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Home My WebLink AboutSOUTHWEST MINORITY ECONOMIC DEVELOPMENT ASSOCIATION (SMEDA) 1A - 20144 c ro �J INSURANCC ON Pjk 1 WORK CEEX UNTIL INSURANCE EXPIRES CLERK OFCOUNG!L AMElNDNIENTTO AGREEMENT FOR USE DATE MAR 0 7 2014 OF EMERGENCY SOLUTIONS GRANT FUNDS A- 2013 -048- 011 -01 THIS AMENDMENT, made and entered into this I" day of January 2014, by and between Southwest Minority Economic Development Association, a California nonprofit organization ( "Subrecipient ") and the of the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City"). RECITALS A. The City and Subrecipient entered into that certain Agreement Between the City of Santa Ana and Southwest Minority Economic Development Association for the Use of Emergency Solutions Grant Funds dated July 1, 2013, hereinafter referred to as "said Agreement ", for Subrecipient to receive Emergency Solutions Grant ( "ESG ")Funds in the amount of Twenty Two Thousand Two Hundred Dollars ($22,200.00) for the operation of an emergency shelter program and related services for the homeless. B. The parties hereto now desire to amend the amount of the grant to increase it with additional finding for this fiscal year. This additional money is part of unexpended prior year finding. C. City Council authorized this reallocation at its regular meeting of April 1, 2013. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do hereby agree as follows; 1. The total Grant Award to Subrecipient will be amended to include an additional Eight Thousand One Hundred Seventy Dollars ($$.170.00) for a total grant award of Thirty Thousand Three Hundred Seventy Dollars ($30,370.00) in ESG finds. 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in fall force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ATTEST: Maria D. Huizar Cleric of the Council APPROVED AS TO FORM: Sonia R. Carvalho By: Lisa E. Storck Assistant City Attorney CITY OF SANTA ANA David Ca azos City Manager SUBRECIPIENT Southwest Minority Economic Development Association City of Santa Ana Scope of Work Name of Organization Name of Funded Program Annual Accomplishment Goal I. Total number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the funded program, named above, during the 12 -month contract period. 91 Households II. Number of unduplicated Santa Ana residents expected to be served by the funded program during the 12 -month contract period. 38 Households Program and Funding Description III. Description of Work - In the space below, describe the program to be funded during the 12 -month contract period. What specific activities will be undertaken during the contract period. Please be concise in your response. Only the viewable space will print. The Case Manager will assist the Emergency Services Program will the intial intake and assesment of what the clients needs are in assisting them with rental assistence and or utility assistance. Our case manager will do the intake and the data entry of information for reporting purposes. She will them provide the Supervisor with the case file so that they can determine the best type of assistance for the client with case management details after services have been rendered. The client will be offered services such as food, clothing, and strongly recommened that they participate in our financial literacy program. Part of the process is for them to call first to determine if they qualify for the program, then they will provide us with specific documentation to validate their need and and help us with after care service for them and their household.After all information has been deemed valid assistance is given.All financial assistance is written to the vendor and and mailed to the location in which vendor has requested . Our process take on average 48 to 72 hours to make sure no fraud is going on and duplication of services is done. We will do follow up at 3,6 and 12 months We try to make sure that the client avail themselves of the other services that we offer as well as well as any other of our collaborative partners that might assistence them in order to help them to become more stable and possibly not fall into a crisis mode to often. In the past we have been able to assist clients at various times of the year because of their participation in the Case Mannagement part of the program such as Holiday Activties and parties for children . Schedule of Performance Estimate the number of unduplicated Santa Ana residents to be served by the funded program during the 12 -month contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served in quarter 1 do not count them again in quarter Quarter 1: July 1 - September 30 Quarter 2: October 1 - December 31 Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 Households Households Households Households Total unduplicated Santa Ana Households to be served. Schedule of Invoicing Estimate the amount of grant funds to be requested during the 12 -month contract period on a quarterly basis. Quarter 1: July 1 - September 30 Quarter 2: October 1 - December 31 Quarter 3: January 1 - March 31 Quarter 4: April 1 -June 30 $4,000.00 $7,000.00 $7,200.00 $12,170.00 $ 30,370.00 Total Grant Exhibit A Page 1 of 1 Final Budget Organization Name Southwest Minority Economic Development Association Program Name Emergency Servics Expenditures Category Expenses Funded by Santa Ana Expenses Funded by Other Sources Second Baptist Church Total Program Budget $ 4,600 Total Organizational Engagement $ 8,000 Foundation Grants $ 20,000 Martfam Foundation $ 8,500 Program Manager $ 4,800 $ 7,170 $ 7,170 $ 7,170 Total Funds for the Program $ 79,640 Case Management $ 7,670 $ 20,200 $ 27,870 $ 27,870 $ Emergency Health Svc. Emergency Mental Svc. insurance $ 600 $ 600 $ 600 Transportation $ 200 $ 600 $ 800 $ 800 food $ 6,000 $ 6,000 $ 6,000 eviction $ 19,000 $ 14,200 $ 33,200 $ 33,200 utility $ 3,000 $ 500 $ 3,500 $ 3,500 Other HMIS $ 500 $ 500 $ 500 CTK $ - $ Total $ 30,370 $ 49,270 $ 79,640 $ 79,640 LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED (Total Funds for Program must equal Total Program Budget above) Source Amount Santa Ana $ 30,370 Second Baptist Church $ 4,600 Trinity Presbyterian $ 8,000 Foundation Grants $ 20,000 Martfam Foundation $ 8,500 Thrivent $ 4,800 Pacific Life $ 3,370 Total Funds for the Program $ 79,640 Exhibit B Page 1 of 1 04 -08—' 221 15: 25 FROM —ALL —CAL INS AGENCY 91fi -784- 001158 '2 F000.1 100c' 6F, eATC a9 !)WfYYY1 CERTIFICATE OF LIABILITY INSURANCE � /fl „Ql ;i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES` �OW. THIS CERTIFICATE OF INSURANCE. DOES' NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. thB terms and GondiPlohs o-4-the pD9 +cy, Sartain pO110i ®S may requUe an Endorse lTwArd, A statamanC on this certifica ^ d0e6 not canrar I'ight6 tot e All -Cal insurance Agency P wE (916) 784 84 -907 505 Vernon Street .dianna8D11- •calinaurlancs con INSURER �AFFORDING COYER, Gk_ Roseville: CA 955678 INSURERA:NangxOfits' Ina, Alli nee INSURED southwest Minority $Oonomic Develpoment Assoc, D13A1 Southwest Community Center 1501 Went 2nd Street RaTtEm Ann _CA 92703. . rCnvlrin AVIC ul ?dry ki ra l'11,1111 h"I 44” ;1 THIS IS YO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED I BOVE FOR THE POLICY PERIOD INDICATED. NOYNflTHSTANDINC , r ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W7H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORD8D BY THE POLICIES DESCRIBED HEREIN I SUBJEC'r TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -� TYPE OF INSURANCE opm POLICY NUMBER BE UO Ew MAVCOI) P LIMITS _ GENERAL LIABILITY EACH OCCU IRENCE S 1,000,006 X COMMERCIAL GENERAL LIABILITY 500,000 NED EXP(A�+ov+Pa�aa/ie S 20,000 }4 CLAINMwMAOE a] OCCUR T( 2013 -02952 �i029! ?013 /25/2014 5 1,000,000 PEAWNAL ALNINJURY GSNERALA;GREGATE G 2,000,000 GF,N'LACI3REGATF. LIMIT APPUE8 PER PRODUCTS COMP /OPAOC S 2,000,000 PROFESSIO SAL UARII.ffY $ 1,000,000 X POLICY PR- LUC AUTOMOBILE LIABILITY _ME i'INile0111N L T —__ '�- O Q ANY AUTO BOOILYINARY(R- P-reOA) GpbILV INJI RY (Paraceiam10 &� ALL OVMO SCHEOULEO 2013 -02312 /25/2013 /2872014 AUTOS AUTOS PROPERTY !AMA i ----^" NON WNEO AA HIRf.OAUTOfr AUTOS PFV xcidenl 1 8 UMBRELLA UAB I I OCCUR EACH OCCI. 4RENUE AGOREGAT EXCESS LIKE DLAIMSMAOE op. ETENTIO $ 4 $ WORKERS COMPENSATION a� I IT 0TH. AND EMPLOYER$' LIABILITY AM PROPNIETORIPARTNERlEkECUfIVE YIN EL. EACHA:CIQENT % 5. 000 OOO E.L. MSEAS SEA EMPLOYEE 1000 000 OFFICERnnEMBER EXCLUDED? ❑ (Mandafn, Id NH) NIA Wo 2013 0000 3364 /2612013 126/2014 E.L. DI6FAS .POLICY UnnT $ 1 000 000 IC y09, tle5GW0 Vff E IFI'IO OF PEPATION txYow _ C ENULOYEE DISHONESTY CIM0000295 -11 /28/2013 125/2014 LIMIT6 25,000 P =GERY /AUTERATION DeOVC TIBL .8 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AKa;b ACORD 101, A661901Ial RAMAM6 SARa66I0, R Mora space Ic m9mlmn) THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, OFFICIALS, ENRLOYEES, AND VOLVNTEL" ARE NAMED ADDITIONAL INSURED AS A FUNDING SOURCE, PRIMARY WORDING, 92VERUTLITY OF INTEREST, AND FORM jG 20 26 APPLIES. APPROVED AS TO R'ORM (714) 647 -6549 SHOULD ANY OF 7HtSGRI�ED'PIrICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, N')TICE WILL RE DELIVERED IN CITY OP SANTA ANA ACCORDANCE WITH THE POLICY PROVISI INS. ®' ATTN. - SRANIi' 4 ERNANDEZ .. .. —__ - - -- TER Pi,A2,A, U-25 Au1Ham2EOREPaEBENTATNE 20 CIVIC CEN PO BOX 1988 SANTA ANA, CA 92702 ACORD 26 (2090106) 1 8.28 D ~OF PORATION. All rights reserve INS026 (2010%).01 The ACORD name and logo are registered m , of A 04- 03 -'13 35 :35 FRC)M- ALL -CAL INS AEiENCY 916-734 -0158 I'�;2� F00Gwrl'9ti1G;iL F -E .'. POLICY NumBER: 20.13 702312 COMMERCI tL GENERAL LIABILITY 0 CG 20 26 07 04 THIS EKI)ORSEME'NT CHANGES THE POLICY, PLEASE READ IT V ,ARFFIILLY. 11 ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the followit g: COMMERCIAL GENERAL LIABILITY COVE%4GF PART SCliEI9'ULE �Name Of Additional Insured Pengoo(s) Or Organization(s) 6 Any person or organization that you are required to add as an additional Insured on this policy, 1: Idor a written contract or agreement currently in effect, or becoming effective during the tetra of this poliey. Ti e additional insured stains will not be afforded with respect to liability arising out of or rotated to your activit es as a real estate manager for that person or organization. CI'T'Y" OF SANTA ANA, ITS OFFICERS, AGENTS, OFFICIALS, Fly PLOYEES, AND VOLIM'1EERS, Information requited to complete Ws Sohedate, if not shown above, will be shown in the l oclar aions. -- I HIS INSURANCE IS PRIMARY AND NON - CONTRIBUTORY, BUT ONLY TO THE EXTENT OF LIABILIT' RESULTINU FROM OCCURRENCES ARISING OIITOPTHE NEGLIGENCE OP SOUTHWEST MINORITY ECONOMIC I)FVEI.( IMENT ASSOCIA11ON, AN&O R ITS WHOLLY OWNED SUBSID A ES. THE POLICY TO WHICH THIS ENDORSEMENT IS AT IACFIED "MALL APPLY SEPARATELY TO 13ACH 11.:SURED ACIAINST W HUM A CLAIM IS BROU{IIIT, EXCEPT WITH RESPECT TO THE LIMITS OF THE COMPANY'S LIABILITY. Section II -Who Is An Insured is amended to included as an additional insured the person s) or organization(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 sots or ornissio: is of those acting on your behalf: A. In the performance of your ongoing operations; or R. In connection with your premises owned by or rented to you- C 20 26 07 04 �pPRC}VED A� 'I4 FOIx,% LISA E.ORGK Assistant City Attorney C'.opyright, Insurance Services Office, hm, 1997 u Page I of I