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Home My WebLink AboutWEST HARTFORD PUBLIC LIBRARY 1A(9) City of Santa i a Clerk of the Council AGREEMENT TERMINATION FORM COTC Office Use Only 207-0 FEB -6 Mf 4: 24 Please complete this form when the attached agreement andC1ITy OF SANTIA ANA amendments (if any) are no longer in effect. CLERK OF COUNCIL Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with No. N-2019-092 was completed on and final payment has been made. (List all amendments. Use� space below if needed.) Department: �' \�YGlrYlry Phone/Ext.:� Signature: g�5Y Date: n g L�Z Revised 10-31-12 CU x{12 EN T N-2016-092-01 INSURANCE MON EPEE WORK MAY NOT PROCEED 69) CLERK Of COUNCIL DATA:� 1 25A, 0' PRCS { J) AI&T AMENDMENT TO CONSULTANT AGREEMENT WITH WEST HARTFORD PUBLIC LIBRARY Silvia Cuevas INCORPORA'T'ING INSTITUTE OF MUSEUM AND LIBRARY SERVICES (IMLS) LEADERSHIP GRANT REQUIREMENTS THIS 'FIRST AMENDMENT to the above -referenced agreement is entered into this F Vii=' flay of August 2017, by and between West Hartford Public Library, a public entity ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Agreement #N-2015-092, dated December 1, 2014 ("Agreement"), by which Consultant agreed to collect and archive community memories from new immigrants to the community for the Memories of Migration project to which the City had received grant funds from the 2014 Federal Institute of Museum and Library Services (IMLS) National Leadership Grant Program, B, The original compensation of the Agreement for services provided by the Consultant was listed at $21,870. The Consultant is listed as providing cost sharing funds in the amount of $21,860. C. In addition, per diem funds at the amount of $71.00 per day for up to seven (7) days were subject to reimbursement upon submittal of receipts to the City. D. In accordance with the terms and conditions of the Agreement, the parties desire to amend and replace Sections 2a and 21) regarding the compensation axrounts of the Agreement to clarify the amount of the grant funds received and include additional funding in the amount of $497 for services rolated_to material and travel to cover grant related,purposes including any per diem costs, The total amount of compensation shall now be $22,357, E. Grant recipients have the ability to adjust line item amounts in the budget for services under Section 2b with the written approval of the City's Executive Director of the Parks, Recreation and Community Services Agency, so long as the total combined amount of the line items for these services does not exceed more than 10% of the Grant's budget, The additional amount required for this Amendment will not exceed this cap. The Parties therefore agree, Section 2a, Compensation, is amended to read as follows: For the services provided, West Hartford. Public Library will receive a total of Twenty-two Thousand Three Hundred and Fifty - Seven Dollars ($22,357.00). West Hartford Public Library will receive $21,860 for which the largest portion of the grant funds will provide salaries for the Interns and Teen Historians. West Hartford Public Library will provide $21,870.00 in cost sharing as required by the budget approved by IMLS. The City shall also pay reasonable travel costs (limited to transportation, airfare and lodging, if any) for Consultant to perform its services pursuant to this Agreement; no travel costs will be reimbursed to the Consultant as the City will be paying such listed costs directly. Signature Page - First Amendment to Agreement with West Hartford Public Library 2. Section 2b, Compensation, is amended to read as follows: The above stated compensation to Consultant shall include an additional $497 to provide reimbursement for per diem meals and beverages (no alcohol) and other related materials and services, as allowed by the Grant. Consultant shall submit a reimbursement request form with receipts to City staff in order to be reimbursed, subject to City accounting procedures. 3. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST -�� ` f� MARIA D. HUIZAR I Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: t-, LISA STORC C Assistant City Attorney RECOMMENDED FOR APPROVAL CITY OF SANTA ANA ^ IIA J. I'RTZ City kanager WEST HARTFORD PUBLIC LIBRARY Name: ��2irhFl tea. C HUr?LC� Title: I-18 " 1? R -CL jOY vJE;T 4AarrO(Z5 ?V61,11- Wi5eA2y GERARDO MOUET Executive Director, Parks, Recreation and Community Services Agency Page 2 of 2 Client#: 160973 WESTHART DiYYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE =17 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. ....... . .. . ....... . . . . . ......... I dkfARt: If the hOide'r 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 CON A T _NAME: USI Southwest PHONE _(AYCNo Ext): 713.4907 -4600 713-490�-4700 9811 Katy Freeway, Suite 500. . ...... .. .... Houston, TX 77024 APPR) S.;__ . .... .. ................... .... .. . . . ..... ........ 713 490-4600 INSURERS)AFFORDING COVERAGE NAIC # _.....- . . ....... INSURER A : Geruinf Insurance Company 10833 INSURED . .... . , �' C' Town of West Hartford � D, 50 South Main Street West Hartford, CT 06107 > COVERAGES CERTIFICATE NUMBER: INSURER 8 :Safety National Casualty Corp 15105 INSURER.. C INSURER D 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 CONDITIONI OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -,- ___ — — --__ — - - -_ - _-- -- IINSR ADDL SUB LTR TYPE OF INSURANCE WVD POLICY NUMBER . . . . . .. . ......... . . ............. . .................................... . .. POLICY EFF POLICY EXP (MMfDDfYYYYJ (MMiDMYYYY) LIMITS A _.—INSR X COMMERCIAL GENERAL LIABILITY PEMOO4'000'605 07/011/2017 07/0112018 EACHOCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE R ENTED PREMISES E S . X $250,000 ... ..... . ........... . . . .. .................. MED EXP (Any one person) $ PERSONAL & ADV INJURY ...... ._._.m ....... ....... . .... ......... $ - .... . .... . . .................. Retained Limit . .... ... .. . ...................... ... GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $11,000,000 PRO - 17 F7 POLICY JECT LOG PRODUCTS - COMP/OP AGG $ $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident ) $ BODILY INJURY (Per person) $ ANY AUTO I ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acadent) S NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ 7 UMBRELLA LIAR OCCUR E�9OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE .. . ........ .... . . . .... .. .... .. . AGGREGATE ................. $ $ DED� RETENTION S WORKERS COMPENSATION SP4057079 O7/0112017 07101/201 x PER �ORTH- AND EMPLOYERS'LIABILITY . ANYPROPRIETORiPARTNERIEXECLTIVEY"I-N F L EACH ACCIDENT $1,000,000 OFFICEMMEMSFREXCLUDED? N E.L DISEASE - EA EMPLOYEE (Mandatory in NHJ !NIA $500,000 SIR If yes, describe under DESCRIPTION OP OPERATIONS below E.L.DISEASE - POLICY LIMIT' 51,000,000 �16A,, Z AOF DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Effective Date: March 19, 2015 -0� e) Description: Consultant Agreement- Institute of Museum and Library Services (IMLS) Leadershipl�8rant City of Santa Ana, its officers, employees, agents and representatives are named as additional insured wit 0 respects to the Generali Liability, when required by written contract. " City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 2'5 (2014/01) 1 of 1 #S21509898,/M21258453 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BZLHA 4 ki 111110] 1"Im 461 `0k This endorsement forms a part of the policy to wh¢clh it is attached. Please read it carefUlly. ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION Policy Number Endorsement Effective Date Endorsement Number PEM 0000006-05 July 1, 2017 14 This endorsement modifies insurance provided under the following: GENERAL LIABILITY COVERAGE PART PUBLIC ENTITY RETAINED LIMITS POLICY SCHEDULE Name of additional insured person(s) or organization(s): The City of Santa Ana, its officers, employees, agents, and representative are named with respect to services provided as Consultant for the institutes of Museum and Library Services Leadership Grant. $1�,000,000 Occurrence Limit $1,000,000 Aggregate With respect to the General Liability Coverage Part only, it is agreed that Definition 20. Insured, contained in the Common Conditions, Definitions and Exclusions is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule but only with respect to liability for bodily injury, property damage, personal injury, or advertising injury caused in whole or in part, by acts or omissions of the named insured or the acts or omissions of those acting on behalf of the named insured: A. In the performance of the ongoing operations of the named insured; or B. In connection with the named insured's premises owned by or rented to the named insured. If, prior to an occurrence, you have specifically agreed in a written contract to provide primary insurance for any person(s) or organizations (s) shown in the Schedule, this insurance will apply on a primary basis with respect to such occurrence and will not contribute with any other valid and collectible insurance in force for such additional insured. All other terms and conditions of this policy remain uncha PL60Yized Representative I of I ------ . ..... a Berkley Company Includes copyrighted material of Insurance Services Office Inc. with its permission. PEN 1008 01/15