HomeMy WebLinkAboutJOBS FOR CALIFORNIA GRADUATES 2
.
; ~:
"i f'
N-2001-150
01..
"
,.- ;It-Ol
MEMORANDUM OF UNDERSTANDING BETWEEN THE
CITY OF SANTA ANA
AND".
JOBS FOR CALIFORNIA GRADUATES, INC. \1';0;;; '". ;. I
. .~
AND C" ''-;i~ L.\.''j;;.;;t
JOBS FOR AMERICA'S GRADUATES, INC. (,',If' t..:; U -ch
This Memorandum of Understanding is between the City of Santa Ana, a charter city and municipal c,~~
corporation duly organized and existing under the Constitution and laws of the State of California, by and
through the Santa Ana WORK Center (housing Jobs for Santa Ana Graduates) 1000 E. Santa Ana
Blvd., Suite 200, Santa Ana, California 92701, hereinafter referred to as LOCAL AFFILIATE, and
JOBS FOR CALIFORNIA GRADUATES, INC., hereinafter referred to as JCG, an affiliate of Jobs for
America's Graduates, hereinafter referred to as JAG, a national non-profit organization.
..1.
" -'. .J"
']o--?- (;)~OJ
WITNESSETH
WHEREAS, the LOCAL AFFILIATE is seeking to better prepare high school students and
dropouts to graduate and enter the world of work; and
WHEREAS, the LOCAL AFFILIATE is located in an area with a number of students who do not
graduate from high school; and
WHEREAS, JCG develops partnerships with business, education, and local communities to
operate model programs for at-risk youth, providing support and oversight to those programs to
ensure their success; and
WHEREAS, JCG assists partners to operate programs through collaborative grant-writing and
fund raising efforts;
WHEREAS, the LOCAL AFFILIATE desires to engage JCG and JAG for such special services
upon the terms herein provided; and
NOW, THEREFORE, the parties hereto do mutually agree as follows:
I
RESPONSIBILITIES OF JCG
JCG shall:
A. Assist in establishing one JAG-accredited Dropout Recovery model application in Santa
Ana through a mutually beneficial partnership between JCG and the LOCAL AFFILIATE.
B. Maintain adequate staff and an active, involved Board of Directors to provide oversight to
the implementation, operation, and continuous improvement of programs in California which
satisfy the accreditation standards of the JAG Program Model.
C. Develop a positive working relationship with local communities, including employers,
high schools, post-secondary and/or technical schools, and community service organizations for
the purpose of promoting and establishing local JAG accredited programs in accordance with the
JAG Model.
D. Provide technical assistance and training to the LOCAL AFFILIATE'S Career
Specialist( s) and other LOCAL AFFILIATE key staff on the successful implementation and
operation of a JAG-accredited program.
E. Provide JAG Model books and other program materials, publications, and national
communications to the LOCAL AFFILIATE'S Career Specialist(s), other LOCAL AFFILIATE
key staff and partners.
F. Provide staff development experiences for all LOCAL AFFILIATE'S Career Specialist(s)
to assure understanding of the JAG Model Program and the Dropout Recovery application and to
share best practices through planned local/state staff development activities and by attending the
JAG National Training Seminar held annually in July.
G. Provide technical support and conduct periodic quality assurance reviews and consulting
visits to give encouragement, support and feedback as well as a review of documentation to track
students, services, and outcomes throughout the program and follow-up period.
H. Conduct periodic visits to review and assist JAG in its accreditation process to ensure
conformity with the performance standards as promulgated by lCG and JAG.
I. Provide the above services through June 30, 2002.
II
RESPONSIBILITIES OF JAG
JAG shall:
A. Provide on-site assistance for LOCAL AFFILIATE Career Specialist(s) and the JCG State
Office upon request.
B. Make available its copyrighted model books and materials, operational guides,
administrative manuals, electronic data management system, etc. Network members receive a full
set of the JAG model books for all LOCAL AFFILIATE Career Specialist(s).
C. Provide LOCAL AFFILIATE Career Specialist(s) and other appropriate LOCAL
AFFILIA TE staff the opportunity to attend the annual JAG National Seminar.
D. Assist JCG with the full implementation of JAG electronic data management system
designed to track students, services, and outcomes for the purpose of determining the effectiveness
of the program based on specific performance standards. State affiliates have access to the
National Database which produces management information for decision making and
program/staff evaluation purposes.
E. Conduct accreditation of the leG program to ensure conformity with the standards as
promulgated by JAG.
F. Make available the protected trademark, "Jobs for America's Graduates", and associated
emblem and copyrighted materials directly related to and limited to the periods in which the
program is delivered in a manner consistent with the mission and goals of the JAG program model
and terms of this Memorandum of Understanding.
2
ill
RESPONSffiILITlES OF LOCAL AFFILIA TE
The LOCAL AFFILIATE agrees, during the term of this Agreement to:
A. Establish one JAG-accredited Dropout Recovery Model. Provide one staffperson
qualified to fulfill the responsibilities of the LOCAL AFFILIATE Career Specialist who
takes personal responsibility for a minimum of 20 students, as submitted on the JAG
Roster.
B. Implement fuIIy and completely the JAG database management system, providing all
reports to JCG as required per pre-determined deadlines. JAG and JCG will provide all
training and technical assistance required to ensure the LOCAL AFFILIATE is able to
effectively maintain the database management system.
C. Interpret LOCAL AFFILIATE policies and procedures to staff of JCG and the LOCAL
AFFILIATE Career Specialist(s).
D. Establish a site-based advisory committee to assist the LOCAL AFFILIATE Career
Specialist(s) in recruiting, screening, and selecting students with the greatest chance of
benefiting from the services.
E. Include the LOCAL AFFILIATE Career Specialist in any relevant training provided
through the LOCAL AFFILIATE.
F. Coordinate the job development efforts of the LOCAL AFFILIATE Career Specialist(s)
with other One-Stop Centers, and other community efforts.
G. Work with JCG to provide evaluation of services of the LOCAL AFFILIATE Career
Specialist(s) to ensure full compliance with the JAG Program Model Standards.
H. Provide adequate supervision to ensure that the LOCAL AFFILIATE Career
Specialist(s) fulfills the responsibilities ofthis Memorandum of Understanding and
achieves the performance standards of the JAG Program Model and requirements of any
funding sources.
I. Provide feedback to the JCG State Office that will result in the continuous improvement
of the program to maintain accreditation by Jobs for America's Graduates.
J. In all advertising and promotion of the program, reference the program's affiliation with
Jobs for California Graduates (i.e., "an affiliate of Jobs for California Graduates").
N
COMPENSATION
A. The LOCAL AFFILIATE agrees to pay Jobs for California Graduates, Inc. a sum of
$5,000 annually to provide materials and services as outlined in this Memorandum of
Understanding and Exhibit A.
3
B. JCG shall submit semi-annual invoices to the LOCAL AFFILIATE which will include
itemized costs for the period. Invoices shall be submitted no later than July 30 and January 31
of each year.
V
lNDEPENDENT CONTRACTOR
JCG is, for all purposes arising under this Agreement, an independent contractor. No
officer, agent, employee or independent contractor of JCG, JAG or LOCAL AFFILIATE shall be
deemed an officer, agent, or employee of the other party hereto. Neither JCG, JAG nor LOCAL
AFFILIA TE, nor any officer, agent, employee or independent contractor thereof shall be entitled
to any benefits to which employees of the other party hereto are entitled, including, but not limited
to overtime, retirement benefits, workers' compensation benefits, and injury leave or other leave
benefits.
VI
INSURANCE
A. JCG shall furnish the LOCAL AFFILIATE's Clerk's Office with an insurance certificate from its
workers compensation insurance carrier certitying that it carries such insurance as established and required
under California law and that the policy shall not be canceled nor the coverage reduced except upon thirty
(30) days prior notice to LOCAL AFFILIATE.
B. JCG shall obtain, at its sole cost, a policy or policies of commercial general liability insurance, or
equivalent form, with a combined single limit of not less than $1,000,000 per occurrence.
Such insurance shall as indicated in Exhibit B: (I) name the City of Santa Ana, its officers,
agents, representatives, employees and volunteers as additional insureds; (2) be primary with respect to
insurance or self-insurance programs maintained by the CITY; (3) contain standard separation of
insureds provisions; and (4) give to CITY prompt and timely notice of any claim made or suit instituted
arising out of lCG's operations hereunder.
JCG shall: (a) prior to exercising any right under this Agreement, furnish properly executed
certificates of insurance and additional insured endorsement to the LOCAL AFFILIATE, for approval
by the Local Affiliate's City Attorney which shall clearly evidence all coverage required above; (b)
provide that such insurance shall not be materially changed or terminated except on 30 days prior
written notice to the LOCAL AFFILIATE; (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.
VII
ASSIGNMENT
A. Neither JCG, JAG nor LOCAL AFFILIATE may assign and/or transfer any interest in
this Agreement, without the prior written consent of the other parties hereto.
B. This shall serve as written notification that the JCG and JAG shall provide the materials
and services as described in sections I and II of this Memorandum of Understanding.
4
VIII
lNDEMNlFICATION
A. JCG and JAG agree to defend, indemnify, and save free and harmless the LOCAL
AFFILIATE, its officers, agents and employees against any and all losses, injuries, claims,
actions, causes of action, judgment, and liens arising from, or alleged to have arisen from JCG and
JAG, its agents or employees performance or lack thereof under this Agreement.
B. LOCAL AFFILIATE agrees to defend, indemniry and save free and harmless JCG and
JAG, its officers, agents and employees against any and all losses, injuries, claims, actions, causes
of action, judgment, and liens arising from, or alleged to have arisen from LOCAL AFFILIATE's
performance or lack thereof, under this Agreement.
IX
AMENDMENT
No changes in the responsibilities of LOCAL AFFILIATE and/or JCG and JAG to be
performed hereunder shall become effective until mutually agreed upon by the LOCAL
AFFILIATE and JCG and JAG in writing. Such changes as are mutually agreed to by the LOCAL
AFFILIATE and JCG and JAG which require additional services or a reduction in services to be
performed by JCG and JAG under the Agreement and an adjustment to the amount to be paid to
JCG and JAG as provided herein shall be incorporated in written amendments to this Agreement,
signed and approved by all parties.
X
TIMELYPERFO~ANCE
It is understood and agreed that the services herein contemplated will require the timely
efforts and performances of each of the contracting parties in order that the sequential phases of
the assignments can be accomplished, and in the event either party shall fail in this requirement,
the other party shall not be penalized for a delay in any phase of the process occasioned by the
delaying party.
XI
TE~ AND TE~INATION
OF AGREEMENT
A. The term ofthis Agreement shall commence on April I, 2001 and shall continue until
June 30, 2002.
B. Notwithstanding the foregoing, this Agreement may be terminated upon thirty (30) days
written notice by either party hereto. Said termination shall not be deemed to be a breach of this
Agreement and/or tortuous conduct.
XII
NOTICES
Any notice permitted or required under the provisions ofthis Agreement shall be in
writing and signed by the party giving or serving the same and either in person or delivered by
certified mail, addressed to the party as follows:
5
JCG and JAG:
Jackie Gitman, President
Jobs for California Graduates, Inc.
P.O. Box 2476
Napa, CA 94558
(707) 224-7582
COURTESY COpy TO:
Santa Ana WORK Center
1000 E. Santa Ana Blvd., Suite 200
Santa Ana, CA 92701
714-565-2629
LOCAL AFFILIATE:
City Clerk
City of Santa Ana
20 Civic Center Dr. (M-30)
Santa Ana, CA 92702
IN WITNESS WHEREOF, the parties hereto have executed this Memorandum of
Understanding on the dates shown below.
JOBS FOR CALIFORNIA GRADUATES, INC.
JOBS FOR AMERICA'S GRADUATES, INC.
J qu ne S. Gitman, as President of
obs for California Graduates, Inc. an affiliate of
Jobs for America's Graduates, Inc.
ATTEST:
1Ch-
{(~'L .
P . cia E. Healy
lerk of the Council
APPROVED AS TO FORM:
d;&~
fr Joseph W. Fletcher
City Attorney
~1l01
Date
~'1l 0)
Date
CITY OF SANTA ANA
a municipal corporation of the
State of California
f:::tp
City Manager
RECOMMENDED FOR APPROVAL:
()L~
JoIUp. Reekstin, Executive Director
Community Development Agency
6
Joi;. for
I California
I Graduates. Inc.
EXHIBIT A
LOCAL AFFILIATE SERVICES
Jobs for California Graduates provides start-up and on-going technical assistance to locai affiiiates to ensure
the successful implementation and operation of a JAG-accredited program. The basic package of technical
assistance includes, but is not limited to, the following services.
PrOQram Start-UD
. Assistance in preparing rollout plan for implementing a JAG accredited program.
. On-site assistance in presenting the program to governmental, educational, community-based
organizations, foundations, potential funding sources and private sector empioyers and groups.
. Guidance in establishing regional and locai advisory councils and a non-profit organization.
. Assistance in preparing operating budget.
. Assistance in identifying potential funding sources to support a local affiliate.
. Promotion of the JCG Network with potential local and state funding sources
. Guidance in the selection of staff members, including:
a. Management team (executive director, supervisors and program managers)
b. Administrative staff
c. Specialists
. Implementation of JAG's Data Management System to support tracking and reporting of program services
and outcomes. '
. Assistance in the development of key program planning documents:
a. Management Plan
b. Staff Development Plan
c. Employer Marketing and Job Development Plan
d. Annual Pian
. Assistance in launching and overseeing a successful Career Association (JAG's student-led
organization).
Associated costs: $500 (est.)
On-Goina Technical Assistance
. Telephone/email consultation on implementation and funding issues.
. On-site program reviews to ensure that local programs and the statewide organization comply with the
standards as set forth in the JAG Model and Program Applications.
. Consultation on preparing for a JAG on-site accreditation visit (and mid-year reviews for new sites).
. Preparation of an accreditation report that outlines strengths, areas of improvements, major and minor
areas of non-compliance, and recommendations.
. Assistance in implementing the recommendations by the site review team.
. Assistance in conducting student events, i.e., Initiation & Installation, Leadership Conference, Career
Development Conference.
. Assistance in developing summer work-based learning experiences for program participants.
. Consultation in launching follow-up services for participants.
Associated Costs: $2000
Initial JAG Model Training
Site visits/evaluation and technical assistance as required
Traininq Services
. On-site training for manager on implementation of JAG Model program.
. On-site training for new Specialists on implementation of JAG Model and Program Applications.
. Participation in periodic JCG statewide staff development seminars for supervisors and job specialists.
. JAG's annual National Training Seminar (NTS) - includes dynamic and informational general sessions,
best practices workshops, and networking opportunities for management and staff members.
. JAG's annual Management Deveiopment Institute (MOl) designed for new and experienced managers.
Designed to improve understanding of the JAG Model as well as develop and refine leadership, coaChing
and management skills.
. Refresher trainirig for those who implement the JAG Model.
. Advanced training for those who wish to move beyond the "what" (of the JAG Model) and understand
"why" the model works.
. Participation in JAG's annual National Student Leadership Conference (NSLC), an intensive four-day
leadership training conference for JAG youth.
Associated Costs: $500
Statewide Staff Retreat: $300 per person for coordination and preparation; (specialist travel expenses
not included)
Coordination of JAG Conference workshops with needs of JCG local affiliates (included)
--
Other Resources
. Access to JAG's Model Books:
v" JAG Curriculum Modules
v" JAG Specialist Handbook
v" JAG Dropout Recovery Handbook
v" National Data Management System
v" National Career Association Advisor's Handbook
. Access to JCG and JAG marketing materials (e.g., fact sheets, videos, press)
. Annual Reports
. Newsletters
. Collateral materials for effective recruitment of participants, i.e., brochures, radio ads, etc.
. Participation in JAG's "Train-the-Trainers" workshops to prepare state trainers.
. Participation in JAG certification workshops for key staff positions.
. Assistance in securing funding to expand the program to serve a larger number of at-risk youth and/or at-
risk youth in earlier grades of high school.
Associated Costs: $1500
(Includes design, development, and printing of marketing materials, technical assistance in developing funding
proposals, development of curriculum, and all JAG Model Manuals)
Data Manaaement System
. Access to JAG'~ Data Management System (OMS) and training.
. Ability to track program participant data, including:
a. Student profiles
b. Graduation rates
c. Full-time and part-time employment rates
d. Enrollment in postsecondary education and advanced training
e. Military placements
f. Non-seniors returning to school
g. Placement and follow-up record
h. Placement report
. Development of national, state, site and school summary reports based upon DMS documentation.
. Conduct Destination Verification Surveys using DMS documentation. (Random sampling is used to pull a
10% sample of all participants to determine if the destination reported on JAG data collection forms is
accurate.)
Associated Costs: $500
National Leadershio
. Opportunity to provide input to the JCG state director on issues that are relevant to the continuation and
growth of the JCG state network and the JAG national Network (Le. federal and state legislation, policy
and procedures, social trends, work force trends, etc.)
. Access to "work-based learning" opportunities with state and national employers.
. Participation in annual "JAG Leadership Awards Event", a national visibility event attended by prominent
corporate and government leaders, JAG national and state board members, staff, and youth from around
country. Currently the event is held in Washington, D.C., with plans for a west coast event in the near
future.
Associated Costs: Included above
-----
~rnla Gradua"tes
7072247503
05/17/01 01:37P P.OOZ
d/)l
)
.t'rofits' Insurance
.ance of California
JJIOINUNCI..,,,~IICIN()flftQHrS
NONPROFITS' INSURANCE ALLIANCE OF CALIFORNIA
P.O. Box 8507, Santa Cruz, CA 95061
COMMERCiAl GENERAl UABIUTY COVERAGE PART DECLARATIONS
RODUCER'
Griffiths Insurance Agency
7049 RedwoOd Blvd Ste 204
Novato. CA 94945
POlICYNUMBER: :ZOOO-07863
RENewAl OF NUMBER: 99.7863
I
AMEOF INSUREOANOMAlUNGAOORESS:
Jobs for California GrfllduBtes
P.O. Box 2476
Napa. CA 94558
~lICY PERIOD: FROM 10/20/2000 TO 10/20/2001
AT 12:01 A.M. STANDARO TIME AT YOUR MAILING ADDRESS SHOWN ABOVE.
JSINESSDESCRIPTION; Job placement
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS
POLICY, WE AGREE WITH YOU TO PROVIDE iHE COVERAGE AS STATED IN THIS POLICY.
MITS OF COVERAGE:
GENERAL AGGREGATE UMlT (D_~TIWIPROOuCTS'CCOoI>l.eTeDOPERATlOIIS). . . .
PRODUCTS. COMPLETED OPERATIONS AGGREGATE LIMIT . . . . . . . . .
PERSONAL AND ADVERTISING INJURY UMIT . . . . . . . . . . . . . . . . . .
EACH OCCURRENCE UMIT . . . . . . . . . . . . . . . . . . . . '. ......
FIRE DAMAGE LIMIT . . . . . . . . . .. " . . . . . . . . . . . . .
MEDICAL EXPENSE LIMIT . . . . . . . . . . . . . . . . . . . . . . . . . .
ADDITIONAL COVERAGES:
(l.MTS - INCLUOEO IN GEN~RAlI,GGRE""TE UIolrTS ABOVE.)
$1,000,000
$1.000.000
$1.000.000
$1.000,000
$50.000 eny."" fire
$5.000 8rw one person
MISC. PROFESSIONAL UABIUTY . . . . . . . . .
...... .
. . . . . - .
EXCLUDED
ASSIFlCAT/ON{S)
see ATTACHED SUPPLEMENTAl.. DECLARATIONS SCHEOULE G
fEMIUM
RMS AND ENDORSEMENTs APPUCABLETOTHIS POLICY ARE INCLUDED IN COMMEFlClAlllNES COMMON POLICY DeCLARATIONS.
$700
(AUTHOflIlED ~ePAeSENTAT1VE)
I
J~TERSIGNED:
9/18/2000 8Y
(PaJ.~~
ose CEClARATlQNS AND THe CONIotON POlicv OEClAAA1lONS, IF APl'LICAllLE. TOOETlER Wrr>< THE COMIoON POlICY CONDITIONS.
IERAOl: FOIW(S) AND FORMs AND I!NOOIlSEiVe<Ts. IF ","Y. ISSUED TO FOOlM A PART T><e~eOF. COMPLeTE THE _ N~REO I'OUC'Y
\C . Gl
APPROVBD AS TO FORM
-/:. f)/,:
. (/ '- -Lc'1.../((;,'-.....:::.-rc::<i< ,," i..
Laura Sheedy - ~ j,:-<:/
Deputy City Attorney
, '
ADDITIONAL INSURED ENDORSEMENT
Insurance Company Nonpro fi t s Insurance Alliance of Calif ornia
This endorsement modifies such insurance as is afforded by the provisions of Policy
# 2000 - 07863 relating to the following:
,. The City of Santa Ana. 20 Civic Center Plaza, Santa Ana. California
92702; its officers, employees, agents and volunteers are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the
operations and uses performed by or on behalf of the named insured.
2. 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 additional insureds.
3. This insurance applies separately to each insured against whom claim is
made or suit is brought except with respect to the company's limits of liability. The
inclusion of any person or organization as an insured shall not affect any right which
such person or organization would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be
canceled, or materially reduced in coverage or limits except after thirty (30) days written
notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana.
California 92702.
(Completion of the following, including countersignature, is required to make this
endorsement effective.)
Policy #
Issued to
Effective 8/9/ 0 1
2000-07863
, this endorsement form as a part of
JObs for California Graduates
Named Insured
..--..--...........
"
"
\,
( \
Countersigned tJY'.:'-' \
I
I
i
.'~,
------
r# _ .. From:GRIFFITHS IN~URANCE NOVA TO
]4]58883838
o 1/0812002 11: 59 #523 P. 00]
At:ORI)_
CERTIFICATE OF LIABILITY INSURANCe,.8~_1If 8 01/08
I A MAlTER OF INFO MATlON
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDIlR. THill CERTIFICATE ODES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
IN'U~8 AFFORDING COVERAGE
PRODUC
8101,,", lbk S...",........
Ifovat::.o Bz:anc;:.b.
7049 loIc1wood Blvd.
Il'ov.t;", CA 11494S
Phone, 415-192-1680
11204
INSUlllifl
Fax:41S-898-3838
"obs.fO~.Ca11rornia Gradua~es
Jack.... GI.&fti.ii
~.g. ~"'D~m
INS""...>: Non ~ofiu Ins. AJ.11ano. oE CA
lNIUf\Eft1;
IHSLA!RC:
INILmRD:
IN8URfRE:
COVER.oOGES
tHE~, LC'l!8 0' IHSUfW<<;r; l.I8TEO HLOW HAW I!!M t&1UI!o 1'0 THEINSURfD NMteo AIOVE FOR THE POLICy f"ifCIOD INDlCATEiO. ~OM'lTHIT,&JoIQINQ
A)t( R! OJ-'NNT, TERM OR COHOl'tION OF IH'f CONlTAACY CR OTHIliR DOCUMlNT lMTH RESP~T TO """CH THIS CERTIFICATE MAV be ISSUED OR
M....y PE RrAJN, TW(: 'fr4SUAAHCE; AFFOADED BYTHE!: POt..tcEs DESCAIBED HIRE... IUlJECfTO AlL 'rloII! TERMS, exa.U8IONSAAD CONDITIONS O~ SUCH
POLIC1S1. AOGf\eQATE UMrr9 $HQWN MA,Y M.4.VlIlEEN REDUCED.... PAlD eLAIMS. m~~
~ TVPe Of'INlUAAHCI POUC"l" HUNtm U"'ITl
GINIIW. i.IQvyy E.ICH OCOUMEHtl! '1,000 000
t- 10/20/01 10/20/02 FIRE DNdl\GI! (Any tlMh) . 50 000
A X COMM.OCIAl.ClOIIEAALlJAoICrrv 2000-7863
leLA'" w.o. ~ OCCUR MiDiXJiI(AtlyOl'\4l~) III 000
- PiRSOHAL.IADVINJU"Y tl 000,000
- GENERAL AQGR:EQA'fE .1 000,000
~\.l,GQAE!Q.\TELM!n'I~~ "AOOuCT$. Cf;lHaJO,lI AGO 11 000 000
'0l.1Q"{ lQC
~GI08ILE UU".ITY COMIINlO SINGl! lIMIT '1,000,000
A ""'I\IJTO 2000-7863 10/20/01 10/20/02 (EI -...,
= "'l.l. OWNED .wTos BOoll y INJU~V .
SCHEDUlED AlIrOS f~INpt('tOl'l)
I-
~ Hf;lED AVTOS IIOQIlYI~'"
(Pllf~t) .
r! f'lQNoQIMtEt> AA'Os
- PA:OPI!ATV ONMGE I
(p.,-~~
~"'. UA81UT'l AUTOONL"t.EAACCIDENT .
NiY AUTO OTM~ THAN EAACC .
AUTO C1Nl.Y; AGQ .
::J1ih UABllnv EACH OCCURRENce .
OCCUR 0 CLAIMS UAO& AGCREGATE: .
.
H IlEnUCTllLE API'ROVEL AS ro I lRM .
RE:rE~ION I ItOKY~ .
WOJiUEUCOM'IiN9ATION AND -:2l.AA ",2 ~ c1..< i/4. 7
E1IlPLO'f!AI' LlAltLlTV
-- / E.L iACH ACCtOiNT .
LiULl Sheedy S.L,. DISEASI_ EA EMP1.0VE! .
n.> )111 V C;I\ ^ lorlJCY E,L DISEASE. POLICy LlMIT .
""'SI
DESCRJPnOH ~ OPriRAlIONM..OCAT10 _Oq ADDIib IVINDOMlttllNTIIPlClAL PRO\IJ8fONI
C.rti:t'1.oa~. holder is ......ad adcU.to:i.ona1 ins=eod par the atouched o..c1orsement
wi~h rag.rds to 1iabil1.ty aris:i.ng out or the n...d insu%ecIs opera.Uona .nd
aubject to p0110y to.nos, co"dlUons Ii .xQl1,1e:~onll.
*10 day notice of canoellation Eo>: non-payment or p"Am.i"",.
CEATIFlCA TE HOLDER /1' I Al>GCTlONAL ..."".... 'NIlI". Lnml: L CANCELLATION
CITY-30 IHOULOJHV OP THIi ~VIi DIESCRlBI!D ~I II CANCELLED DUORI THE UPIIt1\TION
C.;.t:y of S....ta Ana D-.l1i T'HEREOfl. THe IaUING tNSUReR lMl.L ENDEAVOR TO IIWl ..3..0..!.. DAYS WRlmN
ofEic=erl!ll, employeaa, ag.n't.8 NO'nCI TO 'nil ClImPlCAlE HOLDQ NAMED TO ~ L.UT,IIJT 'An.URE TO C/O to tHAU
' volunteers tMPOIE NO OIUCIAllOH OR lIABlUT'V Oil A~ laND u.aoN THE INlURiR, I" AG"",TS OR
20 Civio Canter ~l.s.
SlInta AAa CA 92702 .ta:PR6IENTAltVEI.
AU ....."!."I"'~.
r"1V" 0- --
ACORD 21-5 (7"7) - CACOAD CO~ORAT1DIl19ea
.
~
From:GRIFFlTHS fNSURANCE NOVATO
' . .
] 4 ]58883838
01/08/2002 ]]: 58 11523 P .002
.
POUCy N'UMBl3R: 2000-7863
OENERAL LIABH.m
TInS ENDORSEMENT CHANGES l1IE POLICY PLEASE READ IT
CAREFULLy.
ADDmONAL INSURED-DESIGNATED PERSON OR
ORGANIZATION
Tbia endorsement modifies insurance provided onder the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
Name ofPerroJl or OllaDlzallon:
City of Santa Ana
III omcen, employees, ag..... & volunteers
20 Civic Center DrIve
Santa Ana, CA 92702
(If no entry appears above, information required 10 complete this endorsement will be shown in the
Declarations as applillable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organlzatlon
shown in the Schedlde IS an insUred but only with l'Ospec:t to liability arising out of your operations
or premises owned by or leuted to you.
C020UIJ 8S
CO)l)'right, m.\lraQce Services Office, Inc, 1984
2-22-21302",(" 5'7t>:M . FROM ,NTA ANA WORKCENTER 714 565 2.
,
P.l
SANTA ANA W/OIRlK CENTER
1000 E.Santa Ana Blvd., Suite 200
Santa Ana, CA 92701
Phone: (714) 565-2600
Fax: (714) 565-2602
TO:~ ~!f€JJ'I From: i'f~Jl1- A~thJ
Fax: ( ) - ~ -,..~-
"Itonet ( )
Date: j&/f/,J,
I
Re: cc:
~735 ~ ().hAf- 6'~
-
IJ Urgent ~ro<r RevI_ 0 PI_ Comment D PI_Reply 0 Please Recycle
. Comments:.
IF YOu HAVE ANY QUESTIONS, PLEASE CAll ME AT (714) 565- 24,23. THANK YOU.
~d:J (th. ~t6.<J1: 1dY- vJfu, f~ ttr
k t'0c;>. ~Lju.. (/Jtt.R.-fJFf1Ch.- ,Om'! ~~
)0 Yfi;-.
FROM THE l::!ESK O~ ......
2-22-2002 8,57~M
~
}
FROM~NTA ANA WORKCENTER 71d 565 211j
1'>.2
MEMORANDUM
To:
Laura Sheedy
From:
Lydia Morgan, Santa Ana WORI( Center
Date:
February 22, 2002
Re:
Jobs for California Graduates
Attached is the Workers Compensation insurance policy for Jobs for
California Graduates aka JAG. Rose Ann Trujillo said this was the last item
you needed in order to approve JAG's insurance. Please review and approve
the insurance certificate and forward to Rose Ann for proceSSing.
If yOU have any Questions, please ellll me at xZ6Z3.
Thanks.
~'
Vr
-
2-22-2002 aoS84M, FROM SANTA ANA WORKCENTER 71d 565 2602
. ~..-~-..." .~4~a ~/2~/~ 0?:".,.A,P.eez
Jee.. te.. e..i'ce..~;.. ~ ~ ~
.~ .
.
"'.3
A_
WORKERS COMI'F.NSATION AND ~MPLOYJ::RS LIABILITY INSURANCE )'OLley
lNFORMA nON PAGE REVISION NO
o ~fhi." U.;I ) Y".ll h'-1l'tl k;lh.: Jfuh.:y
EV1l:RBs'1'
o Rei!llllUL
hTJ:ONAL rN$~ COJIE>ANJ(
(] N........ 0 H,~'i~lIr f'ulK-}' ",. .D:Ioco2!n2'011
OR....."ri\.,;
<1f Prior Vol if)" r-u. J8OOIJJ:m2lllt1
.1"""1 t'n'IIJlllll)'I:'ldl'Nn
fiJ Rt:n"'l1:
~:tt2
r."p' 1
l~l.P~Clfk
..\,I,IU...c......... ".;01",
Pol, 7"11. I v...
JO. 'rer'l.l1 VI"
'l,. Adj
I\...jy. tt"r f):Il~:
(HI;') l.\,j\IU.'-1,\f,Oi\. 1',\I~'h. ";#;j l'l,,.(J4..T 1'~~\J\/J:,:I":-.,,, '~'''IJ t.'....;.,Vi,,:-.I:i'II:.\.'~. it' l'l'o\.
COMI.U;"n:.,S lH I~ .'( )Ll~ 'Y.
I. NA6.1'lt, !~:;UR.~b AJ'IIIl) MAILING ADORE:.-.;s PIlOn(Il."I,:..K3IJ BRANCH com! 1)10
~~CIU"~IAOAM;J1.IATES'. ,"'... -.w:
p. O. B:JX2llI75 """""""9......
~G"~
-l'I'lllIOCIsco ell -
'n~rW i~: Cl fndiYid,4lI -.b:! J.wtille-.'wlL;, CJ ':'~fJ".'1'II'[ittJl. ttr lil UlII"",. NON """'1
<-'.""""',,",,'4P"'li'II"\tt:"I~htlbl>>'U:
~ Li....L., s........It.:~
1..<loI~'~ Id""lll;rft:lllivn hUfllbQ1r.):
Sri' :'idar...
~ .,...u pOl,loI)' JlWIod b; 'n."SJ. fO.zo.2Q01 '0 1o.2C~ ,,' 12:U11 ^M'';;:'-ldHl''l"lm~"t thcill.iUJ'b)..(J.uDlllnllldd~
.
C... PJII JII,gUlII('ltf J
J 'nc"='\IIl..J
I O'\."\'Nllit.$
-.l t.aeb N~ JnJ;J,aJIIl'I.'.l ~
.. ''11. """..... ".".i>,..licy Will h. cktcnlll."" hy oa, _."ofll.,I... ,.,.,...f;'''';'''''.I\..,<~,. "..la, p'm,. All ;.,....."",. ""''''',>l.. ,~.~
\,.;Jjl.~i.:.lljun ~"'otdllk' i.llII~l!\.." III \lWiriClllil". ~ t'lum:e-\o"illldit, S.l';~. ti....J.W Al~
:> ...,... T(Yt'Al. Jl:-.."iIM^'reCJ ^NNIJAL POLlCY pR.e~'L VI lr u.d~olI.t4:d. ~ll"l"m. ftdju'\lIIaIl~f)f
S AO)"~MEfVJ' "REMlUM nUl:. (J\ddf.. Of'R.fta.... I'...".."..... ' ^ ...ih..~ PJW1ll1unl 4'loU"V IN~
t~ffNI~r-Hd"~,,iv~ o :::cllii~A.IIUId11
, ....... Mll'llMVM PRJ;MIIIM o Q".tt...rly
O:-';omM)'
:> VUPOSIT "UEMIllM
U.';r,;ni,'jlJ'; ~Jn'i~(::
,. Jl W&O;." ~''''''''''''''"''' .....,..." -aft n.~vf ,he rolk,..."", '" II", "..,,,., ('".."".....,. L.w Of III. ".,.. Ii"<"l,.~
""
!l HI""'.,... Uol."lIy 1".""".00 h.t r....r llI"""'~',.,m..I""""MtIr i. <""" ....lP<od i. I'", U,.
liI~ t..uuh.snttHIrLiabili.lYUI\t'er PM Twn. are: ......Jib h..wl')'''y ik,'iJ", 1.fiO._ aIlCbAl'\'!W'-"01
"'Dilily Jnjury by J)~ '........ ~;J....)'Ii..I;r
tindEr )nit-". by r.H:IcIl.~ 1.CIOO..OCIO -.:'hellt.l'l....;.:c:
(', flll,.. ~1....I."'''..."' Alt """",CJlC'I>I Non. 1>_,0. O'io. Wlli4liJ'R'.". W<>, Vi"".;., W,......~ '''~ "".. 4",""""" io "," '^ nI U",
Jnfot>rnld;9. l'.~
-
I' TII,1,..,lIi(":,\, illrln"l''''''!l'\'t' ("Ilfl"'~,"u'..r~ .\..., ~rl.."(I"k.~'
~-~I"*ur ..........ilIIfIK....~~
^t~....1 N,!'J'9OlIlIr:u
AI' I'ROVEi'~'''AftTOI'Fdrt'~.
l.J.~~
WCOOOOOl A
/) c
'Laura Sheedy
Deputy City Attorney