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THIS FIRST AMENDMENT to the above -referenced agreement is entered into on October 16,
2018, by and between Mercy House Living Centers, Inc, ("Contractor"), 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
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A, The parties entered into Agreement No, A-2018-221, dated September 18, 2018, by which
Contractor agreed to administer and operate an interim, low barrier emergency homeless
shelter in the City of Santa Ana ('Agreement").
B. The City wishes to provide additional indemnification in favor of Contractor relating to certain
of Contractor's obligations under the separate, written lease entered into by Contractor to
secure the premises for Contractor's obligations under the Agreement,
C. The parties now wish to amend the Agreement accordingly,
The Parties therefore agree:
1. Section 8, Indemnification, is deleted In its entirety and replaced in its entirety with the
following;
City and Contractor agree to Indemnify, defend, and bold harmless each other,
including their respective officers, directors, employees, representatives, agents,
successors, and assigns, from and against all claims, demands, obligations,
damages, actions, causes of action, suits, losses, judgments, fines, penalties,
liabilities, costs, and expenses (including; without limitation, reasonable attorney's
fees) (Collectively, "Claims and Damages') to the extent arising out of their
respective broach of this Agreement and/or negligence or willful misconduct in the
performance of their respective obligations under this Agreement, Additionally,
and notwithstanding the foregoing mutual indoranffication, City shall also
independently indemnify, defend, and hold Contractor (and its officers, directors,
employees, representatives, agents, successors, and assigns) harmless from any and
all Claims and Damages to which Contractor may become subject under the written
lease entered into by Contractor to secure the premises for its obligations under this
Agreement, which such Claims and Damages for the purposes hereof shall include,
without limitation, any payments of rent, monies, lost profits, or other
consequential damages arising from any holdover and failure to timely surrender
and vacate the premises and deliver possession of the premises to the Lessor thereof
at the time and in the manner Cad condition required by such lease, The property
owner (Lessor) from which Contractor losses the premises for Contractor's
obligations under this Agreement shall be considered a third party beneficiary of
this indemnification by City with respect to such payments of rent, monies, lost
profits, or other consequential damages arlsing from holdover and failure to timely
paga 1 of 2
EXHIBIT 1
amender and vacate the promises and deliver possession of the promises to the
Lessor thereof at the time and 1A the manner and condition required by the
Lease. All indemnification obligations in this section 8 shall survive expiration of
this Agreement,
2, Except as modified by this First Amendment, all terns 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 cm the data arrdyewfi-rst written above -------- ---- ---- — — ----
:YNR'•- '
ATTEST.
Norma Mitre
Actina Clerk of the Council
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By: N. r
JQAN M. FUNIC
Assistant City Attorney
RECOMMENDED FOR APPROVAL
Robert Cortez
Deputy City Manager
CITY OF SANTA ANA
STEVEN A. MENDOZA
Acting City Manager
MERCY HOUSE LIVING CENTERS,
INC.
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Page 2 of 2
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CERTIFICATE OF LIABILITY INSURANCE
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DA02/21/2019
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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 endorsemen# s .
PRODUCER
Dufour Insurance Services, LLC
5611 Littler Drive
Huntington Beach, CA 92649
Stephanie Dufour
CONTACT Stephanie Dufour
NAME:
_
°A Z ..714.36992998 LA No): 71 14-840.8357
F,MAILss: Stephanie@dufourinsurance.com
INSURERS AFFORDING COVERAGE NAC#
A
INSURER A: Great American Insurance Compa 16691
INSURED Mercy House Living Centers
P.O. Box 1905
Santa Ana, CA 92702
_
INSURER a: Great American Insurance Compa 16691
INSURER C: NOVA Casualty Company 42552
INSURER D: Great American Insurance Group 37532
...................
INSURER E: Philadelphia Indemnity 18058
INSURER F:
A
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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
/LTR
^TYPE OF INSURANCE DDL
NSR
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POLICY NUMBER POLICY EFS
MM �DIYEX LIMITS
Santa Ana, CA 92702
GENERAL LABILITY
EACH OCCURRENCE $ 1,000,09
A
X COMMERCIAL GENERAL LIABILITY Y
PAC426088203 05102!2018
E ftEN .....�_.
0510212019 PREMISES Ea oc�rran s 100,00
CLAIMS-MACEI OCCUR
MED EXP {Ary one person} $ 10,99
A
X Prof. Liability
PAC426088203 0510212018
05102/2019 PERSONAL& ADV INJURY $ 1,000,00
A
X Sex AbuselMiscond
PAC426088203 05/02/2018
05/02/2019 GENERAL AGGREGATE $2,000,00
_
GEN1 AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OPAGG $ 2,009,09
_X1 POLICY JECTPRO- LOC
Dad: $0 $
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT 1,999,90
To accldenl
AANY
AUTO Y
CAP 188045404 05/0212018
05/02/2019 BODILY INJURY (Per person) $
ALL OWNED X SCHEDULED
AUTOS
BODILY INJURY (Per asocant) $
X HIREDAU'rOS X NON -OWNED
AUTOS
PROPERTY DAMAGE $ 130,00
PERACCIDENT
Comp/Coil Dad. 8 50
X UMBRELLA DAB X OCCUR
EACHOCCURRENCE $ 5,990,99
B
ExcEss LIAB CLAIMS -MADE Y
DMB 426088303 0510212018
0510212019 AGGREGATE $ 5,900,99
D'cD X RETENTION$ 10009
$
WORKERS COMPENSATION
X WC STATU- X OTH-
AND EMPLOYERS' LIABILITY YIN
ORY LIMITS _--
C
ANY PROPRIETOR/PARTNEREXECUTIVE
CFt-WK-10000043.03 02/0612919
02106/2020 E.L. EACH ACCIDENT $ 1,000,99
E
OFFICEWMEMBPR EXCLUDED? NIA
(Mandatory In NH)
(ACCIDENT) PHLY78928850 11/2112016
-- ---
11/21/2019 E.L. DISEASE-EAEMPLOYEL$ 1,000,09
Iyea,dea rits.undo,
DE 5CRIP'IION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT $ 1,000,00
D
Cyber Liability Y
NLP3642944 01/2912019
01/29/2020 Per Occ 1,000,00
E
D&O/EPLI Y
PHSD1173663 10/1712018
10/17/2019 Aggregate 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
City of Santa Ana, its officers, employees, agents, volunteers and IYyOYp
representatives are named additional insureds with respect to the operations
of the named insured & this policy is primary per the attached endorsement. RR✓"
Workes compensation waiver of subrogation included, 10 days notice, of G
cancellation for non-payment of premium.
CERTIFICATE HOLDER CANCELLATION
@ 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cit of Santa Ana
City
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Frank Hernandez
ACCORDANCE WITH THE POLICY PROVISIONS.
20 Civic Center Plaza Box 1988
AUTHORIZED REPRESENTATIVE
Santa Ana, CA 92702
@ 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD