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HomeMy WebLinkAboutBIG BROTHERS BIG SISTERS OF ORANGE COUNTY 1 - 2009City of Santa Ana Clerk of the Council AGREEMENT TERMINATION 701; Or.T 9-0 PEA 4- ! Please complete this form when the attached agreement is no longejr effECt ; Return form to the Clerk of the Council Office (M -30). Call 647 -6520 if you have any questions. ; =t NOTE: PLEASE INCLUDE The agreement with IF ANY. THANK YOU. No. g - �D��— f was completed on and final payment has been made. a nd 1MMT Department: CL I ( W- Phone /Ext.: ) i 4 Signature: 4i�(, e° (t A" Date: `� � `� � INSURANCE ON FILE A- 2009 -182 WORK MAY PROCEED UNTIL INSURANCE EXPIR - (t CLERK OF COUNCIL � ( ^GREEMENT FOR THE PROVISION OF SERVICES „4TF tI_(q-N IMPLEMENTING CALIFORNIA GANG -'RT REDUCTION, INTERVENTION AND PREVENTION (CALGRIP) GRANT REQUIREMENTS i THIS AGREEMENT, made and entered into this %4% day of0 er 2009 by and between Big Brothers Big Sisters of Orange County, a non - profit corporation, (hereinafter "BBBS'), 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 Q- _ - A. The City, in collaboration with various governmental, educational and community based partners, has received California Gang Reduction, Intervention, and Prevention ("Cal GRIP") grant funds, for use in combating gang and youth violence; and B. The City desires to enter this Agreement with BBBS for the expenditure of CaIGRIP funds implement and support a Big Brothers Big Sisters School based program in Santa Ana; and C. BBBS represents that it is willing to provide such services to the City, and will comply with the CaIGRIP's Regulations. D. In undertaking the performance of this Agreement, BBBS represents that it is knowledgeable in its field and that any services performed by BBBS under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows; 1. SCOPE OF SERVICES BBBS shall develop, implement and manage a Big Brothers Big Sisters School based program at Carr Intermediary School in Santa Ana, as set forth in Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and BBBS agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $48,000 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on March 31, 2011, unless terminated earlier in accordance with Section 12, below. However, services provided in implementing the Big Brothers Big Sister program shall be complete by December 31, 2010. The term of this Agreement may be extended upon a writing executed by the Chief of Police and the City Attorney. 4. INDEPENDENT CONTRACTOR BBBS shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer - employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which BBBS performs the services which are the subject matter of this Agreement; however, the services to be provided by BBBS shall be provided in a manner consistent with all applicable standards and regulations governing such services. BBBS shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, BBBS shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self - insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, BBBS, if BBBS has any employees, is required to be insured against liability for worker's compensation or to undertake self - insurance. Prior to commencing the performance of the work under this Agreement, BBBS agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. The following requirements apply to the insurance to be provided by BBBS pursuant to this section: (i) BBBS shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. e. If BBBS fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect BBBS's right to be paid for its time and materials expended prior to notification of termination. BBBS waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION BBBS agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims (1) for personal injury, including health, and claims for property damage, which may arise from the direct or indirect operations of the BBBS or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The BBBS further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. BBBS'S CERTIFICATIONS A. No Conflict. To the best of BBBS's knowledge, BBBS's execution, delivery and performance of its obligations under this Agreement will not constitute a default or a breach under any contract, agreement or order to which BBBS is a party or by which it is bound. B. No Pending Legal Proceedings/Debarment. BBBS is not the subject of a current or threatened litigation that would or may materially affect BBBS's performance under this Agreement. BBBS further acknowledges that it is not on the list of debarred contractors. C. No Pending Investigation. BBBS is not aware that it is the subject of any current or threatened criminal or civil action or investigation by any public agency, including without limitation a police agency or prosecuting authority, that would relate to or affect performance of the Agreement or provision of services hereunder. D. Licensing. BBBS agrees to obtain and maintain all required licenses, registrations, accreditation and inspections from all agencies governing its operations. BBBS shall ensure that its staff shall also obtain and maintain all required licenses, registrations, accreditation and inspections from all agencies governing BBBS's operations hereunder. E. Location of Records/Required Length of Record Keeping. All accounting records, reports, and evidence pertaining to all costs, expenses and the funds received by BBBS and all documents related to this Agreement shall be maintained and kept available at BBBS's office or place of business for the duration of the Agreement and thereafter for four (4) years after completion of services provided hereunder. Records which relate to (a) complaints, claims, administrative proceedings or litigation arising out of the performance of this Agreement, or (b) costs and expenses of this Agreement to which City or any other governmental agency takes exception, shall be retained beyond the four (4) years until complete resolution or disposition of such appeals, litigation claims, or exceptions. In the event BBBS does not make the above - referenced documents available within the city of Santa Ana, California, BBBS agrees to pay all necessary and reasonable expenses incurred by City in conducting any audit at the location where said records and books of account are maintained. F. Confidentiality. Without prejudice to any other provisions of this Agreement, BBBS shall, where applicable, maintain the confidential nature of information provided to it concerning participants in accordance with the requirements of federal and state law. However, BBBS shall submit to City or its representatives, all records requested, including audit, examinations, monitoring and verifications of reports submitted by BBBS, costs incurred and services rendered hereunder. G. Lobbying. BBBS certifies that it will comply with federal law (32 U.S.C. 1352) and regulations found at 28 CFR Part 69. H. Financial Interest. BBBS agrees that except for the use of funds to pay salaries and other related administrative or personnel costs, no persons who exercise or have exercised any function with respect to activities assisted under the terms of this Agreement, or who are in a position to participate in a decision - making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a City- assisted activity of BBBS, either for themselves or those with whom they have family or business ties, during their tenure or for one year thereafter. This prohibition applies to any person who is an employee, agent, consultant, officer, or elected or appointed official of City, or of any designated public agencies, or the BBBS. 4 I. Nondiscrimination. BBBS agrees that no person on the ground of race, age, color, national origin, religion or sex will be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity funded in whole or in part with funds received pursuant to this Agreement. BBBS affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 8. ASSIGNABHATY None of the duties of, or work to be performed by, BBBS under this Agreement shall be subcontracted or assigned to any agency, consultant, or person without the prior written consent of City. BBBS must submit all subcontracts and other agreements that relate to this Agreement to City. No subcontract or assignment shall terminate or alter the legal obligations of BBBS pursuant to this Agreement. 9. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Santa Ana Police Department SAPAAL Program 60 Civic Center Plaza Santa Ana, California 92702 and City Attorney City of Santa Ana 20 Civic Center Plaza (M -29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647 -6515 To BBBS: Big Brothers Big Sisters of Orange County 14131 Yorba Santa Ana, California 92780 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall he effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, communication shall be effective or deemed to have been given twenty -four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes Of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. TERMINATION A. This Agreement may be terminated on thirty (30) days' written notice by either Party. In the event of such termination, BBBS shall only be entitled to reimbursement for approved expenses incurred to the effective date of termination. B. In the event BBBS defaults by failing to fulfill all or any of its obligations hereunder, City may declare a default and termination of this Agreement by written notice to BBBS, which default and termination shall be effective on a date stated in the notice which is to be not less than ten (10) days after certified mailing or personal service of such notice, unless such default is cured before the effective date of termination stated in such notice. If terminated for cause, City shall be relieved of further liability or responsibility under this Agreement, or as a result of the termination thereof, including the payment of money, except for payment for approved expenses incurred for services satisfactorily and timely performed prior to the mailing or service of the notice of termination, and except for reimbursement of (1) any payments made for services not subsequently performed in a timely and satisfactory manner, and (2) costs incurred by City in obtaining substitute performance. 11. VENUE/JURISDICTION This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 12. VALIDITY The invalidity in whole or in part of any provision of this Agreement shall not void or affect the validity of any other provision of this Agreement. 13. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify Agency fully, including reasonable costs and attorney's fees, for any injuries or damages to Agency in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. c. No delay or omission by either party hereto to exercise any right or power accruing upon any noncompliance or default by the other party with respect to any of the terms of this Agreement shall impair any such right or power or be construed to be a waiver thereof. A waiver by either of the parties hereto of any of the covenants, conditions, or agreements to be performed by the other shall not be construed to be a waiver of any succeeding breach thereof or of any other covenant, condition or agreement herein contained. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: � VMARIA D. HUB City Clerk APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: Laura Sheedy Assistant City Attorney CITY OF SANTA ANA DAVID .REAM City Manager BIG BROTHERS BIG SISTERS OF ORANGE EXHIBIT A OPERATIONAL AGREEMENT OPERATIONAL AGREEMENT and the Big Brothers Big Sisters of Oranae I ms Operational Agreement stands as evidence that the Santa Ana Police Department and the Big Brothers Big Sisters of Orange County ( BBBSOC) intend to work together toward the mutual goal of reducing gang violence and gang crime in the target area identified as policing grids 86, 87, 106, 107, 126, and 127 in the Southcoast Policing District. This Operational Agreement will be in effect for the life of the grant specifically from 1/1/09 to 12130/10. Both agencies believe that implementation of the Santa Ana Police Athletic and Activities League ( SAPAAL) program as described herein, will further this goal. To this end, each _.agencYAgri-es to participate in the program, if selected for funding by coordinating /providing the following services: ` The SAPAAL project will closely coordinate the following services with the BBBSOC for service provisions through: 1. The project staff being readily available to BBBSOC for service provision using: site visits and sharing of information between project staff and BBBSOC 2. Regularly scheduled meetings to be held quarterly between Megan Hartman or her designee from BBBSOC located at 14131 Yorba, Santa Ana CA, 714 - 544 -7773 and Director Tom Serafin or his designee of the SAPAAL program located at 60 Civic Center Plaza, Santa Ana CA. 714 - 245 -8050. 3. The meetings will be used to discuss strategies, timetables and implementation of mandated services specifically: staffing levels, hours of operation, and evaluation of the Big Brothers Big Sisters Program at Carr Intermediate School. Roles and responsibilities The roles and responsibilities of the Santa Ana Police Department PAAL will be to assist with the implementation of the Big Brothers Big Sisters program at Carr Intermediate School, recommend students to the program, monitor the program, and provide funding for the program during the grant period. The roles and responsibilities of the Big Brothers Big Sisters of Orange County will be to implement and support a Big Brothers Big Sisters School -Based program at Carr Intermediate School. The program will begin within a reasonable time frame but no later five (5) months after grant funding. The program will be in effect during the entire grant funding period which ends 12/30/2010. Transfer of Grant Funds Funds will be transferred once a month from the Santa Ana Police Department t B' Brothers Big Sisters of O range County upon invoice presented to the Police Department. The total amount of funds for the life of the grant is not to exceed $48,000.00. Services provided by the Big Brothers Big Sisters of Orange County include providing one (1) Project Site Coordinator, one (1) Enrollment and Support Case Manager, office supplies for staff, volunteer background checks, training materials, and session activity supplies. If funding allows, additional services will include evaluation and survey incentives, off -track enrichment activities, program t -shirts and lanyards, site refreshments, student recognition ceremonies, training session food /refreshments, volunteer recognition /incentives and internet/remote connections. Source Documentation The Big Brothers Big Sisters of Orange County will have access to all information needed from the Santa Ana Police Department to meet OES reporting requirements. We, the undersigned, as authorized representatives of the Santa Ana Police Department and the Bia Brothers Bia Sisters �s n "---- this document. a+oun due hereby approve Santa Ana Ponce Department Big Tsters of Orange County Mz Date t SRO CERTIFICATE OF LIABILITY INSURANCE OF ID DO CATE(MM![ PRODUCER BIGBR -1 T OR Andreini & Company -South Coast THIS CERTIFICATE IS ISSUED AS A MATTER O INFORMATION License 0208825 ONLY AND CONFERS NO RIGHTS UPON THE EXTEND One MacArthur Place, Suite 100 ALLTER THEHCOVERAGE A FOR ED BOY THE EXTEND OR South Coast Metro CA 92707 Phone:714- 327 -1400 Fax:714- 327 -1499 INSURERS AFFORDING COVERAGE INSUREp INSURER A: Konpzala to inaurancc A111ance Big Brothers /Big Sisters of INSURER R: oat R1Vav xnevtaaco Company Orange County Debby DiGiovanni INSURER C: 14131 Yorba Street, Suite 200 INSURER D: Tustin CA 92780 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANV 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBER 0 CY E FEC DATE MM /ODMYY / EX IRAT GATE MMIDDMYYY LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR 20090647OMPO 02/11/09 02/11/10 EACH OCCURRENCE $1,000 000 PREMISES Ea occarenw $ 100 000 MEO EXP (Any one person) $10 000 PERSONALdADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEMLAGGREGATE LIMITAPPLIES PER: POLICY PRO- JECT LOC PRODUCTS- COMP/OP AGG $3,000 000 A AUTOMOBILE LIABILITY ANVAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 20090647OMPO 02/11/09 02/11/10 COMBINED SINGLE LIMIT (Ea amidenl) $1,000,000 BODILY INJURY (Per parson) S X X BODILY INJURY (Per a=dml) $ PROPERTY DAMAGE (Per eccidenlJ $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ 3 A B EXCESS I UMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OANY EXCLUDES ECUTIVEE] (Mandatory" NH) I-J Il yes, describe under SPECIAL PROVISIONS below OTHER 20090647OUMB 2200054868091 02/11/09 02/11/09 02/11/10 02/11/10 EACH OCCURRENCE $3,000,000 AGGREGATE $3 000,000 S _ X TORY LIMITS ER $ E.L. EACH ACCIDENT $lOQQQQQ E.L. DISEASE -EA EMPLOYEE $ SOOOOOO E.L. DISEASE - POLICY LIMrr $ 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS The City of Santa Ana, its Officers, employees, agents, volunteers S representatives as additional insureds per attached form #CG20110196 with repect to General Liability coverage only. Such insurance is primary with respect to insurance or self- insurance programs maintained by the City and contain standard separation of insureds provisions. (see attached note) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITSAN4 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana REPRESENTATIVES. 20 Civic Center Plaza (M -29) AUTHORI EPRESENTATIVE Santa Ana CA 92702 - ACORD 25 (2009101) ©1988.2 09 A RD CORPORATION. All riahts reserved. The ACORD name and logo are registered marks of ACORD JS�?!ZO CERTIFICATE OF LIABILITY INSURANCE OF ID DO DATE(MMIDDMWJ B1GBR -1 11 12/09 FFRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Company -South Coast ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6825 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ur Place, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Metro CA 92707 327 -1400 Fax:714- 327 -1499 (INSURERS AFFORDING COVERAGE NAIC# Big Brothers /Big Sisters of INSURER e: oak Ri.: 34 Orange County Debby DiGiovanni INSURER C: 14131 Yorba Street, Suite 200 INSURER O: Tustin CA 92780 COVERAGES 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS. LTR NSR TYPE OPINSURANCE POLICY NUMBER OLI EP ECTI E DATE MMlDDIYYYY PO- PIRATIO DATE MMIDO/YYYY - -- LIMITS 20 Civic Center Plaza (M -29) Santa Ana CA 92702 GENERAL LIABILITY EACH OCCURRENCE 51,000,000 A X COMMERCIAL GENERAL LIABILITY 200906470MP0 02/11/09 02/11/10 PREMISES Eabbburence) $100,000 CLAIMS MADE OCCUR MED UP (my ono person) $10,000 PERSONAL B AOV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTS AGG $3,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY A ANY AUTO 20090647OMP0 0�ef RQQ[/11 /10 (Eaa¢Itle01'INGLELIMR $1,000,000 A02/ J -' ALL OWNED AUTOS APPROVED BODILY JURY $ SCHEDULED AUTOS r perou (Par person) X HIRED AUTOS �- X', NON -OWNED AUTOS ..— SuLC Site dy BODILYINJURY (Per BCmdenD $ Laura /\S$15taII City E1tLOTII PROPERTYDPMAGE E (Per .amen, GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANYAU O OTHER THAN EA ACC E E AUTO ONLY: AGG EXCESSlUMBRELLALIABILITY EACH OCCURRENCE E 3,000,000 A X OCCUR �CLAIMSMADE 20090647OUMB 02/11/09 02/11/10 AGGREGATE 53,000,000 y DEDUCTIBLE E X, RETENTION $10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY _ X TORY LIMITS ER YIN E.L EACH ACCIDENT 51000000 B ANY PROPRIETORIPARTNER/EXECUTIVE� 2200054868091 02/11/09 02/11/10 OFFICERIMEMBER EXCLUOEO9 (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE ---- $ 1000000 If yes, describe under -- E.L DISEASE-- $l000000 SPECIAL PROVISIONS below -7 OTHER DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS The City of Santa Ana, its officers, employees, agents, volunteers & representatives as additional insureds per attached form #CG 20 26 0704 with repect to General Liability coverage only. Such insurance is primary with respect to insurance or self- insurance programs maintained by the City and contain standard separation of insureds provisions. (see attached note) lawrtu ea (ZUUVIUT) W 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITSAN4 DATE THEREOF, THE ISSUING INSURERINILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTLFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIASILITY OF ANY KIND UPON THE INSURER, 75 AGENTS OR City of Santa Ana REPRESENTATIVES. A UTHOR( EPRESENTATNE 20 Civic Center Plaza (M -29) Santa Ana CA 92702 lawrtu ea (ZUUVIUT) W 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 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 Persons 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, and for which a certificate of insurance naming such person or organization as additional insured has been issued, but only with respect to their liability arising out of their requirements for certain perform- ance placed upon you, as a nonprofit organization, in consideration for funding or financial contribu- tions you receive from them. 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 Declarations. Section II — Who is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(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 omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ CERTIFICATE OF LIABILITY INSURANCE OP ID DO DATE(! BIGBR -1 03 Andreini & Company -South Coast License 0208825 One MacArthur Place, Suite 100 South Coast Metro CA 92707 Phone:714- 327 -1400 Fax:714- 327 -1499 INSURED Big Brothers /Big Sisters of Orange County Debby DiGiovanni 14131 Yorba Street, Suite 200 Tustin CA 92780 . _ /� COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Nonprofits Insurance Alliance INSURER B: Oak River Insurance Company 34630 INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTR ADD-� NSR TYPE OF INSURANCE POLICY NUMBER POLICY /DD EFFECTIVE DATE Y EFFE TIV POLICY EXPIRATION DATE MM/PIRATIO LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , OOO A X COMMERCIALGENERALLIABILITY CLAIMS MADE � OCCUR 20100647ONPO 02/11/10 02/11/11 ED— PREMISES (Eaoccurence) $100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE s3,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 3,000,000 POLICY F7 PRO- LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 20100647ONPO 02/11/10 02/11/11 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO 000 i � BODILY URY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPROVED �O Fo TR X BODILY IdNnt) $ X PROPERTY DAMAGE (Per accident) $ �- STOROK GARAGE LIABILITY ANY AUTO Assists City AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG A EXCESS / UMBRELLA LIABILITY X OCCUR F-1 CLAIMSMADE 20100647ONPO 02/11/10 02/11/11 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 $ DEDUCTIBLE X RETENTION $ 10 , 00O $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROP RIETOR/PARTNER/EXECUTIVFL] OFFICER /MEMBER EXCLUDED? 2200054868101 02/11/10 02/11/11 X TORY LIMITS ER E. L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1000000 (Mandatory In NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Santa Ana, its officers, employees, agents, volunteers & representatives as additional insureds per attached form #CG 20 26 0704 with repect to General Liability coverage only. Such insurance is primary with respect to insurance or self- insurance programs maintained by the City and contain standard separation of insureds provisions. (see attached note) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITSAN4 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana REPRESENTATIVES. 20 Chic Center Plaza (M -29) AUTH RRI EPRESENTATIVE Santa Ana CA 92702 ACORD 25 (2009/01) c 1988-2009-AIC6RD CORPORATION. All rights reserved_ The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AP`^M- eft /nnn -- Re: Big Brothers Big Sisters of Orange County School Based Mentoring Program. Carr Intermediate School. - 2120 W. Edinger Avenue, Santa Ana, CA. 92704 The CANCELLATION notice herein is amended to read 10 Days as respects any cancellation due to nonpay of premium. S� AOVE �p tornO r . It . POLICY NUMBER: 200906470MPO COMMERCIAL GENERAL LIABILITY CG 20 11 01 96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF (PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1, Designation of Premises (Part Leased to You): 2. Name of Person or Organization (Additional Insured): Any person or organization acting as a manager or lessor of a covered premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becoming effective during the term of this policy. 3. Additional Premium: Included (if no entry appears above, the information required to complete this endorsement will be shown in the Declara= tions as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to Include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the prem- ises leased to you and shown in the Schedule and subjectto the following additional exclusions: This insurance does not apply to: 1. Any 'occurrence" which takes place after you cease to be a tenant In that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organization shown in the Schedule, AS 10 'POO en Ap4R�V LISA E C* y P55`S�a�t CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 ❑