HomeMy WebLinkAboutNATI’S HOUSE dba NEUTRAL GROUNDINSURANCE ON FILE
WORK MAY PROCEED A-2 022-069-10
UNTIL INSURANCE EXPIRES
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CLERK OF COUNCIL
DATE:
AGREEMENT BETWEEN THE CITY OF SANTA ANA AND
NATI'S HOUSE DBA NEUTRAL GROUND FOR USE OF
t9-'••QtZCSh (Er&v�c iscoA)W)2 AMERICAN RESCUE PLAN ACT (ARPA) FUNDS
This Agreement is hereby made and entered into this 3rd day of May, 2022, 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 Nati's House DBA
cNeutral Ground, a California domestic nonprofit corporation ("SUBRECIPIENT" or
"CONTRACTOR').
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A. The American Rescue Plan Act ("ARPA") was signed into law in March 2021. ARPA
provides funding for a number of different programs, including the Coronavirus State and
Local Fiscal Recovery Fund ("SLFRF"), to provide monetary support to local governments
to respond to, mitigate, and recover from the COVID-19 public health emergency.
B. On July 20, 2021, the Santa Ana City Council authorized the City Manager to utilize ARPA
SLFRF funding from the United States Department of Treasury for the Revive Santa Ana
Spending Plan, which includes five spending categories: recovery from the pandemic, direct
assistance programs, public health and safety, critical infrastructure, and city fiscal health.
C. SUBRECIPIENT has been selected by the CITY to receive ARPA SLFRF Funds in order to
provide youth programs, including: early childhood support; head start; day care; after school
tutoring; athletic; and, youth violence prevention, in accordance with the Scope of Work
attached hereto as Exhibit A and incorporated herein by reference ("said program").
SUBRECIPIENT represents that it is qualified and willing to operate said program and
certifies that the administration of said program carried out with funds provided under this
Agreement will meet ARPA's objectives to respond to, mitigate, and recover from this
historic COVID-19 public health crisis.
D. SUBRECIPIENT agrees that it will adhere to the tasks and services as indicated in Exhibit A
for said program. Failure to follow the requirements and meet the stated expectations may
constitute breach of contract that could result in termination of this Agreement or serve as
reason for the CITY to recapture the grant funds awarded to SUBRECIPIENT pursuant to
this Agreement.
WHEREFORE, it is agreed by and between the parties that the foregoing Recitals are a
substantive part of this Agreement and the following terms and conditions are approved and together
with all exhibits and attachments hereto, shall constitute the entire Agreement between the CITY and
SUBRECIPIENT:
I. ARPA PROGRAM PROVISIONS
A. Scope of Work. SUBRECIPIENT shall be responsible for the specific tasks and
services of said program, and agrees to administer said program in compliance with the tasks and
services as described in the Scope of Work attached hereto as Exhibit A. SUBRECIPIENT's failure
to perform as required may, in addition to other remedies set forth in this Agreement, result in
readjustment of the amount of funds for said program or termination of this Agreement.
B. Term ofAgreement. The term of said Agreement shall commence on July 1 st. 2022,
and continue through June 30, 2023 ("Term"), unless terminated earlier pursuant to the terms of
this Agreement. This Agreement shall also cover any and all services provided by the
SUBRECIPIENT to the CITY since the date the ARPA SURF Funds were awarded to the CITY.
Additionally, the Term of this Agreement may be extended by a writing executed by the City
Manager, or designee, and the City Attorney.
C. Amount of Grant Funding. The total amount of funds provided for said program
shall not exceed One Hundred Twenty -Two Thousand One Hundred Seventy -Two Dollars and
Zero Cents ($122.172) ("ARPA SURF Funds") during the Term of the Agreement.
SUBRECIPIENT agrees to use said ARPA SURF Funds to administer said program as outlined in
Exhibit A.
D. Disbursement of Funds. Said ARPA SURF Funds shall be disbursed by CITY to
SUBRECIPIENT pursuant to the terms found in the Fee Payment Schedule attached hereto as
Exhibit B, with payments subject to the submittal of invoices and other reporting requirements,
as hereinafter more fully set forth. SUBRECIPIENT shall be obligated to perform such duties as
would normally extend beyond the term, including, but not limited to, obligations with respect to
indemnification, audits, reporting, data retention/reporting, and accounting. Failure to provide any
of the required documentation and reporting will cause CITY to withhold all or a portion of a
request for ARPA SURF Funds, or return the entire request to SUBRECIPIENT, until such
documentation and reporting has been received and approved by CITY.
(1) Reduction in ARPA SURF Funding. The CITY reserves the right to reduce
the amount of ARPA SURF Funds to SUBRECIPIENT, or to completely terminate this
Agreement, in the CITY's sole discretion, if there is a reduction in ARPA SURF Funds provided
to the CITY.
(2) Reduced Distribution of Funds. The CITY reserves the right to reduce the
grant application if the CITY's fiscal monitoring indicates that SUBRECIPIENT's rate of
expenditure will result in unspent funds at the end of the program term. Amendments in the grant
allocation will be made after consultation with SUBRECIPIENT.
(3) Reversion of Assets. SUBRECIPIENT agrees that any and all funds received
under this Agreement shall be utilized during the Term of this Agreement, and that any and all funds
remaining as of the end of the Term, which have not been utilized, shall be returned by
SUBRECIPIENT to the CITY within thirty (30) days of the expiration or earlier termination of the
Agreement. No expense of SUBRECIPIENT will be reimbursed by CITY if incurred after the end
of the Tenn of the Agreement.
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E. Grant Program Requirements.
(1) SUBRECIPIENT acknowledges that the source of funding for said program is the
federal ARPA, and that payments from the ARPA SURF Funds are only to be used to make
necessary expenditures incurred due to the public health emergency with respect to COVID-19.
(2) SUBRECIPIENT acknowledges that ARPA provisions allow the use of ARPA
SURF Funds to respond to, mitigate, and recover from the COVID-19 public health emergency, and
will not use these funds for any other uses.
(3) SUBRECIPIENT shall follow the process and determination of eligibility for
participants in said program as outlined in Exhibit A.
F. Performance Monitoring.
(1) SUBRECIPIENT shall submit program performance information as often as
requested by CITY, but no less than the submission of monthly reports and a final report to CITY
with the information requested by and in the format acceptable to CITY. Each monthly report is due
within thirty (30) days of completion of work for each month. The final report is due within thirty
(30) days after the termination or expiration of this Agreement.
(2) CITY will evaluate SUBRECIPIENT's management and operation of said
program with respect to the project expectations as described in Exhibit A.
(3) CITY will review the audit of the SUBRECIPIENT to ensure that grant funds are
used for authorized purposes in compliance with laws, regulations, and the provisions of contracts or
grant agreements under this Agreement, including attachments and exhibits.
(4) If action to correct any substandard performance is not taken by the
SUBRECIPIENT within a reasonable period after being notified by CITY, suspension or termination
procedures may be initiated by CITY.
(5) All performance shall be subject to review by the CITY or other regulatory
agencies at all times. SUBRECIPIENT shall provide adequate cooperation to any inspector or other
CITY representative to permit the same to determine SUBRECIPIENT's conformity with the terms
of this Agreement. If any services performed by SUBRECIPIENT are not in conformance with the
terms of this Agreement, the CITY shall have the right to require SUBRECIPIENT to perform the
services in conformance with the terms of the Agreement at no additional cost. The CITY may also
terminate this Agreement for default and charge SUBRECIPIENT for any costs incurred by the CITY
because of SUBRECIPIENT's failure to perform.
(6) SUBRECIPIENT shall establish adequate procedures for self -monitoring and
quality control and assurance to ensure proper performance under this Agreement; and shall permit a
CITY representative or other regulatory official to monitor, assess, or evaluate SUBRECIPIENT's
performance under this Agreement at any time, upon reasonable notice to SUBRECIPIENT.
G. Audit.
(1) SUBRECIPIENT shall maintain complete and accurate records and supporting
documentation to facilitate financial and/or program audits by CITY. This requirement shall apply
to any records and documentation CITY shall reasonably require or as required to be maintained
pursuant to the ARPA regulations.
(2) The books and accounts, files, and other records of SUBRECIPIENT, which are
applicable to this Agreement, shall be available for inspection, review, and audit during normal
business hours by CITY to determine the proper application and use of all ARPA SLFRF Funds
provided to or for the account or benefit of SUBRECIPIENT.
(3) SUBRECIPIENT assumes responsibility for reimbursement to CITY a sum of
money equivalent to the amount of any expenditures disallowed should the CITY, or an authorized
agency, rule through audit, exception, or some other appropriate means, that expenditures from funds
allocated to SUBRECIPIENT for direct and/or administrative costs were not made in compliance
with the applicable cost principles, regulations, or the provisions of this Agreement.
(4) SUBRECIPIENT agrees to comply with the requirements of OMB Uniform
Guidance 2 CFR Part 200. SUBRECIPIENT further agrees to provide CITY with a copy of
completed independent auditors' report within thirty (30) days of CITY's request for such report. If
the report contains instances of non-compliance with federal laws and regulations that bear directly
on the performance or administration of this Agreement, SUBRECIPIENT shall provide CITY copies
of responses to auditors' reports, a plan for corrective action, and auditors' response that the
noncompliance has been resolved. All reports prepared in accord with the requirements of OMB
Uniform Guidance 2 CFR Part 200 shall be available for inspection by representatives of CITY or the
federal government during normal business hours.
(5) All accounting records, reports, and evidence pertaining to all costs, expenses
and the ARPA SLFRF Funds of SUBRECIPIENT and all documents related to this Agreement
shall be maintained and kept available at SUBRECIPIENT'S office or place of business for the
duration of the Agreement and thereafter for five (5) years from the date of final payment under
this Agreement. Records which relate to: (a) complaints, claims, administrative proceedings or
litigation arising out of the performance of this Agreement; or, (b) costs and expenses of this
Agreement to which CITY or any other governmental agency takes exception, shall be retained
beyond the five (5) years until complete resolution or disposition of such appeals, litigation claims,
or exceptions. In the event SUBRECIPIENT does not make the above -referenced documents
available within the City of Santa Ana, California, SUBRECIPIENT agrees to pay all necessary and
reasonable expenses incurred by CITY in conducting any audit at the location where said records and
books of account are maintained.
H. Ownershiu/Use of Materials. SUBRECIPIENT agrees that all materials, reports or
products in any form, including electronic, created by SUBRECIPIENT for which
SUBRECIPIENT has been compensated pursuant to this Agreement shall be the sole property of
the CITY. The material, reports, or products may be used by the CITY for any purpose that the
CITY deems to be appropriate, including, but not limit to, duplication and/or distribution within
the CITY or to third parties. SUBRECIPIENT agrees not to release or circulate in whole or part
such materials, reports, or products without prior written authorization of the CITY.
I. Close -Out. SUBRECIPIENT agrees to comply with the closeout procedures
detailed in 2 CFR §200.343, including the following:
(1) SUBRECIPIENT must submit, no later than ninety (90) calendar days after the
end date of the period of performance, all financial, performance, and other reports as required by
the terms and conditions of this Agreement;
(2) SUBRECIPIENT must promptly refund any balances of unobligated cash that
the CITY paid in advance or paid and that is not authorized to be retained by SUBRECIPIENT for
use in other projects (See OMB Circular A-129 and 2 CFR §200.345); and,
(3) CITY should complete all closeout actions for the Federal award no later than
one year after receipt and acceptance of all required final reports.
H. SUBRECIPIENT'S OBLIGATIONS
A. Representations and Warranties.
(1) Authority. SUBRECIPIENT is a duly organized and existing domestic
nonprofit corporation in good standing and authorized to do business under the laws of the State
of California. SUBRECIPIENT has full right, power and lawful authority to accept the funding
hereunder and to undertake all obligations as provided herein and the execution, performance and
delivery of this Agreement by SUBRECIPIENT has been fully authorized by all requisite actions
on the part of SUBRECIPIENT.
(2) Experience. SUBRECIPIENT is qualified to provide the administrator services
for said program detailed herein.
(3) Familiarity With Services Required. By executing this Agreement,
SUBRECIPIENT warrants that: (i) it has thoroughly investigated and considered the administrator
services to be performed and provided for said program as detailed in Exhibit A; (ii) it has
carefully considered how the services should be performed; and, (iii) it fully understands the
facilities, difficulties and restrictions attending performance of the services under this Agreement.
(4) No Conflict. To the best of SUBRECIPIENT'S knowledge,
SUBRECIPIENT'S execution, delivery and performance of its obligations under this Agreement
will not constitute a default or a breach under any contract, agreement or order to which
SUBRECIPIENT is a party or by which it is bound.
(5) No Bankruptcy. SUBRECIPIENT is not the subject of any current or
threatened bankruptcy proceeding.
(6) No Pending Legal Proceedings. SUBRECIPIENT is not the subject of a
current or threatened litigation that would or may materially affect SUBRECIPIENT'S
performance under this Agreement.
(7) Proposal Veracity. All provisions of and information provided in
SUBRECIPIENT's proposal submitted to CITY, including any exhibits, are true and correct in all
material respects.
(8) No Pending Investigation. SUBRECIPIENT has no knowledge that it is the
subject of any current or threatened criminal or civil action investigation by any public agency,
including without limitation a police agency or prosecuting authority, which would relate to or
affect performance of the Agreement or provision of services hereunder.
B. Licensing. SUBRECIPIENT agrees to obtain and maintain all required licenses,
registrations, accreditation and inspections from all agencies governing its operations.
SUBRECIPIENT shall ensure that its staff shall also obtain and maintain all required licenses,
registrations, accreditation and inspections from all agencies governing SUBRECIPIENT's
operations hereunder. Such licensing requirements include obtaining a City business license, as
applicable.
C. Zoning. SUBRECIPIENT agrees that any facility/property used in furtherance of said
program shall be specifically zoned and permitted for such use(s) and activities. Should
SUBRECIPIENT fail to have the required land entitlement and/or permits, thus violating any local,
state or federal rules and regulations relating thereto, SUBRECIPIENT shall immediately make good -
faith efforts to gain compliance with local, state or federal rules and regulations following written
notification of said violation(s) from the CITY or other authorized citing agency. SUBRECIPIENT
shall notify CITY immediately of any pending violations. Failure to notify CITY of pending
violations, or to remedy such known violation(s) shall result in termination of grant funding
hereunder. SUBRECIPIENT must make all corrections required to bring the facility/property into
compliance with the law within sixty (60) days of notification of the violation(s); failure to gain
compliance within such time shall result in termination of grant funding hereunder.
D. Separation ofAccounts. All funds received by SUBRECIPIENT from CITY pursuant
to this Agreement shall be maintained in an account in a federally insured banking or savings and
loan institution with record keeping of such accounts maintained pursuant to applicable 2 CFR
200.302 requirements. SUBRECIRENT is not required to maintain separate depository accounts for
ARPA SLFRF Funds; provided however, the SUBRECIPIENT must be able to account for receipt,
obligation, distribution and expenditure of ARPA SLFRF Funds pursuant to applicable 2 CFR
200.302 requirements.
E. Audit Report Requirements. SUBRECIPIENT agrees that if SUBRECIPIENT
expends Seven Hundred Fifty Thousand Dollars ($750,000) or more in federal funds,
SUBRECIPIENT shall have an annual audit conducted by a certified public accountant in accordance
with the standards as set forth and published by the United States Office of Management and Budget.
SUBRECIPIENT shall provide CITY with a copy of said audit by April 1 of the year following the
program year in which this Agreement is executed.
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F. Compliance with Law/Program Income. SUBRECIPIENT acknowledges that the
funds being provided by CITY for said program are received by CITY pursuant to ARPA, and that
distribution and expenditure of these ARPA SURF Funds shall be in accordance with ARPA and all
pertinent regulations issued by agencies of the federal government, including, but not limited to, all
regulations found at Title 24 of the Code of Federal Regulations. Any program income received by
SUBRECIPIENT shall be returned to CITY, unless otherwise provided for in this Agreement.
SUBRECIPIENT agrees to comply fully with all federal, state and local laws and court orders
applicable to its operation and administration of said program, whether or not referred to in this
Agreement.
G. Debarment. To protect the public interest and ensure the integrity of Federal
programs, CITY may only conduct business with responsible persons and may not make any award
or permit any award to any party which is debarred or suspended or is otherwise excluded from or
ineligible for participation in Federal assistance programs under Executive Order 12549,
"Debarment and Suspension". See also 24 CFR 570.609. SUBRECIPIENT must review and sign
Exhibit D "Debarment', which is attached hereto and incorporated herein by this reference.
SUBRECIPIENT shall be in good standing, without suspension by the California Secretary of State,
Franchise Tax Board or Internal Revenue Service. Any change in the corporate status or suspension
of SUBRECIPIENT shall be reported immediately to CITY.
H. Confidentiality. Without prejudice to any other provisions of this Agreement,
SUBRECIPIENT shall, where applicable, maintain the confidential nature of information provided
to it concerning participants in accordance with the requirements of federal and state law. However,
SUBRECIPIENT shall submit to CITY or its representatives, all records requested, including audit,
examinations, monitoring and verifications of reports submitted by SUBRECIPIENT, costs incurred
and services rendered hereunder.
I. Independent Contractor. SUBRECIPIENT agrees that the performance of obligations
hereunder is rendered in its capacity as an independent contractor and that it is in no way an agent of
CITY.
J. Violation of Terms and Conditions. SUBRECIPIENT agrees that if SUBRECIPIENT
violates any of the terms and conditions of this Agreement or any prior Agreement whereby ARPA
SURF Funds were received by SUBRECIPIENT, or if SUBRECIPIENT reports inaccurately, or if
on audit there is a disallowance of certain expenditures, SUBRECIPIENT agrees to remedy the acts
or omissions causing the disallowance and repay CITY all amounts spent in violation thereof. If
SUBRECIPIENT engaged in fraudulent activity to obtain and/or justify distribution or expenditure
of the ARPA SURF Funds granted hereunder, SUBRECIPIENT shall be required to reimburse the
CITY of all such funds that were obtained, distributed and/or spent under fraudulent circumstances.
K. Fraud. SUBRECIPIENT shall immediately report all suspected or known instances
and facts concerning possible fraud, abuse or criminal activity related to said program for the ARPA
SURF Funds under this Agreement.
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L. Prohibited Use. SUBRECIPIENT hereby certifies and agrees that it will not use
ARPA SLFRF Funds provided through this Agreement to pay for entertainment, meals or gifts, or
other prohibited uses.
M. Lobbyin¢. SUBRECIPIENT certifies that it will comply with federal law (31 U.S.C.
1352) and regulations found at 24 CFR Part 87, which provide that no appropriated funds may be
expended by the recipient of a federal contract, grant, loan or cooperative agreement to pay any person
for influencing or attempting to influence an officer or employee of any agency, Member of Congress,
or an officer or employee of a Member of Congress in connection with awarding of any federal
contract, the making of any federal grant or loan, entering into any cooperative agreement and the
extension, renewal, amendment or modification of any federal contract, grant, loan or cooperative
agreement. SUBRECIPIENT shall sign a certification to that effect in a form as set forth in Exhibit
E, attached hereto and by this reference incorporated herein. SUBRECIPIENT shall submit said
signed certification to CITY prior to performing any of its obligations under this Agreement and prior
to any obligation arising on the part of CITY to pay any sums to SUBRECIPIENT under the terms
and conditions of this Agreement.
If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any agency, a Member
of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit a "Disclosure Form to Report Lobbying," in accordance with its instructions
(Exhibit E).
N. Financial Interest. SUBRECIPIENT agrees that except for the use of administrative
fees to pay salaries and other related administrative or personnel costs, no persons who exercise or
have exercised any function with respect to administering said program under the terns of this
Agreement, or who are in a position to participate in a decision -making process or gain inside
information with regard to the administration of said program, may obtain a financial interest or
benefit from said program, either for themselves or those with whom they have family or business
ties, during their tenure or for one year thereafter. This prohibition applies to any person who is
an employee, agent, consultant, officer, or elected or appointed official of CITY, or of any
designated public agency, or the SUBRECIPIENT.
O. Labor Standards. The SUBRECIPIENT agrees to comply with the requirements of
the Secretary of Labor in accordance with the Davis -Bacon Act as amended, the provisions of
Contract Work Hours and Safety Standards Act (40 U.S.C. 327 et seq.) and all other applicable
Federal, state and local laws and regulations pertaining to labor standards insofar as those acts
apply to the performance of this Agreement. The SUBRECIPIENT agrees to comply with the
Copeland Anti -Kick Back Act (18 U.S.C. 874 et seq.) and its implementing regulations of the U.S.
Department of Labor at 29 CFR Part 5. The SUBRECIPIENT shall maintain documentation that
demonstrates compliance with hour and wage requirements of this part. Such documentation shall
be made available to the CITY for review upon request.
P. Equal Employment Opportunities. SUBRECIPIENT shall make every effort to
ensure that all projects funded wholly or in part by ARPA SLFRF Funds shall provide equal
employment opportunities for minorities and women.
Q. Women and Minority -Owned Businesses (W/MBE). SUBRECIPIENT will use its
best efforts to afford small businesses, minority business enterprises, and women's business
enterprises the maximum practicable opportunity to participate in the performance of this
Agreement in accordance with the requirements of 2 CFR 200.321 "Contracting with small and
minority businesses, women's business enterprises, and labor surplus area firms". As used in this
Agreement, the term "small business" means a business that meets the criteria set forth in section
3(a) of the Small Business Act, as amended (15 U.S.C. 632), and "minority and women's business
enterprise" means a business at least fifty-one percent (51%) owned and controlled by minority
group members or women. For the purpose of this definition, "minority group members" are
African -Americans, Spanish-speaking, Spanish surnamed or Spanish -heritage Americans, Asian -
Americans, and American Indians. SUBRECIPIENT may rely on written representations by
businesses regarding their status as minority and female business enterprises in lieu of an
independent investigation.
R. Drug Free Workplace. SUBRECIPIENT agrees to provide a drug -free workplace and
to execute a certification as set forth in Exhibit F attached hereto and incorporated herein by this
reference.
S. Uniform Administrative Requirements Cost Principles and Audit Requirements
for Federal Awards. The following requirements and standards must be complied with: 2 CFR
Part 200 et al. SUBRECIPIENT shall procure all materials, property, or services in accordance
with the requirements of 2 CFR 200.318-326.
III. CITY'S OBLIGATIONS
A. Audit of Account. CITY shall include an audit of the account maintained by
SUBRECIPIENT in CITY's audit of all ARPA SLFRF Funds in accordance with Title 24 of the
Code of Federal Regulations and other applicable federal laws and regulations.
B. Common Rule: Pursuant to 2 CFR 200.328(a), the CITY manages the day-to-day
operations of each grant and subgrant supported activities. CITY staff has detailed knowledge of the
grant program requirements and monitors grant and subgrant supported activities to assure
compliance with federal requirements. Such monitoring covers each program, function and activity
and performance goals are reviewed periodically.
C. Project Expectations: CITY shall monitor the performance of SUBRECIPIENT
against goals and performance standards required herein. The SUBRECIPIENT shall be
responsible to accomplish the project expectations as set forth in Exhibit A, and report such results
to the CITY. If the SUBRECIPIENT estimates such goals will not be met, the SUBRECIPIENT
is to contact the CITY, at which time the CITY will determine if any adjustments to the grant
award is appropriate. Substandard performance as determined by the CITY will constitute non-
compliance with this Agreement. Should the CITY determine that the SUBRECIPIENT has not
performed its obligations as stated in this contract in a satisfactory manner, or if the CITY
determines that insufficient supporting information has been submitted, the CITY shall notify the
SUBRECIPIENT in writing of its determination specifying in full detail the objections that it has
to the SUBRECIPIENT's performance. If action to correct such substandard performance is not
taken by the SUBRECIPIENT after being notified by the CITY, within a reasonable period of time
as stipulated in the written notification, contract suspension or termination procedures will be
initiated.
IV. GENERAL PROVISIONS
A. Non -Discrimination.
1. SUBRECIPIENT agrees to comply with Executive Order 11246, which requires
that during the performance of this Agreement, SUBRECIPIENT agrees not to discriminate against
any employee or applicant for employment because of race, religion, sex, color or national origin.
Such action shall include, but not be limited to the following: employment, upgrading, demotion, or
transfer, rates of pay or other forms of compensation, and selection for training, including
apprenticeship. SUBRECIPIENT agrees to post in conspicuous places, available to employees and
applicants for employment, notices to be provided by the SUBRECIPIENT setting forth the
provisions of this nondiscrimination clause.
2. SUBRECIPIENT agrees to comply with Title VI of the Civil Rights Act of 1964,
which indicates that no person shall, on the ground of race, color or national origin, be excluded from
participation in, be denied the benefits of, or be subject to discrimination under any program of activity
receiving federal financial assistance.
3. No person shall, on the grounds of race, sex, creed, color, religion, marital status,
national origin, age, sexual orientation, or physical or mental handicap be excluded from participation
in, be refused the benefits of, or otherwise be subject to discrimination in any activities, programs or
employment supported by this Agreement. SUBRECIPIENT is prohibited from discrimination on
the basis of age or with respect to an otherwise qualified handicapped person as provided for under
Section 109 of the Housing and Community Development Act of 1974, as amended.
4. SUBRECIPIENT agrees to comply with the Age Discrimination Act of 1975,
which requires that during the performance of this Agreement, SUBRECIPIENT agrees not to
discriminate against any employee or applicant for employment because of age. Such action shall
include, but not be limited to the following: employment upgrading, demotion, or transfer, rates of
pay or other forms of compensation, and selection for training, including apprenticeship.
SUBRECIPIENT agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the SUBRECIPIENT setting forth the provisions of this age
discrimination clause.
5. SUBRECIPIENT agrees to comply with Section 504 of the Rehabilitation Act of
1973, which requires that no otherwise qualified individual with a disability in the United States, shall,
solely by reason of his or her disability, be excluded from the participation in, be denied the benefits
of, or be subjected to discrimination under any program or activity receiving federal financial
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assistance or under any program or activity conducted by any executive agency or by the United
States Postal Service.
B. Conflict of Interest. Pursuant to the conflict of interest requirements set forth in 24
CFR 570.611 and 2 CFR 200.112, SUBRECIPIENT certifies that no member, officer, employee,
agent or assignee of CITY having direct or indirect control of any ARPA SLFRF Funds granted to
the CITY, inclusive of the subject ARPA SLFRF Funds, shall serve as an officer of SUBRECIPIENT.
Further, any conflict or potential conflict of interest of any officer of SUBRECIPIENT shall be fully
disclosed in writing prior to the execution of this Agreement and said writing shall be attached and
deemed fully incorporated as a part hereof. Notice shall be sent by SUBRECIPIENT to CITY
regarding any changes or modifications to its board of directors and list of officers.
C. Special Certification for Religious Entities. If SUBRECIPIENT is a religious entity,
SUBRECIPIENT hereby agrees that in connection with the provision of the services
SUBRECIPIENT shall provide with ARPA SLFRF Funds, in accordance with 24 CFR 570.2006):
1. SUBRECIPIENT shall not discriminate against any employee or applicant for
employment on the basis of religion and shall not limit employment or give preference in employment
to persons on the basis of religion.
2. SUBRECIPIENT shall not discriminate against any person applying for the
services SUBRECIPIENT agrees to provide under the terms of this Agreement on the basis of religion
and shall not limit such services or give preference to applicants for such services on the basis of
religion.
3. SUBRECIPIENT shall NOT provide religious instruction or counseling, conduct
any religious worship or services, or engage in any religious proselytizing, or exert any religious
influence in the provision of the services in said program. The parties agree that this covenant is
intended to and shall be construed for the limited purpose of assuring compliance with respect to the
use of CITY funds by SUBRECIPIENT with applicable constitutional limitations respecting the
establishment of religion as set forth in the establishment clause under the First Amendment of the
United States Constitution and Article I, Section 4 of the California Constitution, and is not in any
manner intended to restrict other activities of SUBRECIPIENT.
4. The portion of a facility used to provide public services assisted in whole or in part
under this Agreement shall contain no sectarian or religious symbols.
5. Where the services to be provided under said program are rendered on property
owned by the primarily religious entity SUBRECIPIENT, ARPA SLFRF Funds may also be used for
minor repairs to such property, which are directly related to the cost of rendering the services under
said program, where the cost constitutes in dollar terms only an incidental portion of the ARPA
expenditure for rendering the services under said program.
D. Prohibition of Nepotism. SUBRECIPIENT agrees not to hire or permit the hiring of
any person to fill a position funded through this Agreement if a member of that person's immediate
family is employed in an administrative capacity by SUBRECIPIENT. For the purposes of this
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section, the term "immediate family" means spouse, child, mother, father, brother, sister, brother-in-
law, sister-in-law, father-in-law, mother-in-law, son-in-law, daughter-in-law, aunt, uncle, niece,
nephew, stepparent and stepchild. The term "administrative capacity" means having selection, hiring,
supervisor or management responsibilities.
E. Notices. Notices to the parties shall, unless otherwise requested in writing, be sent by
U.S. Mail, postage prepaid, and addressed as follows:
TO CITY: City of Santa Ana
Lisa Rudloff
TO SUBRECIPIENT:
Executive Director
Parks, Recreation and Community Services Agency
20 Civic Center Plaza
P.O. Box 1988
Santa Ana, California 92702-1988
Nati's House DBA Neutral Ground
Nati Alvarado
Executive Director
1733 N Valencia St
Santa Ana, CA 92706-2930
F. Assienability. None of the duties of, or work to be performed by, SUBRECIPIENT
under this Agreement shall be subcontracted or assigned to any agency, consultant, or person
without the prior written consent of CITY. SUBRECIPIENT must submit all subcontracts and
other agreements that relate to this Agreement to CITY. No subcontract or assignment shall
terminate or alter the legal obligations of SUBRECIPIENT pursuant to this Agreement.
G. Indemnification/Hold Harmless. SUBRECIPIENT shall indemnify, defend and save
harmless CITY, its officers, employees, agents, representatives and volunteers from and against any
and all damages to or for loss of use of property and for injuries to or death of any person or persons,
including property and employees or agents of CITY, and shall defend, indemnify and save harmless
CITY, its officers, employees, agents, representatives and volunteers from and against any and all
claims, demands, suits, actions or proceedings of any kind or nature, including, but not by way of
limitation, workers compensation claims and including attorney fees and reasonable expenses for
litigation or settlement, resulting from or arising out of the negligent or wrongful acts, errors or
omissions of SUBRECIPIENT, its officers, directors, employees, agents, subcontractors and
suppliers arising out of SUBRECIPIENT's performance of this Agreement.
H. Insurance.
Contractor shall procure and maintain for the duration of the contract insurance against
claims for injuries to persons or damages to property which may arise from or in connection with
12
the performance of the work hereunder and the results of that work by the Contractor, its agents,
representatives, employees, or subcontractors.
a. MINIMUM SCOPE AND LIMIT OF INSURANCE Coverage shall beat least as broad
as:
1. Commercial General Liability (CGL): Insurance Services Office Form CG 00
01 covering CGL on an `occurrence" basis, including products and completed
operations, property damage, bodily injury and personal & advertising injury
with limits no less than $2,000,000 per occurrence. If a general aggregate limit
applies, either the general aggregate limit shall apply separately to this
project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be
twice the required occurrence limit.
2. Automobile Liability: Insurance Services Office Form Number CA 0001
covering, Code 1 (any auto), or if Contractor has no owned autos, Code 8 (hired)
and 9 (non -owned), with limit no less than $1,000,000 (if program services
includes transportation of youth, the limit shall be no less than $5,000,000) per
accident for bodily injury and property damage. (Not required if an automobile
is not required to fulfill services.)
3. Workers' Compensation: insurance as required by the State of California, with
Statutory Limits, and Employer's Liability Insurance with limit of no less than
$1,000,000 per accident for bodily injury or disease.
4. Sexual Abuse or Molestation (SAM Liability: If the CGL policy referenced
above is not endorsed to include affirmative coverage for sexual abuse or
molestation, Contractor shall obtain and maintain a policy covering Sexual
Abuse and Molestation with a limit no less than $1,000,000 per occurrence or
claim.
5. If the Contractor maintains broader coverage and/or higher limits than the
minimums shown above, the City requires and shall be entitled to the broader
coverage and/or the higher limits maintained by the Contractor. Any available
insurance proceeds in excess of the specified minimum limits of insurance and
coverage shall be available to the City.
b. Other Insurance Provisions — The insurance policies are to contain, or be endorsed to
contain, the following provisions:
1. Additional Insured Status: The City, its officers, officials, employees, and
volunteers are to be covered as additional insureds on the CGL policy with
respect to liability arising out of work or operations performed by or on behalf
of the Contractor including materials, parts, or equipment furnished in
connection with such work or operations. General liability coverage can be
provided in the form of an endorsement to the Contractor's insurance (at least
as broad as ISO Form CG 20 10 1185 or if not available, through the addition
of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 20 37 forms if a
later edition is used).
13
Primary Coverage: For any claims related to this contract, the Contractor's
insurance coverage shall be primary coverage at least as broad as ISO CG 20
0104 13 as respects the City, its officers, officials, employees, and volunteers.
Any insurance or self-insurance maintained by the City, its officers, officials,
employees, or volunteers shall be excess of the Contractor's insurance and shall
not contribute with it.
3. Notice of Cancellation: Each insurance policy required above shall state that
coverage shall not be canceled, except with notice to the City.
4. Waiver of Subrogation: Contractor hereby grants to City a waiver of any right
to subrogation which any insurer of said Contractor may acquire against the
City by virtue of the payment of any loss under such insurance. Contractor
agrees to obtain any endorsement that may be necessary to affect this waiver of
subrogation, but this provision applies regardless of whether or not the City has
received a waiver of subrogation endorsement from the insurer.
5. Self -Insured Retentions: Self -insured retentions must be declared to and
approved by the City. The City may require the Contractor to purchase coverage
with a lower retention or provide proof of ability to pay losses and related
investigations, claim administration, and defense expenses within the retention.
The policy language shall provide, or be endorsed to provide, that the self -
insured retention may be satisfied by either the named insured or City.
6. Acceptability of Insurers: Insurance is to be placed with insurers authorized to
conduct business in the state with a current A.M. Best's rating of no less than
ANII, unless otherwise acceptable to the City.
7. Claims Made Policies: If any of the required policies provide coverage on a
claims -made basis:
1. The Retroactive Date must be shown and must be before the date of the
contract or the beginning of contract work.
2. Insurance must be maintained and evidence of insurance must be
provided for at least five (5) years after completion of the contract of
work.
3. If coverage is canceled or non -renewed, and not replaced with another
claims -made policy form with a Retroactive Date prior to the contract
effective date, the Contractor must purchase "extended reporting"
coverage for a minimum of five (5) years after completion of contract
work.
8. Verification of Coverage: Contractor shall furnish the City with original
Certificates of Insurance including all required amendatory endorsements (or
copies of the applicable policy language effecting coverage required by this
clause) and a copy of the Declarations and Endorsement Page of the CGL policy
listing all policy endorsements to City before work begins. However, failure to
obtain the required documents prior to the work beginning shall not waive the
Contractor's obligation to provide them. City reserves the right to require
14
complete, certified copies of all required insurance policies, including
endorsements required by these specifications, at any time.
9. Special Risks or Circumstances: City reserves the right to modify these
requirements, including limits, based on the nature of the risk, prior experience,
insurer, coverage, or other special circumstances.
I. Termination.
1. This Agreement may be terminated on thirty (30) days' written notice by either
party. In the event of such termination, SUBRECIPIENT shall only be entitled to reimbursement for
approved expenses incurred to the effective date of termination.
2. This Agreement may be suspended or terminated by CITY upon five (5) days'
written notice for violation by SUBRECIPIENT of Federal Laws governing the use of ARPA SURF
Funds. hi the event of such suspension or termination, SUBRECIPIENT shall only be entitled to
reimbursement for approved expenses incurred up to the effective date of suspension or termination.
3. Pursuant to 2 CFR 200.340, in the event SUBRECIPIENT defaults by failing to
fulfill all or any of its obligations hereunder, CITY may declare a default and termination of this
Agreement by written notice to SUBRECIPIENT, which default and termination shall be effective
on a date stated in the notice which is to be not less than ten (10) days after certified mailing or
personal service of such notice, unless such default is cured before the effective date of termination
stated in such notice. If terminated for cause, CITY shall be relieved of further liability or
responsibility under this Agreement, or as a result of the termination thereof, including the payment
of money, except for payment for approved expenses incurred for services satisfactorily and timely
performed prior to the mailing or service of the notice of termination, and except for reimbursement
of. (1) any payments made for services not subsequently performed in a timely and satisfactory
manner; and, (2) costs incurred by CITY in obtaining substitute performance.
4. The grant of funds under this Agreement may be terminated for convenience by
either the CITY or SUBRECIPIENT, in whole or in part, by setting forth the reasons for such
termination, the effective date, and, in the case of portion termination, their portion to be terminated.
However, if in the case of a partial termination, the CITY determines that the remaining portion of
the award will not accomplish the purpose for which the award was made, the CITY may terminate
the award in its entirety.
5. The grant of funds under this Agreement may be terminated due to the non-
performance of SUBRECIPIENT and/or failure of SUBRECIPENT to perform the work described
in Exhibit A.
6. The grant of funds under this Agreement maybe terminated due to the failure of
the CITY to receive sufficient or anticipated funding for the ARPA program for any term subject to
this Agreement.
7. In the event this Agreement is terminated as set forth in subparagraphs I(I)
through I(6), inclusive, SUBRECIPIENT agrees to immediately return to CITY upon CITY's demand
15
and prior to any adjudication of SUBRECIPIENT's rights, any and all funds not used, and to comply
with the Reversion of Assets requirements in this Agreement.
J. Limitation of Funds. The United States of America may in the future place
programmatic or fiscal limitations on the use of ARPA SLFRF Funds, which limitations are not
presently anticipated. Accordingly, CITY reserves the right to revise this Agreement in order to take
account of actions affecting ARPA program funding. In the event of funding reduction, CITY may,
in its sole and absolute discretion, reduce the budget of this Agreement, may limit the rate of
SUBRECIPIENT's authority to utilize funds, or may restrict SUBRECIPIENT's use of uncommitted
funds. Where CITY has been directed to implement a reduction in funding, with respect to funding
for this Agreement, CITY's City Manager or delegate is authorized to act for CITY in implementing
and effecting such a reduction and in revising, modifying, or amending the Agreement for such
purposes. If such a reduction in funding occurs, SUBRECIPIENT shall be permitted to de -scope
accordingly. Where CITY has reasonable grounds to question SUBRECIPIENT's fiscal
accountability or compliance with this Agreement, CITY may suspend the operation of this
Agreement for up to sixty (60) days upon five (5) days written notice to SUBRECIPIENT of its
intention to so act, pending an audit or other resolution of such questions. In no event, however, shall
any revisions made by CITY affect expenditures and legally binding commitments made by
SUBRECIPIENT before it received notice of such revision, provided that such amounts have been
committed in good faith and are otherwise allowable and that such commitments are consistent with
ARPA SLFRF Funds withdrawal guidelines.
K. Exclusivity and Amendment of Agreement. This Agreement supersedes any and all
other agreements, either oral or in writing, between the parties hereto with respect to the use of CITY's
ARPA SLFRF Funds by SUBRECIPIENT and contains all the covenants and agreements between
the parties with respect to SUBRECIPIIENT's administration of said program. Each party to this
Agreement acknowledges that no representations, inducements, promises or agreements, orally or
otherwise, have been made by any party, or anyone acting on behalf of any party, which are not
embodied herein, and that no other agreement or amendment hereto shall be effective unless executed
in writing and signed by both CITY and SUBRECIPIENT.
L. Laws Governing this Agreement. This Agreement shall be governed by and construed
in accordance with the laws of the State of California, and all applicable federal laws and regulations.
M. Validity and Severability. The invalidity in whole or in part of any provision of this
Agreement shall not void or affect the validity of any other provision of this Agreement. Whenever
possible, each provision of this AGREEMENT shall be interpreted in such manner as to be
effective and valid under applicable law, but if any provision of this AGREEMENT is held to be
prohibited by or invalid under applicable law, such provision shall be ineffective only to the extent
of such prohibition or invalidity, without invalidating the remainder of such provisions of this
AGREEMENT.
N. Waiver. No delay or omission by either parry hereto to exercise any right or power
accruing upon any noncompliance or default by the other party with respect to any of the terms of
this Agreement shall impair any such right or power or be construed to be a waiver thereof. A
waiver by either of the parties hereto of any of the covenants, conditions, or agreements to be
16
performed by the other shall not be construed to be a waiver of any succeeding breach thereof or
of any other covenant, condition or agreement herein contained.
O. Federal Award Identification Information. SUBRECIPIENT's pertinent Federal
Award Identification Information, including DUNS Number and Federal Award Identification
Number (FAIN), as well as the applicable information for ARPA, are included in Exhibit C
attached hereto and incorporated herein by this reference.
P. Miscellaneous Provisions.
1. Each undersigned represents and warrants that its signature herein below has the
power, authority and right to bind their respective parties to each of the terms of this Agreement, and
shall indemnify CITY fully, including reasonable costs and attorney's fees, for any injuries or
damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is
withdrawn.
2. All Exhibits and Attachments referenced herein and attached hereto shall be
incorporated as if fully set forth in the body of this Agreement.
3. This Agreement must be signed below and may be signed in counterpart and
delivered by fax, email as a PDF (Portable Document Format) file attachment, or by other means that
displays the original or a copy of the signatures. Any subsequent amendments may be signed and
delivered in the same manner.
(Signatures on following page)
17
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date and year
firstrivritten above.
ATTEST:
�\
DAISY GOM
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
BRANDONSALVATIERRA
Deputy City Attorney
RECOMMENDED FOR APPROVAL:
Ac;9 \ D
L .SAUDLOFF
Executive Director
Parks, Recreation and Community Services Agency
18
CITY OF SANTA ANA
STINE RIDGE
City Manager
SUBRECIPIENT:
1
N ALV
Ex cutive Director
DUNS #: 079536874
EXHIBIT A
SCOPE OF WORK
Exhibit A
Scope of Work 4.1
Neutral Ground Boxing Club (NGBC)
Program Component Descriptions:
In March of this year Neutral Ground began meeting with a group of 20-30 youth and family members, practicing boxing drills,
riddling our hour-long sessions with plenty of strength and conditioning drills. NGBC proposes to reach some of our most at -risk
youth through sports programming and restorative practices. The purpose of Neutral Ground Boxing Club (NGBC) is to provide
free/no cost sports programming for some of our older (10-18) and more deeply gang -entrenched program participants. In
continued collaboration with Santa Ana Police Department, Santa Ana School Police, and the Orange County Probation Department,
a referral continuum will be established between our law enforcement partners and the Neutral Ground team. To best implement
the trauma -informed goal of the program, the Adverse Childhood Experience Survey (ACES) will be administered to all participants
at time of enrollment. This trauma -focused screening tool will assist providers to determine the level of intervention and targeted
referrals/linkages needed for participants. Youth of families victimized by violence and/or siblings of juvenile -justice involved youth
and/or students showing sudden changes in behavior, especially those demonstrating aggression will be referred to NGBC for
restorative practices, support services and linkages, and case management and sports programming. Special attention will be paid
to youth/students who have been severely impacted emotionally, academically, and financially (home/basic needs) as a result of
the COVID-19 crisis. The ultimate goal is to redirect participants back to a positive trajectory and reconnect them to programs, their
schools, positive influences, and their family to build a violence- free, strong, healthy, and meaningful future.
In collaboration with city
Begins
Current location can only serve less than 10 participants at a time. New
officials and local real estate
March 2022-
location will increase numbers of participants to — minimum of 200
experts, a new location will be
continues
unduplicated participants per year and many students who have participated
located in order to expand the
through
in the past will be encouraged to continue to engage in the program.
already existing program.
March 2023
Equipment for the program
April 2022
Once location is secured, equipment will be ordered to maximize the quality
will be purchased.
and the safety of the experience for the youth.
Development of referral
Begins
Seamless continuum of referrals of at -risk youth in need of NGBC services
system with law enforcement
March 2022-
program will be developed and sustained.
partners community agencies
continues
and school district for COVID-
through
impacted candidates for
March 2023
program
Participant
Ongoing
Adverse Childhood Experience Survey(ACES) will be administered to all
Survey/Assessment
participants at time of enrollment. Staff will address common issues
experienced by participants in healing circles at the end of training sessions.
Boxing Trainers/RP Leads-
March- April
Staff with experience with youth and the SA community who are bilingual
Recruitment and Training
2022 and
Spanish speakers will be recruited for positions. Staff will be trained in
ongoing
supervision, safety, boxing, fitness, as well as restorative practices.
Healthy Physical
Ongoing
30 (80-120 total per year) youth will participate in ongoing boxing training on
Development- Stress and
Monday and Wednesdays each quarter. Participants may return and continue
Coping Mechanisms
training once they have completed the formal training/program. The focus of
the program will teach positive ways to relieve stress, and increase self-
discipline, and confidence.
Boxing Program/Restorative
Occur
Minimum of 30 unduplicated, NGBC participants will engage in boxing training
Circles
Weekly-
and restorative circles for a minimum of 5 weeks for each quarter (120 per
"Two -Pronged Approach =
ongoing
year). Boxing will take place twice per week, Tuesdays, and Thursdays for 2.5
Physical Health + Mental
hours and then students will have time to change and settle in for RP circles for
Health"
the last hour. The focus of the RP Circles will be to assist participants mitigate
mental health stresses, anxieties, and aggressions as a result of the COVID-19
crisis and diminish the specific risk factors preventing them getting back on
their feet.
50% of the participants will complete and participate in boxing training and RP
sessions.
Excursions/Tournaments
6 times for
Participants who have achieved milestones in training and RP circles will
the year
participate in recreational excursions such as beach trips, mountain trips and
sports trips. Participants may also participate in tournaments once they are
ready for competition,
Linkages: Community mental
Ongoing
10% of boxing participants will be linked to services for more extensive mental
health support, participants
health support. Program Supervisor will assist with linkages to mental health
who have more extensive
services.
multi -faceted mental health
need to consistently engage
with mental health
practitioners to support
recovery from COVID-19
struggles.
Linkages: Meeting basic
Ongoing
30%of boxing participants will be linked to services to support basic urgent
needs, in order for
needs. Program Supervisor will assist with linkages to agencies providing
participants to recover from
urgent necessities.
the COVID-19 struggles we
must ensure that basic needs
have been met. Urgent
necessities i.e.,
transportation, food and
shelter will also be provided
upon need.
Recognition Events: Research
Twice per
Boxing participants will receive t-shirts, customized awards, and incentives to
indicates that recognizing
year
recognize outstanding participation. Two events will take place where family,
progress and growth is critical
law enforcement partners and other agencies will join to applaud youth
in effective youth
efforts.
development efforts.
(Hawkins & Catalano)
t. i arget ropuiation
The mission of Neutral Ground is to create a healthier, safer Santa Ana centered on its communities most impacted by violence;
breaking the cycle of poverty, child abuse, academic failure and teen pregnancy through restorative practice and evidence -based
youth development, academic support, and the strengthening of meaningful relationships. Neutral Ground is dedicated to
addressing the human suffering and health disparities that the community of Santa Ana has suffered due to the COVID-19
pandemic.
The COVID-19 virus has affected all age and ethnic groups globally and nationally and across all domains of functioning. physical
health and development were severely impacted with all of the facility lockdowns and canceled recreational programs throughout
the country. For much of the population of youth in Santa Ana this experience was especially challenging since home dwellings
were often overcrowded and left residents and family members vulnerable to COVID-19. Exposure and vulnerability then were
intensified by work conditions for essential jobs, overcrowded housing and neighborhoods that lack protective supplies and
preventive information (Falicov et al., 2020; Gaynor & Wilson, 2020). The impact on the families in the Santa Ana community
include economic implications, feelings of sadness due to grief and loss of family members/close friends and a lack of treatment in
mental health. The accommodation of safety measures COVID-19 introduced to social organizations or community based
extracurricular activities have impacted families, specifically the at -risk youth among the Santa Ana community. The strategies to
control the spread of the COVID-19 virus have changed the daily lives of these youth. The youth who are in vulnerable
communities have been hit the hardest and have unfortunately adopted unhealthy habits of behavior that impact their overall
lifestyle (Shepherd et al., 2021). Youth who have experienced these struggles ages 10-18 will be prioritized for enrollment in
Neutral Ground Boxing Club.
According to the US Census Bureau (2019), it was reported that 26.9% of the population of the city of Santa Ana is between the
ages of 5-18, 76.8% of the city identifies as Hispanic or Latino, 43.3% of the city are "foreign born persons" and 80.3% speak a
language at home other than English. The immigrant Latinx community are statistically more likely to seek or accept mental health
services within a community setting than independently seeking services for medical conditions such as depression, anxiety,
trauma, or relational conflicts. Mental health distress can also manifest in various somatic symptoms such as headaches, stomach
aches, or fatigue that needs to be addressed by health practitioners (Falicov,et al.,2020). This highlights the need for services
delivery to surpass cultural differences and provide healthy strategies under a whole -health framework of delivery (Gaynor &
Wilson, 2020) to support healthy living. The Neutral Ground Boxing Club will provide restorative circles and referrals to mental
health to reduce his disparity in access to mental health services. The program takes a two -pronged approach that includes
fostering both physical and mental wellness.
3. Unmet Need
Youth of all ages, but especially 10-18 years of age have been impacted physically and mentally from COVID-19 restrictions in the
Qualified Services Tract. Neutral Ground's proposed program will expand a boxing program to increase services. The local church
activities across the board fr the youth across the city of Santa Ana. The newly proposed Neutral Ground Boxing Club will support
almost 200+ youth with the first year of the grant with the safe and newly leased facilities and updated efJoril1l7itF)Articipants
will engage in physical development through boxing training as well as engage in social -emotional healing through sessions of
restorative circles at the end of the training each week.
Boxing programs can be used as a sport -based youth development technique to teach life skills to youth within a recreational
context (Hemphill et al., 2019). The youth who participate in these activities learn to apply life skills beyond the activity due to the
social nature of the program. Perceived life skills are found to be a component that is foundational as it enhances the expectation
of hard work/teamwork and encourages positive relationships built within the gym environment (Hemphill et al., 2019). As the
research states above, this population struggles with mental health imbalances, economic stressors, physical discomfort,
dysregulated structure to routine and social instability. Coupled with potentially abusive homes, family dysfunction, and physical
discomfort, the nature of a boxing recreational program that encourages peer to peer interaction, physical activity and social -
emotional growth and stability will help to mitigate any maladaptive behaviors, including substance abuse (Shepherd et al., 2021).
This population needs a culturally competent program that offers a safe place to feel a sense of belonging, while providing an
outlet to kinesthetically work out any potential stressors and enhance physical wellbeing. As our society embraces a post COVID-19
pandemic, Neutral Ground's Boxing Club will positively impact overall development, self-discipline, teamwork and promote a
healthier lifestyle which will build peer culture and embrace healthy strategies to promote physical and mental wellness.
The youth who attend the boxing program, will also be able to attend restorative circles after the boxing sessions. Restorative
circles are an evidenced based restorative practice that draws attention to positive climate and culture, providing a space for
children to address their problematic behavior and increase social -emotional behavior strategies (Evanovich et al., 2020). When
implemented, prevention and positive responses to challenging behavior is emphasized and a whole -health framework is then
adopted (Evanovich et al., 2020). These restorative circles that will be offered after the boxing sessions, allows for a two -pronged
approach to address the physical and social emotional health among the youth who engage in the boxing club. It is rare to have a
program that takes this two -pronged approach that includes fostering physical and mental wellness.
4. Details of Collaborations with Local Organizations
Neutral Ground has been operating in the heart of Santa Ana for the past 30 years and has established a strong network of
collaborative partners. The founder, Nati Alvarado, was a teen father himself at the age of 15. His passion to help others and avoid
the trauma and heartache that he and his family experienced in his youth have given him the desire to pursue this work and lead
his agency with a strong collaborative spirit. His deep commitment to new and existing partnerships demonstrates a strong
foundation of collaborative readiness for a wide range of community activities and events.
Over the past 10 years Neutral Ground has participated in The California Endowment's Building Healthy Communities (BHC)
Initiative within Santa Ana Unified School District, developed the Summer Night Lights Program with funding from the City of Santa
Ana which served thousands of youths from all over the city. In addition, Neutral Ground was selected as a partner to provide job
preparation and drug abuse prevention in the Prop.47 grant with the alternative education programs within SAUSD and funded to
provide Restorative Practices at secondary schools throughout the community. Neutral Ground also implemented the Proud
Parent grant in SAUSD which included a collaborative partnership with community agencies and OC Probation Department. The
partnership was so successful the Memorandum of Understanding has been renewed although the grant ended several years ago.
Throughout the years Neutral Ground has been a reliable and cutting -edge community agency ready and willing to serve the
community through collaborations and partnerships with law enforcement agencies, school districts and other community
agencies.
5. Innovation in Service/Delivery
NG has developed an innovative proposal including evidence -based practices that will prove effective with this uniquely vulnerable
population, the NG-Boxing Club will Implement a comprehensive two -pronged approach to developing a boxing Club to promote
physical training and social- emotional wellness. Rarely, do programs target two areas of health in one program. This system will
support highly impacted youth from COVID-19 challenges. Neutral Ground will be providing a supervisor who will coordinate
linkages to urgent resources for the gaps in basic needs while facilitating restorative circles to rebuild social -emotional health.
Neutral Ground has a long-standing commitment to serving the most vulnerable and is known for incorporating trauma -informed
care into services. Trauma -informed care is a strength -based approach that emphasizes physical, psychological, and emotional
safety to create an environment for participants to rebuild a sense of control and empowerment (Hopper, Bassuk, & Olivet, 2010)
NG activities will be conducted in safe spaces where youth feel culturally, emotionally, and physically safe. NG staff have extensive
training on the evidence -based services, and many have first-hand understanding of the life struggles that impact today' s youth.
The majority of the NG- Boxing Club staff members will be from Santa Ana and are culturally proficient and bilingual. NG will
maximize the potential of each participant by setting and achieving individualized goals and plans. A famous quote from a student
n San Francisco once advised a conference room of service providers, "A child will walk around trouble and away from trouble, if
they have someone to walk with and somewhere to walk to." By receiving funding for this multifaceted Boxing Club, Neutral
Ground will be able to expand and fulfill this dire need for so many of the lost and impacted youth in our city.
101011,30
FEE PAYMENT SCHEDULE
Exhibit B
FISCAL YEAR 2022-2023
PROPOSED PROGRAM BUDGET
Organization Name Natis House dba Neutral Ground
Program Name NGBC (Neutral Ground Boxing Club)
Term: July 1, 2022 to June 30, 2023
EXPENDITURES
Enter budeet categories and proiected expenditures:
Category
Expenditures
Funded By
Santa Ana
REVIVE Funds
Expenditures
Funded By
Other Sources
Program
Budget
Total
Organization
Budget
Administrative Staff Salaries
$0
$0
Program Staff Salaries
$58,425
$58,425
$ 58,425
Contractual Services
$0
$0
Other-
$63,747
$63,747
$ 63,747
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL 1
$122,172
$0
$122,172
$122,172
PROGRAM RESOURCES
LIST ALL OTHER PROGRAM RESOURCES FOR 2022-2023
Funding Source Total n
Attachment 1(a)
lust equal Frogram Budget I otal listed above.
FUNDING SOURCE AMOUNT
Santa Ana REVIVE 1 $ 122,172
172
Exhibit B
2022-2023 REVIVE BUDGET LINE ITEMS
ADMINISTRATIVE STAFF
Position Title Annual Salary & Benefits REVIVE Funds Description
PROGRAM STAFF
Position Title
Annual Salary & Benefits
REVIVE Funds
Description
1 Program Supervisor
28,080
28,080
$27 x 20 hrs p.week x 52 weeks
4 Trainers and RP Leads
26,880
26,880
($20 x 8 hrs p.week x 42 weeks) x (4 workers)
1 Admin Support
3,465
3,465
$21 x 5 hrs x 33 weeks
CONTRACTUAL/PROFESSIONAL SERVICES
Type of Service Contract Amount REVIVE Funds Description
OTHER LINE ITEMS
Line Item
Program Amount
REVIVE Funds
Description
Student Bus Passes $1,200: Fortransportation
Other
$ 63,747.00
$ 63,747.00
to and from boxing
Snacks, Water & Food $5,000: For students.
Pizza Party Incentive for reaching milestones
etc
Program Equipment $7,000: Equip for training,
gloves, ring set-up, headgear, shoes, towels
etc
Rent $30,000: Training location (12 months x
$2,500)
Liability Insurance $4,000: Insurance Premium
Transportation/Van Rentals $2,100: For
recreational excursions and tripstto boxing
tournaments
Transportation $840: Fuel fill -ups
Tournament/Competition Fees $2,500:
Supplies for recreation activities
Indirect Cost $11,107: 10` o (from whole
budget subtotal of $111,107)
Attachment 1(b)
EXHIBIT C
FEDERAL AWARD IDENTIFICATION INFORMATION
The General Program Requirements were designed to provide the framework where the
CONTRACTOR will provide ARPA programs identified in this attachment.
I.
II.
The CONTRACTOR agrees to comply, remain informed, and deliver services consistent
with the provisions of ARPA.
Where local policy has not been set, the CONTRACTOR agrees to adhere to state and/or
federal policy, as appropriate.
A. Additional state and federal agencies that provide funding to the CITY may be
incorporated herein.
B. Information Bulletins, Directives, and any other federal and state guidance documents
pertaining to the ARPA SURF Funds.
C. Actions, directives, and policy and procedures issued by the CITY.
D. CITY policies, as applicable.
III. CONTRACTOR/SUBRECIPIENT DETERMINATION:
In accordance with the requirements of 2 CFR 200.330 (Subrecipient and Contractor
determination) and for the purpose of this CONTRACT, SUBRECIPIENT is determined
to be a CONTRACTOR.
iV. FEDERAL AWARD IDENTIFICATION
FAIN INFORMATION
A.
CONTRACTOR Name:
NATI'S HOUSE DBA NEUTRAL GROUND
B.
CONTRACTOR'S Unique
079536874
Identifier (D-U-N-S):
Federal Award
C.
Identification Number
SLFRP1059
(FAIN):
D.
Federal Award Date:
5/19/2021
E.
Subaward Period of
7/l/2022-6/30/2023
Performance:
Total Amount of Federal
F.
Funds Obligated by the
$122,172
Action:
Total Amount of Federal
G.
Funds Obligated to the
$122,172
CONTRACTOR:
H
Total Amount of the
$64,180,406.50
Federal Award:
I
Federal Award Project
American Rescue Plan Act (ARPA)
Description:
J.
Federal Awarding Agency:
U.S. Department of the Treasury
K.
Name of PTE:
City of Santa Ana
L.
Contact Information for the
Kristine Ridge, City Manager
Awarding Official:
Phone Number:
(714) 647-5200
E-mail Address:
krid2ena.santa-ana.orn,
M.
CFDA Number:
21.027
CFDA Name:
Coronavirus State and Local Fiscal Recovery Funds
N.
Whether Award is R&D:
No
O
Indirect Cost Rate for the
de minimus or federally negotiated rate
Federal Award:
EXHIBIT D
DEBARMENT
Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary Exclusion
Lower Tier Covered Transactions
This certification is required by the regulations implementing Executive Order 12549, Debarment and
Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The regulations were
published as Part VII of the May 26,1988 Federal Re rg ster (pages 19160-19211).
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION -
Attached)
(1) The prospective recipient of federal assistance funds certifies, by submission of this proposal,
that neither it nor its principals are presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in this transaction by any
federal department or agency.
(2) Where the prospective recipient of federal assistance funds is unable to certify to any of the
statements in this certification, such prospective participant shall attach an explanation to this
proposal.
(VA IJr �Xctufi/� UPI=rr</
Name and Title of Authorized Representative
Date
INSTRUCTIONS FOR CERTIFICATION
By signing and submitting this proposal, the prospective recipient of federal assistance funds
is providing the certification as set out below.
2. The certification in this clause is a material representation of fact upon which reliance was
placed when this transaction was entered into. If it is later determined that the prospective
recipient of federal assistance funds knowingly rendered an erroneous certification. in
addition to other remedies available to the Federal Government, the Department of Labor
(DOL) may pursue available remedies, including suspension and/or debarment.
3. The prospective recipient of federal assistance funds shall provide immediate wmtten notice
to the person to which this proposal is submitted if at any time the prospective recipient of
federal assistance funds leams that its certification was erroneous when submitted or has
become erroneous by reason of changed circumstances.
4. The terms "covered transaction," "debarred,' "suspended," "ineligible," 'lower tier covered
transaction," "participant," "person," "primary covered transaction," "principal," "proposal,"
and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions
and Coverage sections of rules implementing Executive Order 12549. You may contact the
person to which this proposal is submitted for assistance in obtaining a copy of those
regulations.
The prospective recipient of federal assistance funds agrees by submitting this proposal that,
should the proposed covered transaction be entered into, it shall not knowingly enter into any
lower der covered transaction with a person who is debarred, suspended, declared ineligible,
or voluntarily excluded from participation in this covered transaction, unless authorized by
the DOL.
6. The prospective recipient of federal assistance funds further agrees by submitting this
proposal that it will include the clause titled "Certification Regarding Debarment, Suspension,
Ineligibility and voluntary exclusion - Lower Tier Covered Transactions," without
modification, in all lower tier covered transactions and in all solicitations for lower tier
covered transactions.
7. A participant in a covered transaction may rely upon a cenification of a prospective participant
in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily
excluded from the covered transaction, unless it knows that the certification is erroneous. A
participant may decide the method and frequency by which it determines the eligibility of its
principals. Each participant may, but is not required to check the List of Parties Excluded
from Procurement or Non -Procurement Programs.
Nothing contained in the foregoing shall be construed to require establishment of a system of
records in order to render in good faith the certification required by this clause. The
knowledge and information of a participant is not required to exceed that which is normally
possessed by a prudent person in the ordinary course of business dealings.
9. Except for transactions authorized under paragraph S of these instructions, if a participant in
a covered transaction knowingly enters into a lower tier covered transaction with a person
who is suspended, debarred, ineligible, or voluntarily excluded from participation in this
transaction, in addition to other remedies available to the Federal Government, the DOf, may
pursue available remedies, including suspension and/or debarment.
EXHIBIT E
LOBBYING
Certification Regarding Lobbying
Certification for Contracts. Grants Loans and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
any agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal contract, the making of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of
any Federal contact, grant, loan or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying,' in accordance
with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontract, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any person who
fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such failure.
41eutr, ( bfCV,,(/1(Qf,3 Rc-,Sr
Grantee/Contactor Organization Program Title
tr l�n/o,.il- J
Signature -g-.ZL
Name of Certifying Officer Date
SUBRECIPIENT warrants the following:
I . SUBRECIPIENT will comply with Public Law 88-352, Title VI of the Civil Rights Act of 1964
(42 U. S. C. section 2000 et seq.) and implementing regulation in 24 CFR Part I.
2. No person in the United States shall on the ground of race, color, religion, national origin, or
sex, be excluded from participation in, or be denied the benefits of, or be subjected to
discrimination under any program or activity funded in whole or in part with community
development funds made available pursuant to the ACT.
3. All laborers and mechanics, employed by contractors or subcontractors in the performance of
construction work financed in whole or in part with community development funds shall be paid
wages at rates not less than those prevailing on similar construction in the locality as determined
in accordance with the Davis -Bacon Act, as amended, 40 U. S. C. Sections 276 a 1-5, except for
individuals who perform services for which they volunteered; do not receive compensation for
such services; or are paid expenses, reasonable benefits, or a nominal fee for such services; and
are not otherwise employed at any time in construction work.
4. SUBRECIPIENT will comply with all Federal statutes applicable to projects funded with
community development funds, except that (a) SUBRECIPIENT does not assume CITY'S
environmental responsibilities described at 24 CFR 570.604; and (b) SUBRECIPIENT does not
assume CITY'S responsibility for initiating the review process under Executive Order 12372.
EXHIBIT F
DRUG -FREE WORKPLACE
Certification Reeardine Druz -Free Workplace Requirements
The certification set out below is a material representation upon which reliance is placed by the
U.S. Department of Housing and Urban Development in awarding the grant. If it is later
determined that the contractor knowingly rendered a false certification, or otherwise violates the
requirements of the Drug -Free Workplace Act, the U.S. Department of Housing and Urban
Development, in addition to any other remedies available to the Federal Government, may take
action authorized under the Drug -Free Workplace Act.
CERTIFICATION
A. The contractor certifies that it will provide a drug -free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession or use of a controlled substance is prohibited in
the contractor's workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
(b) Establishing a drug -free awareness program to inform employees about -
(1) The dangers of drug abuse in the workplace;
(2) The contractor's policy of maintaining a drug -free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance
program; and
(4) The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace;
(c) Making it a requirement that each employee who will be engaged in the
performance of the grant be given a copy of the statement required by paragraph
(a);
(d) Notifying the employee in the statement required by paragraph -(a) that, as a
condition of employment under the contract, the employee will -
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug statute conviction for a violation
occurring in the workplace no later than five days after such conviction.
(e) Notifying the U.S. Department of Housing and Urban Development within ten days
after receiving notice under subparagraph (d)(2) from an employee or otherwise
receiving actual notice of such conviction;
(0 Taking one of the following actions, within 30 days of receiving notice under
subparagraph (d)(2), with respect to any employee who is so convicted -
(1) Taking appropriate personnel action against such an employee, up to and
including termination; or
(2) Requiring such employee to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for such purposes by a
Federal, State, or local health, law enforcement, or other appropriate
agency;
(g) Making a good faith effort to continue to maintain a drug -free workplace through
implementation of paragraphs (a), (b), (c), (d), (e) and ft
B. The contractor shall insert in the space provided on the attached "Place of Performance"
form the site(s) for the performance of work to be carried out with the grant funds
(including street address, city, county, slate, and zip code) .the contractor further certifies
that, if it is subsequently determined that additional sites will be used for the performance
of work under the contract, it shall notify the U.S. Department of Housing and Urban
Development immediately upon the decision to use such additional sites by submitting a
revised "Place of Performance' form.
Organization
4 -.,92
Au orized Signature Date
PLACE OF PERFORMANCE
FOR CERTIFICATION REGARDING DRUG -FREE
WORKPLACE REQUIREMENTS
%c / G/cu,
Date:_ 3 — /G -2 2
The Contractor shall insert in the space provided below the site(s) expected to be used for the
performance of work under the contract covered by the certification:
Place of Performance (include street address, city, county, state, zip code for each site):
1gA0 C 17" 2v—
s�r�t4 AKA dE 9270,5-'
Digially signed by Ted Pierson
Tod Pierson Deds: 2023A6.1409:5110-07'OP
ACORO® CERTIFICATE OF LIABILITY INSURANCE
`�
DAM(MMIDDNYYY)
1 5/26/2022
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(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 endorsement(s).
PRODUCER
LoVME:
1050 & T as hin A Marsh and McLennan Agency, LLC
1050 W Washington Street, Suite 233
Tempe AZ 85281
CONTACT
Marie Shaffer
PHONE . 602-792-2343 FAX No
E-MAIL
DOREss: mshaffer lovitt-touche,com
INSURERS AFFORDING COVERAGE
NAM #
INSURER A: HCC Specialty Insurance Company
11243
INSURED NATIHOU-Cl
Nati's House
INSURER B:
INSURER C:
Neutral Ground
INSURER D:
1733 Valencia St
Santa Ana CA 92706
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 859157384 REVISION NIIMRFR-
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.
INSR
LTR
TYPEOFINSURANCE
ADDL
J=
SUBR
vinic
POLICYNUMBER
POLICY EFF
MMIDONYYY)
POLICY EXP
IMMIODNYYYI
LIMITS
A
X
COMMERCIALGENERAL LIABILITY
CLAIMS -MADE � OCCUR
H21SS2007101
1/6/2022
1/6/2023
EACH OCCURRENCE
$1,000,000
0 ETO RENTED
P E I S Ea acaunenm
$50,000
X
MED EXP (my onePerson)
$ 5,000
11000
PERSONAL&AOVINJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY JET 7X I LOC
GENERALAGGREGATE
$3,000,000
PRODUCTS-COMP/OP AGO
$1,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
H21SS2007101
1/6/2022
1/6/2023
COMBINED tSINGLE LIMITMe
$1,000,000
BODILY INJURY (Per person)
$
AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
IXANY
BODILY INJURY )
(Per aomtlent
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
e accident)
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DIEDRETENTION$
It
WORKERS COMPENSATION
PER OTH-
ANDEMPLOYERS'LIABILITY YIN
STATUTE ER
E.L. EACH ACCIDENT
$
ANYPROPRIETORIPARTNER/EXECUTIVE
OFFICEWMEMBEREXCLUDEDT ❑
N/A
E.L. DISEASE - EA EMPLOYE
$
(Mandatory In NH)
If
Dyas, describe untler
DESCEll OF OPERATIONS below
E.L. DISEASE - POLICY LIMB
$
A
Professional Liability
H21SS2007101
1/6/2022
1/6/2023
Each Claim
1000000
SexuaVPhysiml Abuse
Prof Aggregate
SAMLAggregate
3:000:000
1,00G,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORO 101, Additional Remarks Schedule, may be aaaehed it more seam is sequined)
Certificate holder is named Additional Insured to General Liability coverage if required by written contract, subject to all policy terms, conditions, definitions and
exclusions. Primary/Non-Contributory applies. Notice of Cancellation for Specified Entity, City of Santa Ana.
"City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or
memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and
noncontributory."
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
Risk Management Division 10
20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Rbil Mangenatl miske,
Santa Ana CA 92701 REvtwaDa APlmw®Or
191WRI-ZU15 AGGRO Gil
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Houston Casualty Company
Houston, TX
End. Effective Date
I Named Insured
Policv Number
Endorsement
05/11/2022
Nati's House dba Neutral Ground
H22SS20071-01
11
This insurance is issued pursuant to the California
Insurance Code, Sections 1760 through 1780, and
is placed in an insurer or insurers not holding a
Certificate of Authority from or regulated by the
California Insurance Commissioner.
PROFESSIONAL LIABILITY AND GENERAL LIABILITY INSURANCE ENDORSEMENT
A. PROFESSIONAL LIABILITY (CLAIMS -MADE AND REPORTED COVERAGE)
B. GENERAL LIABILITY (OCCURRENCE COVERAGE)
WAIVER OF SUBROGATION AS TO SPECIFIED PERSON(S) OR ORGANIZATION(S)
In consideration of an additional premium in the amount of $250.00 and notwithstanding
anything contained in Section Vill. POLICY CONDITIONS, (B) Subrogation, of this Policy to
the contrary, it is understood and agreed that the Company will waive any right of recovery it
may have against any person or organization named in the Schedule below, with whom the
Named Insured has agreed to waive such right of recovery in a written contract or agreement
because of payments the Company makes under this Policy for any Claim resulting from work
performed by the Named Insured pursuant to such contract or agreement; provided, however,
that the Named Insured's contract or agreement with such person or organization is executed
prior to:
1. with respect to Professional Liability Coverage, the date any Wrongful Act giving rise to
the Claim is committed or allegedly committed; or
2. with respect to General Liability Coverage, the date any General Liability Incident
giving rise to the Claim occurs.
SCHEDULE
Name of Person or Organization
20 Civic Center Plaza
Surplus Lines Tax:
$
7.S0
Stamping Fee:
$
0.63
Policy Fee:
$
0.00
Ethos Filing Fee:
$
0.00
Agency Fee:
$
0.00
Br. "`
Author&
u:Moug w aww
e� enrrw Or::..
T
ASP 2050 Page 1 of 2
Vie° A 9e eni° 1Atle
Houston Casualty Company
Houston, TX
End. Effective Date
Named Insured
Poficv Number
Endorsement
05/11/2022
Nati's House dba Neutral Ground
H22SS20071-01
11
All other terms and conditions of this Policy remain unchanged.
_ r
Br b4AloogenmtIXuan >'
Author: Reneom6 rornv.� ar.
%u;V&waa
Rie4Maw9aimKlmWNde
ASP 2050 Page 2 of 2
Houston Casualty Company
Houston, TX
End. Effective Date
Named Insured
Policv Number
Endorsement
05/11/2022
Nati's House dba Neutral Ground
H22SS20071-01
11
This insurance is issued pursuant to the California
Insurance Code, Sections 1760 through 1780, and
is placed in an insurer or insurers not holding a
Certificate of Authority from or regulated by the
California Insurance Commissioner.
PROFESSIONAL LIABILITY AND GENERAL LIABILITY INSURANCE ENDORSEMENT
A. PROFESSIONAL LIABILITY (CLAIMS -MADE AND REPORTED COVERAGE)
B. GENERAL LIABILITY (OCCURRENCE COVERAGE)
WAIVER OF SUBROGATION AS TO SPECIFIED PERSON(S) OR ORGANIZATION(S)
In consideration of an additional premium in the amount of $250.00 and notwithstanding
anything contained in Section Vill. POLICY CONDITIONS, (B) Subrogation, of this Policy to
the contrary, it is understood and agreed that the Company will waive any right of recovery it
may have against any person or organization named in the Schedule below, with whom the
Named Insured has agreed to waive such right of recovery in a written contract or agreement
because of payments the Company makes under this Policy for any Claim resulting from work
performed by the Named Insured pursuant to such contract or agreement; provided, however,
that the Named Insured's contract or agreement with such person or organization is executed
prior to:
1. with respect to Professional Liability Coverage, the date any Wrongful Act giving rise to
the Claim is committed or allegedly committed; or
2. with respect to General Liability Coverage, the date any General Liability Incident
giving rise to the Claim occurs.
SCHEDULE
Name of Person or Organization
City of Santa Ana
20 Civic Center Plaza
Santa Ana. CA 92701
ASP 2050 Page 1 of 2
aurplus Lines Tax:
$
7.50
Stamping Fee:
$
0.63
Policy Fee:
$
0.00
Ethos Filing Fee:
$
0.00
Agency Fee:
S
0.00
.tll/it10iE:
RENEWED6A R im
%au p4ruoa
{�
�Ruk
ManagenmtUmalNtle T,�
Houston Casualty Company
Houston, TX
End. Effective Date
Named Insured
Pollev Number
Endorsement
05/11/2022
Nati's House dba Neutral Ground
H22SS20071-01
11
All other terms and conditions of this Policy remain unchanged.
i
By: � �
AWhori Renexto6Mrrs Br '
t�y 7ou �axoaa
��rsuk M.na9e��an a.,�Uiaar
ASP 2050 Page 2 of 2 00
Houston Casualty Company
Houston, TX
End. Effective Date
Named Insured
PoltcV Number
Endorsement
01/06/2022
Nati's House dba Neutral Ground
H22SS20071-01
4
This insurance is issued pursuant to the California
Insurance Code, Sections 1760 through 1780, and
is placed in an insurer or insurers not holding a
Certificate of Authority from or regulated by the
California Insurance Commissioner.
PROFESSIONAL LIABILITY AND GENERAL LIABILITY INSURANCE ENDORSEMENT
A. PROFESSIONAL LIABILITY (CLAIMS -MADE AND REPORTED COVERAGE)
B. GENERAL LIABILITY (OCCURRENCE COVERAGE)
SPECIFIED ADDITIONAL INSURED(S) - VICARIOUS LIABILITY WITH PRIMARY AND NOW
CONTRIBUTORY INSURANCE
In consideration of the premium charged, it is understood and agreed that this Policy is
amended as follows:
1. Section III. DEFINITIONS, (P) Insured, is amended to include any Additional Insured,
but only for such Additional Insured's vicarious liability arising from the acts, errors or
omissions of any Insured other than an Additional Insured. There shall be no coverage
under this Policy for any independent liability of any Additional Insured.
2. Coverage under this Policy for any Additional Insured shall be further limited as
follows:
(a) coverage shall only be afforded under the applicable Coverage Section(s), as
specified in this Endorsement, and subject to all other terms, conditions,
definitions and exclusions of this Policy;
(b) the Professional Liability Coverage, if appliable, shall only apply to Claims for
Wrongful Acts that are committed or allegedly committed:
(i) on or after the applicable Retroactive Date, as specified below, and
(ii) prior to the applicable Termination Date, as specified below, or prior to
the end of the Policy Period if no Termination Date is specified;
(c) the General Liability Coverage, if applicable, shall only apply to Claims for
General Liability Incidents that occur during the Policy Period, but prior to the
applicable Termination Date, as specified below; and
(d) Additional Insured(s) shall share in the Limits of Liability set forth in the
Declarations of this Policy.
Authoxc xeenm6nrrxw®e
7m
ASP 2010 Page 1 of 2 Rmk Wri ermu Cf raIkde
Houston Casualty Company
Houston, TX
End. Effective Date
Named Insured
Polic Number
Endorsement
01/06/2022
Nati's House dba Neutral Ground
H22SS20071-01
4
3. Notwithstanding any other provision contained in Section Vill. POLICY CONDITIONS,
(C) Other Insurance, if required by written contract or agreement, this insurance is
primary to and will not seek contribution from any other valid and collectible insurance
available to any Additional Insured, except where the liability of such Additional
Insured is caused by his, her or its own negligence.
4. As used in this Endorsement, "Additional Insured" means any person or organization
designated in the Schedule of Additional Insured(s) below.
Schedule of Additional Insured(s)
Additional Insured
Applicable
Coverage Section
Retroactive Date
(Applicable to Professional
Termination Date
Liability only)
1. Charitable
Ventures of Orange
County Project Kinship
Professional
4041 MacArthur
Liability &
January 29, 2019
NA
Blvd, Set 510
General Liability
Newport Beach, CA
92660
2.Santa Ana
Unified School
District its governing
Professional
board, officers, agents
Liability &
January 29, 2019
NA
and employees
General Liability
1601 E. Chestnut Ave.
Santa Ana, CA 92701
3.The City of Santa
Ana its officers,
employees, agents and
Professional
volunteers
Liability &
January 29, 2019
NA
20 Civic Center Plaza
General Liability
Santa Ana, CA
92701
All other terms and conditions of this Policy remain unchanged.
r
Br. —_ wd, l D
Authors 8 `, ecrosAreawmsr
r� '-1 %au Pwvoo
ASP 2010 Page 2 of 2 �ftak 9�tomv'""" ry
POLICYHOLDER COPY
SP
P.O. BOX 8192, PLEASANTON, CA 94588
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 07-11-2021
CITY OF SANTA ANA
RISK MANAGEMENT DIVISION
20 CIVIC CENTER PLZ
SANTA ANA CA 92701-4058
SP
GROUP:
POLICY NUMBER: 9257170-2021
CERTIFICATE 10: 1
CERTIFICATE EXPIRES: 07-11-2022
07-11-2021/07-11-2022
This Is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance Is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
afforded by the policydescribedherein is subject to all the terms, exclusions, and conditions, of such policy.
Authorized Representative President and CEO
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 07-11-2020 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
NATI'S HOUSE (A NON PROFIT CORP) NEUTRAL SP
GROUND FAMILY SERIVCES
1733 VALENCIA ST
SANTA ANA CA 92706
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