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HomeMy WebLinkAboutORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER A-2023-118-01 MAYOR ��t . ACTING CITY MANAGER Valerie Amezcua Y + , Alvaro Nunez MAYOR PRO TEM ` CITY ATTORNEY Thai Viet Phan Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra Jennifer L.Hall Johnathan Ryan Hernandez Jessie Lopez ! ! y „tl David Penaloza Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE WORK MAY PROCEED COMMUNITY DEVELOPMENT AGENCY UNTIL INSURA CE EXPIRES 20 Civic Center Plaza•P.O.Box 1988 1)- l a-t I Santa Ana,California 92702 CITY CLERK www.santa-ana.orq DATE: JUL 01 2024 � D'. c-bL2) June 11,2024 (&v Barba 44 Orange County Children's Therapeutic Art Center Attn: Dr. Ana Jimenez-Hami 2215 N. Broadway Santa Ana, CA 92706 Re: Extension of Subaward Agreement(A-2023-118) under the Workforce Innovation and Opportunity Act Pursuant to Section III ("Term of Agreement") of the above-referenced Agreement, entered into by Orange County Children's Therapeutic Arts Center and the City of Santa Ana, dated July 1, 2023,the time period of the Agreement is hereby extended for an additional six (6) months from July 1, 2024 through December 31, 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, .114914 Mic ael Garcia Executive Director, Community Development Agency CITY OF SANTA ANA ATTEST 12'atA) --1)// "4111111%1116„ lvaro Nunez Jennifer L. Acting City Manager VVV Ci -r APPROVED AS TO FORM ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER 4,6c Gu u - 1 -L, t - D n Andrea Garcia-Miller Dr. Ana Jimenez-Hama Assistant City Attorney Executive Director SANTA ANA CITY COUNCIL Valerie Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez David Penaloza Mayor Mayor Pro Tern,Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 vamezcua(Wsanta-ana.orq tphanWasanta-ana.orq bvazquez(esanta-ana.orq jessielopez(msanta-ana.orq pbacerra(aasanta-ana.orq jrvanhemandezr@santa-ana.orq dr,enalozaonsanta-ana.orq MAYOR , r ACTING CITY MANAGER Valerie Ame7r lla . Alvaro Nunez MAYOR PRO TEM !. CITY ATTORNEY Thai Viet Phan �_�; Sonia R.Carvalho COUNCILMEMBERS v ' • 1; CITY CLERK Phil Bacerra I.4,. ;�;• Jennifer L Hall Johnathan Ryan Hernandez Jessie Lopez F ci 11 David Penaloza Benjamin VaztylpZ CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY 20 Civic Center Plaza•P.O.Box 1988 Santa Ma,California 92702 www.santaana.orq Jura;l 1,2024 Orange County Children's Therapeutic Art Center Attu: Dr. Ana Jimenez-llami 2215 N. Broadway Santa Ana,CA 92706 Re: Extension of Subaward Agreement(A-2023-118)under the Workforce Innovation and Opportunity Act Pursuant to Section Ill ("Tenn of Agreement") of the above-referenced Agr emt t, vi-Acled into by Orange County Children's Therapeutic Arts Center and the City of Santa Ma, dated July 1,2023,the time period of the Agreement is hereby extended for an additional six(6) months from July 1, 2024 through December 31,2024. 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, Micl alid Garcia Executive Director, Community Development Agency CITY OF SA_NTA ANA ATFEST Alvaro Nunez Jennifer L.Hall Acting City Manager City Clerk APPROVED AS TO FORM ORANGE COUNTY CHILDREN'S 1 _ �/� THE PF,UTIC •. TS CENTER c( Luc, 10)eGict< Andrea Garcia-Miller Dr. na Jimenez-H mi Assistant City Attorney Executive Director SANTA.ANA CITY COUNCIL Vateriu Amuzram Thai Viet Plan Benjamin Vazquez Jessie Lopez Phil Bacen-a Johnallran Ryan Hernandez David Penatoza Mayor Mayor Pro Tarn,Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 tIBRWa4.eglaantaarv7.ort1 1Brslstlt`arafti .er3 bvazvuaaigsant r(Ap aoffa ilaaniaa ry n i?n!r w&Aa h9a .lWka. PPtilapa.orn DATE(MM/DD/VYVY) AC®RDI CERTIFICATE OF LIABILITY INSURANCE ki..../ 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 Services P 0� FAX r (alc,No): 26429 Rancho Parkway South E jir t e orrtprigNti,C e.com ngie ADDRES Suite 120 I (S) FO I C V q NAIC# Lake Forest CA 92630 NAira/tL I� 10023 INSURED IN -ER B State Compensation Insurance Fund 35076 Orange County Childr Therapeutic Arts Center IN14 rtia: 2®2�,.®5 a V 2215 N.Broadway ceINSURER D: �/e OINS11R2e.:19:27 -07'00' Santa Ana CA d27.6 INSURER F: COVERAGES CERTIFICATE NUMBER: All REVISION 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. INSR ANSD SWVDR POLICY NUMBER POLICYEFF POLICY EXP LIMITS TYPE OF INSURANCE (MMIDD/YYYYI (MMIDDlYYVYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE T $ 1,000,000 RENTED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 500,000 MED EXP(Any one person) $ 20,000 A Y Y 2023-09201 12/21/2023 12/21/2024 PERSONAL&ADV INJURY $ 1,000,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY JECT PRO I xl LOC PRODUCTS-COMP/OP AGG $ 3,D00,000 OTHER: $0 Deductible $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANYAUTO BODILY INJURY(Per person) $ A - OWNED SCHEDULED 2023-09201 12/21/2023 12/21/2024 BODILYINJURY(Peraccident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) $0 Deductible $ 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 RETENTION$ $ WORKERS COMPENSATION XI STATUTE L 0RH $0 Deductible AND EMPLOYERS'LIABILITY Y/N 1,000,OOD B ANY PROPRIETOR/PARTNER/EXECUTIVE N N 1 A 9255171-24 06/05/2024 06/05/2025 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $1,000,000/1,000,000 Aggregate/Occurr SocA Improperrol Sery Sexualice Conduct Liability 2023-09201 12/21/2023 12/21/2024 $3,000,000/1,000,000 A re ate/Occurr Conduct Liability gg g $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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOT)(E um I RF nFt IVFRFR Nd City of Santa Ana ACCORDANCE WITH THE POLICY PRO,\ o'2..,�ec Risk Mating[me t Division Risk Management Division REVIEWED&APPROVED BY: AUTHORIZED REPRESENTATIVE o z 20 Civic Center Plaza iI. i.)' Ap A Santa Ana CA 92702 ;�'I.. 1 '-��' Risk Management Specialist ©1988-2015 ACOF/ _ 4\ ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2023-09201 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 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 B.With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds,the following is added to organization(s)shown in the Schedule,but only Section III—Limits Of Insurance: with respect to liability for"bodily injury", "property damage"or"personal and advertising injury" If coverage provided to the additional insured is caused, in whole or in part, by your acts or required by a contract or agreement,the most we omissions or the acts or omissions of those acting will pay on behalf of the additional insured is the on your behalf: amount of insurance: 1. In the performance of your ongoing operations; 1. Required by the contract or agreement; or or 2.Available under the applicable Limits of Insurance shown 2. In connection with your premises owned by or in the Declarations; whichever is less. rented to you. This endorsement shall not increase the However: applicable Limits of Insurance shown in the 1.The insurance afforded to such additional Declarations. 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. CG 20 26 12 19 ©Insurance Services Office,Inc.,2012 \ Risk ManagemenE Division if \4 Rem &APPROVED BY: qiC.N.) 1441U Ace4442 iIMEMZIESI - Risk Management Specialist 111,111111 NONPROFITS INSURANCE ALLIANCL of CAMORNIA 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 Risk Motage rent Dtvlaion irk REVIEWED&APPROVED BY: Aotiewto Risk Management Specialist NIAC-E26 11 17 ✓