Loading...
HomeMy WebLinkAboutSOUTH COUNTY OUTREACH (4)INIURANCE NOT ON FILE WORK MAY NOT pROCEEI CLERK OF COUNCIL MAYOR Vicente Sarmlento MAYOR PRO TEM Phil Bacerra COUNCILMEMBERS Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza fl Thal Viet Phan APR DATE: 7 202Z CITY OF SANTA ANA wcro) COMMUNITY DEVELOPMENT AGENCY 00tvt a 110-ta) 20 Civic Center Plaza • P.O. Box 1988 V;pr— Santa Ana, California 92702 W Ww.santa-ana.orc March 3, 2022 South County Outreach Attn: LaVal Brewer, President & CEO 7 Whatney, Ste. B Irvine, CA 92618 Re: Extension of Agreement #A-2021-107-05 Dear Mr. Brewer, A-2021-107-OSB CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section I.B. ("Term of Agreement') of Agreement No. A-2021-107-05 ("Agreement'), as amended, entered into by Families Together of Orange County and the City of Santa Ana dated August 1, 2021, the patties hereby agree to extend the Term of the Agreement for a six (6) month period through -September 30,-2022. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of said Agreement remain unchanged and in full force and effect. Sincerely, Steven Mendoza Executive Director, Community Development Agency CITY OF SANTA ANA: Kristine Ridge 7 City Manager APPROVED AS TO FORM: Sonia R. Carvalho City torney r Rya . 4odge Assistant City Attorney Viwnle Samuanla Phi 9aaena Thel Vw Phan ya Mayae Mar Pm Tem. W and f Waid I b® nEararma®sanla-ana ora lohanlAsanb-anenra SOUTH COUNTY OUTREACH �� UL,aVal Brewer c President & CEO SANTA ANA CITY COUNCIL D..d Penabza Jassie Lopez J hnaOan Ryan I maMez N.M. Mendoza Ward2 Wa 3 Werd5 W.Wa dcenabza�sanU-ana om "b i0sn IrvaMamaMezbisan as endaza@saniaanao Francine R. 'Villareal signed by Francine R. A-2021-107-056 Villareal Date: 2021.08.1010:47:45 -07'00' � oRae CERTIFICATE OF LIABILITY INSURANCE -DATE(MMMDNYW) 7/28/2021 THIS CERTIFICATE IS ISSU ED 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 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. It 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 endorsoment(s), PRODUCER Conray Ina Brokers & Risk Managers 2522 N. Santiago Blvd. LiCN0543173 Orange CA 92067 NAME) Christine Campbell PHONE (877)450-1872 FAX 171q es0-plea At' q: Wool ss: christinec@donrayins,com INSURER a AFFORDING COVERAGE NAIC q IMSURERAINon rofits Ins Alliance Of -Ca 11845 INSURED South County Outreach 7 Whatmay Ste B Irvine CA 92610 INSURERS I MIS1012yers Preferred Iris CO 10346 INSURERCI INSURERD: -- INSUREREI INaURERP: .COVERAGES CERTIFICATE NUMBER:20-21 NIAO-E6 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 OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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. NN IlT0. TYPE OF INSURANCE ADDL WVrL 3UDR pOLIGy NUMBER POLIbY WY MMIO�YIYVVP LIMITS A X COMMERCIAL GENERAL LIABILItt CLAIME-MADE OCCUR RENCE $ 11000,000 e cca nonce a 500,000 y ane ereoR 20,000 X Y 2020-22015 - 11/1/2020 it/L/2D21 ADV INJURY !JALN! $ 1,000,000 GEMLAGGREGATE UMITAPPUE$ PER: POLICY Lao JECTOTHER: REGATE $2,000,000 COMWOPAGG $ 21000,000 EmployeenO S 1,000,000 AUTOMOBILELIABU.ITY OMDINED SINGLELIIT e Ea Wd 1 $- 11000,000 GODILY INJURY (Per person) $ A X ANYAUTO U AUTOSSCHEDULED AUTOLL OWNED 2020-22015 11/1/2020 11/L/2021 BODILY INJURY (Pergccldont) $ X X NON -OWNED HIREDAUPS AUTOS PROPERTY DAMAGE oracedonl $ Uninsured,wlorldmwweae sia,le $ 1, 000,000 UMSRELLAUAs OCCUR EACH OCCURRENCE g AGGREGATE $ EXCESSUAS I CLAIMS-MAPE BED I I RETENTION $ - $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? Fig (Mandatory In NH) HY¢6, l{BSCdbO under DESCRIPTION OF OPERATIONS Why, MIA —273013002 11/1/2020 11/1/2021 y PER OTH- I STATUE E E.L. EACH ACCIDENT $ 1,000 000 E.L. DISEASE - CA EMPLOYEE $ 1 000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 A PROPESSIONAL LIABILITY 2020-22u15 11/1/2020 11/1/2D21 EACH PROF- INCIDENT LIMIT $1,000,000 AGGREGATELIMIT $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (ACORD 101, Addltlonal Remarks schedule, may be RUAGhod if ....Pa.. is required) CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED/PRIMARY AND NONCONTRIBUTORY PER ENDORSENENT NIAC-E61 0219. WAIVER OF SUBROGATION APPLIES PER ENDORSEMENT NIAC-E26 1117 WHEN AGREED TO EY WRITTEN CONTRACT OR AGREEMENT, POLICY CONTAINS 30 DAY CANCELLATION CLAVEE. 10 DAYS NOTICE IN THE EVENT OF CANCELLATION FOR NON-PAYMENT, *City of Santa Ana, OffiOera, agents, employees, and volunteers are reamed as additionally insured on this policy pursuant to written contract, agreement, or memorandum of 1lnderatanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. City of Santa Ana Risk Management Division 20 Civic Center Plaza 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, Campbell/CC ACORD 25 (2014)01) The ACORD name and logo are registered marks of ACORD INS025 (201401) RISISh)aPggvinwdDnfAion .. rft rrR!EVIEWED& rA�PPPROVED B/ 8 I� er ("� h. v �Risk ManageR?eri[Ana�st.= 01=2 ON -MOH rS INSURANCE ALLIANCE OP LAWORN]AA A Haadpar.Insurance..p HaartJor, Nonprapns. POLICY NUMBER: 2020-22016 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 Name of Person or Organization: City of Santa Ana Risk Management Pivislon, officers, agents, employees, and volunteers 20 Civic Center Plaza Santa Ana, CA92702 A. Section 11—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 insureds) 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 I'imits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision A.4. 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 or written 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 a yA' , : 1 `:Y� ltieklNanagtnnrntbnlslon REVIEU1ED&APPROVmBY ���` aceh Marn�7ement Analyst NONPR FIT$ INSURANCE DA CALIMAN.IA1 A tread /or.lnauranee. A Hand forNonpro%tts, POLICY NUMBER: 2020-22015 (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($) has been added as an additional Insured or to other insurance described In paragraph b. below, b. Excess insurance This insurance is excess over: 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) That is fire, lightning, or explosion Insurance for promises rented to you or temporarily occupied by you with permission of the owner; (c) That Is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE. (a) Any other Insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional Insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional Insured(F) against any "suit" If any other insurer has a duty to defend the additional insured($) 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 ,s. WeleMwie.�nentDtvis[on -� e_ REVIEWED&APPROV@BV msk M�t�a9ement Flnalys{ ` I06"NONPROFM POLICY NUMBER: 2020-22015 FORM: NIAC-E26 1117 [] INSUKANCE NAMED INSURED: South County Outreach "PI ALLIANCI OP CALITOINIA' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1 0 1 # - NADU I L16-1 Sol I "M rRIVIII-A LTA A C4101 an I I :I 1toleni 0 , olefil This endorsement modifies insurance provided tinder the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or organization. City of Santa Ana Risk Management Division, officers, agents, employees, and volunteers 20 Civic Center Plaza Santa Aria, CA 92702 L Where you are so required in a written contract or agreement CUrrenfly In effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization, who may be named In the schedule above, because of payments we make for injury or damage. NIAC-E26 11 17 A, REAEWeD&APPRQVED6Y,' PI-GLD-HS (10/11) LIABILITY, Subsection 2. Exclusions, Paragraph j. Damage to Property, Item (1) is deleted in its entirety and replaced with the following: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property, unless the damage to property is caused by your client, up to a $30,000 limit. A client is defined as a person under your direct care and supervision. E. Damage to Premises Rented to You 1. If damage by fire to premises rented to you is not otherwise excluded from this Coverage Part, the word "fire" is changed to "fire, lightning, explosion, smoke, or leakage from automatic fire protective systems' where it appears in: a. The last paragraph of SECTION I —COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Subsection 2. Exclusions; is deleted in its entirety and replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke, ar leakage from automatic fire protective systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in SECTION III — LIMITS OF INSURANCE. b. SECTION III — LIMITS OF INSURANCE, Paragraph 6. Is deleted in its entirety and replaced by the following: Subject to Paragraph 5. above, the Darn age To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning, explosion, smoke, or leakage from automatic fire protective systems while rented to you or temporarily occupied by you with permission of the owner. c. SECTION V — DEFINITIONS, Paragraph 9.a., is deleted in its entirety and replaced by the following: A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protective systems to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; 2. SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, Subsection 4. Other Insurance, Paragraph b. Excess Insurance, (1) (a) (ii) is deleted in its entirety and replaced by the following: That is insurance for fire, lightning, explosion, smoke, or leakage from automatic fire protective systems for premises rented to you or temporarily occupied by you with permission of the owner; 3. The Damage To Premises Rented To You Limit section of the Declarations is amended to the greater of: Page 3 of 12 Includes copyrighted material of Insurance Services Office, Inc., with its pei © 2011 Philadelphia Indemnity Insurance Company Risk Mm%roumtDlWslmt +� cW WER4 A�PPPRrovm BY $�,N.T,C�rRR.�La�; �-�—" IiIS&MA4kHE Yi Ail SC