HomeMy WebLinkAboutDELHI CENTER (24)INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
rTiLP`X'
CITY CLERK
A-2023-084-09
DATE: FIRST AMENDMENT TO COMMUNITY DEVELOPMENT BLOCK GRANT
SUBRECIPIENT AGREEMENT BETWEEN THE CITY OF SANTA ANA AND
B aAWt M� DELHI CENTER
C-tLreN dA Ui (24 CFR Part 570)
0
THIS FIRST AMENDMENT TO THE COMMUNITY DEVELOPMENT BLOCK GRANT
AGREEMENT ("First Amendment") is entered into this I" day of July 2023, by and between the
00 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 Delhi Center, 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-2022-092-16 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 a leadership development program that trains
teens to take an active role in designing and implementing educational and team building
activities in their community that teach younger children about gang prevention, problem
solving, conflict resolution, avoiding risk and making safe choices. ("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 1 of 2
A-2023-084-09
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Agreement on the date and year first written above.
ATTEST
J infer
ity Clerk
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
Rv:
Andrea Garcia -Miller
Assistant City Attorney
RECOMMENDED FOR APPROVAL
Michael L. Garcia
Executive Director
Community Development Agency
CITY OF SANTA ANA
Krisim��
City Manager
SUBRECIPIENT:
Juanita Preciado Digitally signed by Juanita
Preciado Hernandez
Hernandez Date: 2023.05.24 22:46 45
-02no'
Juanita Preciado Hernandez
Interim Chief Executive Officer
Tax ID # 95-2620952
Unique Entity ID: MQ6STJ7HPHW3
Page 2 of 2
Vega, Brenda
From: City of Santa Ana <certificate-request@ctraxjdidata.com>
Sent: Monday, November 14, 2022 10:47 AM
To: jeremy@thecomprehensiveinsurance.com; Ochoa, Antonio; Vega, Brenda; Frankston,
Emerson; Martinez, Elena; Arroyo, Francisco; Burke, Lauren; Patrisia@delhicenter.org;
Martinez, Patricia
Subject: Internal Notice of Compliance
NOTICE OF COMPLIANCE
CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL
Contractor Delhi Center
Name:
Project A-2022-092-16
Number:
Project Agreement Between The City Of Santa Ana And Delhi Center For Use Of
Name: 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
AUTOMOBILE LIABILITY
GENERAL LIABILITY
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
Thank you,
City of Santa Ana
Risk Management Division
POLICY
NUMBER
202201376
202201376
EXPIRATION
DATE
11/01/2023
11 /01 /2023
BNU W C015 2622 11 /01 /2023
COI DATE
09/06/2022
09/06/2022
09/06/2022
FILE NAME
Delhi Center
COI Exp 11-1-
23.pdf
ACORD Form
20221028-
094302.pdf
ACORD Form
20221028-
094302.pdf
1
in partnership with
CTrax Plus Services Team
11/14/2022 1:46 PM