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HomeMy WebLinkAboutPUBLIC LAW CENTER (5) - 2015iNSURANC{l ON WILL A- 2014- 088 -OOI A WORK MAY PROCEED O, UNTIL INSURANCE EXPIRE P AMENDMENT TO AGREEMENT FOR USE CLERK 5F COUNCIL OF EMERGENCY SOLUTIONS GRANT FUNDS OATF `y3 -17 —C:5� THIS AMENDMENT, made and entered into this I" day of January 2015, by and between Public Law Center, a California nonprofit organization ( "Subrecipient ") and the City of Santa Ana, a charter city and municipal corporation of the State of Californ a( y )I Q RECITALS A. The City and Subrecipient entered into that certain Emergency Solutions Grant Subrecipient Agreement Between the City of Santa Ana and Public Law Center dated July 1, 2014 (Agreement #A- 2014 - 088 -001) hereinafter referred to as "said Agreement ", for Subrecipient to receive Emergency Solutions Grant Funds (ESG) in the amount of 534,720.00 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 ($3,576.00) for a total grant award of Thirty Eight Thousand Two Hundred Ninety Six Dollars ($38,296.00) in ESG funds. 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in frill force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ATTEST: Maria D. IIuizar, Clerk he Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney Lisa Storck Assistant City Attorney RECOMMEND APPROVAL: Kly xec D enector me ComDev t Agcy CIT F SANTA ANA Da avazos, City Maria er SUBRECIPIENT PUBLIC LAW CENTER I {ettneth abcock Executive Director /General Counsel. PUBLLAW01 VRXKUMAR2 J'9 /1lJ- CERTIFICATE OF �ArBf.�TY INSURANCE DATE ' 4r1$r2014 YY) ''.. 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(ias) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may roquire an endorsement, Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER License # 0725293 Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc. 505 dBrand A lvd, Suite 000 CONTACT NAME: PHONE $18 539 -2300 - PAX 81 LALg.t[,,_Ee Jn�) _......� AtC NOi: { $) 539 ^2301 E MA(L ADDRESSii INS URER(S)AFFORDINGCDVERAGE _ NAIGN wsURERA:Nonprofits' Insurance Alliance of CA_ INSURED T INBVRER B: �� INSURERS: Public Law Center 11,19URER D : 601 Civic Center Drive Santa Ana, CA 92701 _ INSURERE: ELL 0210112015 INSURER Fo COVERAGES CERTIFICATE NUMBER: 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 SHOW_ N MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT TYPE OF INSURANCE R POUCYNUMBER PA "CY ERF POLICY XP _ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 201422050NP0 02/01/2014 0210112015 PREMISET( a $ 500,000 MED ENE (Any ono as on) $ 20,000 PERSONAL &ADV INJURY $ 1,000,00 X ABUSE X $1ty1M1$1MM GENERAL AGGREGA_ E $ 2,000,00 CEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMIPOP AGG .- ...._....- $ 2,000,00 _. POLICY Pft0- LOC $ AUTOMOBILE LIABILITY W COMBINED SINGLE LIMIT ,fEe accident) 1,000r 00 $ ,,rv„ A ANV AUTO 201422050NP0 02/01/2014 02/01 /2015 BODILY INJURY (Per person) $ ALL OW NCO SCHEDULED X HIIRED AUTOS X NON -OWNED „„ AUTOS BGDILY INJURY tParsccidenti $ PROPERTY DAMAGE f''ER ACCIDENT _,� u $ UMBRELLALIAR OCCUR EXCESS LIAB CLAIMS -MADE ®y+G1'�W+^'�!~ o-E, TV ,,,,.+ ar""""` EACH OCCURRENCE $ AGGREGATE - rr DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOWPAKPIERIEXECUTNE OFFICERtMEMBER EXCLUDED? (Mandatory inNIB NIA ^ E +' („� {a{(i. '( FiCr4` OYOB tx iN WC STATU- OTH- U 91 EL- - S EACH ACCIDENT E.L. DISEASE - EA EMPLOYS $ — — $ I'yyS describe uder OfSDRIPTIDN OF n OPERATIONS below p,SSVS 1 E,L. DISEASE - POLICY LIMIT $ DESCRIPTION OFOPERATIONS I LOCATIONS IVERCLES (Attach ACORD 104, Addilonat Remarks Schadule, If meta space is Ymphrad) The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are named additional insured with respect to the operations of tho named Insured per the attached CG 2026 endorsement, Such Insurance is primary and noncontrlbutory.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Santa Ana Ci y of Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. 20 Santa Ana, CA 92701 --- AUTHORIZED REPRESENTATIVE r,I fl �I zb, nuiv O 19BO.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and loco are maistorod marks of ACORD OP ID: HL-LU /M.�V /\ "n t ._.�•- CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDONYYY) 07/09/2014 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 pollcy(les) 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 ISUfThe Olson Duncan Agency 25550 Hawthorne Blvd., Ste 203 Torrance, CA 905050) CONTACT Leon PHONE Tl 71 FAX AID a t 714.541.101 D tAlc Nog, % _ ADDRESS: Tleon@publiclawconter.org LIMITS CUSTOMER C PU13LI.1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC# INSURED Public Law Center (A Non- Profit Corp.) Tish Leon IN$URERA: INSURER B: $ COMMERCIAL GENERAL LIABILITY 601 Civic Center Drive West INSURERC: INSURER O: Santa Ana, CA 92701 INSURER E; Hartford Fire Insurance Co. 37478 $ INSURER Fi CLAIMS -MADE 11 OCCUR COVERAGES CERTIFICATE NUMBER: 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF ADDIL S R POLICY NUMBER POC DDNYYY POLICY EXP MM /OD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY KEN I SO PREMISES Ea occurrence S MBD E %P (Any one parson $ CLAIMS -MADE 11 OCCUR PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS• COMPIOP AGO $ POLICY PRI- JFQ LOC IS AUTOMOBILE LIABILITY ANYAUTO i� r COMBINED SINGLE LIMIT (Ear acciden) $ BODILY INJURY (Per person) �$W� ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS qy r',' .,¢}Y apyq ko .JbP BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ $ NON-OWNED AUTOS 415A r gTORGK . attar ey $ UMBRELLA LIAR OCCURg \51.2 ,r EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE 7 DEDUCTIBLE $ g RETENTION S E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICEWMEMBER EXCLUDED? NIA 72WECG0$935 04101 12014 0410112015 X WC STATU. OTT. TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,00D EL, DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) City of Santa Ana 20 Civic Cater Piz Santa Ana, CA 92701.4058 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, UTHORIZED REPRESENTATIVE I V19UU -2000 AGORU CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2014220SONPO COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 la' 0 9 to] 1:061 Uefil k 0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy, and for which a certificate of insurance naming such person or organization as additional insured has been issued, but only with respect to their liability arising out of their requirements for certain perform- ance placed upon you, as a nonprofit organization, in consideration for funding or financial contribu- tions you receive from them. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. The City of Santa Ana, its officers, employees, agents, volunteers and representatives Such insurance is primary and non - contributory. 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 organi- zations) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions 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. 1® ... B-tORGK Attnrn, Assistant G]>�� CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 CI