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Home My WebLink AboutWISEPLACE (5)-2015NSURANO ON HL A-2014- 088 -018A WORK MAY PROCF:,E 1, UNTIL INSURANCE I'XPIRE;'. AMENDMENT TO AGREEMENT FOR USE { ..1.._ G — -- OF EMERGENCY SOLUTIONS GRANT FUNDS � CLERK OF Gf7UNGlL DATE: 3 --1-7 —1,5 �AJ THIS AMENDMENT, made and entered into this I" day of January 2015, by and between Wise Place, a California nonprofit organization ( "Subrecipient ") and the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City"). RECITALS CJ A. The City and Subrecipient entered into that certain Emergency Solutions Grant Subrecipient Agreement Between the City of Santa Ana and Wise Place dated July 1, 2014 (Agreement #A- 2014 - 088 -018) hereinafter referred to as "said Agreement ", for Subrecipient to receive Emergency Solutions Grant Funds (ESG) in the amount of 534,720.00 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 Six Dollars ($3,576.00) 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 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 ,funds shall be redistributed proportionately among the subrecipients. 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 patties hereto (to hereby agree as follows: 1. The total Grant Award to Subrecipient will be amended to include an additional Three Thousand Five Hundred Seventy Six Dollars ($3,576.00) for a total grant award of Thirty Eight Thousand Two Hundred Ninety Six Dollars ($38,296.00) in ESG funds. 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in trill force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year fast above written. ATTEST: Maria D. Ruizar, Clerk of Life Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney Lisa Storck Assistant City Attorney RECOMME APP V L: k ,fly R nders, Executive Director Community Development Agency C TA ANA David Cavazoa, City Ma ger SUBRECIPIENI' WISE PLACE Ida hleen Davis Bawma - -- Executive Director 4286 Wiseplace, a Ca Corp Dba Wise Silver Certificate of Insurance %Crn /" . (page 1 of 1) 07/22/2014 04:30:08 1 �ecc�rr�,r�� CERTIFICATE OF LIABILITY INSURANCE 1.�.�'"'- OATE'MMIC01'4' "' 7/2212014 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 certificate holder is an ADDITIONAL INSURED, the pollcy(ies) 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 endorsement {s). PRODUCER CONTACT NAME: PHONE 866 - 500.6359 _ _ _ IAtc Nol: 8_55_ _8.04 -8449 _ ) Heffernan Insurance Brokers /Select5olutions Insurance Services 1350 Carlback Avenue Walnut Creek, CA 94$96 &MAIL E-MAIL ADDRESS: PROii`oOceR - IN5URER)SI AFFORDING COVERAGE '.. NAIC 11 i GENERALAGGREGArF S 2000000 r_ 1_ INSURED INSURERA:_ New York Marine & General InsuranceNaN - Wiseplace, a Ca Corp Dba Wise Silver Center INSURER e: Philadelphia Ind emnity_Insurance Com18058 1411 N, Broadway Santa Ana, CA 92706 _ INSURER C: _ .__-- ._____-- ._.._..— __- .__.___ NSURER U INSURER E '., ✓ '�. INSURER F ---. -- - - ..N, -. -. -_ BODILY INJURY tP,, peres,I) 1 "a __ ltl•D$a:�5[C14.�•ia a•I�LMS�•aefaJna�: :ItlTA L4 rail apnN,Itl THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISPED 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTF TYPE OF INSURANCE AODL,SUaiti POLICY NUMBER I MMIDIOYYYV MOIODmW LIMITS GENERAL LIABILITY EACI I OCCURRENCE 15 1,000,000 —1 1 ✓f COMMERCIAL GENCRAL LIABILITY OAU \SET - OEO I^ - - -- 1 PREMIgE3 (a CC 100000 ..a ocaurrsP A7 �_rt�CLAIMSMAOF ✓J OCCUR - _15 MED EAR (Any one pelnmry„ a 5,000 �pERSONALRAOV tNJURV .51,000,000 B Ves PHPK71180V ilt /2014. 11112015 i GENERALAGGREGArF S 2000000 r_ 1_ __ - --- - ___ PRODUC S CCMP/OPArG 1 S 2.000,000 3EN'L 4GOREGATL LIMIT APPUE9 PER ✓ POLICV -- -, PRO - - -'. LOC " --_ -- " - - - -- -:; S — AUTOMOBILELIABILITY : COMBINED SINGLE LIMIT $ 1.000,000 '., ✓ '�. 1 (Ea ---. -- - - ..N, -. -. -_ BODILY INJURY tP,, peres,I) 1 "a __ ANY AUTO '------ ✓ ALL OWNED AUTOS ___ . . .. ..... ....__ f 80DILY INJURY IPeraacldenn' 5 _ Yes: PHPKIII8017 1/112014 ' 111/2015 e SCHCOULED AUTD" I -PHOEB -- -t - - -- --- - - - - -- IPRCIPEFIs DAMAGE - ✓ :. HIREDAUtOS �e'n cl -ern ✓ , NON-OWNED AU rOS - - v t UMBRELLA LIAR ✓ OCCUR 1 EACH OCCURRENCE l S 1,000,000 _ B :EXCESS LIAe CLAIMS-MADE '., AGGREGATE S 1000000 _ YeS +- '� PHUB445063 11112014 ' 11112015 — - - - - - -- -- DEDUCTIBLE 1. I✓ 1 RETENTION S 10,000 I WORKERS COMPENSATION ! AND EMPLOYERS' LIABILITY ✓ PlC fATU 0TH YIN ANY PROPRIPrOPrPARTNER1aXB J)U'rIVG �L EACH ACCIDENT S 1000000 — A OFFICER�MEMBER EXCLUDED' Y NIA, WC20130DO02353 0/1512013 :' B/151201M1 E DISEASE EA_E_MPLOY_E_EI 3 1,000,000 (Mandatory In NH) : 9 InIIII 0ESCRIPT IWI OF OPERATION' balm, EL. 01SEASE- POLICY Unf] i ^a 1,000,000 B Professional Liability (Error. end Omiselons) PHPK1118017 1 111)2014 11112015 Occurrenm JAggregate $1,000,0001$2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES'Aeech ACORD 101, Addalaaal Remarks Schedule, If more H,aA. Is req 00) Certificate holder Its officers, employees, agents, volunteers and representatives are named as additional insured with respect to General Liability arising from the operations and uses performed by or on behalf of the named insured. This insurance is primary and non - contributory to any other insurance provide S respects general liability coverage. Endorsement to follow from carrier. A,jypSOV,t D S� O 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCSs sags. c s E CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREbk. NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS, Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE O 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD PI -GL -005 (07/12) THIS ENDORSEMENT CHANCES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL INSURED PRIMARY AND NON - CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization (Additional Insured); City of Santa Ana Effective Date; 0813012014 SECTION II — WHO IS AN INSURED is amended to Include as an additional insured the person($) or organization(s) shown in the endorsement Schedule, but only with respect to Ilabil ty for "bodily Injury," .property damage" or "personal and advertising Injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown In the endorsement Schedule. This insurance is prlmary to and non - contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even If other valid end collectible Insurance Is available to the Additional Insured for a loss or "occurrence" we oover for this Additional Insured. The Additional Insured's limits of insurance do not Increase our limits of Insurance, as described In SECTION III — LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. �Q VE SSORp rey t %SFr ' Pss�eta Page 1 of 1 1 includes copyrighted material of insurance Services Office, Inc., with Its permission. t7"`