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HomeMy WebLinkAboutOLIVE CREST 1CCity of Santc Ana Clerk of the Council AGREEMENT TERMINATION FORM IPL12 10R Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Return form to the Clerk of the Council office (M-30). Call 647-6520 if you have any questions. The agreement with COTC Office Use Only N �ti �001/J 0CC was completed on ��� !1� and final payment has been made. (List all amendments. Use space below if needed.) '', Department: (ZA Phone/Ext.: Signature: �� �✓,�f Date: Revised 0&23-10 A-2011-006 -« 1K MAY SECOND AMENDMENT TO AGREEMENT BETWEEN THE CITY OF SANTA ANA JE APR $ 201t AND OLIVE CREST FOR THE USE OF HOMELESSNESS PREVENTION AND RAPID REHOUSING GRANT FUNDS 4 THIS SECOND AMENDMENT TO AGREEMENT is entered into on the q-010-f p January 2011, by and between Olive Crest, a California non-profit corporation ("Subrecipient") and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS: 1 A. The parties entered into that certain Agreement Between the City of Santa Ana and Olive V Crest for Use of Homelessness Prevention and Rapid Rehousing Grant Funds (Program Year 2009-10), dated September 30, 2009, (hereinafter "said Agreement") by which Subrecipient has been providing support to the homeless youth or those who are at risk for homelessness. B. The parties previously amended the Scope of Work for the services that Subrecipient provides to the City. C. The HPRP program requires, by statute, that grantee's expend 60% of its award funds within two years of the date that the U.S. Department of Housing and Urban Development ("HUD") signed the grant agreement. HUD may recapture and reallocate unused HPRP funds if a grantee cannot meet this requirement. D. Based upon current expenditure rates and projections as to whether each grantee can meet this requirement, the parties hereto have agreed to this amendment. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this Second Amendment to Agreement, the parties agree as follows: 1. The Scope of Work and Budget that are referenced in the Agreement shall be amended and replaced with the revised Exhibit A attached hereto and incorporated herein. 2. Section VI, A. "Agreement Amount" shall be reduced by $103,000, due to the reduced services. 3. The City Manager is authorized to execute future amendments to the Scope of Services, change in funding amount or milestone dates with regard to HPRP Subrecipient Agreements that were previously approved under the HPRP Program. 4. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: MARIA D. HUIZAR . Clerk of the Council APPROVED AS TO FORM: City Attorney By: sue&_ LISA E. STORCK Assistant City Attorney CITY OF SANTA ANA i a t4 �r DAVID N. REAM City Manager SUBRECIPIENT Olive Crest Name: Edw rd J. Becker Title: CFO Tax ID: ACORD. CERTIFICATE OF LIABILITY INSURANCE 09/0112Q`"" 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willa Insurance Services of CA Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3536 Concours, Suite 220 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ontario, CA 91764.5594 909 476-3300 INSURED Olive Crest 2130 E. 4th St., Ste. 200 Santa Ana, CA 92705 COVERAGES INSURERS AFFORDING COVERAGE I NAIC 6 INsvRERA: PhlladelDhla Indemnitv Ins Co 118058 INSURERO: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEOABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANOMG ANY REOUIREMENT, TERM OR CONDITION OFANYCONTRACT OR OTHER DOCUTAENt WITH RESPECTTO 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, T TYPE OF INSURANCE POLICYNUMBER TI LIMITS A GENERALVABIUTY PHPK617369 09/01110 09101/11 EACHOCCVRRENCB $1,000,000. X CO)MAERCIAL GENERAL LIABILTTY jMROM"CID..)Al Q Q 000 CiAMIS MADE FX OCCUR LIED EXP (Any One pMot) s20000 PERSONALdADVINAIRY $1 000 0 GENERALAGGREGATE 113,000,000 GENIAGOREQATELRAITAPPLIES PER PRODUCTS •COMPIOPAGO s3000000 POLICY 1 0T M LOC A AUTOMOBILE X X X LIABILITY ANYAUTo ALL0IYNEDAUTOS SCHEDULEDAUTOS HIREOAUTOS NON-DY NEO AUTOS PHPK617369 �j D $pp� � r 09101/10 t'(T© T 3 -- ORCK 09101111 CO=a NNEED�1 NGLE LWIT (Ea $1,OQ0,000 (BODIpw �NJURY S BO0ILYINAIRY (Per aeddatlJ i I S ^ 1J LIST S'� AttOCt� PROPERTY DAMAGE (Paracddenl) GARAGE LIABILITYAU BILITY c�$$ TO ONLY -EA ACCIDENTNY OTHER DIAN EA ACC AUTOO,`LY; AGO 4$10.0d.000 AAUTO 1 B EXCES&VMBRELLALJABIUTY X OCCUR CLAIMS MADE PHUB319749 09101/10 09101/11 EACH OCCURRENCE AGOREGATE $10000 000 S S DEDUCTIBLE S X MENTION $10000 1'10RKERB COMPENSA710N ANO STATU, I 10,T11- TORY] EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBEREXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE• EA EMPLOYEE $ 11e daScri7o 1116!•i N 3 Wow ' E.L,DISEASE- POIKYLUEIT $ A OTHER ABUSE PHPK617369 09/01/10 09101111 $1,000,0001$1,000,000 A PROFESSIONAL LIAR PHPK617369 109/01110 09/01/10 09/01111 $1,000,000 1 $3,000,000 A EE DISHONESY PHPK617369 09/01111 $504 0001$500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSELIRTT I SPECULL PROVISIONS RE; Grant Per Additional Insured Endorsement for Commercial General Liability Policy attached `10 Day Notice of Cancellation for Non Payment of Premium CERTIFICATE HOLDER CANCELLATION 110 Days for Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana OATS 7HEREOF. THE ISSUING INSURER %ILLENDEAVORTOAWL _._`$Q• OAYSWRITTEN 20 Civic Center Plaza NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OUT FAILURE TO DO $0 SHALL Santa Ana, CA 92701 IMPOSE NO OBLIGATION OR LIABILITY OF ANY FIND UPON THE INSURER M AGENTS OR REPRESENTAIMS. AUTHORIZED E RlSENT ACORD 26 (2001108) 1 of 2 t1S7072611M707269 2DADA 0 ACORD CORPORATION 198E IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such andorsement(s). DISCLAIMER The Cerilflcate of Insurance on the reverse side of this form does not constitute a contract behreen the issuing €nsurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORO 2" (2001/08) 2 of 2 #8707261IM707259 ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company PHILADELPHIA INDEMNITY INSURANCE COMPANY This endorsement modifies such insurance as is afforded by the provisions of Policy # PUPK617369 relating to the following: I . The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 902701; its officers, employees, agents, volunteers and representatives are named as additional insured ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability, The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 09/01/2010 TO 09/01/2011 , this endorsement form as a part of Policy # PHPK617369 Issued to OLIVE CREST Named Insured Countersigned by • &L -, Authorized Representative 5 llo VO oC1e1 O