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Home My WebLink AboutSOUTHWEST MINORITY ECONOMIC DEVELOPMENT ASSOCIATION (2) -2014114 3URANC ,, ON FILL A- 2014 -088A WORK MAY PROCEED UNTIL INSURANCE EXPIRE d AMENDMENT TO AGREEMENT FOR USE ( t ""OF EMERGENCY SOLUTIONS GRANT FUNDS 4GLERK i}F GOUNCII. DACE: q -17 -15 I THIS AMENDMENT, made and entered into this I" day of January 2015, by and between Southwest Minority THIS Development Association, a California nonprofit organization ( "Subrecipient ") and the City of Santa t., Ana, a charter city and municipal corporation of the State of California ( "City "). t� RECITALS A. The City and Subrecipient entered into that certain Emergency Solutions Grant Subrecipient Agreement Between the City of Santa Ana and Southwest Minority Economic Development Association dated July 1, 2014 C� (Agreement #A- 2014 -088) hereinafter referred to as "said Agreement ", for Subrecipient to receive Emergency Solutions Grant Funds (ESG) in the amount of $34,720.00 for the operation of an emergency shelter program for the homeless. B. The parties hereto now desire to amend the amount of the grant to increase it with an additional Three Thousand Five Hundred Seventy Seven Dollars ($3,577.00) for this fiscal year. This additional money is ` part of prior year funding that had been awarded to other subrecipients that were unable to expend their entire <J grant amounts in the federally mandated 24 -month period. C. City Council authorized this reallocation at its regular meeting of April 1, 2014, in the Request for Council Action by stating that any unallocated FY 2013 -14 fturds shall be redistributed proportionately among the subreeipients. WHEREFORE, in consideration of the mutual and respective covenants and pronuses 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 Three Thousand Five Hundred Seventy Seven Dollars ($3,577,00) for a total grant award of Thirty Eight Thousand Two Hundred Ninety Seven Dollars ($38,297.00) in ESG funds. 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full 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. Iluizar, Cler tb,e Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney Lisa . Assistant. City Attorney RECOMMEND APPROVAL: Kell"d7-ersExec Director Community Development Agency CITY' F SANTA ANA David vazos, ,rt ana er SUBRECIPIENT SOUTHWEST MINORITY ECONOMIC DEVELOPMENT ASSOCIATION ornue Jones Executive Director CERTIFICATE OF LIABILITY INSURANCE =14 YY) 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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the Cortlflcato holder Is an ADDITIONAL INSURED, the pDIICy(leS) must be endorsed, 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 endorsemant(s ). PRODUCER All -Cal Insurance Agency 505 Vernon Street Roseville CA 95675 CONTACT DiAnria Martin NAME: _ 0 X30, (916)784 -9070 , No,: (916) 784-0138 _ .dianaa @ail- callnsurance.com INSURERS) AFFORDING COVERAGE NAIC # INSURER 8 :NOn refits' Ins Alliance of CA IAC INSURED Southwest Minority Economic Develpoment Association 1601 West 2nd Street .Santa Ana CA 92703 INSURSRB:New York Marine & General INSURERO:North American Elite Insurance 29700A INSURER D: INSURSRE! S 1,000,000 INSURER F ' S 500,000 COVERAGES CERTIFICATE NUMBER:CL1452303906 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Ill- R TYPE OF INSURANCE POLICY NUME P LACY F M i D/YYY OLICY FJLP LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 PRE 0Urrence PIED EXP(Anyone peraon) S 500,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 2014 -02312 /25/2014 /25/2015 S 20,000 PERSONAL &ADV INJURY 4 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS- COMPIOPAGG $ 2,000,000 PROFESSIONAL LIABILITY S 1,000,000 T POLIOY PRO- LOU I AUTOMOBILE LIABILITY BINEDS INGLE I er tL�.,.._ 1,000,000 BODILY INJURY (Per person) S A X ANY AUTO TOW NED SCHEDULED AUTOS X HIRED AUTOS NEp AUTOS 201$ -02312 /25/2014 /25/2015 BODILY INJURY (Per amiden0 $ t A E $ Unhevredmotorist combined S 11000,000 UMSRfiLLA. LIAR OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAR CLAIMS4AADE p O R TENTI N S B WORKERS COMPENSATION AND EMPLOYERS' LIAEILITY OFFICE OPRIETOR EXCLUDRIE EOUTIVE ® (Mandatory In NH) NIA WC 2019 0000 $399 /26/2019 /20/2415 X WC A U• OTN- E.L. EACH ACCIDENT $ 11000,000 E,L, DISEASE •F-A EMPLOYE S 2-00o.000 E.L. DISEASE -POLICY LIMIT $ 1 000 000 It pes desp Ibe under DES4RIPT�ON F OPERATIONS below C EMPLOYEE DISHONESTY CWa0000295 -12 /25/2019 /25/2015 LIMITS 25,000 FORGERY /ALTERATION DEDUCTIBLES 1,000 DESCNPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace le required) '?0'9& C .a THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES ARE TONAL INSURED. INSURANCE IS PRIMARY AND POW CG 20 10 APPLIES 'Pg® C (0) PGoTI10 t THE CITY OF SANTA ANA FINANCE & MANAGEMENT SERVICES AGENCY PURCHASING DIVISION 20 CIVIC CENTER PLAZA M -16 P.O. BOX 1988 SANTA ANA, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE INS026(24t0a6),ol The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2014 -02312 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARE, FULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Named Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES Information required to complete this Schedule, if not shown above, will be shown in the Declarations. THIS INSURANCE IS PRIMARYAND NON - CONTRIBUTORY, BUT ONLY TO THE EXTENT OF LIABILITY RESUL TING FROM OCCURRENCES ARISING OUT OF THE NEGLIGENCE OF, AND /OR ITS WHOLLY 0 WN SUBSIDMRIES A. Section H - Who Is An Insured is amended to B. include 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: 1. Your acts or omission; or 2. The acts or omissions or those acting on your behalf: in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. CG 2010 07 04 With respect to the insurance afforded to these Additional insureds, the following additional exclu- sions apply: This insurance dose not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, part or equip- ment furnished in connection with such work on the project (other then service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations hs been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended used by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi- pal as part of the same project. ISO Properties, Inc 2001 App-ROVED AS TO F0 ?; LISA E. g"— TORCK. assistant City AttQ1,11' ADDITIONAL INSURED ENDORSEMENT Insurance Company Nonprofits' Insurance Alliance of California This endorsement modifies such insurance as is afforded by the provisions of Policy # 2014 -02312 relating to the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative 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 the additional insureds, this insurance shall not be cancelled, 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 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 6/24/2014 Policy # 2014 -02312 this endorsement form as part of Issued to Southwest Minority Economic Development Association X.-Cal >uRANCE AGENCY Joe Esparza Llaa n971044 President (916) 784.9070 • (800) 8411776 joe ®all- calinsurance.cbm - www.AlWallnsurance.com 505 Vernon Street • Roseville, CA 95678 a Pax: (916) 784.0158 P's TO FOR'K -LIC'A,Q� Assistant G'ty AttOrneY ..9 5