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HomeMy WebLinkAboutAIDS SERVICES FOUNDATION O.C. (2)-2005 A-2005-155 INSURANCE NO} ON Fill WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: I _ ) ,. 0 t. COOPERATNE AGREEMENT BETWEEN THE CITY OF SANTA ANA, A.S. FOUNDATION ORANGE COUNTY, AND THE SANTA ANA HOUSING AUTHORITY I'V~ This Cooperative Agreement entered into this 28 ~ day of ~ ' 2005, which date is enumerated for purpose of reference only, is by and between the City of Santa Ana ("City"), the AS. Foundation Orange County ("Project Sponsor"), and the Santa Ana Housing Authority ("Contractor"). This Agreement shall be administered by the City of Santa Ana. RECITALS: A. City on behalf of all jurisdictions in Orange County, has been designated to receive grant funding provided by the U.S. Department of Housing and Urban Development ("HUD") pursuant to the Housing Opportunities for Persons With AIDS ("HOPW A") Program; and B. City has entered into a HOPW A grant agreement with HOD; and C. Project Sponsor has provided leadership and is responsible for planning and providing comprehensive HIV services for clients throughout Orange County and will maintain the wait list for the program; and D. Project Sponsor wishes to contract with Contractor to obtain services to support the Tenant-Based Rental Assistance Program which consists of financial eligibility of tenants, HQS inspections, and financial responsibility for housing assistance payments to landlords; and E. The parties have cooperatively written and agree to an Administrative Plan which identifies guidelines for the operation of the HOPW A Tenant-Based Rental Assistance Program. NOW, THEREFORE, the parties mutually agree as follows: L ALTERATION OF TERMS A The parties anticipate that this Agreement may be amended, or followed by additional agreements, to implement additional services and funding ofthe type covered by this Agreement. B. This Agreement fully expresses all understanding of City, Project Sponsor and Contractor with respect to the subject matter of this Agreement, and shall constitute the total Agreement between the parties for these purposes. No addition to, or alteration of, the terms of this Agreement, whether written or verbal, shall be valid unless made in writing and formally approved and executed by all parties. II. SERVICES A. City shall serve as "HOPW A Grantee" for the purpose of contracting with organizations to provide Tenant-Based Rental Assistance to persons disabled due to HIV/AIDS residing in Orange County. B. Nothing in this Agreement shall prevent City from entering into one or more agreements with the other agencies or contractors within the County, if deemed necessary and advisable to do so by City; provided however, the obligations and rights covered by this Agreement shall not be altered or reduced, except as mutually agreed to in writing by City, Project Sponsor and Contractor. C. City shall conduct an ongoing assessment of the Tenant-Based Rental Assistance Program. D. Project Sponsor and Contractor shall assure the adequate provision of supportive services to applicants/participants to ensure program success. E. Project Sponsor and Contractor shall comply with such other terms and conditions, including record keeping and reports for program monitoring and evaluation purposes, as HUD may establish for purposes of carrying out the program in an effective and efficient manner. Annual progress reports will be prepared by Project Sponsor in a form consistent with HUD publications HUD-4011O-C (8/94). In addition, Project Sponsor and Contractor shall forward quarterly narrative reports to City identifying accomplishments as HOPW A Project Sponsor and Contractor for Tenant-Based Rental Assistance for persons with HIV disease. These reports are to be submitted in conjunction with payment/cost reports identified in Section IV of this Agreement along with a summary of program budgets and financial disbursements made under the terms of this Agreement. F. "Contract Officers" means the City's Housing Manager or designee, Project Sponsor designee, and Contractor designee. G. See Attachment I for detailed services and related cost breakdown. 2 III. BUDGET The following budget is an estimate only of the cost of providing the services hereunder for the term July I, 2005 through June 30, 2006. This budget maybe modified by mutual written agreement of the Contract Officers. Administration ASF (not to exceed) Contractor (not to exceed) Housing Assistance PaymentslProgram Expense $ 12,000.00 $ 24,750.00 $488,250.00 TOTAL (Maximum Obligation) $525,000.00 IV. PAYMENTS/COSTREPORT A. I) City shall pay Project Sponsor for the actual costs of providing the administration of services hereunder, whether provided directly by Project Sponsor or Contractor, provided, however, the total of all payments to Project Sponsor shall not exceed the Maximum Obligation as specified in Section III of the Agreement. 2) City shall draw down HOPW A funds designated for rental subsidy payments on a monthly basis after receipt of certification of individual of individual tenant subsidy amounts. After final approval by City, funds will be disbursed to landlords. B. Project Sponsor shall invoice City monthly exclusive of rental subsidy payments, in arrears, based on the actual cost of providing and contracting for the services hereunder. City shall pay Project Sponsor no later than thirty (30) days following receipt of such invoice. Monthly payments are interim payments only, and are subject to final settlement and reconciliation to the final Cost Report submitted by Project Sponsor. C. All billings by Project Sponsor shall be accompanied by copies of source documentation including, but not limited to, journals, time sheets, canceled checks, and records of cost incurred by Project Sponsor and Contractor in the performance of this Agreement. D. At such times and in such a format as the Contract Officers mutually agree in writing, Project Sponsor shall prepare and submit to City reports of cost incurred by Project Sponsor in the performance ofthis Agreement. E. The Cost Report(s) shall be financial and statistical reports(s) submitted by Proj ect Sponsor to City, and shall serve as the basis for final Settlement of this Agreement. The Cost Reports(s) shall detail all costs incurred by Project Sponsor to provide services hereunder. 3 F. Final Settlement shall be based upon the actual costs incurred by Project Sponsor to provide services hereunder. If the Cost Report(s) indicates the total ofCity's payments to Project Sponsor are less than Project Sponsor's cost to provide the services hereunder, City shall pay Project Sponsor the difference; provided, however, the total payment shall not exceed the Maximum Obligation. If the Cost Report(s) indicates the total of City's payments to Project Sponsor are higher than Project Sponsor's cost of providing the services hereunder, Project Sponsor shall pay City the difference. Payment due pursuant to the Cost Report(s) shall be made within thirty (30) days of the Final Settlement determination. G. Any funds not expended by fiscal year end, June 30, 2006, shall be returned to City. Said unexpended funds shall be reallocated by City through the HOPW A Program. V. DISPUTE RESOLUTION A. Any party may give written notice to the other setting forth in specific terms the existence and nature of any unresolved matter or concern related to the purposes and obligations of this Agreement. Such notice shall be provided by and to the Contract Officers on behalf of the parties. The Officers shall have fifteen (15) working days following such notice to obtain resolution of any issues(s) identified in this manner; provided, however, by mutual consent this period of time may be extended to thirty (30) days. B. Ifthe Officers are unable to obtain resolution of the issue(s), they shall submit ajoint written Statement describing the facts ofthe issue, within thirty (30) days after the written notice described above to the Executive Director A.S. Foundation Orange County, Executive Director Community Development Agency, and to City's Housing Manager for resolution. Ifthe Officers are unable to prepare a joint statement, each shall submit separate statements to the previously listed within the thirty (30) day period. Such persons shall meet and make their best effort to resolve the matter within thirty (30) days following submission of the statements. Resolution of the dispute, or lack thereof, by the Executive Director A. S. Foundation Orange County, Executive Director Community Development Agency, and the Santa Ana City Manager shall be documented in the form of written correspondence exchanged by such persons within ten (10) days following their meeting. 4 VI. INDEMNIFICATION Each party agrees to indemnify, defend, and hold harmless the other party, its officers, agents and employees from all liability, claims, losses and demands, including defense costs, whether resulting from court action or otherwise, arising out of the acts or omissions of the indemnifying party, its officers, agents or employees or the condition of property used in the performance of this Agreement. VII. INSURANCE With respect to performance of work under this Agreement, Project Sponsor and Contractor shall maintain and shall require its subcontractors, if any, to maintain insurance as described below: I. Worker's compensation insurance within statutory legal limits, and 2. Commercial General Liability insurance with limits of not less than $1,000,000 per accident/incident. Project Sponsor and Contractor shall: (a) prior to exercising any right under this Agreement, furnish properly executed certificates of insurance and additional insured endorsement to the City which shall clearly evidence all coverages required above; (b) provide that such insurance shall not be materially changed or terminated except on 30 days prior written notice to the City; (c) maintain such insurance for the period covered by this Agreement; and (d) replace such certificates for policies expiring prior to the expiration of this Agreement. VIII. INSPECTIONS AND AUDITS A. Any authorized representative of City, the Comptroller General ofthe United States, the United States Department of Housing and Urban Development or any of their authorized representatives, shall have access to City books, documents, records, which such persons deem pertinent to this Agreement, for the purpose of conducting an audit, evaluation, or examination, or making transcripts during the periods of retention set forth in the Records/Confidentiality paragraph of this Agreement and the premises in which they are provided. B. City shall actively participate and cooperate with any persons specified in subparagraph A above in any evaluation or monitoring of the services provided pursuant to the Agreement, and shall provide the above mentioned persons adequate office space to conduct such evaluation or monitoring. 5 IX. LICENSES AND LAW A. Project Sponsor and Contractor, its officers, agents, employees, and subcontractors shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, certificates, waivers and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, State of California, City, and any other applicable governmental agencies. B. Project Sponsor and Contractor shall comply with all laws, rules, or regulations applicable to the services provided hereunder, as any may now exist or be hereafter changed. These laws, rules, and regulations shall include, but not limited to the following: I. United States Code (U.S.C.), title 42, Section ]290]-]29]2, AIDS Housing Opportunity Act. 2. Code of Federal Regulations (CFR), Title 24, Part 574, Housing Opportunities for Persons with AIDS. 3. Office of Management and Budget (OMB) Circular No. A-]22, Cost Principles for nonprofit organizations. 4. OMB Circular No. A-133, Audits ofInstitutions of Higher Education and Other Nonprofit Institutions. IX. NONDISCRIMINATION A. Employment - Project Sponsor and Contractor each warrant that they have developed and do maintain an Affirmative Action program for employment which includes goals and timetables for employment of women and minorities, which program meets the Affirmative Action Guidelines of the Federal Equa] Opportunity Commission and all appropriate state laws and regulations. B. Services, Benefits, and Facilities - Neither Project Sponsor and Contractor, nor any of their contractors, shall discriminate in the provision of services, the allocation of benefits, or in the accommodation in facilities on the basis of ethnic group identification, race, religion, ancestry, creed, color, sex, marital status, national origin, age, sexual preference, medical condition, or physical or mental handicap in accordance with Title VI of the Civil Rights Act of ]964,42 U.S.c. 92000d and all other pertinent rules and regulations promulgated pursuant thereto, and as otherwise provided by state law and regulations, as all may now exist or be hereafter amended or changed. C. Disabled Individua]s - Project Sponsor and Contractor and their contractors shall agree to comply with the provisions of Section 504 ofthe Rehabilitation Act of ] 973 6 (20 U.S.c. 794 et seq., as implemented in 45 CFR 84.1 et seq.), pertaining to the prohibition of discrimination against qualified handicapped persons in all programs or activities, as they exist now or may be hereafter amended together with succeeding legislation. D. Retaliation ~ Neither Project Sponsor nor Contractor, nor their employees, agents, or contractors shall intimidate, coerce or take adverse action against any person for the purpose of interfering with rights secured by federal or state laws, or because such person has filed a complaint, certified, assisted or otherwise participated in an investigation, proceeding, hearing or any other activity undertaken to enforce rights secured by federal or state law. X. NOTICES A. Unless otherwise specified, all notices, claims, correspondence, reports and/or statements authorized or required by this Agreement shall be effective when written and deposited in the United States mail, first class postage prepaid and addressed as specified in this Agreement. B. Termination Notices shall be effective when written and deposited in the United States mail, certified, return receipt requested, and addressed as specified below. C. For purposes of this Agreement, any notice to be provided by City may be given by Administrator. Notices to City, Project Sponsor, and Contractor shall, unless otherwise requested in writing, be sent by U.S. Mail, postage prepaid, and addressed as follows: Citv City of Santa Ana Attn: Executive Director, CDA 20 Civic Center Plaza (M-25) Santa Ana, CA 92701 Proi ect Sponsor: Contractor: A.S. Foundation Orange County Phil Yaeger 17982 Sky Park Circle,Suite J Irvine, CA 92614 Santa Ana Housing Authority Attn: Linda Foster 20 Civic Center Plaza (M-27) Santa Ana, CA 92701 7 XI. RECORDS/CONFIDENTIALITY A The parties, and any subcontractors, shall prepare and maintain any records required by laws, regulations, and procedures applicable to their responsibilities under this Agreement. B. The parties agree to maintain the confidentiality of any records which pertain to this Agreement in accordance with applicable state and federal laws and regulations. Financial records related to this Agreement shall be maintained for two (2) years after termination of this Agreement. XII. SEVERABILITY If a court of competent jurisdiction declares any provision of this Agreement or application thereof to any person or circumstances to be invalid or if any provision of this Agreement contravenes any federal, state or county statute, ordinance, or regulation, the remaining provisions of this Agreement or the application thereof shall remain valid, and the remaining provisions of this Agreement shall remain in full force and effect, and to that extent the provisions ofthis Agreement are severable. XIII. STATUS OF CONTRACTOR AS. Foundation Orange County and the Housing Authority are, and at all times shall be deemed to be, independent contractors and shall be wholly responsible for the manner in which they perform the services required by the terms of this Agreement. AS. Foundation Orange County and the Housing Authority are, and at all times shall be deemed to be, entirely responsible for compensating staff and consultants employed by AS. Foundation Orange County and the Housing Authority. This Agreement shall not be construed as creating the relationship of employer and employee, or principal and agent, between City and AS. Foundation Orange County and Housing Authority employees, agents, or subcontractors. AS. Foundation Orange County and Housing Authority assumes exclusively the responsibility for the acts of its employees, Agents or subcontractors as they relate to the services to be provided during the course and scope of their employment. AS. Foundation Orange County and Housing Authority, its agents, employees, or subcontractors, shall not be entitled to any rights or privileges of City employees and shall not be considered in any manner to be City employees. XIV. NON-ASSIGNABILITY AND DELEGATION Project Sponsor nor Contractor shall assign any rights under this Agreement except upon written authorization from City. 8 XV. TERM The term of this Agreement shall commence July 1,2005 and terminate June 30, 2006, unless terminated earlier as provided in this Agreement; provided, however, A.S. Foundation Orange County and the Santa Ana Housing Authority shall be obligated to perform such duties as would normally extend beyond this term, including but not limited to, obligations with respect to indemnification, audits, reporting and accounting. XVI. TERMINATION A. Any party may terminate this Agreement, without cause, upon ninety (90) days written notice given the other parties. B. Any party may terminate this Agreement, upon thirty (30) days written notice given the other parties for material breach after failure to resolve the breach pursuant to the Dispute Resolution paragraph of this Agreement. C. The rights and remedies of City, ASF, or the Housing Authority provided in this Termination paragraph shall not be exclusive, and are in addition to any other rights and remedies provided by law or under this Agreement. XVII. THIRD PARTY BENEFICIARY No party hereto intends that this Agreement shall create rights hereunder in third parties including but not limited to any subcontractors or any patients provided services hereunder. XVIII. WAIVER OF DEF AUL T OR BREACH Waiver of any default by ASF, the Housing Authority or City shall not be considered a waiver of any subsequent default. Waiver of any breach by ASF, Housing Authority, Inc., or City of any provision ofthis Agreement shall not be considered a waiver of any subsequent breach. Waiver of any default of any breach by ASF, Housing Authority or City shall not be considered a modification of the terms ofthis Agreement. 9 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date stated above. ATTEST: _/ // . - ~~- (/:/:::::::7q:e.~, ~ ~-' Patricia E. Healy Clerk of the Council ^~~. APP(:~2~TEm David N. Ream City Manager APPROVED AS TO FORM: Joseph W. Fletcher City Attorney HO~;:;;; Patricia C. Whitaker Executive Director, CDA (f;rk" <- f ~~ By: Lisa E. Storck Assistant City Attorney A.S. FOUNDATION 10 - Nov 30 05 10:28a ..... JU/I.UU;J LU' llJ (-j\X 76,0 A.S. FoundatlOn O.C. 322 II~S CASSWOOD .\CEi,CY LTD (9491809-5752 p.2 ~UOliOO~ - ACO!lD_ CERTIFlCA TE O~ LIABILITY INSURANCE Of' ID AIU99-1 11 21 05 THIS CERTIFICATE IS ISSUED AS A MAli Ell Of INfOll"'ATIO ONLY AND CONfERS NO R1GliTS UPON THE CERTIfICATE HOLDER. T"'S CERTIFICATE DOfS Nor AMEND. EX11END OR ALTER TilE. COVERAG~ AHORDEO BY THE Po~rCIES BELOW p~otluct:~ CaLI DWOOQ, Insux"Q,nce Agency, Ltd 3tO Sou~h Fb~rell D~~ve ~03 Pa~ Gp,'nq. CA 92262 Phon~: 160-32l-Q466 Fax:16D-322-4465 INSURERS AFFORDING COVERAGE NA,IC" IN!!IliiiO ....,.$. "(OUI1~, O't:'.nqilt cnty d/bl a ^~d8 S~rv~ces ~aQnd. , AIOS W~l~ OE~hge Coun~y A~DS WAlk of Orl19 Cnty , AS~ 11982 Sky Pork c.rolc Ste J r_11'1"': CI\ 92tU."-o4.08 .r ']1'.,,-- . --- C""'WLo,)- '.,.:t) IJIlSIJAEIo(Io.. (N'-Vf<<:'" \ Il'ISU\oI.(lllC \ It.lglJR~!Il,O IIIlSuq't.~L -I 110'<\ h'.~lh 1.1"tu~-.n.o.A.1l1UWltl 'MOt~b ~1I;1o"" r.Ul.. In.. (.U COVERAGtS .- T'tlE POlICIU~ OF rNSuR.o\"Cf: lIS'TEO 8How HA\fE BE~N ISSUt;O m 'notE (NSVqkC N"'IoACC 11110"1: r~ Trl~ l"O....ey PERIOD INDICATED. NO'J'WIT"'STANfJl~G ..~... RI::QU~'t:Mt.N"'. 1'li"M 01"1' COf\lDI'rION OF ANy CONTRACT OR OTtifq OOGU~ENr WI,"" RESPEC' TO WHICH 'fl-4(SC'~T\F1C~TE "'oily BE ISSuED OR MAY PERTAIPI. H1t: If\lSllR.ANCE ,.fFO~I,)EO 8.... l"'~ POl1C\'ES DESCRI8ED HEREltIIlS SlIBJECT TO A\.L 1')1E TtAMS. l;}lCllJSIONS AND CQN01TIQNli Of' Sl'~li POllCl(;S, AGGA.EGA'n: LIMITS SHO\Nt.! M"y tiA"E SEf'1\i At:ouC':O BY PAll) ClllrolM:" "l I I Ill' '~~;llVS-~~fIlC( 1 ~h PCl\C'fN\J~DS;" !~GfNl::~LI.I""ur\.IT. I X ~-.X"I COM'-\'''CIAlCnl[~''''lLI6''I..I~ , 200!)-OS363-tiE'O . ~~CC""'"oO< ~~C<:I ~- . G~,.,r'L ...G.Gr;lli.G.rc....IM\( ~~SP(R . "1 r>NICV ll,-~.?; I \ I..Q\; ~VrO""llI!lIL(l...t.Il.I'" X] jl.t-I"''''\J~Q ~ Atl ().o,I~OA\l7rr~ _. ~~I:.l)\,\U:C I'I\)~O!J X .llil~D.\J'IDS ~x "'ON<l""~O AUTOS I I I ! ". A MEMIlER 07.8/poo~ 07/01/05 I C.OMilNllO Sll\IGlF ~I~" 0.,/01/06 (l!o.n(cll:l'~) 900ILVlIllJURV (Plt'Ool..,o"j AnQ'L'I'INJlIRY (o..~....!d_l " I I' f-~ "'''orEi:tT't O"'MAfi.~ (p"i1<;,(.~""l ~apllA.'l.l'" (- I AN'f"..ro /lUl"ONlY.E"'''CC~~~_ , \ O'Hf~ '~AN AU10CNL'f t"ACC'1 ~r~--- 1..?~l!'a,..v~"t'LLA LIA::III,lfY o Or;C""ll 0 i,LAIM~MII.O.l; b Oli:(l~ICNilr,1; I J I ",C'TCI~r,u'" I i WOQl(~I:l~ CO~"f$,artnN 4~O I I I I EMp\.O'1M:S'l'A.I~iT"f 1 lI.~V l"rIQ,;IQ,Irt:'OQJlla"'N';.AII=.ll.tC.U1NE \ OF~'C€~I""I;MaE.iIl.l:"C1 uD~('I' I I' i ~~I:lSp~V~S?O~S hili"" i I IOlltCR I I i J\ I Cornm.erci.a.l Applie. I '20C5-0B36~-tilPO I 0'7/29/05 I 07/29/06 I! I Pro","rtv SecUon . 200~-08363-lIPO I 07/29/05 01/29106 I OeSCll.I""O~ 01' O"bUt.TIO/IlI!II LOCATIoN. I VE.HtGLES'Dc\,IJ~'!I...t)()tn illY ENOOIlSEM&l' I ~Clf'''''I, ~\II'ION!I The city of 9nta Aha, ~C8 offiQe~$, agen~s. ~loye.~f ~~procc~t~t~ve~ ~ud vol~teet~ 86 ~n ~d~~1onal ~n~ured .10 day not~cc o! o.noolMtion roaybe ~dsued dye to non-p~yment of pr~um. 1:""," V\..\,;liAAE~Gt f! '00"'00" _ _ .. .I~ -- =f,.. -- ~ ] ha,qYL'^,,1S! ~oJ~' I.E L.E-.cI-lACr.lnI'",,. . L ~ l OI~""SI::.'" i:MI'LOYH 1; I E ~ O!S~jIl,S' . POLIcY Ur.lI? , .- .!=ERTlfICAlE HOlDf.~ CANCELLATION SJt.H'1'AAN III'lOUl nANY n& 'I'll #,>>q>oI€OE:-U;"IO~a"rn.. 'I:'-e~ Ill.. \A,I'IICMLI ~D IU1'('III" ,.,r'".lI'llIIlAT,OIol o.'ET",IIH,Of.1""tl~\~OU"I1f\WIU.El<IE"W~1'Q"'AIL ~~ D"",W~'T'l'E'" NOT"ICE: TO 'TH.e.ce.~~lrK:AR tIOI.Of'l\ 1ta.!I1fO TO ,~!: lEn, I'Lll P;AllllltE YO bn so !I~.~ l The C.1, ty of Santa Ana 20 ~.1,v~e Ccnte~ Pl.~A S.nt~ AnA CA 92701 IIJItl'OSE 11I0 OauC""'I()tl.G"- t..,A81\.\""'" 011 ...t.lv I(....D .....0... ,.lle Irwll..IltCIIII.I'::I "'...~, ::a a... A""A.eSlEl\I'A"I~S .u, , ....l/J~, e ~, (!f~hJ Go> ACORD CORPORA nON 1 ACORD 25 \2001101) ') ~,;)j\$L7 /], Nov 30 OS 10:2Ba ~~,Jv/~uua lU'~l ~AX lQO I' -- A.S. Founda~'on O.C. 3ZZ \\6S CASSWOOD AGENCY LTD (9~91809-S7S2 p.3 Iil 0021003 IMPORTANT "1M "~rtlfic.'e holder,. 3n ADDITIONAL INSURED. tne PoIICY(le.) must be endorsed. A slatement on \hI. cenlficale does not conte< rightS \0 the cer1iflCale holder In lieu of _uen endOrsement(s). If SUBROGATION IS WAIVED. <lJbjec< '" lhe'erlTl.' .nd oonditrcms oltne POlICY. cenaln polICies may requ"e an endOfscmenl. A 5talemenl on this certificate does not confer r.ghts 10 the cerllficale hOlder In lieu of such e<IdOrsemenll_). DISCLAIMER The Certificate of In.urance on the reverse side of this form does not CX)n5t~ute a conlra\-1 between the ir,M..llng lnsurer(s). authonzed represenlal'''e or producer, and the certtftr-..st~ ho\der, nor doc::> 11 Dfli,rnClllivdy vr Ilegativt:'IV amend, ~.x.tend or alh:r the U)Ve1aye afturded by the volicie~ listed lherOOrl .....7>s. dJ ACORD 25 (2001108) Nov 30 05 10:2Ba &~.~u/~VyO AV. Al tAl 790 I Ngv 21 05 09:~ija " I A.S. Foundatl0n O.C. 322 ~~a" CA55WOOD AGE,eV LTD A.S. Found~tl0h O.c. 19491809-5752 p.4 19~91909-S752 ~003f003 p.~ ADDITIONAL INSURED 13NDOkSBMENI' FOR COMMEll.ClAl.~ITY POLicY U1Su.ran" (;omp:."y Non Profile. IJ\5uriuH~~ Alliance Th". ."d". oC"'l<~ 'V8oJ,Iie, such in.<<lrance iU 15 atlorded by the plovislllllS of l'oh"y # 200)-0816 -N relating to thG follo""ng: \. The Ci,y of Santa Ana, 20 CIvic Cemet PI3>;a. Sanlll.!\n:l, California 92701, ItS office". employtts, agenlS, volunteers and representatives Ille named 8S addlllonaJ insw<-.ls ("n"Jil;.onal1mnU'1.3dsl') with regard to lillbU.it)" undo d'Cf~nse onlUits arIsing tram the oper~l1it,..m~ and "",,, performed by or on behalf of the named insured 2 willi re~lle't to claIm. arising oU' of \be Openllolls lUId lists podo<1lled by or on behalf of th~ named imUfcd, sucb jn.Ul1IIIc~ as is afforded by this polley is primary and is on! addiuonal to Or conu1hunne wirb any (\th~r ins\v3l\ue cWTI(:d by or f\)r the bcuc:fll of tbe addirional Insureds. J. 1'l1i. Ul,W-illlC' applies sep,,",leJy 10 each llIS~d against whom claim IS mad., Vi suit is brou.llhl ""cePt WIth rtsp~el '" tlte company's ltmits of Irabilit)' Th. inclusion of any p~rsOlJ Or organization. as an insured shall not affect any righ1 which such p~rsOI1 Q( orgo.nizat,or'l ""ould have as . claimant tf not so included 4 Wl~h ~&pcc:t to die addluou..d tU!SW"t;ds. this insurance shall not be cancelled, or nlatenally reductd in coverage Of limits excepl after thirty (30) day, written Iloliee has oe." gl"en to the ('ity of San,a Ana, 20 Ci";c Center I'laza. Sama AlIA. C&lifumw 92701 (Completion of the foUowins. including countersignature. IS ""I\4rodIO make this endorsement e.ffCt.:hvc \ EIl'<clIvc November II. 2005 __.Ihls cnno"tmCllI (orm a.;. p3f\ ot Policy ~ 1O()'o-08363-N~0 lssuedlo 1"h.p Ciry Of SantA Ana, its offlcers. agenla~ em~loy~~fj.. tetcse.r'lc.ati~~ vnhuHeerllrl3lTleO. ln~n,....d CO'Ut)1:cr,i,nc:.<i by l~i~1"41Ic" }'r/, _~'G~ ~~ Authoriud R.prescnt~dve _c~;)l2... !\Itl/~OO. ~lO~ 09-" In/R~ NO S9111 ~004