HomeMy WebLinkAboutAMERICAN NATIONAL RED CROSS 1NSURANCE ON FILE A-2026-014
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American
O.-FDO' Red Cross Facility Use Agreement
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The American National Red Cross ("Red Cross"), a non-profit corporation chartered by the United States
Congress, provides services to individuals, families, and communities when disasters strike. The disaster
relief activities of the Red Cross are made possible by the American public, who support the Red Cross
with generous donations. The Red Cross's disaster services are also supported by facility owners who
permit the Red Cross to use their buildings as shelters and other service delivery sites for disaster
victims. This agreement is between the Red Cross and a facility owner("Owner") so the Red Cross can
use the facility to provide services during a disaster. This agreement only applies when Red Cross
requests use of the facility and is managing the activity at the facility.
Parties and Facility
Owner:
Full Name of Owner City of Santa Ana
Address 20 Civic Center Plaza, Santa Ana, CA 92701
24-Hour Point of Contact Steve Rhyner, Emergency Operations Coordinator
Name and Work 714-647-5315, Cell 714-418-7449
Title Work srhyner@santa-ana.org
Phone Cell
Address for Official Same
Notices (only if
different from above
Red Cross:
Chapter Name American Red Cross of Orange County
Chapter Address 600 Parkcenter Drive, Santa Ana, CA 92705
24-Hour Point of Contact Monica Ruzich
Name and Disaster Program Manager
Title Work (714) 673-7423
Phone Cell (714) 481-5329
Address for Official American Red Cross, Disaster Cycle Services Logistics, 8550 Arlington
Notices Blvd., Fairfax, VA 22031
Facility:
Insert name and complete street address of building or, if multiple buildings, write "See attached
facility list," and attach facility list, including complete street address of each building that is part
of this agreement. If the Red Cross will use only a portion of a building, then describe the portion
of the building that the Red Cross will use.
See Attachment A
LOG Facility Use Agreement Form V.6.0 2025-03-20 1
Terms and Conditions
1. Use of Facility: Upon request and if feasible, Owner will permit the Red Cross to use and
occupy the Facility on a temporary basis to conduct emergency, disaster-related activities. The
Facility may be used for the following purposes (both parties must initial all that apply):
Facility Purpose Owner Initials Red Cross
Initials
Service Center (Operations, Client Services, or Volunteer
Intake)
Storage of supplies
Parking of vehicles
Disaster Shelter
2. Facility Management: The Red Cross will designate a Red Cross official to manage the
activities at the Facility ("Red Cross Manager'). The Owner will designate a Facility Coordinator
to coordinate with the Red Cross Manager regarding the use of the Facility by the Red Cross.
3. Condition of Facility: The Facility Coordinator and Red Cross Manager (or designee) will jointly
conduct a surrey of the Facility before it is turned over to the Red Cross. They will use the first
page of the Red Cross's Facility/Shelter Opening/Closing Form to record any existing
damage or conditions. The Facility Coordinator will identify and secure all equipment in the
Facility that the Red Cross should not use. The Red Cross will exercise reasonable care while
using the Facility and will not modify the Facility without the Owner's express written approval.
4. Food Services (This paragraph applies only when the Facility is used as a shelter or service
center.): Upon request by the Red Cross, and if such resources are available, the Owner will
make the food service resources of the Facility, including food, supplies, equipment and food
service workers, available to feed the shelter occupants. The Facility Coordinator will designate a
Food Service Manager to coordinate meals at the direction of and in cooperation with the Red
Cross Manager. The Food Service Manager will establish a feeding schedule and supervise meal
planning and preparation. The Food Service Manager and Red Cross Manager will jointly
conduct a pre-occupancy inventory of the food and food service supplies before the Facility is
turned over to the Red Cross. When the Red Cross vacates the Facility, the Red Cross Manager
and Facility Coordinator or Food Service Manager will conduct a post-occupancy inventory of the
food and supplies used during the Red Cross's activities at the Facility.
5. Custodial Services (This paragraph applies only when the Facility is used as a shelter or service
center.): Upon request of the Red Cross and if such resources are available, the Owner will make
its custodial resources, including supplies and workers, available to provide cleaning and
sanitation services at the Facility. The Facility Coordinator will designate a Facility Custodian to
coordinate these services at the direction of and in cooperation with the Reef Cross Manager.
6. Security/Safety: In coordination with the Facility Coordinator, the Red Cross Manager, as he or
she deems necessary and appropriate, will coordinate with law enforcement regarding any
security and safety issues at the Facility.
7. Signa_a and Publicity: The Red Cross may post signs identifying the Facility as a site of Red
Cross operations in locations approved by the Facility Coordinator. The Red Cross will remove
such signs when the Red Cross concludes its activities at the Facility. The Owner will not issue
press releases or other publicity concerning the Red Cross's activities at the Facility without the
LOG Facility Use Agreement Form V.6.0 2025-03-20 2
written consent of the Red Cross Manager. The Owner will refer all media questions about the
Red Cross activities to the Red Cross Manager.
8. Closing the Facility: The Red Cross will notify the Owner or Facility Coordinator of the date when
the Red Cross will vacate the Facility. Before the Red Cross vacates the Facility, the Red Cross
Manager and Facility Coordinator will jointly conduct a post-occupancy inspection, using the
second page of the ShelterfFacility Opening/Closing Form, to record any damage or conditions.
9. Fee (This paragraph does not apply when the Facility is used as a shelter. The Red Cross does
not pay fees to use facilities as shelters.): Both parties must initial one of the two statements
below:
a. Owner will not c r a fee for the use of the F ility.
Owner Initials Red Cross Initials
b. The Red Cross will pay der: for the right to use and occupy the Facility
10. Reimbursement: Subject to the conditions in paragraph 10(e) below, the Red Cross will
reimburse the Owner for the following:
a. Damage to the Facility or other properly of Owner, reasonable wear and tear excepted,
resulting from the operations of the Red Cross. Reimbursement for facility damage will
be based on replacement at actual cash value. The Red Cross, in consultation with the
Owner, will select from bids from at least three reputable contractors. The Red Cross is
not responsible for storm damage or other damage caused by the disaster.
b. Reasonable costs associated with custodial and food service personnel and supplies
which would not have been incurred but for the Red Cross's use of the Facility. The
Red Cross will reimburse at per-hour, straight-time rate for wages actually incurred
but will not reimburse for (i) overtime or (ii) costs of salaried staff.
C. Reasonable, actual, out-of-pocket costs for the utilities indicated below, to the extent
that such costs would not have been incurred but for the Red Cross's use of the
Facility. (Both parties must initial all utilities that may be reimbursed by the Red Cross)-
OwperInitialls Red C oss Initials
Water
Gas
Electricity
Waste DisposalUL
d. The Owner will submit any request for reimbursement to the Red Cross within 60 days
after the occupancy of the Red Cross ends. Any request for reimbursement must be
accompanied by supporting invoices. Any request for reimbursement for personnel
costs must be accompanied by a list of the personnel with the dates and hours
worked.
e. If the disaster is a Federally declared disaster and Owner is a municipal, county,
parish, or state government entity, then the Owner will work with appropriate
emergency management agencies to seek cost reimbursement through the Federal
Emergency Management Agency's program for administering Public Assistance
Category B under the Robert T. Stafford Act. The Red Cross is not obligated to
LOG Facility Use Agreement Form V.6.0 2025-03-20 3
reimburse the Owner for costs covered by Public Assistance Category B.
11. Insurance: The Red Cross shall carry insurance coverage in the amounts of at least$1,000,000
per occurrence for Commercial General Liability and Automobile Liability. The Red Cross shall
also carry Workers' Compensation coverage with statutory limits for the jurisdiction within which
the facility is located and $1,000,000 in Employers' Liability.
12. Indemnification: The Red Cross shall defend, hold harmless, and indemnify Owner against any
legal liability, including reasonable attorney fees, in respect to claims for bodily injury, death, and
property damage arising from the negligence of the Red Cross during the use of the Facility.
13. Term: The term of this agreement begins on the date of the last signature below and ends
December 31, 2035.
Digital Signature: Each party agrees that either part's execution of this agreement by DIGITAL signature
(whether ELECTRONIC or encrypted) is expressly intended to authenticate this AGREEMENT and to
have the same force and effect as manual signatures. The term DIGITAL signature means any electronic
sound, symbol, or process attached to or logically associated with a record and executed and adopted by
a party with the intent to sign such record, including facsimile or email electronic signatures. The use of
digital signatures is intended to facilitate more efficient execution and delivery of signed documents.
City of Santa Ana The American National Red Cross
Owner(Legal Name) (Le al N me)
By (Signature) By (Sig ature)
See attached signature page Debbie Leahy
Name (Printed) Name (Printed)
Regional Disaster Officer
Title Ti e
Date Date
LOG Facility Use Agreement Form V.6.0 2025-03-20 4
City of Santa Ana and American Red Cross
2025 Facility Use Agreement
Attachment A, List of Santa Ana Facilities
Facility Name and Address
Santa Ana Senior Center
424 West Third Street 92701
Roosevelt/Walker Community Center
816 E. Chestnut Avenue 92701
Garfield Community Center
501 N. Lacy Street 92701
Salgado Recreation Center
706 North Newhope Street 92703
El Salvador Community Center
1825 W. Civic Center Drive 92703
Jerome Center
726 South Center Street 92704
Southwest Senior Center
2201 West McFadden Avenue 92704
I
PET ADDENDUM TO FACILITY USE AGREEMENT
This Pet Addendum to Facility Use Agreement("Addendum") is hereby annexed to and made a part of the
Facility Use Agreement ("Agreement") having an effective date of 20,=-_., and entered into
between City of Santa Ana ("Owner") and The American National Red Cross, a nonprofit corporation,
a Federally chartered instrumentality of the United States, and a body corporate under the laws of the
United State(36 U.S.C.§§300101-300111(2007) ("Red Cross").Owner and Red Cross are each sometimes
referred to herein as a "Party" and collectively, as "Parties", as the context requires. Capitalized terms
used, but not defined herein have the meanings set forth in the "Agreement".
Owner hereby grants permission to the Red Cross to permit its clients while occupying a portion of the
Premises ("Client") to keep only those pet(s) described below upon the terms and conditions in this
Addendum. All pets are subject to the following general policies:
1. Clients' household pets, including assistance/therapy animals (each as defined by
applicable law) are permitted to be kept on and in the area of the Facility designated on Exhibit A of
this Addendum ("Pet Area"), or other areas (designated by Owner) in the building.
2. Clients' service and/or guide animals (as defined by applicable law) are permitted to be
kept in the same area of the Facility as the Client.
3. At all times when a client's pet is outside the Pet Area,the pet must be secured by either
a leash, or in a carrier or other container and restrained in such a way so as not to cause any damage to
people or the Facility. Except for service and/or guide animals, no pet is permitted in any part of the
Facility, other than the Pet Area, or other areas designated and approved by Owner.
4. Owner's personnel shall avoid physical contact with any pet and shall enter the Pet Area
only accompanied by the Red Cross Representative (identified in the Agreement) or Animal Welfare
Organization (AWO) providing care and/or support of the pet.
5. Red Cross agrees that it, acting through the AWO, shall be responsible for sheltering,
feeding, maintaining, and overseeing the welfare of the pets in compliance with all applicable laws and
regulations, including but not limited to all state law and local ordinances regarding pet ownership and
liability.
6. The Parties may execute and deliver this Addendum in counterparts.
7. Except as otherwise set forth in this Addendum, the terms of the Agreement remain in
effect.
S. The term of this Addendum shall be coterminous with the term of the Agreement.
The Parties have executed and delivered this Addendum as of the Effective Date.
[Signatures follow on next page]
Page 1 of 3
IN WITNESS WHEREOF,the Parties,acting through their duly authorized officers, have executed
this Contract, which shall come into force as of the latest date of the signatures below.
OWNER City of Santa Ana RED CROSS
Name: See attacW signature page The American National Red Cross
By: By: `k - _ r
Signature Signature
/�/ — Debbie LCaiily
Print Name: ' / VA u10t� Print Name:
Title: Q N N64 Tide: Regional Disaster Officer
Page 2 of 3
Exhibit A
Diagram of Pet Area (include location of pet waste disposal bins/areas)
As Facility design and layouts may change over time,site diagrams will be determined at the time of use, if
needed.
Page 3 of 3
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST: CITY OF ANTA AN
,.a
IFER ALL ALVARO NUKE
City Clerk City Manager
D AS TO FORM: RECOMMENDED FOR APPROVAL:
SONIA R. CARVALHO
City Attorney
:BY SQL-. . ►w--o r
TAMARA BOGOSIAN ROBERT RODRIGUE
Senior Assistant City Attorney Chief of Police
MEMORANDUM OF INSURANCE DATE
19-Feb-2026
This Memorandum is issued as a matter of information only to authorized viewers for their internal use only
and confers no rights upon any viewer of this Memorandum. This Memorandum does not amend, extend or
alter the coverage described below. This Memorandum may only be copied, printed and distributed within an
authorized viewer and may only be used and viewed by an authorized viewer for its internal use. Any other
use, duplication or distribution of this Memorandum without the consent of Marsh is prohibited. "Authorized
viewer" shall mean an entity or person which is authorized by the insured named herein to access this
Memorandum via https://marshdigital.marsh.com/marshconnect/viewMOI.action?ctientId=168915280. The
information contained herein is as of the date referred to above. Marsh shall be under no obligation to update
such information.
PRODUCER COMPANIES AFFORDING COVERAGE
Marsh USA LLC
("Marsh") Co.AOld Republic Insurance Company
INSURED Co. B Factory Mutual Insurance Company
American National Red Cross Co.C
431 18th Street N.W.
Washington Co.D
District of Columbia 20006 Co.E APPROVED
United States
Co F By Tu Tran Nguyen at 11:48 am,Feb 19,2026
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 MEMORANDUM MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
HAVE BEEN REDUCED BY PAID CLAIMS
CO TYPE OF POLICY POLICY LQ4IITS
LTR INSIIRANCE POLICYNUTMRER EFFECTIVE EXPIRATION LIMITS IN USD UNLESS OTHERWISE INDICATED
DATE DATE
A GENERAL MWZZ313806- 01-Jul-2025 01-Jul-2026 GENERAL USD 5,000,000
LIABILITY AGGREGATE
Commercial 25 PPR,ODUCTS-CONIP/OP Included
General PERSONALANDADV USD 5,000,000
Liability INJURY
Claims made EACH OCCURRENCE USD 5,000,000
FIRE DAMAGE(ANY See Additional
ONF FIRE)
Information.
MED ExP(ANY ONE USD 10,000
PERSON)
A AUTOMOBILE MWTB313807- 01-Jul-2025 01-Jul-2026 COMBINED SINGLE USD 5,000,000
LIABILITY LIMIT
A Any Auto 25 01-Jul-2025 01-Jul-2026 BODILY INJURY(PER
MWZX313810- PERSON)
BODILY INJURY(PER.
25 ACCIDENT)
PROPERTY DAMAGE
EXCESS EACH OCCURENCE
LIABILITY ..,.,.
AGGREGATE
A WORKERS MWC313809-25 01-Jul-2025 01-Jul-2026
COMPENSATION
A EMPLOYERS MWXS313805- 01-Jul-2025 01-Jul-2026
LIABILITY WORKERS COMP Statutory
A LIMITS
THE 25 01-Jul-2025 01-Ju]-2026 EL EACH ACCIDENT USD 1,000,000
A PROPRIETOR MWFEX313804- 01-Jul-2025 01-Jul-2026
/PARTNERS/ 25 LLDIISEASE-POLICY USD 1,000,000
EXECUTIVE MWXS316279- EL DISEASE-EACH USD 1,000,000
OFFICERS 25 EMPLOYEE
ARE Included
A Auto Physical MWTB3I3807- 01-Jul-2025 01-Jul-2026 Actual Cash Value Comp.Ded.USD
Damage 25 Basis 1,000 Coll.Ded.
USD 1,000
coverage and/or limits of the policy.Notwithstanding the foregoing sentence,in no event shall the insurance
provided exceed the scope of coverage and/or limits required by said contract or agreement.
Lessor-Additional Insured and Loss Payee(CA 2001 10/01)-
A.Coverage
1.Any"leased auto'on file with the carrier will be considered a covered"auto"you own and not a"covered"auto
you hire or borrow.For a covered"auto"that is a"leased auto",Who Is An Insured is changed to include as an
"insured"the lessor as per on file with the carrier.
2.The coverages provided under this endorsement apply to any"leased auto'on file with the carrier until the
expiration date,or when the lessor or his or her agent takes possession of the"leased auto',whichever occurs first.
B.Loss Payable Clause
1.We will pay,as interest may appear,you and the lessor on file with the carrier for"loss"to a"leased auto'.
2.The insurance covers the interest of the lessor unless the"loss"results from fraudulent acts or omissions on your
part.
3.If we make any payment to the lessor,we will obtain his or her rights against any other party.
C.Cancellation
Should any of the above described policies be cancelled before the expiration date thereof,notice will be delivered in
accordance with the policy provisions.
D.The lessor is not liable for payment of your premiums.
E.Additional Definition
As used in this endorsement:
"Leased auto"means an"auto"leased or rented to you,including any substitute,replacement or extra"auto'needed
to meet seasonal or other needs,under a leasing or rental agreement that requires you to provide direct primary
insurance for the lessor.
The Memorandum of Insurance serves solely to list insurance policies,limits and dates of coverage.Any
modifications hereto are not authorized.