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Home My WebLink AboutDELHI CENTER 31A-2016Nt30f1A{Vt)1 t)N ti6r. WORK MAY PROCEEt} c UNTIL INSURANCE EXPIRF6 c1.ERKofCOUNCa DATE'. t( 4IO FIRST AMENDMENT TO AGREEMENT BETWEEN THE CITY OF SANTA ANA AND DELHI CENTER FOR USE OF COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS A -2015- 217 -01 THIS FIRST AMENDMENT TO AGREEMENT is hereby made and entered into this 31st day of March, 2016, by and between 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") and Delhi Center, a California nonprofit corporation ("SUBRECIPIENT "). RECITALS: A. The parties entered into that certain Agreement A -2015 -217, dated October 6, 2015 (hereinafter "said Agreement") by which City agreed to expend Community Development Block Grant ( "CDBG ") funding in order to pay for work and capital improvements as defined in the scope of work attached to said Agreement. B. The parties desire to amend the term of the Agreement to provide for an additional three (3) month period in which the work and capital improvements may be completed. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Agreement, the parties agree as follows: 1. Section B, on page 2 of the Agreement, entitled Amount of Grant/Tenn and Quarterly Disbursement, shall be amended to extend any and all references to the term of the program and the deadline to expend all CDBG FUNDS from March 31, 2016, until June 30, 2016. 2. Section D, on page 3 of the Agreement, entitled Allowable Costs, shall be amended to extend any and all references to the term of the program and the deadline to expend all CDBG FUNDS from March 31, 2016, until June 30, 2016. 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. 11! IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO CITY OF SANTA ANA DAVID CAVAZOS City Manager SUBRECIPIENT: DUNS #: 088513593 R � CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDI� 1., 130/20015 15 0/ 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 policy(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 endorsement(s). PRODUCER CONTACT Certificate Issuance Team NAME: Comprehensive Insurance Services AICN u �), (949) 709 -8800 FAX No); (949)709 -1668 E- MAILs s: inf o @thecomprehensiveinsurance.com ADDR 26429 Rancho Parkway South Suite 120 INSURERS) AFFORDING COVERAGE NAICA Lake Forest CA 92630 INSURER A:Nonprofits Ins Alliance of CA INSURED INSURER B:CompWest Insurance Company 12177 INSURERC: Delhi Center 505 E. Central Ave. INSURER O: INSURER E: 11/1/2015 Santa Ana CA 92707 1 INSURER F: COVERAGES CERTIFICATE NUMBER:GL /Auto /WC 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 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. ILTR TYPE OF INSURANCE �AODLS INSID B ME POLICY NUMBER POLICY I�NYYV MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE nOCCUR EACH OCCURRENCE $ 1,000,000 AMA ETORENTED PREMISES ENurrence) $ 500,000 X 2015 - 01376 -NPO 11/1/2015 11/1/2016 MED EXP(Any one person) $ 20,000 PERSONAL B ADV INJURY — $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JEST LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS- COMP /OP ASS $ 3,000,000 OTHER'. is AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accoant I$ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 2015 - 01376 -NPO 11 1/2015 / 11/1/2016 BODILY INJURY Peraccideoi ( ) $ X HIRED AUTOS X AUTOS PROPERTY DAMAGE (Peraccideat) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEO RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA CA003006169 -004 11/1/2015 11/1/2016 X I PER OT H- STATUTE L_JER EL EACH ACCIDENT _._ $ 1 000,000 E.L. DISEASE- EAEMPLOYE5$ 1,000,000 E.L. DISEASE - POLICY LIMIT$ 1,000,00() A Social Sery Professional 2 0 15- 0137 6 -NPO 11/1/2015 11/1/2016 $3,000,00DAgg/1,000,0000cc $0 Deductible A Improper Sexual Conduct 2 015- 0137 6 -NPO 11/1/2015 11/1/2016 $1,000,00DAggl1,000,0000cc $0 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS ( VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Additional Insured status applies per attached special City agreement CERTIFICATE HOLDER CANCFI I ATIr1N b V I ACORD 25 (2014101) INS025 (201421) @ 1988.2014 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 City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Richard Eynon /JEREMY ACORD 25 (2014101) INS025 (201421) @ 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD y 4 ADDITIONAL INSURED +_�NdD9RS4 tMENT- Agreement Insurance Company Nonprofits Insurance Alliance of California This endorsement modifies such insurance as is afforded by the provisions of Policy #2015- 01376 -NPO 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. 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. *Except 10 day for cancellation due to non - payment of premium (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 11/1/15 this endorsement form as part of Policy # 2015- 01376 -NPO Issued to Delhi Center Name Insured r Countersigned by Inau c:�nce Agent. �, ,tme T aoa�