any manner intended to restrict other activities of SUBRECIPIENT. D. The portion of a facility used to provide public services assisted in whole or in part:under this Agreement shall contain no sectarian or religious symbols. E. Where the services to be provided under said program are rendered on property owned by the primarily religious entity SUBRECIPIENT,CDBG funds may also be used for minor repairs to such property which are directly related to the cost of rendering the services under said program,where the cost constitutes in dollar terms only an incidental portion of the CDBG expenditure for rendering the services under said program. VI. PROHIBITION OF NEIPOTISM SUBRECIPIENT agrees not to hire or permit the hiring of any person to fill a position funded through this Agreement if a member of that persons immediate family is employed in an administrative capacity by SUBRECIPIENT. For the purposes of this section, the term "immediate family" means spouse, child, mother, father, brother, sister, brother-in-law, sister-in-law, father-in-law, mother-in-law, son-in-law, daughter-in-law, aunt, uncle, niece, nephew, stepparent and stepchild. The term "administrative capacity" means having selection,hiring,supervisor or management responsibilities. VH- NOTICES Notices to the parties shall, unless otherwise requested in writing, be sent by U.S. Mail, postage prepaid,and addressed as follows: 10 TO CITY: City of Santa Ana Community Development Agency(1\4-25) 20 Civic Center Plaza P.O.Box 1988 Santa Ana, California 92702-1988 TO SUBRECIPIENT: Human Options,Inc. 5540 Trabuco Road, Suite 100 Irvine,CA 92620 VIII. ASSIGNABILITY None of the duties of, or work to be performed by, SUBRECIPIENT under this Agreement shall be subcontracted or assigned to any agency, consultant, or person without the prior written consent of CITY. SUBRECIPIENT must submit all subcontracts and other agreements that relate to this Agreement to CITY. No subcontract or assignment shall terminate or alter the legal obligations of SUBRECIPIENT pursuant to this Agreement. IX. HOLD HARMLESS SUBRECIPIENT shall indemnify, defend and save harmless CITY, its officers, employees, agents, representatives and volunteers from and against any and all damages to or for loss of use of property and for injuries to or death of any person or persons; including property and employees or agents of CITY, and shall defend, indemnify and save harmless CITY, its officers, employees, agents, representatives and volunteers from and against any and all claims, demands, suits, actions or proceedings of any kind or nature, including, but not by way of limitation, workers compensation claims and including attorney fees and reasonable expenses for litigation or settlement, resulting from or arising out of the negligent or wrongful acts, errors or omissions of SUBRECIPIENT, its officers,directors, employees, agents, subcontractors and suppliers arising out of SUBRECIPIENT's performance of this Agreement. X. INSURANCE 1. Commercial General Liability. SUBRECIPIENT agrees to obtain and keep in force during the term of this Agreement a policy of comprehensive commercial public liability insurance insuring the CITY, and SUBRECIPIENT against any liability for accident, injury or death arising out of or in consequence of this Agreement. Such insurance shall be in an amount not less than One Million Dollars ($1,000,000.00) for any injury to or death of any person or persons in any single accident or occurrence. Said policy of comprehensive liability insurance shall be endorsed to provide to CITY at least thirty(30) days written notice prior to cancellation; name CITY, its officers, agents, employees, and volunteers, additional insured; and state that such coverage is primary to any other coverage or self- insurance and CITY. Governmental entities may provide proof of self-insurance. (a) Such insurance shall: (1) name the City of Santa Ana, its officers, agents, representatives, employees and volunteers as additional insured's; (2) be primary with respect to insurance or self-insurance programs maintained by the CITY; (3) contain standard separation of insured's provisions; and (4) give to CITY prompt and timely notice of claim made or suit instituted arising out of SUBRECIPIENT's operations hereunder. (b) SUBRECIPIENT shall: (1) prior to exercising any right under this Agreement, furnish properly executed certificates of insurance and additional insured endorsement to the 11 CITY which shall clearly evidence all coverages required above; (2)provide that such insurance shall not be materially changed or terminated except on 30 days prior written notice to the CITY; (3)maintain such insurance for the period covered by this Agreement; and(4)replace such certificates for policies expiring prior to the expiration of this Agreement 2. Automobile Liability Coverage. SUBRECIPIENT shall also obtain and maintain, during the effective period of this Agreement, broad form automobile liability coverage with a $1,000,000 limit unless reduced by CITY, which applies to both owned/leased and non owned automobiles used by SUBRECIPIENT employees or participants in performance of this Agreement, or, in the event that SUBRECIPIENT will not utilize such owned/leased automobiles but intends to require employees, participants or other agents to utilize their own automobiles in the performance of this Agreement, SUBRECIPIENT shall secure and maintain on file from all such employees, participants, or agents as self-certification of automobile insurance coverage. Governmental entities may provide proof of self- insurance. 3. Workers' Compensation. If SUBRECIPIENT is an"employer", as set forth in California Labor Code Section 3300 et seq., or utilizes participants as "employees," as set forth in California Labor Code Section 3350 et seq., SUBRECIPIENT shall obtain and keep in force during the term of this Agreement full Workers' Compensation insurance coverage for injuries suffered by participants. Said insurance policy shall guarantee CITY at least thirty (30) days written notice of cancellation or modification. 4. E ui meat Covera e. SUBRECIPIENT shall purchase a policy or policies of insurance covering loss or damage to. any and all Equipment provided to or purchased by SUBRECIPIENT in accordance with this Agreement. Said insurance shall be in the amount of the full replacement value thcreof, providing protection against the classification of fire, extended coverage, vandalism, malicious mischief, theft, and special extended perils. Governmental entities may substitute a certificate of self- insurance. 5. Proof of Insurance. Certificates and endorsements must be submitted and approved by CITY prior to any work under this Agreement. SUBRECIPIENT understands that CITY will make no payments under this Agreement until the required certificates and endorsements have been approved by CITY. XI, REVERSION OF ASSETS A. Upon the expiration of this Agreement, SUBRECIPIENI' shall transfer to CITY any CDBG funds on hand at the time of the expiration of this Agreement as well as any accounts receivable attributable to the use of CDBG funds. [24 CFR 570.503(b)(7)] B. Any real property under SUBRECIPIENT's control that was acquired or improved in whole or in part with CDBG funds in excess of$25,000.00 must either be: 1. Used, where CITY has given written approval, to meet one of the national objectives stated in 24 CFR 570.208 until five(5)years after expiration of this Agreement, or for such longer period of time as determined to be appropriate by CITY; or 2. If not used in accordance with subparagraph I above, SUBRECIPIENT shall pay to CITY an amount equal to the current fair market value of the property less any portion of the value attributable to the expenditure of non-CDBG funds for acquisition of, or improvement to,the property. Such payment is program income to CITY. 12 C. Subject to the obligations set forth herein, title to equipment acquired under the terms of this Agreement will vest upon acquisition in SUBRECIPIENT. When said equipment which has been acquired in accordance with this Agreement and all applicable regulations is no longer needed for said program, disposition of said equipment will be made as follows: 1. Items of equipment with a current per unit fair market value of$10,000.00 or less may be retained, sold or otherwise disposed of with no further obligation to CITY. 2. Items of equipment with a current fair market per unit value in excess of$10,000.00 may be retained or sold and CITY shall have the right to an amount calculated by multiplying the current market value or proceeds from the sale by CITY's share of federal funds used to acquire the equipment, in accordance with 2 CFR 200.313(e)(2). D. SUBRECIPIENT hereby agrees, upon the demand of CITY, to execute, acknowledge and deliver, or cause any person or entity who may have any claim to rights hereunder or under any document, instrument or agreement executed in furtherance of the services and activities to be performed hereunder, to execute, acknowledge and deliver, to CITY assignment(s), quit claim deed(s) or such other and further . instruments, documents and agreements as may be necessary, in the sole and absolute discretion of CITY,to vest in CITY all of SUBRECIPIENT's right,title and interest(if any it may have)in and to CITY, CDBG or other federal, state and/or local accounts or program funds or allocation of funds to which CITY is or may be entitled,either for its own account or as fiduciary or trustee for others,which were obtained for the purpose of the performance of this Agreement or any previous agreements relating to the same subject matter or uments, loans, grants or advances by SUBRECIPIENT on activities as this Agreement,together with any instr behalf of CITY,in furtherance of the activities hereunder or thereof. SUBRECIPIENT's obligations and responsibilities set forth in this paragraph"XI.REVERSION OF ASSES" and in paragraph "XII. TERMINATION" and other requirements pertaining to program income shall not be affected by the termination of this Agreement and shall survive the date of termination of this Agreement for such period of time as CITY and/or HUD deems necessary for the responsibilities, duties and obligations to be performed and completed to the satisfaction of CITY and HUD. XR. TERMINATION A. This Agreement maybe terminated on thirty (30) days' written notice by either party. In the event of such termination, SUBRECIPMNT shall only be entitled to reimbursement for approved expenses incurred to the effective date of termination. B. This Agreement may be suspended or terminated by CITY upon five (5) days'written notice for violation by SUBRECIPIENT of Federal Laws governing the use of Community Development Block Grant Funds. In the event of such suspension or termination, SUBRECIPIENT shall only be entitled to reimbursement for approved expenses incurred up to the effective date of suspension or termination, C. Pursuant to 2 CFR 200.340, in the event SUBRECIPIENT defaults by failing to fulfill all or any of its obligations hereunder, CITY may declare a default and termination of this Agreement by written notice to SUBRECIPIENT,which default and termination shall be effective on a date stated in the notice which is to be not less than ten(10) days after certified mailing or personal service of such notice,unless such default is cured before the effective date of termination stated in such notice. If terminated for cause, CITY shall be relieved of further liability or responsibility under this Agreement, or as a result of the termination thereof, including the payment of money, except for payment for approved expenses incurred for services satisfactorily and timely performed prior to the mailing or service of the notice of termination, and except for 13 reimbursement of (1)any payments made for services not subsequently performed in a timely and satisfactory manner,and(2)costs incurred by CITY in obtaining substitute performance. D. The grant of funds under this Agreement may be terminated for convenience by either the CITY or SUBRECIPIENT, in whole or in part, by setting forth the reasons for such termination, the effective date, and, in the case of portion termination, their portion to be terminated. However, if in the case of a partial termination,the CITY determines that the remaining portion of the award will not accomplish the purpose for with the award was made,the CITY may terminate the award in its entirety. E. The grant of funds under this Agreement may be terminated due to the non-performance of SUBRECIPIENT and/or failure of SUBRECIPENT to perform the work described in Exhibits A and B or failure to meet the performance standards and program goals set forth therein. F. The grant of funds under this Agreement may be terminated due to the failure of the CITY to receive sufficient or anticipated funding from HUD for the CDBG program for any year term subject to this Agreement. G. In the event this Agreement is terminated as set forth in subparagraphs XII.A. through XII.F., inclusive, SUBRECIPIENT agrees to immediately return to CITY upon CITY's demand and prior to any adjudication of SUBRECIPIENT's rights, any and all funds not used, and to comply with paragraph "XI. REVERSION OF ASSETS"of this Agreement. XIIC. LIMITATION OF FUNDS The United States of America, through HUD, may in the future place programmatic or fiscal limitations on the use of CDBG funds which limitations are not presently anticipated. Accordingly, CITY reserves the right to revise this Agreement in order to take account of actions affecting HUD program funding. In the event of funding reduction, CITY may, in its sole and absolute discretion, reduce the budget of this Agreement as a whole or as to costs category, may limit the rate of SUBRECIPIENT's authority to commit and spend funds, or may restrict SUBRECIPIENT's use of both its uncommitted and its unspent funds. Where HUD has directed or requested CITY to implement a reduction in funding, in whole or as to a cost category, with respect to funding for this Agreement, CITY's City Manager or delegate is authorized to act for CITY in implementing and effecting such a reduction and in revising, modifying, or amending the Agreement for such purposes. If such a reduction in funding occurs, SUBRECIPIENT shall be permitted to de-scope accordingly. Where CITY has reasonable grounds to question SUBRECIPIENT's fiscal accountability, financial soundness, or compliance with this Agreement, CITY may suspend the operation of this Agreement for up to sixty(60) days upon five(5)days written notice to SUBRECIPIENT of its intention to so act, pending an audit or other resolution of such questions. In no event, however, shall any revisions made by CITY affect expenditures and legally binding commitments made by SUBRECIPIENT before it received notice of such revision, provided that such amounts have been committed in good faith and are otherwise allowable and that such commitments are consistent with HUD cash withdrawal guidelines. XIV. EXCLUSIVITY AND AMENDMENT OF AGREEMENT This Agreement supersedes any and all other agreements, either oral or in writing, between the parties hereto with respect to the use of CITY's CDBG funds by SUBRECIPIENT and contains all the covenants and agreements between the parties with respect to such employment in any manner whatsoever. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein, and that no other agreement or amendment hereto shall be effective unless executed in writing and signed by both CITY and SUBRECIPIENT. 14 XV. LAWS GOVERNING THIS AGREEMENT This Agreement shall be governed by and construed in accordance with the laws of the State of California, and all applicable federal laws and regulations. SUBRECIPIENT specifically acknowledges various laws including Executive Orders, reinforced by HUD, as included in Exhibit F. XVI. CLOSE-OUT The SUBRECIPIENT agrees to comply with the closeout procedures detailed in 2 CFR§200.343, including the following: 1. SUBRECIPIENT must submit, no later than ninety(90) calendar days after the end date of the period of performance, all financial, performance, and other reports as required by the terins and conditions of the Federal award; 2. Unless the CITY authorizes an extension, SUBRECIPIENT must liquidate all obligations incurred under the Federal award not later than ninety (90) calendar days after the end date of the period of performance as specified in the terms and conditions of the Federal award; 3. SUBRECIP.IENT must promptly refund any balances of unobligated cash that the CITY paid in advance or paid and that is not authorized to be retained by SUBRECIPIENT for use in other projects (See OMB Circular A-129 and 2 CFR§200.345); 4. SUBREUPIENT must account for any real and personal property acquired with federal funds or received from the Federal government in accordance with 2 CFR §§200.310 through 2 CFR 200,316 and 2 CFR 200.329; and, 5. The CITY should complete all closeout actions for the Federal award no later than one year after receipt and acceptance of all required final reports. XVII. VALIDITY AND SEVERABILITY The invalidity in whole or in part of any provision of this Agreement shall not void or affect the validity of any other provision of this Agreement. Whenever possible, each provision of this .AGREEMENT shall be interpreted in such manner as to be effective and valid under applicable law, but if any provision of this AGREEMENT is held to be prohibited by or invalid under applicable law, such provision shall be ineffective only to the extent of such prohibition or invalidity, without invalidating the remainder of such provisions of this AGREEMENT. XVIII. WAIVER No delay or omission by either party hereto to exercise any right or power accruing upon any noncompliance or default by the other party with respect to any of the terms of this Agreement shall impair any such right or power or be construed to be a waiver thereof. A waiver by either of the parties hereto of any of the covenants, conditions, or agreements to be performed by the other shall not be construed to be a waiver of any succeeding breach thereof or of any other covenant, condition or agreement herein contained. 15 XIX. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power,authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully, including reasonable costs and attorney's fees, for any injuries or damages to CITY in the event that such authority or power is not, in fact,held by the signatory or is withdrawn. b. All Exhibits and Attachments referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. {Signatures on following page} 16 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date and year written above. ATTEST CITY OF4SAWANA o, ennifer I Alvaro Nunez City CI r City Manager APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: Andrea Garcia-Miller Assistant City Attorney RECOMMENDED FOR APPROVAL: SUBRECIPIENT: 2 Michael L. Garcia NAME; �ara Behrnerwohid Executive Director Title: Chief Operations Officer Community Development Agency Unique Entity ID#: XC3EL4FAP817 17 Exhibit A City of Santa Ana CDBG Scope of Work Program Year 2025-2026 (July 1, 2025 - June 30, 2026) Name of Organization Human Options Name of Funded Program Promoting Community o Safety in Santa Ana by Assisting Domestic violence ce Victims Annual Accomplishment Goal Unduplicated Part ici ants anticipated to be served duringthe 12-month contract period. 32 TOTAL 32 Santa Ana Participants 1 100% 32 tow Income Participants I 10o% Schedule of Performance Unduplicated Estimated (estimated) Participants Invoicing Quarter 1: JUL 1 - SEP 30 8 $ 8,715.00 Quarter 2: OCT 1 - DEC 31 8 $ 8,715.00 Quarter 3: JAN 1 - MAR 31 8 $ 8,715.00 Quarter 4: APR 1 -JUN 30 8 $ 8,715.00 32 $ 34,860.00 Program and Funding Description The proposed program will provide Clinical and Legal Advocacy services to victims of domestic violence who are residents of Santa Ana (either self-referred to or referred by the Domestic Violence Response Team:SAPD and Human Options). Clinical services will include assessment,treatment planning,therapy, safety planning, and case management. Legal Advocacy services will include assessment,education, direct assistance on domestic violence- related issues,court accompaniment,and referrals to Community Legal Aid SoCal and Public Law Center as well as to Human Options' pro bono program. If awarded, clinical services will also be offered at the Minnie Street Family Resource Center on the campus of Kennedy Elementary School, 1300 E. McFadden Ave.,#13,Santa Ana, CA 92704. Legal services will be provided at the Minnie Street Family Resource Center and the Orange County Family Justice Center. Mental health and legal advocacy services will be conducted either face to face,via Zoom, or telephone based on the client's preference and safety needs. Funding for this program will be used to pay for a portion of the Therapist's salary(.15 FTE),the Clinical Supervisor's salary(.03 FTE), and the Clinical Director's salary(.02 FTE). Funding for this program will also pay a portion of Legal Advocates'salaries(.14 FTE), and the Legal Advocacy Program Supervisor's salary(.03 FTE). EXHIBIT A Exhibit B FISCAL YEAR 2025-2026 PROGRAM BUDGET Organization Name Human Options Program Name Promoting Community Safety in Santa Ana by Assisting Domestic Violence Victims EXPENDITURES Enter budget categories and projected expenditures for the proposed program: Expenditures Funded By Expenditures Total Santa Ana Funded By Program Organization Category CDBG Other Sources Budget Budget Administrative Staff Salaries/Payroll Taxes/WC $8,365 $ 65,677 $74,042 $ 691,473 Program Staff Salaries/Payroll Taxes/WC $21,948 $ 237,486 $259,434 $ 3,322,257 Contractual/Professional Services $0 $ - $0 $ 1,130,000 Training $0 $ 1,500 $1,500 $ 24,857 Mileage $0 $ 963 $963 $ 16,167 Client Transportation Assistance $0 $ 870 $870 $ 9,640 Client Assistance $0 $ 1,500 $1,500 $ 694,595 Program Supplies $0 $ 500 $500 $ 37,850 Interpretation Services $0 $ 500 $500 $ 7,500 Data Collection System $0 $ 1,500 $1,500 $ 36,750 Other Costs $0 $0 $ 263,550 TOTAL Direct Costs $30,313 $310,496 $340,809 $ 6,234,639 Indirect Costs 15% $4,547 $47,482 $52,029 $794,313 TOTAL BUDGET $34,8601 $357,978 $392,838 $7,028,952 * izzi Indirect cost rate: 15% Federaly negotiated indirect cost rate,see documentation in Exhibit 13- 2 PROGRAM RESOURCES LISTALL OTHER PROGRAM RESOURCES FOR 2025-2026 Funding Source Total must equal Program Budget Total listed above. FUNDING SOURCE AMOUNT Santa Ana CDBG $ 34,860 Portion of LAV grant $ 75,000 Portion of ICJ grant $ 60,000 Private Revenue $ 222,978 TOTAL $ 392,838 EXHIBIT B Exhibit B- 1 2025-2026 CDBG BUDGET LINE ITEMS ADMINISTRATIVE STAFF Annual Salary CDBG Funds Position Title &Benefits Requested Description Provide grant oversight, responsible for grant report, Clinical Director $ 121,680 $ 2,435 and supervise Clinical Supervisor Clinical Supervisor $ 110,729 $ 3,330 Provide weekly clinical supervision to Therapist Legal Advocacy Program Manager $ - - Legal Advocacy Program Provided weekly supervision and support to Legal Supervisor $ 86,393 $ 2,600 Advocate PROGRAM STAFF $ 8,365 Annual Salary CDBG Funds Position Title & Benefits Requested Description Provide strength-based,trauma-informed mental health services to Santa Ana residents who are victims of Therapist $ 85,082 $ 12,968 domestic violence Provide direct services and linkages to Santa Ana Legal Advocate $ 63,420 $ 8,980 residents who are victims of domestic violence $ 21,948 CONTRACTUAL/PROFESSIONAL SERVICES Contract CDBG Funds Type of Service Amount Requested Description OTHER LINE ITEMS Program CDBG Funds Line Item Amount Requested Description Mileage $ 963 $0 Client Transportation $ 870 $0 EXHIBIT B-1 Exhibit C Certification Regarding Debarment, Suspension,Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions This certification is required by the regulations implementing Executive Order 12549, as amended, Nonprocurement Debarment and Suspension, 2 CFR Part 2998, Subpart C, Responsibilities of Participants Regarding Transactions. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211),and subsequently amended in 81 Federal Register 25585. (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION - Attached) 1. The prospective recipient of federal assistance certifies to the best of its knowledge and belief,that it and its principals: a. Are not presently excluded or disqualified; b. Have not been convicted within the preceding three years of any of the offenses listed in 2 CFR 180.800(a) convicted or had a civil judgment rendered against them for one of those offenses within that time period. c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(Federal, State or local) with commission of any of the offenses listed in 2 CFR 180.800(a); and d. Have not had one or more public transactions (Federal, State or local) terminated within the preceding three years for cause or default. 2. Where the prospective recipient of federal assistance is unable to certify to any of the statements in this certification,such prospective participant shall attach an explanation to this proposal. Sara Behmerwohld, Chief Operations Officer Name and Title of Authorized Representative 7/25/25 Signature Date EXHIBIT C Page 1 of 2 INSTRUCTIONS FOR CERTIFICATION 1. By signing and submitting this proposal, the prospective recipient of federal assistance funds is providing the certification as set out below. 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective recipient of federal assistance fiends knowingly rendered an erroneous certification,in addition to other remedies available to the Federal Government, the Department of Labor (DOL) may pursue available remedies,including suspension and/or debarment. 3. The prospective recipient of federal assistance funds shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective recipient of federal assistance fiends learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant,'" "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. 5. The prospective recipient of federal assistance funds agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction,unless authorized by the DOL. G. The prospective recipient of federal assistance funds further agrees by submitting this proposal that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary exclusion - Lower Tier Covered Transactions," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to check the List of Parties Excluded from Procurement or Non- Procurement Programs. 8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the DOL may pursue available remedies, including suspension and/or debarment. EXHIBIT C Page 2 of 2 Exhibit D Certification Regarding Lobbying Certification for Contracts Grants Loans and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief,that; (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contact, grant, loan or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontract, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for malting or entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than$100,000 for each such failure. Human Options Promoting Community Safety in Santa Ana by Assisting Domestic Violence Victims Grantee/Contactor Organization Program Title Sara Behmerwohld 7/25125 Name of Certifying Officer Signature Date EXHIBIT D Page 1 of 2 SUBRECIPIENT warrants the following: 1. SUBRECIPIENT will comply with Public Law 88-352, Title VI of the Civil Rights Act of 1964 (42 U. S. C. Sections 2000d et seq.) and implementing regulation in 24 CFR Part 1. 2. No person in the United States shall on the ground of race, color,religion, national origin, or sex, be excluded from participation in, or be denied the benefits of, or be subjected to discrimination under any program or activity funded in whole or in part with community development fiends made available pursuant to the ACT. 3. All laborers and mechanics, employed by contractors or subcontractors in the performance of construction work financed in whole or in part with community development fiends shall be paid wages at rates not less than those prevailing on similar construction in the locality as determined in accordance with the Davis-Bacon Act, as amended, 40 U. S. C. Sections 3141 - 3147, except for individuals who perform services for which they volunteered; do not receive compensation for such services; or are paid expenses, reasonable benefits, or a nominal fee for such services; and are not otherwise employed at any time in construction work. 4. SUBRECIPIENT will comply with all Federal statutes applicable to projects funded with community development funds, except that (a) SUBRECIPIENT does not assume CITY'S environmental responsibilities described at 24 CFR 570.604; and(b) SUBRECIPIENT does not assume CITY'S responsibility for initiating the review process under Executive Order 12372. EXHIBIT D Page 2 of 2 Exhibit E Certification Regarding Drug-Free„Workplace Requirements The certification set out below is a material representation upon which reliance is placed by the U.S. Department of Housing and Urban Development in awarding the grant. If it is later determined that the contractor knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, the U.S. Department of Housing and Urban Development, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act, CERTIFICATION A. The contractor certifies that it will provide a drug-free workplace by: (a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the contractor's workplace and specifying the actions that will be taken against employees for violation of such prohibition; (b) Establishing a drug-free awareness program to inform employees about— (1) The dangers of drug abuse in the workplace; (2) The contractor's policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance program; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making it a requirement that each employee who will be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); (d) Notifying the employee in the statement required by paragraph -(a)that, as a condition of employment under the contract, the employee will - (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction. (e) Notifying the U.S. Department of Housing and Urban Development within ten days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction; EXHIBIT E Page 1 of 3 (f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted - ( 1) Taking appropriate personnel action against such an employee, up to and including termination; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). B. The contractor shall insert in the space provided on the attached "Place of Performance" form the site(s) for the performance of work to be carried out with the grant funds (including street address, city, county, state, and zip code). The contractor further certifies that, if it is subsequently determined that additional sites will be used for the performance of work under the contract, it shall notify the U.S. Department of Housing and Urban Development immediately upon the decision to use such additional sites by submitting a revised "Place of Performance" form. Human Options Organization 7/25/25 Authorized Signature Date EXHIBIT E Page 2 of 3 Acknowledgement of Federal Requirements On June 5, 2025, the United States Department of Housing and Urban Development (HUD) issued guidance regarding various Federal programs. The letter required "conformity with applicable Administration priorities and executive orders." Pursuant to the HUD guidance, conformity means as follows: 1. Shall not use grant fiords to promote "gender ideology," as defined in Executive Order (E.O.) 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government; 2. Agrees that its compliance in all respects with all applicable Federal anti-discrimination laws is material to the U.S. Government's payment decisions for purposes of section 3729(b)(4) of title 31, United States Code; 3. Certifies that it does not operate any programs that violate any applicable Federal anti- discrimination laws, including Title VI of the Civil Rights Act of 1964; 4. Shall not use any grant fiends to fund or promote elective abortions, as required by E.O. 14182, Enforcing the Hyde Amendment; and that 5. Notwithstanding anything in the grant application, this Grant shall not be governed by Executive Orders revoked by E.O. 14154, including E.O. 14008, or requirements implementing Executive Orders that have been revoked. 6. The Grantee must administer its grant in accordance with all applicable immigration restrictions and requirements, including the eligibility and verification requirements that apply under title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, as amended (8 U.S.C. 1601-1646) (PRWORA) and any applicable requirements that HUD, the attorney General , or the U.S. Citizenship and hnrnigration Services may establish from time to time to comply with PRWORA, Executive Order 14218, or other Executive Orders or immigration laws. 7. If applicable, no state or unit of general local government that receives funding under this grant may use that funding in a manner that by design or effect facilitates the subsidization or promotion of illegal immigration or abets policies that seek to shield illegal aliens from deportation. 8. Unless excepted by PRWORA, the Grantee must use the U.S. Citizenship and Immigration Services online service - SAVE, or an equivalent verification system approved by the Federal government,to prevent any Federal public benefit from being provided to an ineligible alien who entered the United States illegally or is otherwise unlawfully present in the United States. 9. Faith-based organizations may be subrecipients for funds on the same basis as any other organization. Grantees may not, in the selection of subrecipients, discriminate against an organization based on the organization's religious character, affiliation,or exercise. The HUD guidance also reinforced compliance with the following applicable laws: • Section 109 of the HCDA,42 U.S.C. 5309; • Title VI of the Civil Rights Act of 1964, 42 U.S.C. 2000d et seq.; • Title VII of the Civil Rights Act of 1964, 42 U.S.C. 2000d et seq.; • Title VIII of the Civil Rights Act of 1968 (The Fair Housing Act), 42 U.S.C. 3601 - 19; • Section 504 and 508 of the Rehabilitation Act of 1973, 29 U.S.C. 794; EXHIBIT F Page 1 of 2 • The Americans with Disabilities Act of 1990,42 U.S.C. 12131 et seq.; and • Personal Responsibility and Work Opportunity Reconciliation Act of 1995 (Public Law 104-193) (PRWORA). The SUBRECIPIENT of the funds pursuant to this Grant Agreement hereby acknowledges the above stated Federal requirements and will comply with such requirements. Sara Behmerwohld, Chief Operations Officer Name and Title of Authorized Representative 7/25/25 Signature Date EXHIBIT F Page 2of2 CERTIFICATE OF LIABILITY INSURANCE F_4ATE(MMM O NYVY) 4/23l2025 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the Polley,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements PRODUCER I CONTACT (OC)Heffernan Insurance Brokers N ME: 18004 Sky Park Circle,Suite 210 PHONE 949-771-3dOD PAx 849-771 3441 Irvine CA 92614 _Aq E•o IL - hibcenre uesi heffins,com WSURERS AFFORDING COVERAGE NAICfI 4 EE uldeOne 8 eclalt Mutual Insurance Com an 14559INsuReo HUMAOPT-04Uidegne MutlJal insurance Corn an 15032 Human Options, Inc. PO Box 53745 INSURER c:Houston Casualty CompanV 42374 Irvine CA 92619 INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:649222484 REVISION NUMBER: THIS IS TO CERTII Y 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 RY PAID CLAIMS. INSR ADDL SUER LTR TYPEOFINSURANCEINSD wynPOLIO NUMBER PMIb�EFF MI M6RLIC EXP mi LIMITS B X COMMERCIAL GENERAL LIABILITY Y V Di-4{141-350 9/2312024 9/2312025 EACHOCCURRENGE $1,000,000 CLAIMS-MADE I_X1 OCCUR DAMAGE TO RENTS _PREMISES Ea occurrence $1,000,000 MED EXP(A ono arson) $20,000 PERSONAL&AOV INJURY— $1.000,000 GENT AGGREGATE LIMIT APPUES PER; GENERAL AGGREGATE $3,000,000 X POLICY❑JPEGT �LOG - PRODUCTS-COMP/OPAGG $3,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y 01-0041-35'I 9123/2024 9/23f2025 COMBINED S NGLE LIMIT $1,000,D00 ANY AUTO Ea ace dent CH OWNED BODILY INJURY(Per peraon) $ SE AUTO$ONLY AUTODULED S BODILY INJURY(Per accident) $ X HIRED X NON-OWNEn PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY era denl $ A )( U6IBRELWiJAB X $ OCCUR 01.0041-352 9/23/2024 9/23/2025 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS-MAOE ADaREDATE $s,aoa,000 DIED I X" I RETENTION$ $ A AND 5MPLOYER 'LI A IONILFr Y 7 N Y 01-0037-245 4/112025 411 r2026 X 3T�ATtJ E � - ANOEMPLOVERS'LIABILrrY ANYPROPRIE70 JPARTNER/EXECUTIVE $1,O00,D00 OFFICERIMEMBEREXCLUDED? El NIA E.L.EACHACC1DENr (Mandatory In Nil) E.L.DISEASE-EA EMPLOYE#f yes,describe under $1,000,OOD DESCRIPTION OF OPERATIONS bolaW E.L.RISEASE-POLICY LIMIT $1,000,000 B Prolassloral Liability 01-0041-350 e Employee Dlshonasty 01-0041-350 9I231202d 9f23/2025 9/2312024 912312026Per lCncetla tilrr3i $1.000•000 O Cyberllablltty H24NGP210733.03 9/23/2024 9/23/2025 Each Claim Lfmlt $1 p6pflQ0 DESCRIPTION of OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedere,maybe attached if more apace le required) Ro:As Per Contract or Agreement on File with Insured.City of Santa Ana,officers,agents,employees and volunteers are included as en additional insured (primary and non-contributory)on General Liability policy and additional insured on Automobile Liability policy per the attached endorsements,If required.$5M Umbrella policy goes over the underlying Genera liability,Automobile Liability,Workers'Compensation,and Sexual Misconduct Policies.Waivers Of Subrogation are included on General Liability,Automobile Liability and Workers Compensation policies per the attached endorsements,if required.This Certificate replaces and supersedes all previously issued certificates. Diglta4y signed �]1 TU Tran byTtTran AI!Tran RVEj Nguyen f\J g uye n Dice:202s.04.24 ,1.03,09.07'co By Nguyen at 11:02 am,Apr 24,2R25 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Chy of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Community Development Agency 20 Civic Center Plaza, M-25 AUTHORITEDREPRESENTATIVE Santa Ana,CA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD i E i POLICY NUMBER: 01-00411-350 NONPROFIT AND HUMAN SERVICES GENERAL LIABILITY ENDORSEMENT THIS DOCUMENT IS AN ENDORSEMENT THAT CHANCES THE POLICY. PLEASE READ IT � CAREFULLY. This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY,2.Exclusions is amended as follows; 1. Exclusion a. Expected or Intended Injury Is deleted and replaced with: a. "Bodily Injury"or"property damage"expected or Intended from the standpoint of the insured. This excluslon does not apply to"bodily Injury"or"property damage"resulting from the use of reasonable force to protect persons or property, 2, paragraph(2)under Exclusion g.Aircraft,Auto err Watercraft is deleted and replaced with: (2) A watercraft that you do not own that is not being used to carry persons or property for a charge. This provision applies to any person, who with your consent, either uses or is responsible for the use of a watercraft. This Insurance Is excess over any other valid and collectible insurance available to any insured whether primary,excess, or contingent. 3. Paragraph('I)under Excluslon j. Damage To Property is deleted and replaced with: (1) Property you own, rent, or occupy, including any costs or expenses Incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property, unless the damage to property is caused by your"client", in such case we will provide coverage for such "property damage" for which you are legally obligated to pay up to a$50,000 limit per"occurrence".This limit is the only limit of insurance for such "propert damage" and wql not be combined with the Each Occurrence Limit set for this in Section II!—Limits of Insurance and will be included within and not in addition to the Each Occurrence Limit. Any and all damages paid under the terms and condition of this provision will further be applied against and will reduce the Aggregate Limit of Insurance shown on the Declarations page, and as provided In the Commercial General Liability Coverage Form in the same manner and in additlon to all other coverages of the Commercial General Liability Coverage Form that are also subject to the Aggregate Limit.As used In this coverage extension, "client" means a person under your direct care and supervision, for whom you are providing goons or services. 4. The following is added to Paragraph (2)under Exclusion b.Contractual Liability- We agree to indemnify the Named Insured for their liability assumed in a contract or agreement regarding the rental or lease of a premises on behalf of their "client", up to $50,000 per "occurrence". This limit of insurance Is the only limit of insurance for your liability assumed in a contract or agreement regarding the rental or lease of a premises on behalf of your "client" whether or not such contract qualifies as an "Insured contraot". This limit will not be combined with the Each Occurrence Limit set forth In Section III — Limits of Insurance and Is included within and not In addition to the Each occurrence Limit. This coverage extension only applies to rental lease agreements, This coverage is excess over any liability insurance available to the "client",including but not limited to renter's insurance of the"client". Any and all damages paid under the terms and conditions of this provision will further be applied against and will reduce the Aggregate Limit of Insurance shown on the Declarations page, as provided in the Commercial General Liability Coverage Form in the same manner and in addition to all other coverages of the Commercial General Liability Coverage Form that are also subject to the Aggregate Limit. Includes copyrighted material of Insurance Services Office,Inc.,with Its permission. GCC 65 10 09 23 Copyright 2023 GuidoOne Insurance Pogo 1 of 13 i As used in this coverage extension, "client" means a person under your direct care and supervision,for whom you are providing goods or services, 5. The following is added to Exclusion n.Recall Of Products,Work Or Impaired Property: i This exclusion does not apply to the reimbursement of"product recall expenses" as provided under Paragraph 3. of SECTION I — COVERAGES, SUPPLEMENTARY PAYMENTS COVERAGES A AND B. tI. The last Paragraph of Subsection 2.Exclusions Is deleted and replaced with: Exclusions c.through n. do not apply to damage by fire, lightning, explosion, smoke or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner.A separate limit of insurance applies to this coverage as described In Section III-Umits of Insurance. B. SECTION I — COVERAGES, COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY,2. Exclusions is amended as follows: 1. The following Is added to Exclusion].Insureds In Media And Internet Typo Businesses: This exclusion does not apply to publishing,broadcasting or telecasting that is incidental to your business. C. SECTION [—COVERAGES,COVERAGE C—MEDICAL PAYMENTS Is amended as follows: 1. Subsection 1.Insuring Agreement, Paragraph a.(3)(b)is deleted and replaced with: (b)The expenses are incurred and reported to us within three years of the dato of the accident; and 2. Subsection 2. Exclusions,Is amended as follows: a. Exclusion a.Any insured is deleted and replaced with: a. Any Insured To any Insured, except "volunteer workers" or an Insured as provided in e. Athletic Activities below. b. Exclusion e.Athletics Activities Is deleted and replaced with: a. Athletics Activltles To a person Injured while practicing or participating In any physical exercises or games, sports or athletic contests. This exclusion shell not apply to an insured while providing Instruction with respect to any of the activities otherwise excluded by this provision. c. Exclusion f. Products-Completed Operations Hazard is deleted and replaced with: f. Products-Completed Operations Hazard Included within the"products-completed operations hazard". This exclusion does not apply to"bodily Injury"arising out of"your products": (1) Sold for use or consumption on your premises;or (2) In connection with the conduct of your operations by you or on your behalf, if the "bodily Injury"occurs after you have relinquished possession of"your products". This exclusion exception does not apply if COVERAGE C-- MEDICAL PAYMENTS is excluded by another endorsement to this Coverage Part. I i Includes copyrighted material of Insurance Services Offloe,Inc.,wlth Its permission. GCG 65'10 09 23 Copyright 2028GuldoOns insurance Pago 2 of 13 D. SECTION I — COVERAGES, SUPPLEMENTARY PAYMENTS — COVERAGES A AND B Is 1 amended as follows: I 1. 1. b. is deleted and replaced with: b. lip to $5,000 for cost of bail bonds required because of accidents or traffic law violations j arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We j do not have to furnish these bonds. 2. 1. d. is deleted and replaced with. d. All reasonable expenses incurred by the insured at our request to assist us in the "suit", Including actual loss of earnings up to$1,000 a day because of time off from work. 3. 1, h.Is added: h. Up to $1,000 for "property darnage" to personal property of others while in the temporary card, custody or control of an Insured and caused by any person participating in your organized activities. For purposes of this supplementary payment, "property damage" does not include disappearance,wrongful abstraction or loss of use.This Supplementary Payment shall only be paid on or for the account of the owner and only when other coverage or Insurance Is unavailable. 4. 1. 1.is added: 1. The cost to replace keys and locks at the"client's" premises due to loss to keys entrusted to you by your"client", up to a $10,000 limit per occurrence and $f 0,000 policy aggregate. We will not pay for loss or damage resulting from theft or any other dishonest or criminal tact that you or any of your partners,members,officers, "employees", "managers",directors,trustees, authorized representatives or anyone to whom you entrust the keys of a "client" for any purpose commit,whether acting alone or in collusion with other persons.The following terms, when used in this Supplementary Payment,are defined as follows: (1) "Client" means an individual, company or organiation with whom you have a written contract or work order for your services for a described premises and have billed for your services, (2) "Employee"means; (a) Any natural person: (1) While In your service or for 30 days after termination of service; (ii) Who you compensate directly by salary,wages or commissions;and (111)Who you have the right to direct and control while performing services for you; or (b) Any natural person who Is furnished temporarily to you: (1) To substitute for a permanent "employee" as defined In Paragraph (a) above, who Is on leave;or (11) To meet seasonal or short-term workload conditions while that person is subject to your direction and control and performing services for you. "Employee"does not mean: (c) Any agent, broker, person leased to you by a labor leasing firm, factor, commission merchant, consignee, independent contractor or representative of the same general character; or (d) Any "manager", director or trustee except while performing acts coming within the scope of the usual duties of an"employee". � Includes copyrighted material of Insurance services Office,Inc.,with its permission. GCG 6510 09 28 Copyright 2023 GufdoOne Insurance Page 3 of 13 I E f I (3) "Manager"means a person serving in a directorial capacity for a limited liability company. 5. Paragraph 3.is added. 3. We will reimburse you for "product recall expenses" that you incur because of a "product recall" of "your product" that is first initiated during the policy period stated in the Declarations. The most we will reimburse you for the sum of all "product recall expenses" Incurred for all"product recalls"initiated during the policy period is$50,000. A complete accounting of "product recall expenses" must be provided upon our request, Including receipts for all expenses that you incur.We will reimburse"product recall expenses;" only If the expenses are incurred and reported to us within one year of the date the "product recall"was Initiated. Our obligation under this additional supplementary payment shall only apply If the "product recall expenses"are Initiated In the"coverage territory"during the policy period because: a. You determine that the"product recall"Is necessary;or b. An authorized government entity has ordered you to conduct a"product recall". However, this additional supplementary payment does not apply to"product recall expenses" arising out of the product expiration or shelf life, a defect known by you prior to the time"your product"leaves your control or possession,or the defense of a claim or"suit"against you for liability arising out of a"product recall". This payment will not reduce the limits of insurance. E. Additional Exclusions The foilowln exclusions are added to Subsection 2.Exclusions under SECTION I�-COVERAGES, COVERAOP A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Subsection 2. Exclusions under SECTION I—COVERAGES, COVERAGE B—PERSONAL AND ADVERTISING INJURY LIABILITY and Subeeotion 2. Exclusions under SECTION I—COVERAGES, COVERAGE C—MEDICAL PAYMENTS: This insurance does not apply to: I. Special Events Or Fundraising Events "Bodily injury", "properly damage"or"personal or advertising Injury"arising directly or indirectly out of fundraising events or activities or"special events"or activities: a. Authorized and conducted by any insured; b. Authorized by you and conducted on your behalf by others, including but not limited to an "employee", "temporary worker', "volunteer worker", member, trustee, director, licensee, subcontractor, independent contractor,or vendor. c. Not authorized by you and conducted on your behalf by others,Including but not limited to an "employee", "temporary worker", `volunteer worker", member, trustee, director, licensee, subcontractor,Independent contractor,or vendor. We have no obligation to defend, pay on behalf of, indemnity or incur any cost or expenses for any insured or any other person or organization seeking coverage under this insurance for that portion of any claim arising out of any fundraising event or activity or"special event"or activity. This exclusion does not apply to any fundraising event or activity or"special event"or activity for which coverage is provided by an attached endorsement. 2. Medical Or Healthcare Services Any claim or "sult" arising out of the rendering of or (allure to render "medical or healthcare services". Includas copyrlgNed materlal of insurance services office,Ine.,with its permission, GCG 65 10 09 23 Copyright 2023 GuideOna insuranco Page 4 of 13 i i r 3. Medically Derived Injury Any claim or"suit"arlsing out of a"medically derived injury" 4. Violation Of Any Statute Or Regulation 1 Any liability arising out of the willful or Intentional violation of any statute or regulation including ; s but not limited to the fines and penalties assessed by a court or regulatory authority. i 5. Misconduct, Molestation Or Harassment Any"bodily injury", "personal and advertising injury", mental or emotional pain or anguish, or any defamation or slander, sustained by any person arising Out of or resulting from any actual or alleged act of"abuse", "sexual misconduct or sexual molestation"or"sexual harassment"of any kind. We have no right or duty to investigate, settle, defend or pay any claim or"suit" asserting any act of "abuse" "sexual misconduct or sexual molestation", "sexual harassment" or any breach of duty contributing to or arising from such act. 6. Professional Services Any liability arising out of any act or omission in the providing of or failure to provide"professional services". 7. Statutory Enforcement Any liability or responslbility to meet the requirements or standards of care enforced by any department of human services,department of elder care or similar regulatory body,regardless of the law or statutory basis of such enforcement. 8, Guaranteeing Results Including but not limited to any contract or agreement guaranteeing the results of any "professional services"or any typo or form of counseling or any type or form of medical, dental, physiological, psychological, addiction, behavioral, chiropractic, holistic, or any other similar treatment. 9. Abuse Any claim or"quit" arising out of"abuse". F. SECTION If—WHO IS AN INSURED is amended as Follows: 1. Paragraph 3.is amended as follows. a. Paragraph 3.a, is replaced with: a. Coverage under this provision is afforded only until the end of the policy period during which you acquired or formed the organization. b. Paragraph 3.d.is added: d. Coverage under this provision is afforded only when the newly acquired or formed organization operates or conducts the same or similar business as you. 2. The following is also an Insured: -Broadened Named Insured -- Any organization and subsidiary thereof which you control and actively manage whether through ownership of voting securities, by contract,or otherwise,on the effective date of this policy. However, coverage does not apply to any organization or subsidiary not named in the Declarations as a Named Insured, if they are also insured under another similar policy,or would have been Insured but for such policy's termination or the exhaustion of Its limits of insurance. Includes copyrighted material of Insurance Services Ofllaa,inc.,with its permission. C�GG gr�qp(l9 3 Copyright 2023 Ouldeono Insurance Page 5 of 13 S I i 3. Each of the following is also an additional Insured when you have agreed, in a written contract, that such person or organization be added as an additional insured on your policy, provided the written contract is initiated prior to an"occurrence"resulting In damages: i a. Engineers,Architects Or Surveyors j 1 Any architect, engineer or surveyor engaged by you but only with respect to liability for bodily injury", property damage or personal and advertising Injury"caused, in whole or in part, by your Facts or omissions or the acts or omissions of those acting on your behalf in connection with your premises or in the performance of your ongoing operations. However, the insurance provided to such additional Insured engineers, architects, or surveyors does not apply to "bodily Injury", "property damage" or"personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you,Including: (11) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,field orders, change orders or drawings and spealficatlons;or (2) Supervisory,inspection,architectural or engineering activities, This exclusion applies even It the claims against any Insured allege negligence or other wrongdoing In the supervision, hiring, employment, training or monitoring of others by that Insured, if the "occurrence" which caused the "bodily injury" or "property damage" or the offense which caused the"personal and advertising Injury", involved the rendering of or the failure to render any professional services by or for you. b. Owners Of Leased Land Any person or organization from whom you lease land but only with respect to liability arising out of the ownership, maintenance or use of that part of the land leased to you. However, the insurance afforded to these::additional insured owners of leased land does not apply to: (1) Any"occurrence"which takes place after you cease to lease that land;or (2) Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured. c. Mate Or Governmental Agency Or Subdivision Or Political Subdivision...Permits Or Authorizations Any state or governmental agency or subdivision or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or pofftical subdivision has issued a permit or authorization. With respect to the Insurance afforded these additional Insureds, this insurance does not apply to: (1) "Bodily Injury","property damage"or"personal and advertising Injury"arising out of operations performed for the federal government, state or municipality;or (2) "Bodily injury"or"properly damage"included within the"products-completed operations hazard". d. COntractual Obligations Any person or organization where required by a written contract executed prior to the "occurrence". Such person or organization is an additional insured for "bodily Injury "property damage" or"personal and advertising injury" but only for liability arising out of the negligence of the Named Insured. i Includes copyrighted material of Insurance services office,inc.,with its permissfon. GGG 65 10 t?g 23 Copyright 2023 GuideOne Insurance Page 6 of 13 i I ' l e. Manager Or Lessor Of Promises i Any person or organization with respect to their liability arising out of the ownership, maintenance or use of that part of the premises leased or rented to you subject to the ! following additional exclusions; i This Insurance does not apply to: E (1) Any"occurrence"which takes place after you cease to be a tenant in that premises; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of that person or organization. f. Lessor Of Leased Equipment—Automatic Status When Required 1n Lease Agreement With You Any person or organization from whom you lease equipment when you and such person or organization have agreed In writing in a contract or agreement that such person or organization be added as an additional Insured on your policy. Such person or organization is an insured only with respect to liability for"bodily Injury","property damage"or"personal and advertising Injury" caused, In whole or In part, by your maintenance, operation or use of equipment leased to you by such person or organization. With respect to the insurance afforded to these additional Insureds: (1) A person's or organization's status as an additional insured ends when their contract or agreement with you for such leased equipment ends; and (2) This insurance does not apply to any"occurrence"which takes place after the equipment lease expires. g. Vendors Any person or organization but only with respect to "bodily Injury" or "property damage" arising out of "your products" which.are distributed or sold in the regular course of the vendor's business . The insurance afforded the vendor does not apply to: (1) "Bodily injury"or"property damage"for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement, This exclusion does not apply to[]ability for damages that the vendorwould have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; (3) Any physical or chemical change In the product made intentionally by the vendor; (4) Repackaging,except when unpacked solely for the purpose of inspection,demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged In the original container; (5) Any failure to make such Inspections,adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or safe of the products; (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's prerritses In connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or Ingredient of any other thing or substance by or for the vendor;or i i Includes copyr!ghted material of insurance 5ervioes ofte,Ina.,with its permission. GCG 65 10 09 23 Copyrlght 2023 GuldeOne lnsuranae Pago 7 of 13 I (8) "Bodily injury"or"property damage"arising out of the sole negligence of the vendor for its own acts or omissions or those of Its employees or anyone else acting on Its behalf, However,tills exclusion does not apply to: (a) The exceptions contained In Subparagraphs(4)or(6);or (b) Such Inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make In the usual course of business, In connection with the distribution or sale of the products. This Insurance does not apply to any Insured person or orgarrizalian, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. I h. Funding Source Any person or organization with respect to their Ilability arising out of: (1) Their financial control of you, or (2) Premises they awn, maintain or control while you lease or occupy those premises. This Insurance does not apply to: (a) Any "occurrence" or offense which takes place after you cease to lease or occupy those promises;or (b) Structural alterations, riew construction and demolition operations performed by or for that person or organization. L State Or Governmental Agency Or Subdivision Or Political Subdivision — Permits Or Authorizations Relating To Premises Any state or governmental agency or subdivision or political subdivision but only with respect to the following hazards for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization In connection with premises you own, rent or control and to which this insurance applies: (1) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings,canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar exposures; (2) The construction, erection,or removal of elevators;or (3) The ownership, maintenance,or use of any elevators covered by this insurance, However, (1) A person or organization is an additional insured under this provision only for that period of time required by the written contract; (2) No such person or organization is an insured under this provision If such person or organization is included as an insured by an endorsement issued by us and attached to the Commercial General Liability Coverage Form; (3) The insurance afforded to such additional insured only applies to the extent permitted by law;And (4) 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. Includes copyrighted materfol of Insurance Services office,Inc.,with Its permission. GCG 65 10 09 23 I Copyright 2023 GuideOne Insurance gage 8 of 13 i I I i 1 E j. Medical Directors and Administrators Your medical directors and administrators but only while acting within the scope of and during the course of their duties as such, Such duties do not include the furnishing or failure to furnish 'professional services" or "medical or healthcare services" as a physician or psychiatrist in the treatment of a patient, k. dome Care Providers At the first Named Insured's option, any person or organization under your direct supervislon and control while providing on your behalf private home respite or foster home care for the developmentally disabled. Such duties do not Include the furnishing or failure to furnish "professional services"or"medical or healthcare services"In the treatment of a patient, 4. With respect to the Insurance afforded to these additional friGureds, identified in Paragraph F.3.of this endorsement,the following is added to Section IiI,Limits Of Insurance: The most we will pay on behalf of the additional insured is the lesser of: a. The limit of insurance required by the contract or agreement;or b. The amount of coverage avallable under the applicable Limits of Insurance shown in the Declarations; This provIslon shall not Increase the applicable Limits of Insurance shown in the Declarations, O. SECTION Ili-LIMITS OF INSURANCE is amended as follows: 1. Paragraph 1.is deleted and replaced with: 1. The Limits of Insurance shown In the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or"suits"brought; c. Persons or organizations making clahns or bringing"suits"or d. Policies Involved. 2. Paragraph 6.Is deleted and replaced with: 6. Subject to Paragraph B. above, the most we will pay under Coverage A for damages because of"property damage" to any one premises, while rented to you, or In the case of damage by fire,while ranted to or temporarily occupied by you with permission of the owner, Is the higher of$1,000,000 or the amount shown In the Declarations for the Damage To Premises Rented To You Limit. However, if damage by fire to premises rented to you Is not otherwise excluded,the word fire in the above paragraph is replaced with fire, lightning, explosion, smoke or sprinkler leakage. 3. The following is added to SECTION III—LIMITS OF INSURANCE: a. If two or more policies or Coverages issued by us apply to the same insured and these policies or Coverages also apply to the same claim or"suit"the maximum amount we will pay as damages under all of the policies or Coverages will not exceed the highest applicable Limit of Insurance that applies to any one of the policies or Coverages. This condition does not apply to any insurance that was purchased specifically to apply In excess of the applicable Limits of insurance shown in the Declarations. I E includes copyrighted material of insurance Services 0Mce,Inc.,with ils permission. CCG 6510 09 23 Copyright 2023 GukleOne Insurance Page 9 of 13 � I i I H. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: I. Subsection 4. Other Insurance, Paragraph b. Excess Insurance, Subsection (1)(8)(11) Is j replaced with the following if damage to premises rented to you is not otherwise excluded: I IL That Is fire, lightning,explosion, smoke or sprinkler leakage Insurance for premises rented to you or temporarily occupied by you with permission of the owner. 2, Subsection 6.Transfer Of Bights Of Recovery Against Others To Us is amended to Include: However,the insured may waive the insurer's rights of recovery prior to the occurrence of a loss, provided the waiver is made in a written contract. 3. The following condition Is added; 10. Liberalization If we revise this NONPROFIT AND HUMAN SERVICES GENERAL LIABILITY ENDORSEMENT to provide more coverage without additional premium charge, your policy will autorn atcally provide the additional coverage as of the day the revision Is effective In your state. 4. '"he following condition is added to the Other Insurance Condition and supersedes any provision to(lie contrary: Primary And Noncontributory Insurance This insurance Is primary to and will not seek contribution from any other Insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; (2) This Insurance Is required by a written and executed contract to be primary and not to seek contribution from.any other insurance available to the additional insured, but only as it pertains to such written contract; and (3) The loss to be covered occurs on or after the effective data of the written contract. 1. SECTION V—DEFINITIONS is amended as follows: 1. Subsection 3."Bodily Injury"Is deleted and replaced with the following: 3, "Bodily injury" means physical Injury, sickness, or disease sustained by a person, Including death of a person resulting from any of these, "Bodily injury" also means mental injury, mental anguish,humiliation,or shock sustained by a person,if directly resulting from physical Injury,sickness, or disease sustained by that person. 2. Subsection 4."Coverage territory"is deleted and replaced by the following: 4. "Coverage territory" means anywhere In the world provided that the claim is made, and any "suit" that may arise therefrom is filed, within the United States of America (including Its territories and possessions), Puerto Rico or Canada, unless further restricted by endorsement. 3. Paragraph 9."Insured Contract"subsection a.is replaced by the following, a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke or sprinkler leakage to premises while retained to you or temporarily occupied by you with permission of the owners is not an"insured contract". I Includes copyrighted material of insurance services offlm,Ino.,with Its ermlesion. p CCG 65 90 0923 Copyright 2023 Guldeono Insurance Page 10 of 13 i i i , 4. Paragraph 14."Personal and Advertising Injury"is amended as follows: a. Subsection b.Is deleted and replaced with the following: b. Malicious prosecution or abuse of process; b. Subsection h.is added, j Ill. "Personal and advertising injury" also means injury, including consequential "bodily Injury", arising out of dlscrimination based on race, color, religion, sex, age or national origin,except when: (1) Clone intentionally by or at the direction of, or with the knowledge or consent of: (a) Any insured;or (b) Any executive officer,director, stockholder,partner or member of the insured;or (2) Directly or Indirectly related to the employment, former or prospective employment, termination of employment, demotion, failure to promote or application for employment of any person or persons by an insured;or (3) Directly or Indirectly related to the sale, rental, lease or sublease or prospective sales, rental, lease or sub-lease of any room, dwelling or premises by or at the direction of any insured; or (4) insurance for such discrimination Is prohibited by or held In violation of law, public policy, legislation,court decision or administrative ruling. This coverage doss not apply to fines or penalties imposed because of discrimination. 5. ror the purpose of this endorsement, the following definitions are added to Section V: a. "Abuse"means any actual,threatened,or alleged act,error,omission,conduct or misconduct that a claim or"suit"alleges: (1) To be, or to constitute, any form of"abuse" (Including but not limited to alder "abuse, child "abuse", patient"abuse" or "abuse" of a dependent person) under any applicable state or federal statute; and (2) Any non-sexual assault,non-sexual battery, or non-sexual"abuse"directed at a person; and Conduct or misconduct described above constitutes"abuse"regardless of whether or not It is alleged to be negligent, reckless, knowing, Intentional,fraudulent, oppressive, malicious, or otherwise, However,"abuse"dogs not Include employment-related"sexual harassment". b. "Faster care services" means the provisions of personal care or training to a "foster child" including but Is not limited to activities of any insured or of any"temporary worker", licensee, subcontractor, independent contractor, vendor or others in investigation, evaluation, counseling, treatment, training, material aid, supervision or monitoring of Individuals or families, with respect to placement of a "foster child" as required by any Federal, State, or local code, regulation or ordinance. c. "Foster child"means a child whose care and upbringing are entrusted to an adult other than the child's natural or adoptive parents. d. "Medical or healthcare services" means any type of treatment or services provided for physical, menial, veterinary or dental care, Including but not limited to: (1) Any type or form of psychiatric counseling; i Includes copyrighted material of Insurance services office,Ina.,with its permission. GCG 6510 09 23 Copyright 2023 4uideOne Insurance Page 11 of 13 IIi}3 I (2) Any typo or form of medical, dental, physiological, psychological, addiction, behavioral, chiropractic, holistic, hospice,veterinary or any other similar treatment;or (3) The operation of a hospital, clinic open to the general public,or other medical facility or laboratory;or (4) The providing, prescr€ptlon, dispensing, or using of drugs or medical appliances or devices. e. "Medically derived injury" means a physical, pathologic or psychiatric trauma resulting from "medical or healthcare services" provided by a "medical professional", including death resulting therefrom, to your care recipient. "Medically derived Injury"includes an aggravation of a preexisting disease or mental disorder. "Medically derived Injury" does not Include property damage" "personal and advertising injury", or any injury arising from "abuse", sexual misconduct or sexual molestation"or"sexual harassment". f. "Medical professional" means an anesthesiologist, chiropodist, chiropractor, dentist, medical technician; midwife, nurse anesthetist, nurse, optometrist, pharmacist, physician, podiatrist, psychlairist, psyciaologEst, surgeon, veterinarian, x-ray therapist, or any other Individual who provides preventative, curative, or rehabilitative health care services, and Is licensed where required by low. g. "Product recall"means the recall or withdrawal of"your product"frorn the market or from use by any other person or organization because of a known or suspected defect In "your product" which has or is reasonably expected to cause "bodily Injury" or physical injury to tanglb€e property other than "your product'. h, "Product recall oxpenses" mean those reasonable and necessary expenses paid and directly related to a"product recall". 1. "Professional services" means any service that: (1) Involves specialized education, knowledge, labor,judgment, and skill, and is predominantly mental or intellectual (as opposed to physical or manual)in nature;and (2) Is provided as part of the Named Insured's operations as a nonprofit or human services organization; and (3) Subject to Paragraphs m.and b.above, "professional services"includes but is not limited to the following: (a) Advice, guidance,or assistance; (b) Counseling; (o) "Social work'; (d) 1-herapy; (e) Daycare; (f) "Foster care services';and (g) Job training,job placement,job referral,or vocational services. However, "professional services" does not include any of the following: "medical or healthcare services" or any parson or organization acting in the capacity of a "medical professional". accountant, attorney, architect, engineer, real estate manager, immigration counselor,or Investment manager. ). "Sexual harassment" means unwelcome sexual advances, requests for sexual favors, or other verbal, visual or physical conduct of a sexual nature when such conduct: (9) Is linked Implicitly or explicitly with a decision affecting a term or condition of any individual's employment, I I I Includes copyrighted material of Insurance Services Office,Ine..With its permission. GCG 65 10 09 23 Copyright 2023 GuldeOne Insurance Page 12 of 13 I I (2) Interferes with any€ndividual's job performance; (3) Creates an intlmldating,hostile or offensive working environment for any individual;or (4) Arises out of or Is related to an unlawful employment practice as codified at 42 U.S,C. §2000e, et seq.,or any similar state, municipal or local code,regulation or ordinance, k. "Sexual misconduct or sexual molestation" means any activity which is sexual in nature (whether permitted or not permitted); and inoludes, but Is not limited to: sexual assault, sexual battery, sexual relations, sexual acts, sexual activity, sexual handling, sexual massage, sexual exploitation, sexual exhlbition, sexual stimulation, fondling, intimacy, exposure of sexual organs, lewd or lascivious behavior or Indecent exposure, fornication, unauthorized touching, or the photographic,video or other reproduction of sexual activity. However, "sexual misconduct or sexual molestation" does not include employment-related "sexual harassment". i. "Social work" means any activities or methods of any Insured or your"employees", agents, representatives, "volunteer workers", "temporary workers", licensees, ,subcontractors, Independent contractors,vendors or others providing social services, including but not limited to: (1) investigation, treatment, or material aid for this economically, physically, mentally, or socially disadvantaged,or anyone else; and (2) Activities such as child welfare, community physical or mental health, adoption services, personal counseling services, recreational activities, temporary housing or shelters or other similar activities. M. "Special Event" means a sporting, cultural, business or other type of unique activity, in a certain place occurring during a limited or fixed interval of time (cane-time, :annual) and presented to a live audience brought together to watch or to participate. "Special events" Include, but are not limited to, street fairs, music festivals, revenue generating or' public relations activities,regardless of the location or relationship to the operations of any Insured. Includes copyrighted material of Insurance 5erviaes Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 Guideone Insuranos Page 13 of 13 i POLICY NUMBER: 01-0041-351 DESIGNATED INSURED FOR COVERED ,AUTOS LIABILITY COVERAGE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurance provided under the following: AUTO?DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement Identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not after coverage provided In the Coverage Foram. This endorsement changes the policy effective on the Inception date of the policy unless another date is Indicated below. Flamed Insured: HUMAN OPTIONS INC l ndorsem®nt Effective Date: 09/23/2024 _ _SGI�II=PULE dame Of Pearson(s)Or Organbation(s). �— City Of Santa Ana, Its City Council,Officers,Agents, Employees,And Volunteers, Community Development Agency,20 Civic Center Plaza, M-25,Santa Ana, Ca 92701 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Each person or organization shown In the Schedule is an"insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section 11 - Covered Autos Liability Coverage In the Business Auto and Motor Carrier Coverage Forms and Paragraph 1D.2.of Section I-Covered Autos Coverages of the Auto Dealers Coverage Form. I i @ Insurance Services Office,Inc.,2011 CA 20 48 10 13 Page 1 of 1 I { POLICY NUMBER: 01�0041-351 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO UI S � (WAIVER OF SUBROGATION i i 3}} i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I ThIs endorsement modifies Insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provislons of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective an the Inception date of the policy unless another date is indicated below. Named Insured, Human Options Inc Endorsement Effective Date; 09/23/2024 SCHEDULE Namo(s)f�FPer�on(s)Or organlxation(s): � -- Blanket Information required to complete this Schedule, if not shown above,will be shown In the Declarations, The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organizatlon(s) shown in the Schedule, but only to the extent that subrogation Is waived prior to the "accident"or the"loss"a rider a contract with that person or organization. Q Insurance services Offla®,inc.,2oti CA 04 44 14 13 Page 1 of 1 I POLICY NUMBER; 09-0037-245 WAIVER OF OUR. RIGHT i 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 perform 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. 'rho additional premium for this endorsement shall be of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Specific Waiver., Blankot Waiver. Any Person Or Organization For Whom You Are Required, Human Services By Written Contract Or Agreement To Obtain This Waiver From Us This endmserrient changes the policy to wirloh It is attached and is affective on the date Issued unless offierwlse slated. (The Information boiow Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective Polioy No. Endorsement No. Insured Insurance Company Countersigned by _ i I WC 04 03 06 04 84 Page 1 of 1 } I i I I , DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 9/24/2025 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 CONTACT NAME: (OC) Heffernan Insurance Brokers PHONE FAX 18004 Sky Park Circle, Suite 210 A/C No Ext: 949-771-3400 vc,No:949-771-3401 E-MIrvine CA 92614 ADDRESS: hibcertrequest@heffins.com INSURER(S)AFFORDING COVERAGE NAIC# License#:0564249 INSURERA: GuideOne Specialty Mutual Insurance Company 14559 INSURED HUMAOPT-04 INSURER B: GuideOne Mutual Insurance Company 15032 Human Options, Inc. PO Box 53745 INsuRERc: Coalition Insurance Company 29530 Irvine CA 92619 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1404250430 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD B X COMMERCIAL GENERAL LIABILITY Y Y 01-0041-350 9/23/2025 9/23/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $1,000,000 MED EXP(Any one person) $20,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $3,000,000 X El JECT OTHER: $ B AUTOMOBILE LIABILITY Y Y 01-0041-351 9/23/2025 9/23/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED FIR ERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A X UMBRELLALIAB X OCCUR 01-0041-352 9/23/2025 9/23/2026 EACH OCCURRENCE $5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$ $ A WORKERS COMPENSATION Y 01-0037-245 4/1/2025 4/1/2026 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Professional Liability 01-0041-350 9/23/2025 9/23/2026 Per Claim Limit $1,000,000 B Sexual Misconduct 01-0041-350 9/23/2025 9/23/2026 Per Claim Limit: $1,000,000 C Cyber Liability C-50FL-050194-CYBER-2025 9/23/2025 9/23/2026 Each Claim Limit $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Employee Theft Coverage included in Policy#01-0041-350 Limit:$500,000 Re:As Per Contract or Agreement on File with Insured. City of Santa Ana,officers,agents,employees and volunteers are included as an additional insured(primary and non-contributory)on General Liability policy and additional insured on Automobile Liability policy per the attached endorsements, if required.$5M Umbrella policy goes over the underlying General Liability, Automobile Liability,Workers'Compensation,and Sexual Misconduct Policies.Waivers of Subrogation are included on General Liability,Automobile Liability and Workers Compensation policies per the attached endorsements, if required. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Digitally signed THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana TU Tran byTuTran ACCORDANCE WITH THE POLICY PROVISIONS. CommunityDevelopment A enc Nguyen p g y N g U ye n Date:2025.09.24 20 Civic Center Plaza, M-25 16:06:00-07'00' AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 f / � G / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 01-0041-350 NONPROFIT AND HUMAN SERVICES GENERAL LIABILITY ENDORSEMENT THIS DOCUMENT IS AN ENDORSEMENT THAT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions is amended as follows: 1. Exclusion a. Expected or Intended Injury is deleted and replaced with: a. "Bodily injury" or"property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to"bodily injury"or"property damage" resulting from the use of reasonable force to protect persons or property. 2. Paragraph (2) under Exclusion g. Aircraft, Auto or Watercraft is deleted and replaced with: (2) A watercraft that you do not own that is not being used to carry persons or property for a charge. This provision applies to any person, who with your consent, either uses or is responsible for the use of a watercraft. This insurance is excess over any other valid and collectible insurance available to any insured whether primary, excess, or contingent. 3. Paragraph (1) under Exclusion j. Damage To Property is deleted and replaced with: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property, unless the damage to property is caused by your "client", in such case we will provide coverage for such "property damage" for which you are legally obligated to pay up to a$50,000 limit per"occurrence". This limit is the only limit of insurance for such "property damage" and will not be combined with the Each Occurrence Limit set for this in Section III —Limits of Insurance and will be included within and not in addition to the Each Occurrence Limit. Any and all damages paid under the terms and condition of this provision will further be applied against and will reduce the Aggregate Limit of Insurance shown on the Declarations page, and as provided in the Commercial General Liability Coverage Form in the same manner and in addition to all other coverages of the Commercial General Liability Coverage Form that are also subject to the Aggregate Limit. As used in this coverage extension, "client" means a person under your direct care and supervision, for whom you are providing goods or services. 4. The following is added to Paragraph(2) under Exclusion b. Contractual Liability: We agree to indemnify the Named Insured for their liability assumed in a contract or agreement regarding the rental or lease of a premises on behalf of their "client", up to $50,000 per "occurrence". This limit of insurance is the only limit of insurance for your liability assumed in a contract or agreement regarding the rental or lease of a premises on behalf of your "client" whether or not such contract qualifies as an "insured contract". This limit will not be combined with the Each Occurrence Limit set forth in Section III — Limits of Insurance and is included within and not in addition to the Each Occurrence Limit. This coverage extension only applies to rental lease agreements. This coverage is excess over any liability insurance available to the "client", including but not limited to renter's insurance of the "client". Any and all damages paid under the terms and conditions of this provision will further be applied against and will reduce the Aggregate Limit of Insurance shown on the Declarations page, as provided in the Commercial General Liability Coverage Form in the same manner and in addition to all other coverages of the Commercial General Liability Coverage Form that are also subject to the Aggregate Limit. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 1 of 13 As used in this coverage extension, "client' means a person under your direct care and supervision, for whom you are providing goods or services. 5. The following is added to Exclusion n. Recall Of Products,Work Or Impaired Property: This exclusion does not apply to the reimbursement of "product recall expenses" as provided under Paragraph 3. of SECTION I — COVERAGES, SUPPLEMENTARY PAYMENTS — COVERAGES A AND B. 6. The last Paragraph of Subsection 2. Exclusions is deleted and replaced with: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner.A separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance. B. SECTION I — COVERAGES, COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY, 2. Exclusions is amended as follows: 1. The following is added to Exclusion j. Insureds In Media And Internet Type Businesses: This exclusion does not apply to publishing, broadcasting or telecasting that is incidental to your business. C. SECTION I—COVERAGES, COVERAGE C—MEDICAL PAYMENTS is amended as follows: 1. Subsection 1. Insuring Agreement, Paragraph a.(3)(b) is deleted and replaced with: (b) The expenses are incurred and reported to us within three years of the date of the accident; and 2. Subsection 2. Exclusions, is amended as follows: a. Exclusion a. Any Insured is deleted and replaced with: a. Any Insured To any insured, except "volunteer workers" or an insured as provided in e. Athletic Activities below. b. Exclusion e. Athletics Activities is deleted and replaced with: e. Athletics Activities To a person injured while practicing or participating in any physical exercises or games, sports or athletic contests. This exclusion shall not apply to an insured while providing instruction with respect to any of the activities otherwise excluded by this provision. c. Exclusion f. Products-Completed Operations Hazard is deleted and replaced with: f. Products-Completed Operations Hazard Included within the "products-completed operations hazard". This exclusion does not apply to "bodily injury" arising out of"your products": (1) Sold for use or consumption on your premises; or (2) In connection with the conduct of your operations by you or on your behalf, if the "bodily injury" occurs after you have relinquished possession of"your products". This exclusion exception does not apply if COVERAGE C — MEDICAL PAYMENTS is excluded by another endorsement to this Coverage Part. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 2 of 13 D. SECTION I — COVERAGES, SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows: 1. 1. b. is deleted and replaced with: b. Up to $5,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. 1. d. is deleted and replaced with: d. All reasonable expenses incurred by the insured at our request to assist us in the "suit", including actual loss of earnings up to $1,000 a day because of time off from work. 3. 1. h. is added: h. Up to $1,000 for "property damage" to personal property of others while in the temporary care, custody or control of an insured and caused by any person participating in your organized activities. For purposes of this supplementary payment, "property damage" does not include disappearance,wrongful abstraction or loss of use. This Supplementary Payment shall only be paid on or for the account of the owner and only when other coverage or insurance is unavailable. 4. 1. i. is added: L The cost to replace keys and locks at the"client's" premises due to loss to keys entrusted to you by your"client", up to a $10,000 limit per occurrence and $10,000 policy aggregate. We will not pay for loss or damage resulting from theft or any other dishonest or criminal act that you or any of your partners, members, officers, "employees", "managers", directors, trustees, authorized representatives or anyone to whom you entrust the keys of a "client" for any purpose commit, whether acting alone or in collusion with other persons.The following terms, when used in this Supplementary Payment, are defined as follows: (1) "Client" means an individual, company or organization with whom you have a written contract or work order for your services for a described premises and have billed for your services. (2) "Employee" means: (a) Any natural person: (i) While in your service or for 30 days after termination of service; (ii) Who you compensate directly by salary, wages or commissions; and (iii)Who you have the right to direct and control while performing services for you; or (b) Any natural person who is furnished temporarily to you: (i) To substitute for a permanent "employee" as defined in Paragraph (a) above, who is on leave; or (ii) To meet seasonal or short-term workload conditions while that person is subject to your direction and control and performing services for you. "Employee" does not mean: (c) Any agent, broker, person leased to you by a labor leasing firm, factor, commission merchant, consignee, independent contractor or representative of the same general character; or (d) Any "manager", director or trustee except while performing acts coming within the scope of the usual duties of an "employee". Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 3 of 13 (3) "Manager" means a person serving in a directorial capacity for a limited liability company. 5. Paragraph 3. is added. 3. We will reimburse you for "product recall expenses" that you incur because of a "product recall" of "your product' that is first initiated during the policy period stated in the Declarations. The most we will reimburse you for the sum of all "product recall expenses" incurred for all "product recalls" initiated during the policy period is$50,000. A complete accounting of "product recall expenses" must be provided upon our request, including receipts for all expenses that you incur.We will reimburse"product recall expenses" only if the expenses are incurred and reported to us within one year of the date the "product recall"was initiated. Our obligation under this additional supplementary payment shall only apply if the "product recall expenses" are initiated in the "coverage territory" during the policy period because: a. You determine that the "product recall" is necessary; or b. An authorized government entity has ordered you to conduct a "product recall". However, this additional supplementary payment does not apply to "product recall expenses" arising out of the product expiration or shelf life, a defect known by you prior to the time "your product' leaves your control or possession, or the defense of a claim or"suit'against you for liability arising out of a "product recall". This payment will not reduce the limits of insurance. E. Additional Exclusions The following exclusions are added to Subsection 2. Exclusions under SECTION I —COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Subsection 2. Exclusions under SECTION I—COVERAGES, COVERAGE B—PERSONAL AND ADVERTISING INJURY LIABILITY and Subsection 2. Exclusions under SECTION I — COVERAGES, COVERAGE C—MEDICAL PAYMENTS: This insurance does not apply to: 1. Special Events Or Fundraising Events "Bodily injury", "property damage" or"personal or advertising injury" arising directly or indirectly out of fundraising events or activities or"special events" or activities: a. Authorized and conducted by any insured; b. Authorized by you and conducted on your behalf by others, including but not limited to an "employee", "temporary worker", "volunteer worker", member, trustee, director, licensee, subcontractor, independent contractor, or vendor. c. Not authorized by you and conducted on your behalf by others, including but not limited to an "employee", "temporary worker", "volunteer worker", member, trustee, director, licensee, subcontractor, independent contractor, or vendor. We have no obligation to defend, pay on behalf of, indemnity or incur any cost or expenses for any insured or any other person or organization seeking coverage under this insurance for that portion of any claim arising out of any fundraising event or activity or"special event' or activity. This exclusion does not apply to any fundraising event or activity or"special event' or activity for which coverage is provided by an attached endorsement. 2. Medical Or Healthcare Services Any claim or "suit' arising out of the rendering of or failure to render "medical or healthcare services". Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 4 of 13 3. Medically Derived Injury Any claim or"suit" arising out of a "medically derived injury" 4. Violation Of Any Statute Or Regulation Any liability arising out of the willful or intentional violation of any statute or regulation including but not limited to the fines and penalties assessed by a court or regulatory authority. 5. Misconduct, Molestation Or Harassment Any "bodily injury", "personal and advertising injury", mental or emotional pain or anguish, or any defamation or slander, sustained by any person arising out of or resulting from any actual or alleged act of"abuse", "sexual misconduct or sexual molestation" or"sexual harassment" of any kind. We have no right or duty to investigate, settle, defend or pay any claim or "suit" asserting any act of "abuse", "sexual misconduct or sexual molestation", "sexual harassment" or any breach of duty contributing to or arising from such act. 6. Professional Services Any liability arising out of any act or omission in the providing of or failure to provide"professional services". 7. Statutory Enforcement Any liability or responsibility to meet the requirements or standards of care enforced by any department of human services, department of elder care or similar regulatory body, regardless of the law or statutory basis of such enforcement. 8. Guaranteeing Results Including but not limited to any contract or agreement guaranteeing the results of any "professional services" or any type or form of counseling or any type or form of medical, dental, physiological, psychological, addiction, behavioral, chiropractic, holistic, or any other similar treatment. 9. Abuse Any claim or"suit" arising out of"abuse". F. SECTION II—WHO IS AN INSURED is amended as follows: 1. Paragraph 3. is amended as follows: a. Paragraph 3.a. is replaced with: a. Coverage under this provision is afforded only until the end of the policy period during which you acquired or formed the organization. b. Paragraph 3.d. is added: d. Coverage under this provision is afforded only when the newly acquired or formed organization operates or conducts the same or similar business as you. 2. The following is also an insured: Broadened Named Insured — Any organization and subsidiary thereof which you control and actively manage whether through ownership of voting securities, by contract, or otherwise, on the effective date of this policy. However, coverage does not apply to any organization or subsidiary not named in the Declarations as a Named Insured, if they are also insured under another similar policy, or would have been insured but for such policy's termination or the exhaustion of its limits of insurance. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 5 of 13 3. Each of the following is also an additional insured when you have agreed, in a written contract, that such person or organization be added as an additional insured on your policy, provided the written contract is initiated prior to an "occurrence" resulting in damages: a. Engineers, Architects Or Surveyors Any architect, engineer or surveyor engaged by you 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 in connection with your premises or in the performance of your ongoing operations. However, the insurance provided to such additional insured engineers, architects, or surveyors does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional services by or for you. b. Owners Of Leased Land Any person or organization from whom you lease land but only with respect to liability arising out of the ownership, maintenance or use of that part of the land leased to you. However, the insurance afforded to these additional insured owners of leased land does not apply to: (1) Any"occurrence" which takes place after you cease to lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured. c. State Or Governmental Agency Or Subdivision Or Political Subdivision— Permits Or Authorizations Any state or governmental agency or subdivision or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. With respect to the insurance afforded these additional insureds, this insurance does not apply to: (1) "Bodily injury", "property damage"or"personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (2) "Bodily injury" or"property damage" included within the "products-completed operations hazard". d. Contractual Obligations Any person or organization where required by a written contract executed prior to the "occurrence". Such person or organization is an additional insured for "bodily injury", "property damage" or "personal and advertising injury" but only for liability arising out of the negligence of the Named Insured. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 6 of 13 e. Manager Or Lessor Of Premises Any person or organization with respect to their liability arising out of the ownership, maintenance or use of that part of the premises leased or rented to you subject to the following additional exclusions: This insurance does not apply to: (1) Any"occurrence"which takes place after you cease to be a tenant in that premises; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of that person or organization. f. Lessor Of Leased Equipment—Automatic Status When Required In Lease Agreement With You Any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to liability for"bodily injury", "property damage" or"personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. With respect to the insurance afforded to these additional insureds: (1) A person's or organization's status as an additional insured ends when their contract or agreement with you for such leased equipment ends; and (2) This insurance does not apply to any "occurrence" which takes place after the equipment lease expires. g. Vendors Any person or organization but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business . The insurance afforded the vendor does not apply to: (1) "Bodily injury" or"property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; (3) Any physical or chemical change in the product made intentionally by the vendor; (4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 7 of 13 (8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (a) The exceptions contained in Subparagraphs(4)or(6); or (b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. h. Funding Source Any person or organization with respect to their liability arising out of: (1) Their financial control of you, or (2) Premises they own, maintain or control while you lease or occupy those premises. This insurance does not apply to: (a) Any `occurrence" or offense which takes place after you cease to lease or occupy those premises; or (b) Structural alterations, new construction and demolition operations performed by or for that person or organization. i. State Or Governmental Agency Or Subdivision Or Political Subdivision — Permits Or Authorizations Relating To Premises Any state or governmental agency or subdivision or political subdivision but only with respect to the following hazards for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization in connection with premises you own, rent or control and to which this insurance applies: (1) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar exposures; (2) The construction, erection, or removal of elevators; or (3) The ownership, maintenance, or use of any elevators covered by this insurance. However, (1) A person or organization is an additional insured under this provision only for that period of time required by the written contract; (2) No such person or organization is an insured under this provision if such person or organization is included as an insured by an endorsement issued by us and attached to the Commercial General Liability Coverage Form; (3) The insurance afforded to such additional insured only applies to the extent permitted by law; and (4) 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. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 8 of 13 j. Medical Directors and Administrators Your medical directors and administrators but only while acting within the scope of and during the course of their duties as such. Such duties do not include the furnishing or failure to furnish "professional services" or "medical or healthcare services" as a physician or psychiatrist in the treatment of a patient. k. Home Care Providers At the first Named Insured's option, any person or organization under your direct supervision and control while providing on your behalf private home respite or foster home care for the developmentally disabled. Such duties do not include the furnishing or failure to furnish "professional services" or"medical or healthcare services" in the treatment of a patient. 4. With respect to the insurance afforded to these additional insureds, identified in Paragraph F.3. of this endorsement, the following is added to Section III— Limits Of Insurance: The most we will pay on behalf of the additional insured is the lesser of: a. The limit of insurance required by the contract or agreement; or b. The amount of coverage available under the applicable Limits of Insurance shown in the Declarations; This provision shall not increase the applicable Limits of Insurance shown in the Declarations. G. SECTION III - LIMITS OF INSURANCE is amended as follows: 1. Paragraph 1. is deleted and replaced with: 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or"suits" brought; c. Persons or organizations making claims or bringing "suits" or d. Policies involved. 2. Paragraph 6. is deleted and replaced with: 6. Subject to Paragraph 5. above, the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to or temporarily occupied by you with permission of the owner, is the higher of $1,000,000 or the amount shown in the Declarations for the Damage To Premises Rented To You Limit. However, if damage by fire to premises rented to you is not otherwise excluded,the word fire in the above paragraph is replaced with fire, lightning, explosion, smoke or sprinkler leakage. 3. The following is added to SECTION III— LIMITS OF INSURANCE: a. If two or more policies or Coverages issued by us apply to the same insured and these policies or Coverages also apply to the same claim or"suit" the maximum amount we will pay as damages under all of the policies or Coverages will not exceed the highest applicable Limit of Insurance that applies to any one of the policies or Coverages. This condition does not apply to any insurance that was purchased specifically to apply in excess of the applicable Limits of Insurance shown in the Declarations. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 9 of 13 H. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. Subsection 4. Other Insurance, Paragraph b. Excess Insurance, Subsection (1)(a)(ii) is replaced with the following if damage to premises rented to you is not otherwise excluded: ii. That is fire, lightning, explosion, smoke or sprinkler leakage insurance for premises rented to you or temporarily occupied by you with permission of the owner. 2. Subsection 8. Transfer Of Rights Of Recovery Against Others To Us is amended to include: However, the insured may waive the insurer's rights of recovery prior to the occurrence of a loss, provided the waiver is made in a written contract. 3. The following condition is added: 10. Liberalization If we revise this NONPROFIT AND HUMAN SERVICES GENERAL LIABILITY ENDORSEMENT to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. 4. The following condition is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; (2) This insurance is required by a written and executed contract to be primary and not to seek contribution from any other insurance available to the additional insured, but only as it pertains to such written contract; and (3) The loss to be covered occurs on or after the effective date of the written contract. I. SECTION V— DEFINITIONS is amended as follows: 1. Subsection 3. "Bodily injury" is deleted and replaced with the following: 3. "Bodily injury" means physical injury, sickness, or disease sustained by a person, including death of a person resulting from any of these. "Bodily injury" also means mental injury, mental anguish, humiliation, or shock sustained by a person, if directly resulting from physical injury, sickness, or disease sustained by that person. 2. Subsection 4. "Coverage territory" is deleted and replaced by the following: 4. "Coverage territory" means anywhere in the world provided that the claim is made, and any "suit" that may arise therefrom is filed, within the United States of America (including its territories and possessions), Puerto Rico or Canada, unless further restricted by endorsement. 3. Paragraph 9. "Insured Contract" subsection a. is replaced by the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke or sprinkler leakage to premises while retained to you or temporarily occupied by you with permission of the owners is not an "insured contract". Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 10 of 13 4. Paragraph 14. "Personal and Advertising Injury' is amended as follows: a. Subsection b. is deleted and replaced with the following: b. Malicious prosecution or abuse of process; b. Subsection h. is added. h. "Personal and advertising injury" also means injury, including consequential "bodily injury", arising out of discrimination based on race, color, religion, sex, age or national origin, except when: (1) Done intentionally by or at the direction of, or with the knowledge or consent of: (a) Any insured; or (b) Any executive officer, director, stockholder, partner or member of the insured; or (2) Directly or indirectly related to the employment, former or prospective employment, termination of employment, demotion, failure to promote or application for employment of any person or persons by an insured; or (3) Directly or indirectly related to the sale, rental, lease or sublease or prospective sales, rental, lease or sub-lease of any room, dwelling or premises by or at the direction of any insured; or (4) Insurance for such discrimination is prohibited by or held in violation of law, public policy, legislation, court decision or administrative ruling. This coverage does not apply to fines or penalties imposed because of discrimination. 5. For the purpose of this endorsement, the following definitions are added to Section V: a. "Abuse" means any actual,threatened, or alleged act, error, omission, conduct or misconduct that a claim or"suit" alleges: (1) To be, or to constitute, any form of "abuse" (including but not limited to elder "abuse", child "abuse", patient "abuse" or "abuse" of a dependent person) under any applicable state or federal statute; and (2) Any non-sexual assault, non-sexual battery, or non-sexual "abuse" directed at a person; and Conduct or misconduct described above constitutes"abuse" regardless of whether or not it is alleged to be negligent, reckless, knowing, intentional, fraudulent, oppressive, malicious, or otherwise. However, "abuse" does not include employment-related "sexual harassment". b. "Foster care services" means the provisions of personal care or training to a "foster child" including but is not limited to activities of any insured or of any "temporary worker", licensee, subcontractor, independent contractor, vendor or others in investigation, evaluation, counseling, treatment, training, material aid, supervision or monitoring of individuals or families, with respect to placement of a "foster child" as required by any Federal, State, or local code, regulation or ordinance. c. "Foster child" means a child whose care and upbringing are entrusted to an adult other than the child's natural or adoptive parents. d. "Medical or healthcare services" means any type of treatment or services provided for physical, mental, veterinary or dental care, including but not limited to: (1) Any type or form of psychiatric counseling; Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 11 of 13 (2) Any type or form of medical, dental, physiological, psychological, addiction, behavioral, chiropractic, holistic, hospice, veterinary or any other similar treatment; or (3) The operation of a hospital, clinic open to the general public, or other medical facility or laboratory; or (4) The providing, prescription, dispensing, or using of drugs or medical appliances or devices. e. "Medically derived injury" means a physical, pathologic or psychiatric trauma resulting from "medical or healthcare services" provided by a "medical professional", including death resulting therefrom, to your care recipient. "Medically derived injury" includes an aggravation of a preexisting disease or mental disorder. "Medically derived injury" does not include "property damage", "personal and advertising injury", or any injury arising from "abuse", "sexual misconduct or sexual molestation" or"sexual harassment". f. "Medical professional" means an anesthesiologist, chiropodist, chiropractor, dentist, medical technician, midwife, nurse anesthetist, nurse, optometrist, pharmacist, physician, podiatrist, psychiatrist, psychologist, surgeon, veterinarian, x-ray therapist, or any other individual who provides preventative, curative, or rehabilitative health care services, and is licensed where required by law. g. "Product recall" means the recall or withdrawal of"your product"from the market or from use by any other person or organization because of a known or suspected defect in "your product" which has or is reasonably expected to cause "bodily injury" or physical injury to tangible property other than "your product". h. "Product recall expenses" mean those reasonable and necessary expenses paid and directly related to a "product recall". i. "Professional services" means any service that: (1) Involves specialized education, knowledge, labor,judgment, and skill, and is predominantly mental or intellectual (as opposed to physical or manual) in nature; and (2) Is provided as part of the Named Insured's operations as a nonprofit or human services organization; and (3) Subject to Paragraphs a.and b.above, "professional services" includes but is not limited to the following: (a) Advice, guidance, or assistance; (b) Counseling; (c) "Social work"; (d) Therapy; (e) Daycare; (f) "Foster care services"; and (g) Job training,job placement,job referral, or vocational services. However, "professional services" does not include any of the following: "medical or healthcare services" or any person or organization acting in the capacity of a "medical professional", accountant, attorney, architect, engineer, real estate manager, immigration counselor, or investment manager. j. "Sexual harassment" means unwelcome sexual advances, requests for sexual favors, or other verbal, visual or physical conduct of a sexual nature when such conduct: (1) Is linked implicitly or explicitly with a decision affecting a term or condition of any individual's employment; Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 12 of 13 (2) Interferes with any individual's job performance; (3) Creates an intimidating, hostile or offensive working environment for any individual; or (4) Arises out of or is related to an unlawful employment practice as codified at 42 U.S.C. § 2000e, et seq., or any similar state, municipal or local code, regulation or ordinance. k. "Sexual misconduct or sexual molestation" means any activity which is sexual in nature (whether permitted or not permitted); and includes, but is not limited to: sexual assault, sexual battery, sexual relations, sexual acts, sexual activity, sexual handling, sexual massage, sexual exploitation, sexual exhibition, sexual stimulation, fondling, intimacy, exposure of sexual organs, lewd or lascivious behavior or indecent exposure, fornication, unauthorized touching, or the photographic, video or other reproduction of sexual activity. However, "sexual misconduct or sexual molestation" does not include employment-related "sexual harassment". I. "Social work" means any activities or methods of any insured or your "employees", agents, representatives, "volunteer workers", "temporary workers", licensees, subcontractors, independent contractors, vendors or others providing social services, including but not limited to: (1) Investigation, treatment, or material aid for the economically, physically, mentally, or socially disadvantaged, or anyone else; and (2) Activities such as child welfare, community physical or mental health, adoption services, personal counseling services, recreational activities, temporary housing or shelters or other similar activities. m. "Special Event" means a sporting, cultural, business or other type of unique activity, in a certain place occurring during a limited or fixed interval of time (one-time, annual) and presented to a live audience brought together to watch or to participate. "Special events" include, but are not limited to, street fairs, music festivals, revenue generating or public relations activities, regardless of the location or relationship to the operations of any insured. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. GCG 65 10 09 23 Copyright 2023 GuideOne Insurance Page 13 of 13 POLICY NUMBER: 01-0041-351 DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: HUMAN OPTIONS INC Endorsement Effective Date: 09/23/2025 SCHEDULE Name Of Person(s) Or Organization(s): City Of Santa Ana, Its City Council, Officers, Agents, Employees, And Volunteers, Community Development Agency, 20 Civic Center Plaza, M-25, Santa Ana, Ca 92701 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. ©Insurance Services Office,Inc.,2011 CA 20 48 10 13 Page 1 of 1 POLICY NUMBER: 01-0041-351 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Human Options Inc Endorsement Effective Date: 09/23/2025 SCHEDULE Name(s) Of Person(s) Or Organization(s): Blanket Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. ©Insurance Services Office,Inc.,2011 CA 04 44 10 13 Page 1 of 1 POLICY NUMBER: 01-0037-245 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 perform 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 2 %of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Specific Waiver: Blanket Waiver: Any Person Or Organization For Whom You Are Required, Human Services By Written Contract Or Agreement To Obtain This Waiver From Us 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 Policy No. Endorsement No. Insured Insurance Company Countersigned by WC 04 03 06 04 84 Page 1 of 1 DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 3/20/2026 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 CONTACT NAME: (OC) Heffernan Insurance Brokers PHONE FAX 18004 Sky Park Circle, Suite 210 A/C No Ext: 949-771-3400 vc,No:949-771-3401 E-MIrvine CA 92614 ADDRESS: hibcertrequest@heffins.com INSURER(S)AFFORDING COVERAGE NAIC# License#:0564249 INSURERA: GuideOne Specialty Mutual Insurance Company 14559 INSURED HUMAOPT-04 INSURER B: GuideOne Mutual Insurance Company 15032 Human Options, Inc. PO Box 53745 INsuRERc: Coalition Insurance Company 29530 Irvine CA 92619 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:871935261 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD B X COMMERCIAL GENERAL LIABILITY Y Y 01-0041-350 9/23/2025 9/23/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $1,000,000 MED EXP(Any one person) $20,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $3,000,000 X El JECT OTHER: $ B AUTOMOBILE LIABILITY Y Y 01-0041-351 9/23/2025 9/23/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED FIR ERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A X UMBRELLALIAB X OCCUR 01-0041-352 9/23/2025 9/23/2026 EACH OCCURRENCE $5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$ $ A WORKERS COMPENSATION Y 010037245 4/1/2026 4/1/2027 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B ProfessionalLiability 01-0041-350 9/23/2025 9/23/2026 Per Claim/Agg Limit $1M/$3M B Sexual Misconduct 01-0041-350 9/23/2025 9/23/2026 Per Claim Limit: $1,000,000 C Cyber Liability C-50FL-050194-CYBER-2025 9/23/2025 9/23/2026 Each Claim Limit $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Employee Theft Coverage included in Policy#01-0041-350 Limit:$500,000 Re:As Per Contract or Agreement on File with Insured. City of Santa Ana,officers,agents,employees and volunteers are included as an additional insured(primary and non-contributory)on General Liability policy and additional insured on Automobile Liability policy per the attached endorsements, if required.$5M Umbrella policy goes over the underlying General Liability, Automobile Liability,Workers'Compensation,and Sexual Misconduct Policies.Waivers of Subrogation are included on General Liability,Automobile Liability and Workers Compensation policies per the attached endorsements, if required. APPROVED By Tu Tran Nguyen at 4:45 pm,Apr 15, 2026 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. Community Development Agency 20 Civic Center Plaza, M-25 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 f / � G / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 01-0037-245 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 perform 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 2 %of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Specific Waiver: Blanket Waiver: Any Person Or Organization For Whom You Are Required, Human Services By Written Contract Or Agreement To Obtain This Waiver From Us 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 Policy No. Endorsement No. Insured Insurance Company Countersigned by WC 04 03 06 04 84 Page 1 of 1