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Home My WebLink AboutILLUMINATION FOUNDATION (4) - 2015Iivui3ti;41VGi:. ;r .; WORK A -2014- 088 -002A GLG i< ':r f;�ll... _..P AMENDMENT TO AGREEMENT FOR USE LER t O � OF EMERGENCY SOLUTIONS GRANT FUNDS THIS AMENDMENT, made and entered into this I" day of January 2015, by and between Illumination Foundation, a California nonprofit organization ( "Subrecipient ") and 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 Emergency Solutions Grant Subrecipient Agreement Between the City of Santa Ana and Illumination Foundation dated July 1, 201.4 (Agreement #A -2014- 088 -002) 4r hereinafter referred to as "said Agreement ", for Subrecipient to receive Emergency Solutions Grant Funds iS (ESG) in the amount of $52,427.00 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 Five Thousand Dollars ($5,000.00) for this fiscal year ($2,500 for homelessness prevention and $2,500 for rapid n re- housing). This additional money is part of prior year funding that had been awarded to other subrecipiente 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 subrecipicnts. 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 Five Thousand Dollars ($5,000) for a total grant award of Fifty Seven Thousand Four hundred Twenty Seven Dollars ($57,427.00) 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 the Council APPROVED AS TO FORM: SO,NIIA R, CARVALHO, City Attorney Lisa Storck, Assistant City Attorney *ke1IRec RECOMMEND APPROVAL: ers, recut'}( e irector Comnunit evelopmerit geney FITS? -OF ANTA A David Cavazos, City eager SUBRECIPIENT ILLUMINATION FOL Pau Cho, Chief Financial Officer -� ^y ILLPOU -001 CHAN CERTIFICATE OF LIABILITY INSURANCE DATa1MMID`1014 ) 1z/29rzo1a 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(les) must be endorsed. If SUBROGATION I5 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cenlPoceto does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER (888) 825 -4322 Bowermaster &Associates P.O. Box 6026 10605 Holder Strout -Stilts 360 Cypress, CA 90630 Npp,7EACT N� Andrea Thurmond FIO o 1;714. 733.6208 Aic Ne: 714. 252.8253 E-MAIL ADDRESS: athurmond EAboWermaster,com, -,_ INSURERS AFFORDING COVE RAGE NAIC# INSURERA:Nonprofits' Insurance Alliance of California GENERAL LIABILITY INSURED Illumination Foundation 2691 Ritcher Avenue Su [to 107 Irvine, CA 92606- INSURERS:Wost American Insurance _ 44393 INSURERC:State Compensation Insurance Fund INSURERD: EACH OCCURRENCE INSURER E: A INSURERF: X COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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. _ _ 9R TYPE OF INSURANCE Santa Ana, CA 92701 - POLICYNUMBER MM /�OYEFF POD C LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ff] OCCUR X 201424712NPO 911512D14 9/512015 ppEMlses Eao 5 500,000 MED RAP (Any ono person) $ 20,000 PERSONAL A ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 3,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS •CCMP /OP AGG $ 3,000,000 X POLICY PR0. LOC _ $ AUTOMOBILE LIABILITY N CgMBIN ❑ EL T Ea ecddaent .g_ 'I,000,OD0 B X ANYAIITO BAWS6316571 911512014 9/1512015 BODILY INJURY (Par Parson) S ALLOWNED SCHEDULED AUTOS AUT'Oa aODILY INJURY Par acddgnl {' ) X AIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE Per eaddent $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAR CLAIMS -MADE DED RETENTION S $ C AND EMPLOYERV LIABILITY WORKERS COMPENSATION RT ANY PROPAIETORIPANEREXECUOVE YIN OFFICERIMEMIER EXCLUDED? (Mandatory In NHj OEeORIPTIION pf OPERATIONS bOUW NIA 90409502015 11112015 1/1/2016 WCSTATU OTR -�� T E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE• EA EMPLOYE 6 1,000,000 11, OISEASC, POLICY LIMIT S 1,000,000 • Professional Liability 201424712NPO 9/15/2014 9/1512015 Occurrence(Aggragatel,0o0,e00 /$3,000,000 • Improper Secual Conduct 201424712NPO 9115/2014 9/1512015 OccurrencelAggregato $250,0001$250,000 DESCRIP 'rIONOFOPERATIONSILOCATIONSJV HICLES (Aileen ACORD 101, Additional Remarks Schedule, If more space Is required) RE; HPRP Contract #A2009.137 Homeless Prevention and A2009- 137ARapid Re- Housing City of Santa Ana, their officers, officials, employees, agents and volunteers are Additional Insureds per attached #CG2026 endorsement with primary wording per polloy form CG0001 0798, 1 \V J CERTIFICATE HOLDER CANCELLATION �- 0 1988,2010 ACORO CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza, M -25 Santa Ana, CA 92701 - AUTHORIZED REPRESENTATIVE 0 1988,2010 ACORO CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD