HomeMy WebLinkAboutHUMAN OPTIONS (4)INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
CCR.A<X
CITY CLERK
A-2023-084-11
DATE: FIRST AMENDMENT TO COMMUNITY DEVELOPMENT BLOCK GRANT
SUBRECIPIENT AGREEMENT BETWEEN THE CITY OF SANTA ANA AND
HUMAN OPTIONS
(24 CFR Part 570)
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THIS FIRST AMENDMENT TO THE COMMUNITY DEVELOPMENT BLOCK GRANT
AGREEMENT ("First Amendment") is entered into this 1" day of July 2023, 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 Human Options, a California
.� nonprofit organization ("Subrecipient'). (24 CFR Part 570)
RECITALS
-' A. On July 1, 2022, the City entered into Community Development Block Grant ("CDBG")
Subrecipient Agreement #A-2022-092-11 with Subrecipient to provide CDBG Funds from
the United States Department of Housing and Urban Development ("HUD") to be used in
the operation of a public service program for intensive case management services to Santa
Ana residents who self -report domestic violence or who are referred by Domestic Violence
Response Team ("Agreement").
B. In accordance with the terms and conditions of the Agreement, the parties desire to amend
the Agreement to report the current Catalog of Federal Domestic Assistance ("CFDA")
Number and Federal Award Identification Number ("FAIN") for Subrecipient, and to
report the current federal award date and amount of the award as required for pass -through
entities.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to
the terms and conditions of the Agreement, except as herein modified, the parties agree as
follows:
Recital A shall be amended to update the City's current CFDA Number to 14.218 and FAIN
to B-23-MC-06-0508 in accordance with the requirements for pass -through entities outlined in
2 CFR 200.332.
2. Article II, Section A, shall be amended to report the current federal award date of July 1, 2023,
and update the amount of the award to be $4,808,057.00 in accordance with the requirements
for pass -through entities outlined in 2 CFR 200.332.
3. Except as modified by this First Amendment, all terms and conditions of the Agreement, shall
remain in full force and effect.
Page t of 2
A-2023-084-11
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Agreement on the date and year first written above.
ATTEST
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APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By: /14d ( le, /i," )1.'(�:,
Andrea Garcia -Miller
Assistant City Attorney
RECOMMENDED FOR APPROVAL
Michael L. Garcia
Executive Director
Community Development Agency
CITY OF SANTA ANA
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Kristine Ridge
City Manager
SUBRECIPIENT:
Marlcela'Rios — Faust
Chief Executive Officer
Tax M # 95-3667817
Unique Entity ID: XC3EL4FAP817
Page 2 of 2
Vega, Brenda
From: City of Santa Ana <certificate-request@ctraxjdidata.com>
Sent: Wednesday, May 3, 2023 8:34 AM
To: vradcliffe@humanoptions.org; Vega, Brenda; hibcertrequest@heffins.com
Subject: Internal Notice of Compliance
NOTICE OF COMPLIANCE
CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL
Contractor Human Options, Inc.
Name:
Project A-2022-092-11
Number:
Project Agreement Between The City Of Santa Ana And Human Options For Use
Name: Of Community Development Block Grant 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:
TYPE OF INSURANCE POLICY EXPIRATIONNUMBER DATE COI DATE FILE NAME
AUTOMOBILE LIABILITY 202201143 09/23/2023 09/26/2022 Cer ificate.pdf
EQUIPMENT COVERAGE
GENERAL LIABILITY
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
Thank you,
City of Santa Ana
Risk Management Division
in partnership with
WAIVER 07/28/2023
202201143 09/23/2023
010037245 04/01/2024
Memo
08/02/2022 Regarding
Equipment
Coverage.pdf
09/26/2022 Certificate.pdf
COI Human
03/27/2023 Options Workers
Comp
040124.pdf