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HomeMy WebLinkAboutORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (18)INSURANCE ON FILE WORK MAY PROCEED UNTIL I `$UI IE EXPIRES MAYOR (0 �J Vicente Sarmiento CLERK OF MAYOR PRO TEM DATE: David Penaloza COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 (714) 647-6360 taWMi.santa-ana.orD March 15, 2021 Dr. Ana Jimenez-Hami Orange County Children's Therapeutic Arts Center 2215 N. Broadway Santa Ana, CA 92706 Re: Extension of Agreement A-2020-140 Dear Dr. Ana Jimenez-Hami: A-2020-140-01 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 3 ("Term") of the Agreement under the Workforce Innovation And Opportunity Act, No. A-2020-140, entered into by and between Orange County Therapeutic Arts Center and the City of Santa Ana, dated July 7, 2020, the time -period for said Agreement is hereby extended from July 1, 2021, through December 31, 2021. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any question regarding this matter, please contact Sandy Barba in the Community Development Agency at 714-565-2611. Sincerely, 1'� CITY OF SANTA ANA Kristine Ridge City Manager APPROVED AS TO FORM: Sonia R. Carvalho City Attorney Ry O. odge Assistant City Attorney ATTEST: Daisy Gomez Clerk of the Council RECOMMENDED FOR APPROVAL: Steven Mendoza, Executive Director Community Development Agency SANTA ANA CITY COUNCIL Vicente Sarmienta David Perri Thai Viet Phan Jessie Lopez Phil Bar.. Johnalhan Ryan Hernandez Nelida Mendoza Meyar Mayor Pro Tern, Ward 2 Wam1 Ward Word Wed Wind enlaldlaant.RrPzara dlardazaOsanla-ana.om Iphantasanta-ants one alelaaezeeenta-ants OM pbaceRa(olsanla2na am "anhemandez®Santa-ants am endaza(Aeenta-anaom Francine R. Villareal Al o® CERTIFICATE OF LIABILITY INSURANCE DAM (MMODYvvv) 11/2312020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 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 endomement(s). PRODUCER CONTACT Certificate Issuance Team NAME: Comprehensive Insurance Services A/CNNo Ext: (949) 709-8800 n/c Ne (949) 709-1668 26429 Rancho Parkway South E-MAIL jeremy@thecomprehensiveinsurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC4 Suite 120 INSURERA: Nonprofits Insurance Alliance of California 10023 Lake Forest CA 92630 INSURED INSURERS: State Compensation Insurance Fund 35076 Orange County Children's Therapeutic Arts Center INSURERC: 2215 N. Broadway INSURER D : INSURER E: Santa Ana CA 92706 1 INSURER F: COVERAGES CERTIFICATE NUMBER: CL20112304954 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ILTR TYPE OF INSURANCE INSO WVO POLICY NUMBER POLICYEFF POLICIYYVY PMIDDA`XP MM/DD/EXP LIMITS X COMMERCIALGENERALU BILITY EACH OCCURRENCE $ 1,000,000 �/ CLAIMSMADE /� DDDDR A ET RENTED PREMISES Ea occurzence $ $00,000 MED EYE (Any one person) $ 20,000 PERSONAL SADV INJURY $ 1,000,000 A Y 2020-09201 12/21/2020 12/21/2021 GENTAGGREGATE UMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY ❑ JECT I LOC PRODUCTS - COMPIOPAGG $ 2,000,000 $0 Deductible $ OTHER: AUTOMOBILE LIABILITY COMBINEOSINGLE LIMIT ire accident $ 1.000,000 BODILY I NJURV(Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 2020-09201 12/21/2020 12/21/2021 BODILY INJURY(Peraccident) $ X PROPERTY DAMAGE Peraccident $ HIRED X NON -OWNED AUTOSONLY AUTOSONLV $0 Deductible $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN CUTIVE ANY PROMEMBEREXCL EXCLUDED' O Mandator, in BER EXCLUDED? (Mandatoryin NH) NIA 9255171-2020 06/15/2020 06/15/2021 X PER OTH- STATUTE ER $0 Deductible E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -E4 EMPLOYEE $ 1,000,000 yes, describe under D DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICYLIMIT $ 1,000,000 A Social Service Professional Liability Improper Sexual Conduct Liability 2020-09201 12/21/2020 12/21/2021 $1,000,00011,000,000 $1,000,000/1,000,000 Aggregate/Occurr Aggregate/Occurr $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are included as Additional Insured per attached endorsement CG2026. 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 cared by or for the benefit of the additional insureds per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. City of Santa Ana, Risk Management 20 Civic Center Plaza 4th FI. Santa Ana CA 92702 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 ©1988.2015 ACORC ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Ride Maragernmt Diviswn A/1, �,drrR�� EVIEWEQ & pAPPRQvSQ BY: 1' rrl.trYrr.0 ram. V.G!✓Va[ Risk Management Analyst OF POLICY NUMBER: 2020-09201 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 LIABILITY 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 11—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 that which you are required by the contract or agreement to provide for such additional insured. CG 20 26 04 13 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. © ISO Properties, Inc., 2012 Page 1 of 1 Rule MadgmmilDivislun REAEWED & APPRcv®Br: �S�IIL111f':L' �narrin�a P. ma,4d '. 2isk Management Analyst NONPROFITS INSURANCE �W ALLIANCE OF CALIFORNIA A Head for Insurance. A Heort for Nonprofits. POLICY NUMBER: 2020-09201 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 SCHEDULE A. SECTION II — WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers 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: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. 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. B. SECTION III — LIMITS OF INSURANCE is amended to include: 8. The limits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision AA. above, are those specified in the written contract between you and that public entity, 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. C. 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 contract orwritten agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or NIAC-E61 02 19 e� P.ieleMntegelnentDiviaion REVIEWEo & APPRav®Br: Risk Management Anayst NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for Insurance. A Heor! for Nonprofits. POLICY NUMBER: 2020-09201 (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: 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) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and 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. NIAC-E61 02 19 Risk MolgemadDiuislon y,� REviEwEo&APPR0VBJ9Y. unLu:le1P F"I,r.Wc R. V;[Gc�uL �'. 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