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HomeMy WebLinkAboutSALVATION ARMY, THE (2)T%1 -5URA1C,F ON FILL �"WORK MAY PROCEED 7 '\ IJNTt1 INSURAN+ F EXPIRE; CLFPK Of[ CF)U— 1l_ J,TF. 0: MAW( >�10.ctGQ�O� �, FIRST AMENDMENT TO THE AGREEMENT MCWLOQ BETWEEN THE CITY OF SANTA ANA AND THE SALVATION ARMY FOR THE USE OF COMMUNITY DEVELOPMENT BLOCK GRANT CORONAVIRUS (CDBG-CV) FUNDS (24 CFR Parts 570) THIS FIRST AMENDMENT TO THE AGREEMENT FOR THE USE OF COMMUNITY DEVELOPMENT BLOCK GRANT CORONAVIRUS (CDBG-CV) FUNDS is entered into this 12a' day of August, 2020, by and between 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"), and The SalvationArmy, a California nonprofit organization ("Subrecipient"). RECITALS: A. On May 11, 2020, the City entered into an Agreement for the use of Community Development Block Grant Coronavirus (CDBG-CV) Funds, Subrecipient Agreement #A-2020-085-02, with Subrecipient to provide CDBG-CV Funds from the United States Department of Housing and Urban Development ("HUD") to be used in the operation of a public service program to provide rental relief for residents of the City of Santa Ana ("said Agreement"). B. In accordance with the terms and conditions of said Agreement, the parties desire to amend said Agreement to increase funds to the Subrecipient, extend the term of said Agreement, and to add new performance requirements to the scope of said Agreement. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: 1. Section I, subsection B, shall be amended to increase the amount granted to Subrecipient by $1,072,260.00 in CDBG-CV Funds for the Coronavirus Rental Relief program. The new total sum shall not exceed $1,238,760.00 in CDBG-CV Funds. Additionally, the term in which the CDBG-CV Funds must be spent shall be extended until June 30, 2021. 2. Section I, subsection C, shall be amended to add the new performance outputs required of the new funds, as detailed in the Addendum to the Scope of Services attached hereto as Exhibit A and incorporated herein by reference. 3. Section If, subsection A, shall be amended to increase funding to Subrecipient by $1,072,260.00, for a total sum not to exceed $1,238,760.00, Subrccipient's budget for these new funds is attached hereto as Exhibit B and incorporated herein by reference.. 4. 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 First Amt n(t1i�jli.)(l0, Said'. . .-�. Agreement the elate and year first above o ritten. ATTEST: Clerk ol' the COLtnell APPROVED AS TO FORA: Sonia R. Ca vallio Ci*rmyByAttorney RECOMMENDED FOR APPROVAL STEVEN MENDOZA E.x000tive Director Conununity Development Agency CITY OF SANTA ANA KRISTINE RIME City Manager SUBRECIPIENT: ti The Salvation .Ann y DO Q6V'% f Calitomia South Division Title: Tax 1D#:94-1156347 SUBRECIPIENT: UGLAS TOLLERUD TREASURER Name: Captain Nesan Kistan Title: Divisional Secretary Oren-e County Tax ID#:94-1156347 DUNS#: 969197714 City of Santa Ana CDBG-CV Scope of Work Program Year 2019-20 (July 1, 2019 - June 30, 2020) Name of Organization The Salvation Army of Orange County Name of Funded Program Coronavirus Emergency Rental Relief Annual Accomplishment Goal Schedule of Performance Unduplicated (estimated) Month 1: MAY 18- MAY 31 Month 2: JUN 1 - JUN 30 Month 3: JUL 1 - JUL 31 Month 4: AUG 1 - AUG 31 Month 5: SEP 1 -SEP 30 Month 6: OCT 1 - OCT 31 Month 7: NOV 1 - NOV 30 Month 8: DEC 1 - DEC 31 Program and Funding Description 93 93 2-month contract period. 100% I 744 Low Income Participants 100% Estimated Invoicing $ 139,500.00 $ 139,500.00 $ 139,500.00 $ 139,500.00 $ 139,500.00 $ 139,500.00 $ 139,500.00 $ 139,500.00 $ 1,116,000.00 This assistance is intended to be an emergency grant that is issued to pay rent in response to solving an unexpected crisis. Families facing a financial crisis because of COVID-19 are eligible for $1,500 in rental relief payable to their landlord on their behalf. Eligibility Criteria: Santa Ana residents unable to pay rent due to impacts related to Coronavirus Disease 2019 (COVID-19) Households at or below 80%AMI (see 2020 HUD Income Limits) Program Details: This program will be advertised by the City of Santa Ana via Nixle, on the City website, via social media and via direct email(s) Residents will apply online via a link on the City of Santa website. Three local nonprofits are available to assist in completing the application process, if needed. After the application window closes, all applications will be lotterized and selected applications will be assigned to one of the following nonprofits to check eligibility, contact and receive documents from the landlord and issue the rental assistance payment to the landlord: Catholic Charities of Orange County, Community Access Partnership of Orange County, or The Salvation Army of Orange County. The nonprofit agency will submit periodic invoices with back-up documentation (canceled rent checks) for reimbursement and reports will be provided through the application software. CDBG funding will be used for rent payments directly to landlords on behalf of Santa Ana residents and indirect EXHIBIT A CDBG-CV FISCAL YEAR 2019-2020 PROGRAM BUDGET Organization Name The Salvation Army of Orange County Program Name Coronavirus Emergency Rental Relief EXPENDITURES Enter budget categories and projected expenditures for the proposed program: Category Expenditures Funded By Santa Ana CDBG Expenditures Funded By Other Sources Program Budget Total Organization Budget Program/AdministrativeStaff Salaries $111,600 $111,600 $ 111,600 $0 $ $0 $ - $0 $ 1 $0 $ - Direct Rent Payments to Landlords $1,116,000 $ 1 $1,116,000 $ 1,116,000 Indirect Costs 10% $11,160 $0 $11,160 $ 11,160 TOTAL BUDGET $1,238,760 $0 $1,238,7601 $1,238,760 * Indirect cost rate: 10% Non -Federal entity without federaly recognized negotiated indirect cost rate, will charge a de minimis rate of 10% of modified total direct costs. PROGRAM RESOURCES LIST ALL OTHER PROGRAM RESOURCES FOR 2019-2020 Funding Source Total must equal Program Budget Total listed above. FUNDING SOURCE AMOUNT Santa Ana CDBG $ 1,238,760 Foundation Grants $ - OtherFederalFunding Individual Donations TOTAL $ 1,238,760 EXHIBIT B Page 1 of 2 ACC)Rbr CERTIFICATE OF LIABILITY INSURANCE oATE(MM1DDNYYY) 1� 10/03/2019 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 pollcy(les) 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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ONT Willie Toexs Watson Insurance Services west, Inc. fka Willie PHONE 1-877-945-7378 1-888-9fi7-2378 CNal:. Insurance Services of California, In°. pOAlESs: certificates@willis.com c/o 26 Century Blvd P.O. Has 305191 INSURERJS)AFFOROINGCOVERAGE NAICt1 Nashville, TN 372305191 USA INSURERA: Lexington Insurance Company 19437 INSURED INSURERS: Greenwich Insurance Company 22322 The Salvation Army - Division 11 INSURERC; M Specialty Insurance Company 37085 30840 Hawthorne Blvd., Bldg D INSURER O; Rancho Palos Vezdea, CA 90275 INSURER. E: INSURERF: COVERAGES CERTIFICATE NUMBER: W13279389 ..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, INTR TYPEOFINSURANCE A $WIR POUCYNUMaER PODD F IPOIODN P LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE OXOCCUR SIR: $500,000 Par Occurrence y 021H2409 10/01/2019 _ 10/01/2020 EACH OCCURRENCE § 2,000,000 -GANTAGETO-R€NTEO scaur'.Mal $ 11000, 000 X _PREMISESlEp MEO E%P IAny`one anon) $ 0 PERSONAL&ADV INJURY $ 2,000,000 IES PER; APIIP"L�jj POLICY CJjE T I_^J LOC 4ENERALAGGREGATE $ _. 4,000,000 GEN'LAGOREGATEILIMIT - RODUCTS-COMWOPAGG_ $ 4IOODIODO I $ OTHER: --- AUTOMOBILELIAHILITY Ee OMBIFI®SINGLE LIMIT a¢idvh - S 51000,000 AUTO BODILY INJURY(Par Person)eOWNED AWNED ONLY AUTOS AUTOSSCHEDULED Y RAD5000219-09 10/01/2019 10/01/2020 BODILY INJURY $ nANY HIRED NON-0WNED AUTOS ONLY AUTOS ONLY PROPERTY OAMAGC 1per dcddaJ_ _ $ UMBRELLALIA9 OCCUR EACH OCCURRENCE $ EXOESH LIAB _ _ _ CLAIMS-MAOE AGGREGATE_ $ DED RETENTION$ s E C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETORIPARTNERIEXECUTIVE OFFICEMMEMBEREXCLUDED7 N/A Y RM5000217-09 10/01/2019 10/01/2020 X Eft OTH- STTUTE E.L. EACH ACCIOEM $ 1,000,000 E.L. DISEASE -EA EMPLOYEE 8 1, 00010U0 (Mandatory In NH) d e5, dexr0e order DESCRIPTION OF OPERATIONS below E.L. UISEABE-POLICY LIMIT § 1, 000,000 C Excess Workers Compensation Y RWE500021609 10/01/2019 10/01/2020 H.L. Each Accident $1,000,000 and Employerfa Liability E.L. Disease Pot Lim $1,000,00o INC - Per Statute E.L. Disease - Ea Em $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedola, may be attached it more apace Is required) Division 011-148 Workers Compensation: Policy No. RWD5000217-09 provides coverage in the following states: HI,ID,24T,NM,NV,TX,UT Policy No. RWES00021609 provides coverage in the following states: AE,CO,OR SEE ATTACHED .CERTIFICATE HOLDER CANCELLATION REVIEWED & APPROVED By Risk MANAGCMENT DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. T 0 3 D19 City of Santa Ana AUTFIORIZED REPRESENTATIVE Risk Management Division 20 Civic Center 0aaa RAN ,I 2. VILLAREAL 11�� Santa Ana, CA 92702 ,0 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SR to: 18625509 9Arca: 1395011 AGENCY CUSTOMER ID: LOC N: ACOR" ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 _ AGENCY NAMEDINSURED�-4�- au ..... uu .mu..au,«. n..mvuu. w..m.. ... ...... .... The Salvation Army - DivLeion 11 30040 Hawthorne Blvd., Bldg 0 Banded Palos Verdes, CA 90275 POLICY NUMBER .See Page 1 CARRIER NAIC CODE Sea Page 1 S80 page 1 EFFECTIVE GATE; Soo Page 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:. Certificate of Liability Insurance 11 Policy No. RWR3000944-04 provides coverage in the following states: AK Policy No, RWE500047504 provides coverage in the following states: CA CA -Work. Comp is fully Self Insured per the attached State Certificate and CA - Auto is fully Self Insured per the attached State Certificate City of Santa Ana, its officers, employees, agents, and representatives are included as an Additional Insured as respects to General Liability and Auto Liability as required by written contract or agreement. General Liability pol.lol shall be Primary and Non -Contributory with any other insurance in force for or which may be purchased by Additional Insureds as required by written contract or agreement. Waiver of Subrogation applies in favor of Additional Insureds with respects to Workers Compensation as permitted by law. INSURER AFFORDING COVERAGE: XL Specialty Insurance Company NAICH: 37995 POLICY NUMBER: RWE500047504 EFF DATE: 10/01/2019 EXP DATE: 10/01/2020 SUBROGATION WAIVED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT; Excess Workers Compensation E.L. Each Accident $1,000,000 and Employer's Liability E.L. Disease Pol Lim 41,000,000 WC - Per Statute E.L. Disease - Ea Gap $1,000,000 ADDITIONAL REMARKS: Workers Compensation is Self Insured,. INSURER AFFORDING COVERAGE: XL Specialty Insurance Company NAICH: 37885 POLICY NUMBER: RWR3000944-04 EFF DATE: 10/01/2019 EXP DATE: 10/01/2020 ADDITIONAL INSURED; Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation 6 E.L, Each Accident $1,000,000 Employers Liability E.L. Disease Pol Lim $1,000,000 WC - Per Statute E.L. Disease - Ea Map $1,000,000 INSURER AFFORDING COVERAGE: Greenwich Insurance Company NAICH: 22322 POLICY NUMBER: M5000216-09 EFF DATE: 10/01/2019 EXP DATE: 10/01/2020 ADDITIONAL INSURED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Auto Liability CA Any Auto / CSL $5,000,000 REVIEWED & APPROVED By RISk MANAGrMENT DIVISION 03 I,I,ANCIN E(� VU JA�2 iD08 ACORD CORPORATION. The ACORD name and oqo are YOU s are mar cS o AGORD SR ID: 18625509 HATCH: 1395017 CF.RT: W13279389 DEPARTMENT OF MOTOR VEHICLES R O, BOX 942884 SACRAM TOT CA 94284.0004 (m) 067•e620 August 13, 2019 S.I. # 202 The Salvation Army 8b840 Hawthorne Boulovard Rancho Palos Verde, California 90275 Attention: Ms. Doris Hall Dear Salvation.Army, Your annual report/financial statements have been reviewed and the requirements for renewal of your self-insurance certificate have been mot. Your self-insurance status is valid from August 19, 2019, through August 18, 2020. Vehicle Code Section 16020 requires that every driver and every owner shall at all times be able to establish financial responsibility and shall at all times carry in the vehicle evidence of the form of financial responsibility in effect for the vehicle, A copy of your Certificate of Self- nsuranoo or a copy of this letter constitutes written evidence of financial responsibility and should be placed in each of your affected vehicles. If you have any questions or need further information, please call the administrative staff at (91.6) 657-6620. Sincerely, George Torres, Unit Manager Financial Responsibility Unit REVIEWED & APPROVED By Risk MANAgFMENT DivisioN CT032019 FRAM _ . IL.IAREAL ur 126(iim FVN) A Public Service Agency e reauxni� x Y •YIkfNiOPIttYE• A Public Servlce Agency CERTIFICATE OF SELF-INSURANCE This is to certify that: ,_.. ._.. .. _. The -Salvation- Army. - .. .. .. .. .. __ . _. -� - NAME OF BELF•INSUREfl 30840 Hawthorne Boulevard, Rancho Palos Verde, California 90275 �. _e. �_w__._.. _„............._.._,- .. naoREss, a rr, srnrE, nr has been approved as a Self -Insurer under the California Compulsory Financial Responsibility Law and assigned Self -Insurance #, 202 pursuant to Section 16053 of the California Uahicle Code for the period _ August 19, 2019 through August 18, 2020 MANAGER • Financial Responsibility Unit Department of Motor Vehicles REVIEWED & APPROVED By Risk MANACEEMEw DIVISION SR 27 (REV. 101E10) UN Ot'�C 0 �(]9(3 _. V. u. 9 FRANCINE R, VIL AREAL ENDORSEMENT # This endorsement, effective 12:01 A.M„ 10/01/2019 Forms a part of Policy No.: 027712409 Issued to: THE SALVATION ARMY By: LEXINGTON INSURANCE COMPANY ADVICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED INSURED LIMITED TO E-MAIL NOTIFICATION This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non payment of premium, and 1. The cancellation effective date is prior to this policy's expiration date;. 2, The First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy Is canceled (hereinafter, the "Certificate Holder(s)"); and has provided to the Insurer, either directly or through its broker of record, the email address of the contact at such entity, and the Insurer received this Information after the First Named Insured receives notice of cancellation of this policy and at least 60 days prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide 30 days advance notice of advice of cancellation (the "Advice") via e-mail to such Certificate Holders. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy, 2. Insurer means the insurance company shown in the header on the Declarations Page of this policy. All other terms, conditions and exclusions shall remain the same. REVIEWED & APPROVED By RIS—k�yMANAQ(611 NT DivisION Authorized Reprep'-.t zt- iU9 3 2Q�� Manuscript Form Page 1 of 1 F11 [ i IMARCAL ENDORSEMENT This endorsement, effective 12:01 AM 10101/2019 Forms a part of policy no.: 027712409 Issued to: THE SALVATION ARMY By: LEXINGTON INSURANCE COMPANY ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION FOR A SPECIFIC PROJECT OR LOCATION This endorsement modifies insurance provided by the policy: SCHEDULE Name of Additional Insured Persons) or Organization(s) BLANKET WHERE REQUIRED BY WRITTEN CONTRACT Specific Contract/Project or Location A. Section II - Who is An Insured is amended to include as an additional insured the person(s) or organizatioin(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 with respect to the Specific Contract/Project or Location as shown in the Schedule; 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 that which you are required by the contract or agreement to provide for such additional insured. REVIEWED & APPROVE( By Risk MANAq E_Mf.Nr DIVISION FRANCINE R. VILLAREAL S7b6'7t a lr es Copyrighted In orma� lion of the Insurance services oge oT-2s""I Offices, Inc., vdtlt Its permission. All Rights Reserved. �.11 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. All other terms and conditions of the policy remain the same, J2EVIEWLD & APPROVED t3y Jail MANAGEMENT DIVISION Q T 0 3 2019 F1?ANCINE_ 12. VtI_ .ARML Authorized Representative Wth its permission. All Rights Reserved, CSATividAwbir Or 38SiE'�T9iBIIFiAL4CE Og WORFMRS, co"PMOATTOW TO WHOM IT MAY CONCERN; This.. certifies that Certifi.oate of Crahabnt .to Self -Insure No..566 was: issued ly. the Director of Industrial RelAtions tot THE SAIN TION ARMY undeg the provisions of Section 3700, Labor Code of California, on, kwomber 15, 1953. The. Certificate isnow and has been in f-411 force and effective since that date. Dated at Sacramento,. California. ,This lot day of, February, 2002 M C B. Sv51I' F � kfa gar Self Ineurar{ce lalane Orig: Nancy Cookson Law Off.ioes of Laughlin, Falbo, Levy & Moresi p.01 'Dox .492617 Redding, CA 96049-26,17 ce: -:;Jdhiy44 aktN:. r Director of Risk Management The salvation Army 18C East Ocean Blvd,; 10" Fl. Long Beach, CA 90801-5646 F INOVED & APPROVED fly Disk MANAcemeur IlnnS;c)N aaw