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HomeMy WebLinkAboutDELHI CENTERCity of Santa k . Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. COTC Office Use OMy C''Y of "anta Ana A ©2 L��3 rk of the Cour.-.il The agreement with DPVVtI No. was completed on /SFc /6ulll and final payment has been made. �\E —; 4i� p (List all amendments. Use space below it needed.) Department: 2Rc�SA Phone/Ext.: `{^ M Signature: Date: Revised: 01-07-16 MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Senavides Vicente Berri Joseio Sal Tina(naJoro Juan ViBagas �LL5AE<) 5+1vw%, CAA4ld4L5 May 30, 2018 INSURANCE" NOT REQUIRED WORK MAY PROCEED CLERK OF COUNCIL t)ATr, JUN 14 2018 Jenny Rios, CEO Delhi Center 505 E. Central Ave. Santa Ana, CA 92707 CITY OF SANTA ANA PARKS, RECREATION AND COMMUNITY SERVICES AGENCY 20 Civic Center Plaza • P.O. Box 1986 Santa Ana, California 92702 Lr ww.santa•ana.oro A-2016-267-02 INTERIM CITY MANAGER Cynthia J, Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Holzer Re: Second Extension of Agreement No. A-2016-267 for a facilities use agreement — Delhi Center (Children's Library Literacy Pilot Program) Dear Ms. RJos: Pursuant to Section 3 ("Term") of Agreement No. A-2016-267 entered into between the Delhi Center and the City of Santa Ana, dated September 20, 2016, the term of said Agreement is hereby extended for an additional and final one (1) year period, from July 1, 2018 to June 30, 2019. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions regarding this matter, please contact Jeannie Jurado in the Parks, Recreation and Community Services Agency at 714-571-4251. Sincerely, Gerardo Monet Executive Director, ' Parks, Recreation and Community Services APPROVED AS TO FORM: Sonia R. Carvalho City Attorney Laura A. Rossini Senior Assistant City Attorney CITY OF NA--� Raul Godinez I1 City Manager ATTEST: Maria D. Huizar G% Clerk of the Council SANTA ANA CITY COUNCIL Miguel A. Nine Michele Martinez Vicente Sormlenlo Jose Soado R David Sanavldes Juan vlllegas Sal Tmojom Mayor Mayor Fro Tom, Ward 2 Ward i Ward a Ward 4 Ward S Ward 6 mnulldo®aanta-anaINa mlmerlMeY(fDean(g-ane Ore vsamnlantmAsonls-ana.ora Ietllorlo(dsania-ane PYa deeneridea(Asanta-ana.oru IvHletles�8 tsana era Bt{rwl�roasan �+-ene ora AC�ORH CERTIFICATE OF LIABILITY INSURANCE DA10/02/2017 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 canter rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NONE: Certificate Issuance Team Comprehensive Insurance Services ONE (949)709.8800 949 708- 660 NC No EM: I ! 1 26429 Rancho Parkway South ADDRESS: Info@Ihecompmhensiveinsurance.com Suite 120 INSURER(S) AFFORDING COVERAGE NAIC 0 Lake Forest CA 92630 INSURER A; Non profits Insurance Alliance ofCalifomia 11045 INSURED INSURER B: CompWest Insurance Company 12177 Delhi Center INSURERC. _..�... 505 E. Central Ave. INsuRERD . NSURER E' Santa Ana CA 92707 INSURER F: COVERAGES CERTIFICATE NUMBER: U1.111031U3057 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. LTR TYPE OF INSURANCE INSD 4VVO POLICY NUMBER IMMIODIYY MMIDDAYY LIMITS x COMMERCIALGENERALUABILITY aANISMACE OCCUR EACHOCCUPFENCE S 1,000,000 CIAAAQEa 06l1R0aC0 ' SF L 8 500,000 MOD DrE(Airy one nersoc) 8 20,000 �EREnNw.aADV IN,A;Rv a 1,000,000 A Y 2017-01379,N Pp 11/0112017 11N1/2018 GEN'L AGGREGATE LINIrr APPLI ES eSR. %t "Olcr jI�`C�p ❑ LOC ENERAL AGGREGATE ; 3.000,000 P OUCUCTS-CONIIPI0P AG6 13-000,000 OTHER $0 Deductible t AUTOMOBILE LIABILITY -- "QMEINEDS NGUEUMI r �Eo eoaden[ t 1,000,000 cODL( INJURY FC, rz 011) 1, ��— AMtAUTO A AUT DS SCHEGULEv Auras OMLI ALROS HIRED O NED AUTOS ONCAU-OSIOITTY 2017-01376-N PO 11101/2017 11/0112018 3aaLllwURv iRer zcdem) 4 RT; DAMAbE fPerecgdunr f $0 Deductible S UMBRELLA LIAR CCfA.'R UCH OCCURPEEN:E E E%CESSLIAS CLPIMSAdACE AGGREGATE g GED I I RETENTION 1 q B AND EMPLOYERS LIABILITY YIN AN, PROFP F"OPIFAR NF_R,EXFCUTbE OPFICERWEM EREXC _rim Mandator, In NF9 ESe.<ksrnba OFF CES'_RIPTIDN OF OPERA-1UNSbelcw NIA WCV590042002 11/01/2017 11/0112010 x 'TATUTE ER 6L EACH ACCIDENT p 1,000,000 _l IXSFA�E-EA EMROYEE S 1,000,000 ELG%A9EPOLICI'UMIT 11,000,OOD A Social Service Professional Liability Improper Sexual Conduct Liability 2017-01375-N PO 11/0112017 11/01/2018 $3,000,000/1,000.000 $1,000,000/1,000,000 Aggregate/Occun. Aggregate/Occur. $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana its offams, employees, agents and volunteers are included as Additional Insured automatically per written contract or agreement per attached endorsement CG2026. 30 day notice of cancellation vdth 10 day notice of cancellation for non-payment of premjgl� per policy provision. Thisinsuranceis Primary and Non-contributory per attached endorsement NIAC E61. �a ti 4 SHOULD ANY OF THE ABOVE DESCRIBED A( LYCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702i 0 1906.2015 ACORD CORPORATION. All rights reset ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2017-01376-NPO COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABIL17Y COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) 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. 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. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured additional insured the person(s) or organization(s) 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 omissions of those acting on your behalf, 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than thatwhich you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance. 1. Required by the contract or agreement: or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © 180 Properties, Inc., 2012 Page 1 of 1 NONPROFITS INSURANCE A ALLIANCE.. OF CALIFORNIA A Head for Insurance. A Heart for Nonprofits. POLICY NUMBER: 2017.01376-NPO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II — WHO IS AN INSURED is amended to include any public entity as an additional insured for whom you are performing operations when you and such person or organization have agreed in a written contract or written agreement that such public entity be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1, Your negligent acts or omissions; or 2. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity is an additional insured for liability arising out of the "products - Completed operations hazard" or for liability arising out of the sole negligence of that public entity. B. With respect to the insurance afforded to these additional insured(s), the Following additional exclusions apply. This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. The following is added to SECTION III — LIMITS OF INSURANCE: The limits of insurance applicable to the additional insured(s) are those specified in the written contract between you and the additional insured(s), or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy D. With respect to the insurance provided to the additional insured(s), Condition 4.Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written ccoI or written agreement: NIAC E61 12 15 ,e. i� - �c' Page 1 of 2 (1) That this insurance be primary. If other insurance is also primary, we will share with ail that other insurance as described in c, below; or (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (a) That is any other insurance available to an additional insured(s) under this Endorsement covering liability for damages arising out of the premises or operations, or productscompleted operations, for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 0 NIAC E31 12 15 C���CC�t�'a'ge-2 of 2