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HomeMy WebLinkAboutWTLC (WOMEN'S TRANSITIONAL LIVING CENTER) (2) -2013v C iNQAA11 t ,' ON FILE WOAR MAY PROCEED UNTIL INSURANCE EXPJRF± 0 d y CLERK OF COUNC._....._ _..�.... !_, `. DITE REAR 0 7 2014 AMENDMENT TO AGREEMENT FOR USE OF EMERGENCY SOLUTIONS GRANT FUNDS A -2013- 048 - 015 -01 THIS AMENDMENT, made and entered into this I" day of January 2014, . by and between Women's Transitional ;Living Center, Inc., a California nonprofit organization ( "Subrecipient ") and the of the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City"). RECITALS % . A. The City and Subrecipient entered into that certain Agreement Between the City of Santa Ana and Laura's House for the Use of Emergency Solutions Grant Funds dated July 1, 2013, hereinafter referred to as "said Agreement ", for Subrecipient to receive Emergency Solutions Grant ( "ESG ") Funds in the amount of Twenty Four Thousand Five Hundred Fifty Five Dollars ($24,555.00) for the operation of an emergency shelter program and related services for the homeless. B. The parties hereto now desire to amend the amount of the grant to increase it with additional funding for this fiscal year. This additional money is part of unexpended prior year funding. C. City Council authorized this reallocation at its regular meeting of April 1, 2013. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do hereby agree as follows:. 1. The total Grant Award to Subrecipient will be amended to include an additional One Thousand One Hundred Dollars ($1,100.00) for a total grant award of Twenty Five Thousand Six Hundred Fifty Five Dollars ($25,655.00) in ESG funds, 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ATTEST: Maria D. Huizar Clerk of the Council APPROVED AS TO FORM: Sonia R. Carvalho By: Lisa E. Storck Assistant City Attorney CITY OF SANTA ANA C l David Cavaz s City Manager SUBRECIPIENT Women's Transitional Living Center, Inc. "2 1 Nang r� Title: City of Santa Ana Scope of Work Name of Organization Women's Transitional Living Center, Inc. (WTLC) Name of Funded Program Shelters Program Annual Accomplishment Goal I. Total number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the funded program, named above, during the 12 -month contract period. 537 Persons II. Number of unduplicated Santa Ana residents expected to be served by the funded program during the 12 -month contract period. 180 Persons Program and Funding Description III. Description of Work - In the space below, describe the program to be funded during the 12 -month contract period. What specific activities will be undertaken during the contract period. Please be concise in your response. Only the viewable space will print. The objectives of the Shelter Programs are: 1) short -term: identification of at least 180 victims of domestic violence from the City of Santa Ana; 2) intermediate -term: intervention in both the immediate and intergenerational cycles of violence and other high -risk issues associalted with domestic violence for at least 180 Santa Ana residents; and 3) long -term : stabilization of those high -risk issues through finding permanent housing, obtaining employment /increasing income levels, ceasing substance abuse, becoming emotionally stable, and living free from violence /abuse. Outcomes: 1) No more than 10% of clients will move into transitional housing; the remaining 90% will move into permanent housing. 2) At least 73% of cleints entering the 90 -day substance abuse program will move to sober living conditions. 3) At least 97% of adult clients will increase employability through career counseling, job training, and /or work experience programs. 4) At least 95% of adult clients will apply forjobs. 5) At least 95% of undocumented clients will begin the process of documentation. 6) At least 97% of clients will participate in financial planning. 7) Levels of knowledge of high -risk behaviors will increase by at least 70 %. 8) Emotional stability will increase by at least 95 %. 9) The number of cleints entering through the re -entry program will total at least 30 %. Estimate the number of unduplicated Santa Ana residents to be served by the funded program during the 12 -month contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served in quarter 1 do not count them again in quarter 2) Quarter 1: July 1 - September 30 IATotal Persons Quarter 2: October 1 - December 31 Persons Quarter 3: January 1 - March 31 Persons Quarter 4: April 1 -June 30 Persons unduplicated Santa Ana Residents to be served. Schedule of Invoicing Estimate the amount of grant funds to be requested during the 12 -month contract period on a quarterly basis. Quarter 1: July 1 -September 30 $6,138.00 Quarter 2: October 1 - December 31 $6,138.00 $6,138.00 $ 7,241.00 $ 25,655.00 Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 Total Grant Exhibit A Page 1 of 1 Organization Name Program Name Final Budget Expenditures Category Expenses Funded by Santa Ana Expenses Funded by Other Sources Local grants Total Program Budget $ 131,776 Total Organizational Essential Services $ 223,711 State $ 384,684 Federal $ 116,644 Foundation /Private Program staff salaries $ 11,100 $ 801,565 $ 812,665 $ 989,776 Total Funds for the Program $ 1,052,145 Shelter Operations Office supplies $ - $ 8,000 $ 8,000 $ 18,000 Rent /lease $ - $ - $ - $ 17,700 Communications $ 7,000 $ 31,000 $ 38,000 $ 63,000 Utilities $ 7,555 $ 28,000 $ 35,555 $ 64,000 Insurance $ - $ 10,000 $ 10,000 $ 14,000 Repair costs $ $ 23,000 $ 23,000 $ 35,000 Postage /printing $ - $ 1,000 $ 1,000 $ 5,000 Transportation costs $ - $ 5,000 $ 5,000 $ 6,000 Other Medical test. supplies $ - $ 4,000 $ 4,000 $ 7,000 Audit /legal $ - $ 5,000 $ 5,000 $ 12,000 Admin staff $ - $ 48,925 $ 48,925 $ 267,556 Contractual /prof.services $ $ 61,000 1 $ 61,000 $ 61,000 Total $ 25,655 1 $ 1,026,490 1 $ 1,052,145 $ 1,560,032 LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED (Total Funds for Program must equal Total Program Budget above) Source Amount Santa Ana $ 25,655 Local grants $ 131,776 County $ 223,711 State $ 384,684 Federal $ 116,644 Foundation /Private $ 78,000 Program Income $ 91,675 Total Funds for the Program $ 1,052,145 Exhibit B Page 1 of 1 M CERTIFICATE OF LIABILITY INSURANCE 04 /05 ✓2013' PRODUCER 310.393.9477 FAX 310.393.7186 White & Company Insurance Inc. P O Box 70 Santa Monica, CA 90406 -0070 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Women's Transitional Living Center PO Box 6103 ]ACY14111 ange, CA 92863 - /%.� —U2, n / - C/ INSURERA: Philadelphia Ins Co A INSURER B: GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ®OCCUR INSURER C: 04/04/2013 INSURER D: EACHOCCURRENCE INSURER E: DAMAGET -RENTED •. a L:.: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR NDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION JOGUYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ®OCCUR PHPKI002647 04/04/2013 04/04/2014 EACHOCCURRENCE $ 1,000,00 DAMAGET -RENTED $ 1 000 00 MED EXP (Any one person) $ 2® Og PERSONAL & ADV INJURY $____1U000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO JECT LOC PRODUCTS - COMP /OP AGO $ 1,000,00 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHPK1002647 r 04/04/2013 Zn"ye� " L1�A �, rJ 04/04/2014 i p �OW {�- .} . "'° ®RCK }� tOrneV COMBINED SINGLE LIMIT (Ea accident) $ 1.000,000 INJURY (Per person) $ X X BODILY -Per accident) $ X PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITV ANY AUTO {i SBt /} j( AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ $ A EXCESS/UMBRELLALIABILITY OCCUR ❑CLAIMS MADE DEDUCTIBLE X RETENTION $ 10,00 PHUB416911 04/04/2013 04/04/2014 EACH OCCURRENCE $ S10001000 AGGREGATE $ S,000,00 $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORrPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? S IEC tla PRO antler SPECIAL PROVISIONS below WC 5TATU- YLI E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE. POLICY LIMIT $ OTHER DESCRIPTI NOF OPERATIONS /LgCATIONS EHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ity o Santa Ana, tts of/fiicers, agents, employees, and volunteers are additional insureds as per form G 20 26 07 04 and Primary Insurance as per form CG 00 01 1207, both attached to the general liability policy and accompanying this certificate. *Except for 10 days written notice of cancellation for non - payment of premium. City of Santa Ana - CDBG M -25 ESG Atti Frank Hernandez P.O. Box 1988 M -2S Santa Ana, CA 92702 Annwngsrgnni/ i FAX: 714.647. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY AUTHORIZED REPRESENTATIVE IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/09) POLICY NUMBER: PHPK1002647 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) CITY OF SANTA ANA -CDBG M -25 COMMMUNITY DEVELOPMENT AGENCY Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property dam- age" 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: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. PPRO V,Z) AS cV0 xt7R111 �....r- -LISA E. S fit,, K Assistant City Attorney CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against any insured, you must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written no- tice of the claim or "suit" as soon as practica- ble. c. You and any other involved insured must: (1) Immediately send us copies of any de- mands, notices, summonses or legal pa- pers received in connection with the claim or "suit "; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the Investigation or settlement of the claim or defense against the "suit "; and (4) Assist us, upon our request, in the en- forcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No Insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the ap- plicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claim- ant's legal representative. CG 00 01 12 07 4. Otherinsurance If other valid and collectible insurance Is available to the insured for a loss we cover under Cover- ages A or B of this Coverage Part, our obligations limited as follows: a. P mary Insurance l,�ffiis insurance is primary except when Para- graph b. below applies. If this insurance is pri- mary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insur- ance by the method described in Paragraph c. below. b. Excess Insurance (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (1) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work "; (II) That is Fire insurance for premises rented to you or temporarily occu- pied by you with permission of the owner; (iii) That is Insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occu- pied by you with permission of the owner; or (iv) If the loss arises out of the mainte- nance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I — Coverage A — Bodily Injury And Property Dam- age Liability. (b) Any other primary insurance available to you covering liability for damages aris- ing out of the premises or operations, or the products and completed operations, for which you have been added as an additional insured by attachment of an endorsement. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the Insured against that "suit ". If no other insurer de- fends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. p,pROVFD AS TO FORM LISA F', S'iORCK ©ISO Properties, Inc., 2006 Assi ?ant City Attomey age 11 of 16 r AII Ftv CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDNYYY) 3/28/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must 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 Ilea of such endorsee t(s). PRODUCER Brown & Brown Insurance Services of CA, Inc. 2401 E~ Katella Ave. Suite 550 Anaheim CA 92806 CONTACT Marlene Valencia _ NAME: PHONE (°J1 ®)221 ^1800 PAC .(114)221 -4196 E-MAIL tayalenci8 0bb30cal. LORI ADGRESSr INSURERS AFFORDING CO, dERAGE NAICN INSURERA:NGW York Marine and General 16608 INSURED Womenos Transitional Living Center PO Box 6103 Orange CA 92863 INSURER B: ,. INSURER C: _.. EACH OCCURRENCE INSURER D: R I , mum a INSURER E: _ INSURER F: .-Gran Ar- -EC CERTIFICATE NUMECR•2013 -2014 REVISION NUMBER: M 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. IN SR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFY POIppY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ R I , mum a $ COMMERCIAL GENERAL LWSILITY MED EXP An one e1e00) $ CLAIMS -MADE ❑ OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO 8 $ POLICY PRO- LOC IFCT COM81NEp SINGLE IMIT AUTOMOBILE LIABILITY To aC ant BODILY INJURY (P., pelsan) S ANY AUTO BODILY INJURY(Por 8m1een0 $ ALL OWNED 77 SCHEDULED AUTOS AUTOS NC HIRED AUTOS AUTOS PROPERTY DAMAGE e e M $ $ UMBRELIALIAa OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAe CLAIMS -MADE DE I I RETENTIONS Is A. WORK ERSCOMPENSATION WC STATU- OTH- EACH ACCIDENT $ 1 000 000 AND EMPLOYERS' UABIuW ANY PROPRIETORIPARTNEMXECUTIVE� !EE.L. . DISEASE -EA EMPLOYE $ 1 000 000 OFFICEWMEMBER EXCWDEOi (Mandatory In NM) NIA C201300003382. /22/2013 /29/2014 L. DISEASE - POLICY LIMIT $ 1 000 000 IP YYes, deaulbe untlet DESCRIPTION OP O ERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO 101, Additional Ramarka Schedule, If mere apace le roqulred) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, City of Santa Ana - CDBG M -25 ESG Attn: Frank Hernandez AUTHORIZED REPRESENTATIVE P.O. Box 1988 -M -25 Santa Ana, CA 92702 Scott Murphy /MVALEN ACORD 26 (2010105) Q 7988.2010 ACl INS025(2aicowdi The ACORD name and logo are registered marks of ACORD RD CORPORATION, All rights reserv(