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HomeMy WebLinkAboutGRANDMA'S HOUSE OF HOPE (5)-2015iNSUIIAPi E ON Fit 1. A- 2014 -088 -012A WORK MAY I711OGE-11 UNTIL INSUf19NOF FUME - = - -- AMENDMENT TO AGREEMENT FOR USE CCKOf COUNCIL. OF EMERGENCY SOLUTIONS GRANT FUNDS DATE: THIS AMENDMENT, made and entered into this I" day of January 2015, by and between Grandma's House of Hope, a California nonprofit organization ( "Subrecipient ") and the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City' c° RECITALS �i A. The City and Subrecipient entered into that certain Emergency Solutions Grant Subrecipient Agreement Between the City of Santa Ana and Grandma's House of Hope dated July 1, 2014 (Agreement #A- 2014 -088- 012) hereinafter referred to as "said Agreement ", for Subrecipient to receive Emergency Solutions Grant Funds (ESG) in the amount of $20,832.00 for the operation of an emergency shelter program for the homeless. B. The parties hereto now desire to amend the amount of the grant to increase it with an additional Three Thousand Five Hundred Seventy Six Dollars ($3,576.00) for this fiscal year. This additional money is part of prior year funding that had been awarded to other subrecipients that were unable to expend their entire grant amounts in the federally mandated 24 -month period. C. City Council authorized this reallocation at its regular meeting of April 1, 2014, in the Request for Council Action by stating that any unallocated FY 2013 -14 funds shall be redistributed proportionately among the subrecipients. 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 Three Thousand Five Hundred Seventy Six Dollars ($3,576) for a total grant award of Twenty Four Thousand Four Hundred Eight Dollars ($24,408 -00) in ESG funds. 2. Except as hereinabove modified, the terns and conditions of said Agreement remain unchanged and in fall 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 o e Council APPROVED AS TO FORM: SON IA R. CARVALHO City Attorney Lisa Storck. Assistant City Attorney RECOMME D APR AL: Kelly Reen ers, Keeutive Director Community Development Agency 11— ANTA AN D vi Cavazos, City M . ager SITBRECiPiENT ' lks ' CERTIFICATE 4F LIABILITY INSURANCE �' D /11/IDDA•4 6 /11 /zo14 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 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 Comprehensive Insurance BerVi Ces 22942 Avenida Empress Suite 250 Roho Sta Margarita CA. 92666 CONT T NAME: PHONE (g4g)7Qg_SBOQ FAX (949)909 -16E0 AIC. Nal: Dori• . in£ o@thecomprehensiveinsurance.com INSURERS AFFORDING COVERAGE NAIC4 INSURERA:State Compensation Ins. Fund 35076 INSURED Grandma's House of Hope 174 West Lincoln Avenue #541 Anaheim CA 92605 INSURER a : INSURER C: INSURER D: EACH OCCURRENCE INSURER E: liNSURERF, COMMERCIAL GENERAL LIABILITY CLAIMS- ADE ❑ OCCUR COVERAGES CERTIFICATE NUMBER:WC 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, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TYPE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PURCHASING DEPARTMENT POLICYNUMBER POLICY EFF MMADD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS- ADE ❑ OCCUR ENTEO PREMISES Ea ONTEDn $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG _ $ _ POLICY "'- D ECI LOG $ AUTOMOBILE LIABILITY COMBINED SING. Ea accident BODILY INJURY (Per person) $ ANY AUTO Ml OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accMenp $ HIRED AUTOS AUT05 (peeOePERTY AMAGE ent) $ UMDRELLA LIAR OCCUR oLA,,uR,.,E EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB DELI RETENTION $ $ A WORKERS COMPENSATION ANDEMPLOYERS'LIAMUTY YIN ANY PROPRIETORlPARTNERIEXEGUTIVE OFFICERIMEMBER EXCLUDER? L (Mandatory In NH) If yyes describe under DESLtRIPTIONOF OPERATIONS below NIA 9028555-14 6/1/2014 6/1/2015 WD$TATU- OTH- X 4i1Y..61MLT E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE �F,A EMPLOYE " - $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A¢ech ACORD 101, Addltlanel Aermule SShoduls, if mom specs is mqutmd) r� g® pL'p � }y �qry S= �yy91�V Sr1d �a �-^ S G� SIOn �n�( t tS tt UM Attorney psststa CERTIFICATE HOLDER CANCELLATION ACORD 28 (2010/08) INS025 polm5fo1 ©1888.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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. ATTN: PURCHASING DEPARTMENT AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER. PLAZA SANTA ANA, CA 92701 C =: Jeremy Eynon/JEREMY ACORD 28 (2010/08) INS025 polm5fo1 ©1888.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGREEMENT ADDITIONAL INSURED Insurance Company Nonprofits Insurance Alliance of California This endorsement modifies such insurance as is afforded by the provisions of Policy # 2014- 27514 -NPO _ relating to the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional insureds ( "additional insureds ") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3 'lease refer to CG0001 portion of th policy attached. With respect 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, *Except 10 days for non- payment of premium. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 3/24/2014 this endorsement form as part of Policy # 2014- 27514 -NPO Issued to Grandma's House of Hope Name Insured Countersigned by A T0 Y lSA t �itY H':c�rneY psslsta��