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Home My WebLink AboutORANGE COUNTY CHILDRENS THERAPEUTIC ART CENTERINSURANCE ON FILE A-2024-052 WORK MAY PROCEED UNTIL INSURANCE EXPIRES (DI s 12-0z-r CITY ILEMAi 2 3 1024 AMENDMENT TO SUBAWARD AGREEMENT UNDER THE DATE. WORKFORCE INNOVATION AND OPPORTUNITY ACT O-.GOA Cai WITH ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER THIS AMENDMENT to the above -referenced subaward agreement is entered into on May 7, 2024, by and between Orange County Children's Therapeutic Arts Center ("Subrecipient"), and 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"). RECITALS A. The parties entered into Agreement No. A-2023-118 ("Agreement") dated July I, 2023, to operate workforce development programs for at -risk youth that provide preparation for secondary and post- secondary education, occupational training, and employment skills for entry into the labor market. The term of the Agreement runs through June 30, 2024 and is current and in -effect. B. The parties wish to amend the Agreement to increase the overall amount granted to Subrecipient. No further terms are contemplated by this Amendment. The Parties therefore agree: 1. Section II, A, City's Obligations, is hereby amended to increase the overall amount awarded by $100,000.00. The total amount awarded during the term of the Agreement shall not exceed $300,000.00. 2. Except as modified by this Amendment, all terms and conditions of the Agreement, shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to the Agreement on the date and year first written above. City APPROVED AS TO FORM SONIA R. CARVALHO City Attorney B - o ,_I-C C)eGl-t 4. li Andrea Garcia -Miller Assistant City Attorney RECOMMENDED FOR APPROVAL Michael Garcia Executive Director Community Development Agency CITY OF §ANTA A Alvaro Nunez Acting City Manager SUBCONTRACTOR 0-1v� �__+�G By: Dr. Ana Jimenez -Ham Title: Executive Director Tax ID:33-0930991 Page 1 of 1 AGENCY PERFORMANCE PLAN 2023-2024 Orange County Children's Therapeutic Arts Center WIOA YOUTH POPULATION Youth Population - Ages. # of Youth to be Served In -School , 16-18 6 'Out-of-sdhool(80%minimum) 16-24 24 - - TOTAL NUMBER OF YOUTH TO BE SERVED 30 PROJECTED ENROLLMENTS & EXPENDITURES (NOTE:80%OF YOUTH MUST BE ENROLLED BY 2Nc QUARTER-DECEMBER 31, 2023) Quarter # of Enrollments Estimated Expenditures per Quarter per Quarter 4,$30,000 2"d '(100% Enrollment fk quired) , '. $40,000 $130,000 4^ $100,000 TOTAL '` $300,000 14 WIOA ELEMENTS PERFORMANCE MEASURES mark a "x" next to the elements provided in your (Projected Benchmarks subject to change program Baseline=BL) 1. Tutoring, study skills training, dropout prevention 1. % of Participants who are in education/training, strategies or in unsubsidized employment during the 2n1 quarter after exit 2. Alternative secondary school services or dropout recovery Benchmark: 71% 3. Paid & unpaid work experience that have 2. % of Participants who are in education/training, academic and occupational components, which may or in unsubsidized employment during the 41h Include: summer employment, pre -apprenticeship, quarter after exit internships & job -shadowing, or On-the-job training Benchmark: 80% (20% of funds must be used for this element) 4.Occupational skills training —priority for 3. The median earnings of Participants in recognized credentials aligned with sectors in- unsubsidized employment during the 2"d quarter demand after exit Benchmark: $g,400 S. Education offered concurrently with workforce 4. preparation activities % of participants who, during the program, are in education or training that leads to a recognized 6. Leadership development -community service & peer centered activities postsecondary credential or employment AND who are achieving measurable skill gains Benchmark: 75% 7. Supportive Services 8. Adult mentoring 9. Follow-up services for not less than 12 months 5. % of Participants who obtain a recognized after exit (required) postsecondary credential or secondary diploma during participation OR within 1 year after exit 10. Comprehensive guidance & counseling drug & alcohol, etc. Benchmark: 64.2% 11. Financial literacy 6. Effectiveness in serving employers Benchmark: BL* 12. Entrepreneurial skills training 13. Labor marker information -career awareness and exploration *Pending further State and Federal guidance. 14. Activities to help youth prepare for and transition to postsecondary education EXHIBIT B Revised Budget Form 2023-2024 EXHIBIT 1 Organization Name: OC Children's Therapeutic Arts Administrative Cost (Not to Exceed 10%) Total Program Cost Total WIA Cost Match/In Kind 1. Program Coordinator.88 FTE 47 weeks $26/hr. 35 hrs, per wk. $42,770,00 $42,770.00 Exe. Director $80,000 2. Case Manager .88 FTE 24 weeks $22/hr. 35 inns. per wk. $18,480.00 $18,480.00 3. Job Developer & Case Manager .63 FTE 47 weeks $221hr. 25 hrs. per wk. $25,850.001 $25,850.00 Acct. Clerk $20,000 . Career Counselor & Job Developer .50 FTE 43 weeks $221hr. 20 hrs. per wk. $18,920.00 $18,920.00 Office Mgr. $30,000 5. Technology Instructor .50 FTE 32 weeks $281hr. 20 hrs. per wk, $17,920.00 $17,920.00 6. Arts Instructor .38 FTE 32 weeks $28/hr. 15 hrs. per wk. $13,440.00 $13,440.00 Program Staff $80,000 7. Literacy Coach 25 FTE 32 weeks $20/hr, 10 hrs. per wk. $6,400.00 $6,400.00 SAC Instructors $80,000 8. Numeracy Coach .25 FTE 32 weeks $20/hr. 10 hrs. per wk. $6,400.00 $6,400.00 Child Dev. Certificate $60,000 1. Program Coordinator $4,277.00 $4,277.00 $8,000 2. Case Manager $1,848.00 $1,848.00 3. Job Developer $2,585.00 $2,585.00 $2,000 4. Career Counselor $1,892.00 $1,892.00 $3,000 5. Technology Instructor $1,792.00 $1,792.00 6. Arts Instructor $1,344.00 $1,344.00 $8,000 7. Literacy Coach $640.00 $640.00 $8,000 8. Numeracy Coach $640.00 $640.00 $6,000 Total Personnel Salaries & Benefits $165,198.00 $165,198.00 $385,000 Rent $105,000 Utilities $11,200 Phones $13,000 Internet Fees see phone Parking Fees $200.00 $200.00 N/A Security N/A Maintenance $12,000 Insurance $11,600 Equipment rental fees* N/A Equipment rental fees* N/A Vehicle lease* $2,000.00 $2,000.00 N/A Office expenses (consumables) $2,500.00 $2,500.00 $15,000 Accounting Services $58,000 Legal Services N/A Auditing Services 12,000 Indirect Cost* $18,444.00 $18,444.00 N/A Staff Training N/A Staff Conferences $1,000.00 $1,000.00 N/A Staff Travel/Mileage $200.00 $200.00 N/A Participant Wages* $80,000.00 $80,000.00 N/A Supportive Services* $19,500.00 $19,500.00 N/A Participant Incentives* $5,458.00 $5,458.00 N/A Youth Conferences $1,500,00 $1,500.00 N/A Follow LIP 4,000.00 4,000.00 Total Operating Expenses $18,444.00 $116,358.00 $134,802.00 $237,700 ItiRANU,TOTAL Pe?sonnet+0 flratln - "" EXHIBIT 1 WIOA 2023-2024 Grant Personnel __1.65 19.8.00 Coordinator — .88 FTE for 47 weeks: (Benefits Included) 35 hours a week for 47 weeks @ $26.00 per hour The Coordinator will work 35 hours a week for 47 weeks providing: recruitment & eligibility intake, assessment, documentation & case notes; identify barriers and goals; monitor progress & goals; meet regularly with individual WIA participants to train on employment and job skills; represent OCCTAC in provider network and youth council meetings; organize and attend OCCTAC — WIA Staff Meetings and document input; organize relative activities. Distribute WEX hours to youth and keep track of all paid hours and supportive service activities. Also, the coordinator will aid youth during follow-ups, and complete any related documentation. Case Manager - .88 FTE for 24 weeks: (Benefits Included) 35 Ins. a week for 24 weeks @ $22.00 per hour The Case manager includes providing documentation & case notes; identify barriers and goals; monitor progress & goals; meeting regularly with individual WIA participants to train on employment and job skills; represent OCCTAC in provider network ad youth council meetings; organize and attend OCCTAC- WIA Staff meetings and document input; organize related activities, such as: workshops, mock interviews etc. Job Developer / Case Manager — .63 FTE for 47 weeks (Benefits Included) 25 hours a week for 47 weeks @ $22.00 per hour The Job developer is responsible for creating job opportunities for clients by researching, identifying and soliciting commitments from possible sources of employment; and providing clients with soft skills and job search training. Job developer will also locate employment opportunities that fit each individual youth depending on barrier such as Disability, probation, or parenting youth. The Case manager portion of this position includes providing documentation & case notes; identify barriers and goals; monitor progress & goals; meeting regularly with individual WIA participants to train on employment and job skills; represent OCCTAC in provider network ad youth council meetings; organize and attend OCCTAC- WIA Staff meetings and document input; organize related activities, such as: workshops, mock interviews etc. Career Counselor & Job Developer — .50 FTE for 43 weeks: (Benefits Included) 20 hours a week for 43 weeks @ $22.00 per hour: The respective position will be responsible for providing educational and career training to all WIA participants; mentoring and assisting with related work experience placement; observing and monitoring participants with technical/artistic skills; documenting progress throughout the program; meeting regularly & individually with WIA participants to train on related curriculum; and attending regular team meetings. The Job developer is responsible for creating job opportunities for clients by researching, identifying, and soliciting commitments from possible sources of employment; and provide clients with soft skills and job search training. Job developer will also locate employment opportunities that fit each individual youth depending on barrier such as Disability, probation, or parenting youth. Technology Instructor — .50 FTE for 32 weeks: (Benefits Included) 20 Hours a week for 32 weeks @ $28.00 per hour: The respective position will be responsible for providing educational and career training to all WIA participants as it relates to the technology field; mentoring and assisting participants with related work experience placements; observing and monitoring participants with technical skills; documenting progress throughout the prograin; meeting regularly & individually with WIA participants to train on related curriculum; and attending regular tern meetings. EXHIBIT 1 Arts Instructor — .38 FTE for 32 weeks: (Benefits Included) 15 Hours a week for 32 weeks @ 28.00 per hour: The respective position will be responsible for providing educational and career training in the Arts to all WIA participants; mentoring and assisting participants with related work experience placements; observing and monitoring participants with artistic skills; documentation progress throughout the program; meeting regularly & individually with WIA participants to train on related curriculum; and attending regular team meetings. Literacy/Instructor — .25 FTE for 32 weeks: (Benefits Included) 10 hours a week for 32 weeks @ $20.00 The respective position is responsible for assessing the literacy and basic skills of all WIA participants; teaching WIA participants learning and literacy strategies; monitoring & documenting literacy progress throughout the program; meeting regularly with WIA participants and attending regular team meeting. Numeracy Coach/Instructor — .25 FTE for 32 weeks: (Benefits Included) 10 hours a week for 32 weeks @ $20.00 The respective position will be responsible for assessing the numeric and basic skills of all participants; teaching WIA participant's learning and mathematical problem -solving strategies; monitor & documenting progress throughout the program; meeting regularly & individually with WIA participants to train on related curriculum; and attending regular team meetings. Utilities $0.00 Internet $0.00 Parking Fees $ 200.00 Funds allocated for parking fees at CWA Conference, Trainings, and Campus visits. Security $ 0.00 Maintenance $ 0.00 Insurance $0.00 Equipment rental Fees $0.00 Accounting Services $0.00 Vehicle Lease $ 2,000.00 Funds Allocated for the rental of 1-2 buses for Field trips Bus Rental $500 each EXHIBIT G Office Expenses $2,500.00 Office Supplies: as needed for 1 year $1,000.00. Office supplies (copy paper, files, folders, pens, highlighters, paper clips etc.) will be purchased as needed by WIOA staff members though out the year to assist in administration work, resource information, youth, workshops, meetings, and classes. Food: as needed for Field Trip and Conference: $ 2 field trips: 2 X $300 = $600 2 conference trainings $400 TABE Test Material $500 Purchase necessary TABE Test score sheets to asses' students before and after program session. Legal Assistance $ 0.00 Auditing Services $0.00 Staff Training $0.00 Staff Conferences $1,000.00 CWA conference registration fee for 1 or 2 case managers Staff Travel/Mileage $200.00 Mileage for WIA Staff as needed for 1 year $200 Mileage reimbursement will be made for WIA Staff for driving to WIA required events. Such as YSPN meetings, Staff trainings, driving youth to necessary events (fields trips, Youth council meetings, City Council Meetings, WEX placements, resource or referral appointments) Stipends and Wages for 30 Participants $ 80,000.00 Training Stipends (in school — out of school youth) — 30 participants First 10 hours: participants given $125 stipend to participate in program Second 10 hours: participants given $125 stipend to participate in program Third 10 hours: participants given $125 stipend to participate in program Fourth 10 hours: participants given $125 stipend to participate in program After stipends completion Months 3 — 11: participants are paid $17.00 per hour for Work based learning (5 -10 hours per week or as funds become available) Supportive Service $19,500,00 Buss Pas/Gas Voucher: As needed for 30 participants $11,055.00 20 bus passes @65.55each for 5 months $6,555.00 10 gas cards @$50.00 Each month for 9 months $4,500.00 Funds are allocated for youth who need transportation related support. Work Related supplies: As needed for 30 participants $3,000.00 Work related and Skills building tools, book, portfolios. Items needed for job interviews, Employment opportunity, employment enhancement trainings and clothing, supplies. EXIIIBIT G EXHIBIT 1 Academic Support: As needed for 30 —participants $4,125.00 Tuition Support for certificates or other related academic programs for 30 participants; books for related course work, laptops, tutoring supplies, and college field trips and other academic supplies. Fingerprinting/TB Test; as needed for 30 participants $1,320.00 30 fingerprinting @$19.00 each $570.00 and 25 TB test @$30 each $750.00 Funds allocated for Dept. of Justice Clearance & TB test for employment. Program Incentives $5,458.00 High School Dropouts $50 incentive for every two modules or classes completed leading to a High School Diploma 4 Youth x 5 (10 modules) = 10 x $50 = $ 500.00 High School Diploma or Post -Secondary Education $100 incentive for obtaining high school diploma; registering for Fall or Spring Semester at post -secondary institution; or obtaining a credential. 20 youth = $1,958 Basic Skills Deficient (BSD) Youth $25 incentive for increasing their EFL score by at least one level in either Math or Reading subjects for participants that are identified as basic skills deficient upon enrollment. 60 youth = $1,500 Employment $25 incentive for submitting ajob application and obtaining a job interview. 20 youth = $500 $50 incentive for obtaining employment. 20 youth = $1,000 Youth Conferences $1,500.00 CWA conference registration fee for 1-2 currently enrolled youth Follow up $4,000.00 Indirect Cost $18,444.00 10% de Minimis Program Documents: a. WIA Youth Sign in Sheet: Participants will log and track all activities and hours accumulated on a day- by-day basis and have supervisor sign to confirm time of arrival and departure to their activities. Activities can include Work Base Learning Hours, Class training, case management and education counseling meetings, Math/English tutoring session etc. EXHIBIT G EXHIBIT 1 b. WIA Youth Time Sheet: Participant will turn in a weekly time sheet with all hours accumulated throughout the weeks in activities attended. Youth will be asked to log their tasks in detail to provide proof of the activities attended. Activities can include Work Base Learning Hours, Class training, case management and education counseling meetings, Math/English tutoring session and any other supplemental hours approved by supervisor. c. WIA Staff Time sheet: Staff will turn in a weekly time sheet with hours worked for meetings with WIA youth, WIA administration, teaching a WIA class or Workshop, or Tutoring and preparing for youth appointments, as well as any additional supplemental hours approved by WIA staff supervisor and administrator intended for WIA program purposes only. 53 % of the budget will be directly spent on youth in the form of paid work experience, stipends, certificates training, college tuition support and other support services. CXHIBIT G Barba, Sandy From: City of Santa Ana <certificate-request@ctrax.jdidata.com> Sent: Tuesday, January 9, 2024 10:49 AM To: Garcia, Stephanie; Goodson, Audrey, ana@occtac.org; Vega. Brenda; carlosb@occtac.org; Frankston, Emerson; Hernandez, Erendira; Arroyo, Francisco; jeremy@thecomprehensiveinsurance.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 Orange County Children's Therapeutic Arts Center Name: Project A-2023-118 Number: Project Agreement Under The Workforce Innovation And Opportunity Act Name: 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 EXPIRATION COI DATE FILE NAME NUMBER DATE ACORD Form AUTOMOBILE LIABILITY 202309201 ' 12/21/2024 12/20/2023 20231220- _ 123319 SA.pdf ACORD Form GENERAL LIABILITY 202309201 12/21/2024 12/20/2023 20231220- 123319 SA.pdf ACORD Form RAPROPER SEXUAL CONDUCT LIABILITY 202309201 12/21/2024 12/20/2023 20231220- 123319 SA.pdf ACORD Form UMBRELLA LIABILITY 202309201 12/21/2024 12/20/2023 20231220- 123319 SA.pdf WORKERS COMPENSATION AND ACORD Form EMPLOYERS' LIABILITY 925517123 06/05/2024 12/20/2023 20231220- 123319 SA.pdf -� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/15/2024 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 CONTACT Certificate Issuance Team NAME: Comprehensive Insurance ServiceAngie P aIc No 0 FAX ( 26429 Rancho Parkway South ADDRE J ) r t e o e.com Suite 120 I (S) ZFSRPNC V NAIC # Lake Forest CA 92630 ILAEYA r 10023 INSURED IN ER B . State Com ensation Insurance Fund 35076 Orange County Childr Therapeutic Arts Center IN u ' 2215 N. BroadwayAcevedc INSURER D: INS R e: • Santa Ana CA d27.6 INSURER F : rnVFROr;FS rFRTIFIrOTF NIIMRFR• All RFVISInN 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPEADDILSUSR INSD WVD POLICYNUMBER MM/DD MM/DD/YYW1 LIMITS X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 FX] 500,000 CLAIMS -MADE OCCUR PREMISES rr $ MED EXP (Any one person) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 A Y Y 2023-09201 12/21/2023 12/21/2024 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 3,000,000 POLICY JECTPRO- F LOC PRODUCTS -COMPIOPAGG $H3,000,000 $0 Deductible $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED 2023-09201 12/21/2023 12/21/2024 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTYDAMAGE $ X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Per accident $0 Deductible $ Iq X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE 2023-09201 12/21/2023 12/21/2024 AGGREGATE $ 1,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION X1 aRH $0 Deductible AND EMPLOYERS' LIABILITY YIN STATUTE B ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA 9255171-24 06/05/2024 06/05/2025 E.L. EACH ACCIDENT 1,000,000 $ OFFICER/MEMBEREXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ $1,000,000/1,000,000 Aggregate/Occurr Social Service Professional Liability A 2023-09201 12/21/2023 12/21/2024 $3,000,000/1,000,000 A re ate/Occurr Improper Sexual Conduct Liability 99 9 $0 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insured per attached endorsement CG2026. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of The City of Santa Ana, its officers, officials, employees, and volunteers per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. See attached forms list. Waiver of Subrogation applies per attached endorsement NIAC E26. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTIrF wil I RF nFI IVFRFn Ilu ACCORDANCE WITH THE POLICY PROS AUTHORIZED REPRESENTATIVE Rlak Mvwgem&dDMsiun REVIEWED & APPROVED BY. x '`-- ----' Risk Management Specialist ©1988-2015 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2023-09201 COMMERCIAL GENERAL LIABILITY CG20261219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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): Any person or organization that you are required to 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 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. 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. CG20261219 B. 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. © Insurance Services Office, Inc., 2012 oR.N a RAMougmumtDMsian f °; REVIEWED & APPROVED BY. °Afg Aezv 1" Risk Management Specialist NoNPKOFITS ® INSURANCE A Head for Insurance, A Heart for Nonprofits. 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. Policy Number: 2023-09201 oR,N a RiskMansgementD'Msian REVIEWED & APPROVED BY. Afg Aezv 1" Risk Management Specialist NIAC-E26 11 17