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HomeMy WebLinkAboutCOMMUNITY ACTION PARTNERSHIP OF ORANGE COUNTY (5)IIYJUnAlUt UN TILL WORK MAY PROCEED UNTIL INSURANCE EXPIRES Iri• • 01 202-A CITY CLERK MAYOR DATE: Valerie Amezcua MAYOR PRO TEM Jessie Lopez COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez David Penaloza Thal Viet Phan Benjamin Vazquez ,'wsA() * fva„Cisco A) MAY 18 2023 CITY OF SANTA ANA PARKS, RECREATION, AND COMMUNITY SERVICES AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 w .senta-ana.om April 19, 2023 Community Action Partnership of Orange County Attn: Gregory C. Scott, President & CEO 11870 Monarch Street Garden Grove, CA 92841-3902 A-2022-069-04A Re: Extension of Aar•eement (A-2022-069-04) for Use of American Rescue Plan Act (ARPA) Funds CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall Pursuant to Section I.B. (`Term of Agreement") of the above -referenced Agreement, entered into by Community Action Partnership of Orange County ("Subrecipient"), and the City of Santa Ana, dated May 3, 2022, the time period of the Agreement is hereby extended for an additional one-year period through June 30, 2024. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, eote Director, Finance and Management Services Agency CITY OF SANTA ANA Kristine Rtd� City Manager APPROVED AS TO FORM Bin Salvatierra Deputy City Attorney SUBRECIPIENT By: Gregory C. Scott Title:President & CEO SANTA ANA CITY COUNCIL valene Amema J.sA Lopez Thai Vet PNn eennmin vazauex Phil 6dwna JohnaCan Ryan Hemandez 08rd Penaloza hleym Mayar Pm Ten, Wad] WdmI Ward2 Ma4 WaN5 WaN6 giama�a nHL-eme�sanla.ala om b11a1Mmaant9-dW aT 4yaxnuez!®9dn1&ana aN ohal:artaf�9dnia-afy On] enllemanda2i@xanla-ana CA Ocellaklxal@xdnlaHna oN Dg w" YOnetl t'Tat P,e " Tori Pierson Dais M2207.191204.H ACORiff CERTIFICATE OF LIABILITY INSURANCE `� DATE(MWDDIYYYY) 711312022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must 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 endoreement(s). PRODUCER Arthur J. Gallagher B Co. Insurance Brokers of CA, Inc. 505 N Brand Blvd, Suite 600 Glendale CA 91203 czTeCT Star Met ry PHC E 818.539.6623 FAX � 818.539.8723 EJAAILEIJI A Star Metry0aig.mm INSURERS) AFFORDING COVERAGE NAIC0 INSURER A: Insurance Company of the West 27847 INSURED COMMACT@0 Community Action Partnership of Orange County 11870 Monarch Street INsum B: Non rofits' InsuranceAllianceof CA 10023 INSURER C INsaaER o Garden Grove CA 92841 INSURER E INSURERF: CERTIFICATE NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISR TYPE OF HSURANCE ADD 9 B POLICY NUMBER I"pFF pY E POLN:YEXP DMRf 8 X COMMERCMLGENERALUAeIL1TY Y Y 2022-OG441 7/V2022 V1/2023 EACH OCCURRENCE $1.000.000 PREMISES 55GO,D00 CLAIM&MADE r—xl OCCUR MEO EXP lAr, are emearij f 20,000 PERSONAL L ADV INJURY 51,000,000 AGGREGATE LWm APPLIES PER: POLICY E JPEHgT FX-1 LOC GENERALAGGREGATE f2.000.000 GENT PRODUCTS-COMP/OPAGG S2,000,000 5 OTHER: 8 AUTOMONILEUABILITY 2022-00441 7/1/2G22 7/t12023 CONSINEDSINGLEUMIT (Ea vooderfil 51,000.000 X ANY AUTO BODILY INJURY (Par pxacn) 5 CW o sCNE0ULE0 AUTOS ONLY AUTOS BOOZY INJURY Tv acTJExe) f HIREDX AUTOS ONLY X AUTOS ONLYPROPElder ki OE S S B X UVSNELA uA9 X OCCUR 2022-00441-UMa 7/12022 7112023 EACH OCCURRENCE 35.000.000 AGGREGATE S5.0OQ000 EXCESS LIAR CLAHL9JuAlie DIED I X I RETEMIONS 5 A YrORKERSCOMPENSATgN AND EMPLOYERS' WBLRT YIN ANYPROPRIETORIPARTNENIEXECUTIVE OFFICERIMEMBEREXCLUDEDT ❑ NIA VWE 505610702 7112D22 7112023 X E.L. EACH ACCIDENT $1.000.000 EL DISEASE -FA EMPL f1,000.000 (YanEats, In NN) USO=MN urger DESCRIPTION OF OPERATIONa hebr EL DISEASE -POLICY UNIT 51 D00,000 B Daetlws Olficxs 20224W441-0O 7112022 7112023 Ea WmngU Ad $1,000.000 Agyeprle Lxre f2,000.000 RefenSm $5.000 DESCRIPTION GF OPERARONS I LMATONS 1 VEHICLES (ACORD 101, Adelliunal Remarks Sch"UN, maY be aPacNea H more apau Is rpulra4) Nonprofits' Insurance Alliance of CA - A.M. Best A: 011845 Policy: Improper Sexual Conduct PalicyY: 2022-00441 Policy term: 71112022 to 711/2023 rder CaNonprofits' Insurance Alliance of CA Per Claim: $1,000.000. Aggregate Limit: $2.000,000 See Attached... City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORQED REP ``ESENTATIVE alai flOa(arov4 dgrim t,l� J Atv4M®LAragO-11". 1`� Si� %u f�%r�LJen n 1988-2015 ACORD C(.rtekM.,.amxuOmMIAUe ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ' v ACORH `� AGENCY CUSTOMER ID: COMMACT-20 LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Arthur J. Gallagher & Co. NAMED NBURED Community Action Partnership of Orange County 11870 Monarch Street Garden Grove CA 92841 POLICY NUMBER CARRIER MAIL CODE EFFECTIVE DATE: , IVIYML RCIYINRR`l THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Policy: Professional Liability Policy#: 2022-00441 Policy term: 711/2022 to 711/2023 Carder: Nonprofits' Insurance Alliance of CA Per Claim: $1,000,000, Aggregate Limit: $2,000,000 Policy Cyyber Liability Policy#: ESL0239479512 Policy tens: 7/112022 to 7/1/2023 Cartier: Underwriters at Uoyd's London Aggregate Limit: $1,000.000 / Deductible: $10,000 Cyber Liability Include Network Security and Privacy Liability City of Santa Ana, Its officers, agents, representatives. employees and volunteers are named additional insured with respect to the operations of the named insured. The insurance provided in the General Liability policy is primary and any other insurance shall be excess only, and not contributing. Waiver of Subrogation on General Liability applies in favor of additional insured. Written notice shall be provided at least ten (10) days in advance of cancellation for non-payment of premium and thirty (30) days in advance for any other cancellation or policy change. W Mwpca dwan a� Ir rEKYmLANAt]V®9< ACORD 101 (2008101) ,� 7nna Amen cr rt„YM.uq.,,e+GaiaAa� V V The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2022-00441 COMMERCIAL GENERAL LIABILITY Named Insured: Community Action Partnership of Orange County CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization that you are required to All insured premises and operations. add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However. 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply This insurance does not apply to "bodily injury' or "property damage" occurring after: All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 © Insurance Services Office, Inc., 2012 e.kw..pa.ndw�a ,: •ttlAhr- 'feu r�rex.�e.r aetMa,ugennx Oe,ulpJe 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. rarr..�e,vao� CG 20 10 12 19 © Insurance Services Office, Inc., 2012 NONPROFITS POLICY NUMBER:2022-00441 FORM: NIAC-E26 11 17 INSURANCE NAMED INSURED: Community Action Partnership of Orange County ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart for Nonpmfus. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization, who may be named in the schedule above, because of payments we make for injury or damage. NIAC-E26 11 17 00 u+Ll..`e�aoi.r,n or I,�11 1 %eu F��•ert �eexr..,gn,exa..wae. • NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head Jar Insurance. A Heartfor Nonprofits. POLICY NUMBER: 2022-00441 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: A. Section II — WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. B. Section III — LIMITS OF INSURANCE is amended to include: 8. The limits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision AA. above, are those specified in the written contract between you and that public entity, or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS Is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or NIAC-E61 02 19 a:YMe%ee,t Oki" 7e+[ �us:aw Jl rtew rn.w..,a„a,.�uiaae �� NONPROFITS INSURANCE _W ALLIANCE OF CALIFORNIA A Head for Insurance. A Heart for Nonprofits. POLICY NUMBER: 2022-00441 (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excesslnsurance This insurance is excess over: 1. Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for .your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE. (a) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other Insurer has a duty to defend the additional insured(s) against that "suit'. If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC-E61 02 19 Rrw.�y�.eadwew l 7eu ✓rr ae ° eew,wuen,an amuiad. NONPROFITS INSURANCE �W ALLIANCE OF CALIFOKNIA A Head for Insurance. A Heart Jar Nonprofits. NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) www.insurancefomonproffts.org COMMERCIAL UMBRELLA POLICY DECLARATIONS PRODUCER: Arthur J. Gallagher & Co. Ins Brokers of CA, Inc. 505 North Brand Blvd. Suite 600 Glendale, CA 91203 Item i NAME OF INSURED AND MAILING ADDRESS: Community Action Partnership of Orange County 11870 Monarch St. Garden Grove, CA 92841 POLICY NUMBER: 2022-00441-UMB RENEWAL OF NUMBER: 2021-00441-UMB-NPO Item 2 POLICY PERIOD: FROM 7/1/2022 TO 7/1/2023 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Community services IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. Item 3 THE ANNUAL AND MINIMUM PREMIUM DUE AT INCEPTION: (premium includes Terrorism Coverage - Certified Acts: $938 but only for policies that indicate coverage on Schedule A - Schedule of Underlying Insurance) $29,553 Item 4 LIMITS OF INSURANCE: a. Occurrence I Accident / Injury / Claim Limits (where applicable): .................................... ....... 5,000,000 i) Each Occurrence - Commercial General Liability and Products - Completed Operations Liability ii) Each Accident- Business Auto Liability iil) Each Injury - Liquor Liability Iv) Each Claim - Employee Benefits Liability b. Each Claim - Directors and Officers Liability .......................................................................... 1,000,000 C. Each Claim - Improper Sexual Conduct and Physical Abuse Liability ..................................... 5,000,000 d. Each Claim - Social Service Professional Liability .................................................................. 5,000,000 Aggregate limits: e. Commercial General Liability, Business Auto Liability, Products- Completed Operations Liability, Liquor Liability, and Employee Benefits Liability Aggregate (where applicable): ...................................................... 5,000,000 L Directors and Officers Liability Aggregate ................ ..... ..... _........................................ ........... 1,000,000 g. Improper Sexual Conduct and Physical Abuse Liability Aggregate ........................................ 5,000,000 h. Social Service Professional Liability Aggregate....................................................................... 5.000,000 Item 5 RETROACTIVE DATES -SEE SCHEDULE OF UNDERLYING INSURANCE FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY AT INCEPTION (NUMBER AND EDITION DATE): CU 2130 01 15, CU 21 33 a 01 15. CU 21 33 s 01 15. IL 09 99 12 20. NIAC-EO03 UMB 08 20. NIAC-E133 UMB 05 20. NIAC-E780 UMB 01 21, NIAC-E253 UMB 08 21, NIAC-E42 UMB 09 19. SCHEDULE A 01 80, UMB 23106 16. UMB 232 0616. UMB-100 05 21. UMS61 05 13 / Rwk M..re nlMl., IENFtEDi MRaTi®ar.. �lrlRR- 1 aexnl.,agnv.nam�iaa.- „ Ibarra, Evelyn From:City of Santa Ana <certificate-request@ctrax.jdidata.com> Sent:Tuesday, December 5, 2023 8:37 AM To:Vega, Brenda; Arroyo, Francisco; Hoang, Julie Subject:Internal Notice of Compliance NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Community Action Partnership of Orange County Name: Project A-2022-069-04A Number: Project Extension of Agreement (A-2022-069-04) for Use of American Rescue Name: Plan Act (ARPA) Funds The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: EXPIRATION TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME DATE AUTOMOBILE LIABILITY 202300441 07/01/2024 07/07/2023 COI 23-24.pdf GENERAL LIABILITY 202300441 07/01/2024 07/07/2023 COI 23-24.pdf Certificate - IMPROPER SEXUAL CONDUCT 202300441DO 07/01/2024 07/07/2023 CAPOC.pdf WORKERS COMPENSATION AND EMPLOYERS' SATIS0546400 07/01/2024 07/07/2023 COI 23-24.pdf LIABILITY Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 12/5/2023 11:36 AM 1