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HomeMy WebLinkAboutORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (17) - 2016uv5tis kVGf 0' F LE iNr)�K MAY PROCEED Uf fll t4SURANCE EXPIRES �'?�� GfE�iltt�P �aUNCIL�016 DALE p,UU 2 9 FIRST AMENDMENT TO AGREEMENT UNDER THE WORI£PORCE INNOVATION AND OPPORTUNITY ACT A-2016-206 THIS FIRST AMENDMENT TO AGREEMENT is hereby made and entered into this 1st day of July, 2016, by and between the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California ("CITY") and Orange County Children's Therapeutic Arts Center, a non-profit corporation ("SUBRECIPIENT"). RECITALS: A. The parties entered into a two year Agreement Under the Workforce Innovation and Opportunity Act (WIOA) dated July 1, 2015 (hereinafter "Agreement") by which CITY agreed to expend federal funds for workforce development programs for at -risk youth that provide preparation for secondary and post -secondary education, occupational training and employment skills for entry into the labor market, as defined in the scope of work attached to said Agreement. B, The Agreement included funding from the Department. of Labor, Employment and Training Administration for fiscal year 2015-2016. For fiscal year 2016-2017, CITY was again designated, a Local Workforce Investment Area (LWIOA) raider the Workforce Innovation and Opportunity Act of 2014, Public Law 1-113-128, Catalog of Federal Domestic Assistance (CFDA) Number 17.259 and Federal Award Identification Number (FAIN) AA -28305-16-55- A-6, and the CITY was awarded an additional $1,034,615 for youth workforce development programs. C. The parties desire to amend the Agreement to provide a second subaward for fiscal year 2016- 2017 to SUBRECIPIENT for the WIOA Youth Workforce Development Program based on the fiscal year 2016-2017 allocation to the CITY. Grantee understands the prohibition against corningling grant funds and agrees to account for said funds as a separate and unique grant. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those arncnded in this First Amendment to Agreement, the parties agree as follows: Section II, entitled City's Obligations, Subsection A, on page 5 of the Agreement, shall be amended to increase the amount of youth funds CITY agrees to pay to SUBRECIPIENT by a sum not to exceed $164,000 with a term of July 1, 2016 through Jame 30, 2017, for a total amount during the term of the Agreement not to exceed $328,000 with a tern of July 1, 2015 through June 30, 2017 for youth workforce development programs, 2. Except as hereinabove amended, all terjus and conditions of said Agreement shall remain in full force and effect.. Exhibit I IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above, AT'T'EST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM; SONIA R. CARVALHO City Attomey By: YAN . HODGE Assi tai t Cit Attorney RECOMMENDED FOR APPROVAL; 10 ROBERT C. COR YffZ Special Assistant to the City Manager City Manager's Office CITY OF SANTA ANA DAVIffCIA V City Manager S1UBRECIPIENT; Dr. Ana Jimenez -Rami Executive Director OC Children's Therapeutic Arts Center Exhibit 1 YSPN MEMBER PERFORMANCE PLAN 2016-2017 WIOAYOUTH POPULATION Youth Population Ages # of Youth to be Served In -School 14-21 5 Out -of -School (75% minimum) 16-24 15 -:TOTAL NUMBER OF.YOUTH TO BE SERVED 20 PROJECTED ENROLLMENTS & EXPENDITURES (NOTE: 100% OF YOUTH MUST BE ENROLLED BY 2ND QUARTER -DECEMBER 31, 2016) 15 5 20 14 WIOA ELEMENTS mark a "x" next to the elements provided in your x 1 1. Tutoring, study skills training, dropout prevention x 2. Alternative secondary school services or dropout recovery x 3. Paid & unpaid work experience that have academic and occupational components, which may include: summer employment, pre -apprenticeship, internships & job -shadowing, or On -the -Job training (20% of funds must be used for this element) x 4. Occupational skills training—priority for recognized credentials aligned with sectors in - demand x S. Education offered concurrently with workforce preparation activities x 6. Leadership development -community service & peer centered activities x 7. Supportive Services x 8. Adult mentoring x 1 9. Follow-up services for not less than 12 months x 10. Comprehensive guidance & counseling drug & alcohol, etc. x 11. Financial literacy x 12. Entrepreneurial skills training x 13. Labor marker information -career awareness and exploration x 14. Activities to help youth prepare for and transition to postsecondary education EXHIBIT B PERFORMANCE MEASURES July 1, 2016 -June 30, 2017 (Projected Benchmarks subjectto change ) 1. %of Participants who are in education/training, or in unsubsidized employment during the 2"d quarter after exit Benchmark: 70% 2. %of Participants who are in education/training, or in unsubsidized employment during the 4" quarter after exit Benchmark: 70% 3. The median earnings of Participants in unsubsidized employment during the 2nd quarter after exit Benchmark: $10 4. % of participants who, during the program, are in education or training that leads to a recognized postsecondary credential or employment AND who are achieving measurable skill gains Benchmark: 64% 6. % of Participants who obtain a recognized postsecondary credential or secondary diploma during participation OR within 1 year after exit Benchmark: 64% 7. Effectiveness in serving employers Benchmark: Evaluation BUDGETFORM TAEdministrative Organization Name: Orange County Children'sNot Therapeutic ARTS Center to xceed 10%) Total Program Cost Total WIOA Cost Match/In Kind Personnel Salarle'p. ;a'LJ 1. Program Coordinator .50 FTE 50 weeks $18/hr 20 hrs. per wk. $18,000.00 $18,000.00 Ext. Director $35,000 2. Job Developer & Case Manager .88 FTE 47 weeks $16/hr 35 Hrs. per wk. $26,320.00 $26,320.00 Acct, Clerk $11,000 3. Career Counselor .63 FTE 47 weeks $16/hr 25 hrs, per wl<. $18,800.00 $18,800.00 Office Mgr. $20,000 4. Technology Instructor .13 FTE 39 weeks $17/hr 5 hrs. per wk, $3,315.00 $3,315.00 5. Arts instructor . 13 FTE 39 weeks $17/hr 5 hrs. per wk. $3,315.00 $3,315.00 Program Staff $80,000 6. Literacy Coach .18 FTE 39 weeks $15/hr 7 hrs, per wk. $4,095.00 $4,095.00 Exec. Admin/ Computer $60,000 7. Numeracy Coach .18 FTE 39 weeks $15/hr 7 hrs. per wk. $4,095.00 $4,095.00 Child Dev. Certificate $54,000 8. Program Administrator .08 FTE 48 weeks $20/hr 3 hrs, per wk. $2,880.00 Personnel Benefits'"rit _'" f;• '"t - mr$ 1. Program Coordinator $2,250.00 $2,250.00 4,375 2. Job Developer & Case Manager $3,290.00 $3,290.00 3. Career Counselor $2,350.00 $2,350.00 2,500 4. Technology Instructor $414.38 $414.38 5. Arts Instructor $414.38 $414.38 10,000 6. Literacy Coach $511.87 $511.87 7,500 7. Numeracy Coach $511.87 $511.87 6,750 S. Program Administrator $360.00 Total Personnel Salaries & Benefits $3,240.00 $87,682.50 $87,682.50 291,125.00 Operating Expenses Rent $92,000 Utilities $11,200 Phones $14,000 Internet Fees See phone Parking Fees $150.00 $150.00 N/A Security N/A Maintenance $4,000.00 Insurance $6,800 Equipment rental fees N/A Accounting Services $33,570 Vehicle lease $1,400.00 $1,400.00 N/A Office expenses (consumables) $2,300 $2,300 $15,000 Legal Services N/A Auditing Services N/A Indirect Cost N/A Staff Training $100.00 $100 N/A Staff Conferences $900.00 $900 N/A Staff Travel/Mileage $450.00 $450 N/A Participant Wages $44,815.75 $44,815.75 N/A Supportive Services $10,400.00 $10,400 N/A Participant Incentives $1,450 $1,450 N/A Youth Conferences $800.00 $800 N/A Indirect Cost $10,311.75 N/A Follow Up N/A Total Operating Expenses $13,551.75 $62,765.75 $76,317.50 $176,570.00 GRAND TOTAL (Personnel + Operating) $13,551.75 $150,448.25 164,000.00 $467,695.00 Personnel $ 90,922.50 Coordinator—.50 FTE for 52 weeks: (Benefits Included) 20 hours a week for 50 weeks @ $18.00 per hour The Coordinator will work 20 hours a week for 50 weeks providing: recruitment & eligibility intake, assessment, documentation & case notes; identify barriers and goals; monitor progress & goals; meet regularly with individual WIA participants to train on employment and job skills; represent OCCTAC in provider network and youth council meetings; organize and attend OCCTAC— WIA Staff Meetings and document input; organize relative activities. Distribute WEX hours to youth and keep track of all paid hours and supportive service activities. Also, the coordinator will provide assistance to youth during follow-ups, and complete any related documentation. Job Developer/Case Manager—.88 FTEfor 47 weeks (Benefits Included) 35 hours a week for 47 weeks @ $16.00 per hour The Job developer is responsible for creating job opportunities for clients by researching, identifying and soliciting commitments from possible sources of employment; and provide clients with soft skills and job search training. Job developer will also locate employment opportunities that fit each individual youth depending on barrier such as Disability, probation, or parenting youth. The Case manager portion of this position includes providing documentation & case notes; identify barriers and goals; monitor progress & goals; meeting regularly with individual WIA participants to train on employment and Job skills; represent OCCTAC in provider network ad youth council meetings; organize and attend OCCTAC- WIA Staff meetings and document input; organize related activities, such as: workshops, mock interviews etc, Career Counselor—.63 FTE for 47 weeks: (Benefits Included) 25 hours a week for 47 weeks @ $16.00 per hour: The respective position will be responsible for providing educational and career training to all WIA participants; mentoring and assisting with related work experience placement; observing and monitoring participants with technical/artistic skills; documenting progress throughout the program; meeting regularly & Individually with WIA participants to train on related curriculum; and attending regular team meetings. Technology Instructor—.13 FTE for 39 weeks: (Benefits Included) 5 Hours a week for 39 weeks @17.00 per hour: The respective position will be responsible for providing educational and career training to all WIA participants as it relates to the technology field; mentoring and assisting participants with related work experience placements; observing and monitoring participants with technical skills; documenting progress throughout the program; meeting regularly & individually with WIA participants to train on related curriculum; and attending regular tem meetings. Arts Instructor—.13 FTEfor39 weeks: (Benefits Included) 5 Hours a week for 39 weeks @17.00 per hour: The respective position will be responsible for providing educational and career training in the Arts to all WIA participants; mentoring and assisting participants with related work experience placements; observing and monitoring participants with artistic skills; documentation progress throughout the program; meeting regularly & individually with WIA participants to train on related curriculum; and attending regular team meetings. Literacy/Instructor—.18 FTE for 39 weeks: (Benefits Included) 7 hours a week for 39 weeks @$15.00 The respective position is responsible for assessing the literacy and basic skills of all WIA participants; teaching WIA participants learning and literacy strategies; monitoring & documenting literacy progress throughout the program; meeting regularly with WIA participants and attending regular team meeting. Numeracy Coach/Instructor—.18 FTE for 39 weeks: (Benefits Included) 7 hours a week for 39 weeks @$15.00 The respective position will be responsible for assessing the numeric and basic skills of all participants; teaching WIA participant's learning and mathematical problem solving strategies; monitor & documenting progress throughout the program; meeting regularly & individually with WIA participants to train on related curriculum; and attending regular team meetings. Program Administrator—.O8 FTE for 48 weeks: (Benefits Included) 3 hours a week for 48 weeks @$20.00 The respective position will be responsible for administering and reviewing all budget, expenditures, compliance, WIA personnel and participant timesheets and payroll, all correspondence and inquiries to and from the City of Santa Ana Work Center program and financial staff, invoicing, budget modifications, and any other documentation relating to contract compliance. Rent S0.00 Utilities $0.00 Phones $0.00 Internet 0.00 Parking Fees 150.00 Funds allocated for parking fees at CWA Conference, Trainings, and Campus visits, Security SO 00 Maintenance SO 00 Insurance SO 00 Equipment rental Fees $0.00 Accounting Services SO 00 Vehicle Lease S 1,400.00 Funds Allocated for the rental of 4 buses for Field trips Bus Rental $350 each Office Expenses 52,300.00 Office Supplies: as needed for 1 year $660 Office supplies (copy paper, files, folders, pens, highlighters, paper clips etc.) will be purchased as need by WIOA staff members though out the year In order to assist in administration work and resource information or youth. Office Supplies as needed for workshops and meetings and classes for 1 year $700 Food: as needed for Field Trip and Conference: $640 4 field trips: 4 X $60 = $340 2 conference trainings $300 TABE Test Material $300 Purchase necessary TABE Test score sheets to asses' students before and after program session Legal Assistance S0.00 Auditing Services $0,00 Staff Training 5100.00 Staff Conferences $900.00 CWA conference registration fee for 1 or 2 case managers University of California Counselors Conference: $150 (3) Registrations 3 X $50 = $150 (1 case Manager and 1 Educational Counselor) Staff Travel/Mileage $450.00 Mileage for WIA Staff as needed for 1 year $450 Mileage reimbursement will be made for WIA Staff for driving to WIA required events. Such as YSPN meetings, Staff trainings, driving youth to necessary events (fields trips, Youth council meetings, City Council Meetings, WEX placements, resource or referral appointments) Stipends and Wages for 20 Participants S 44,815,75 Training Stipends (in school — out of school youth) — 34participants First 20 hours: participants given $150 stipend to participate in program Second 20 hours: participants given $150 stipend to participate in program Third 20 hours: participants given $150 stipend to participate in program Fourth 20 hours: participants given $150 stipend to participate in program After stipends completion Months 3 —11: participants paid $10.00 per hour for Work based learning (5 - 10 hours per week or as funds become available) Supportive Service S10,400.00 Buss Pas/Gas Voucher: As needed for 20 participants $5,733.00 12 bus passes @65.55each for 5 months $3,933.00 4 gas cards @$50. Each month for 9 months $1,800.00 Funds are allocated for youth who are in need of transportation related support Need Based Services: As needed for 20— participants $1,000.00 $111 per month will be spent to distribute services for to 20 participants. Work Related supplies: As needed for 20 participants $1633.50 Work related and Skills building tools, book, portfolios. Items needed forjob interviews, Employment opportunity, employment enhancement trainings and clothing, supplies. Academic Support: As needed for 20 — participants $1633.50 Tuition Support for certificates or other related academic programs for 20 participants; books for related course work, tutoring supplies, and college field trips and other academic supplies. Fingerprinting/TB Test; as needed for 20 participants $400.00 20 fingerprinting @$10 each $320.00 and 20 TB test @$10 each $320.00 Funds allocated for Dept. of Justice Clearance & TB test for employment. Program Incentives $1.450.00 High School Drop Outs $50 incentive for every two modules or classes completed leading to a High School Diploma 3 Youth x 7 (14 modules) = 21 x $50 = $ 1,050.00 CAHSEE $50 incentive for every portion of the CAHSEE exam that is passed 4 youth X 2 (English and math) — 8 = $400 Youth Conferences $800 CWA conference registration fee for 2 currently enrolled youth Follow Up $0.00 Indirect Cost $10.311.75 10% de Minimis Program Documents: a. WIA Youth Sign in Sheet: Participants will log and track all activities and hours accumulated on a day by day basis and have supervisor sign to confirm time of arrival and departure to their activities. Activities can include Work Base Learning Hours, Class training, case management and education counseling meetings, Math/English tutoring session etc. b. WIA Youth Time Sheet: Participant will turn in a weekly time sheet with all hours accumulated throughout the weeks in activities attended, Youth will be asked to log there task in detail in order to provide proof of activities attended. Activities can Include Work Base Learning Hours, Class training, case management and education counseling meetings, Math/English tutoring session and any other supplemental hours approved by supervisor. c. WIA Staff Time sheet: Staff will turn in a weekly time sheet with hours worked for meetings with WIA youth, WIA administration, teaching a WIA class or Workshop, or Tutoring and preparing for youth appointments, as well as any additional supplemental hours approved by WIA staff supervisor and administrator intended for WIA program purposes only. 45% of budget will be directly spent on youth in the form of paid work experience, stipends, certificates training, college tuition support and other support services. j)_ dots CgtB /'A CC)IR& CERTIFICATE OF LIABILITY INSURANCE V DATE(MMIDDIYYYY) 4/8/2016 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 Services p CONTACT Certificate Issuance Team NAME: PHONE (949)709-8800 FAX (949)709-1668 AIC N E I' (AIC Na)u _ thecomprehsnsiveinsurance.com 26429 Rancho Parkway South _n_o_oa1Ess:info@ INSURER(SI AFFORDING COVERAGE NAIC# Suite 12D INSURERA:W0SCO Insurance Company_ 25011 Lake Forest CA 92630 _ INSURED 8: _INSURER INSURER C: DE OCCt1R Orange County Children's Therapeutic Arts Center INSURER D: 2215 N. Broadway INSURER E TO RENTED PREMISES Ea occurrence $MED 1 INSURER F: Santa Ana CA 92706 r.OVFRAr r.R 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, 1000 E. Santa Ana Blvd. INSURANCE FADDL SUER POLICY NUMBER POLICY EFF M DDIYY V POLICY EXP MM DD YW LIMITS ENERAL LIABILITY EACH OCCURRENCEDAMAGE DE OCCt1R TO RENTED PREMISES Ea occurrence $MED EXP (Any ane person)PERSONAL& MENERAL ADV INJURYIMIT APPLIES PER: GENERAL AGGREGATERO- LOC PRODUCTS-COMP/OP AGG $ECT $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea aEcMentl _ $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY(Peraccident) $ ALL OWNED SCHEDULED AUTOS AUTOS NObFOWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accidentl — $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE _ $ EXCESS ILIAD CLAIMS -MADE DED F RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE VIN OFFICER/MEMBER EXCry LUDE09 (MandatoIn NH) NIA WWC3196477 4/14/2016 4/14/2017 R PER OTH- STATUTE ER -„_ „- E.L. EACH ACCIDENT _ 000 $ 1,0 L0 -- E.L. DISEASE EA EMPLOYEE $ 1,000,000 E . DISEASE -POLICY LIMIT $ 1,000,000 "'w”descrlba under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) INS025 (201401) © 1988-2014 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 City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1000 E. Santa Ana Blvd. ACCORDANCE WITH THE POLICY PROVISIONS. Ste. 200 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92706-3398 Richard Eynon/JEREMY��..�-�- ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A- ac>IS- M8 A� DF CERTIFICATE OF LIABILITY INSURANCE BATE 1 11/30/20152015 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 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 CON NAM EA t Certificate Issuance Team NAME: ON0-8800 -168ANExf: _AICNJ_ Comprehensive Insurance Services 26429 Rancho Parkway South gooalESS:info@thecomprehensiveinsurance. com Suite 120 INSUR_UFFORDING COVERAGE _ _ j NAICk _ _ Lake Forest CA 92630 INSURER A:Nonprofits Ins Alliance of CA i___ _ INSURED INSURER B X Orange County Children's Therapeutic Arts Center INSURER C: 112/21/2015 INSURER D; MEO EXP (Any ane person) PERSONAL B ADV INJURY 2215 N. Broadway _ INSURER E: GENERAL AGGREGATE $ 2,000,000 INSURERF: Santa Ana CA 92706 COVERAGES CERTIFICATE NUMBER'GL/Auto/Prof /ISC 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. NOTWTHSTANDING 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, LT�IN5ft TYPE OF INSURANCE A US➢9R - POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMSLXOCCUR EAGHOCCU' ENCS �$ DA A E RTt✓ ED PREMISES Ea occuUenc'$_ 1,000,000 "_- 500,000 _ X 12015 -09201 -NPO 112/21/2015 12/21/2016 MEO EXP (Any ane person) PERSONAL B ADV INJURY $ 20,000 $ 1,000,000 GEN'LAGGREGATE LATTAPPLIES PER POLICY PRO-�JECTX LOC OTHER: GENERAL AGGREGATE $ 2,000,000 $ 2,000,000 _PRODUCTS-COMP(OPAGG $0 Deductible _ $ A AUTOMOBILE LIABILITYCOMSINEp �___ ANY AUTO XALL OWNED SCHEDULED AUTOS XIIAUTOS NEDAGE AUTOS AUTOS 2015 -09201 -NPO 12/21/2015 12/21/2016JURY SING LE LIMIT -(Ea accident) _ _ BODILY INJURY (Perperson) (P raccidenQ FIROPEI' ent) lma $ 1,000,000 $ $ $HIRED $ UMBRELLALIAB EXCESS LIAR L OCCUR CLAIMS-MADEAGGREGATE i EACH OCCURRENCE $ $ DED I RETENTION $ I $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE r' -'",i OFFICERIMEMBER EXCLUDED? LJ (Mandatary M NH) NIA STATUTE OTT - ER El. EACH ACCIDENT $ E L DISEASE - EA EMPLOYE $ FL DISEASE-POLICYI IMIT $ es, describe. under DIf ESCRIPTIONDFOPERATIONSbelow A Social Sery Professional 2015 -09201 -NPO 12/21/2015 12/21/2016 $1,000,000A,11,000,0000CC $0 Deductible A I Improper Sexual Conduct 2015 -09201 -NPO 12/21/2015 12/21/20161 $1,000,000AZ;11,000,000 Ed Cl $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of Santa Ana, its officers, employees, agents, and representatives are included as Additional Insured per attached endorsement special city agreement. This insurance is primary and non-contributory. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premiumper policy 'NAL\ provision. - d.J,9..\-L/ R� �� iJt J l I CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) INS025 (2014011 ©19882014 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 City of Santa Ana (The) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Finance & Management Services Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE PO SOX 1968 M-16 Santa Ana, CA 92702 Richard Eynon/JEREMY ACORD 25 (2014/01) INS025 (2014011 ©19882014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED +3ND-efk-S£tMENT- Agreement Insurance Company Nonprofits Insurance Alliance of California This endorsement modifies such insurance as is afforded by the provisions of Policy 42015 -09201 -NPO relating to the following: 1. 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. 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 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 day for cancellation due to non-payment of premium (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 12/21/2015 this endorsement form as part of Policy# 2015 -09201 -NPO Issued to Orange County Children's Therapeutic Arts Center Name Insured 1 Countersigned by lima ranee Agent. t,Wre