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DELHI CENTER 31B-2016
itJSUfinry ,r ON PILE A -2015- 217 -02 WORK MAY i' OCEED UNTILINSWANC[ EXPIRES CLERKIIK O COUNCIL, ; DATE: Q SECOND AMENDMENT TO AGREEMENT BETWEEN THE CITY OF SANTA ANA AND DELHI CENTER FOR USE OF COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS THIS SECOND AMENDMENT TO AGREEMENT is hereby made and entered into this 30'x' day of June, 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 certain Agreement A- 2015 -217, dated October 6, 2015 (hereinafter "said Agreement ") by which City agreed to expend Community Development Block Grant ( "CDBG ") handing in order to pay for work and capital improvements as defined in the scope of work attached to said Agreement. B. The parties entered into a First Amendment dated March 31, 2016, extending the term of said Agreement to provide for an additional three (3) month period until June 30, 2016, in which the work and capital improvements may be completed., C. The parties hereto now desire to further amend the term of said Agreement to provide for an additional three (3) month period until September 30, 2016, in which final payment from SUBRECIPIENT to the contractor for the capital improvements may be issued. WHEREFORE, in consideration of the covenants contained in said Agreement, as revised by the First Amendment, and subject to all the terns and conditions of said Agreement, as revised by the First Amendment, except those amended in this Second Amendment to Agreement, the parties agree as follows: 1. Section B, on page 2 of the Agreement, entitled Amount of Grant/Term 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 June 30, 2016, until September 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 Jmze 30, 2016, until September 30, 2016. 3. Except as hereinatbove amended, all terns and conditions of said Agreement shall remain in full force and effect. N IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: _ �'_j 1 (G tiu ALi P . t MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney RECOMMENDED FOR APPROVAL: ROBIMT C. 06R EZ�G;1" Special Assistant to t le City Manager City Manager's Office 2 CITY OF SANTA ANA DAV1D`CA"V City Manager SUBRECIPIENT: DUNS #R: 08851 Ac ®Rb' CERTIFICATE OF LIABILITY INSURANCE `.../ OATE(MM' /20 5 10/30/2015 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 endorsements). PRODUCER CONTACT NAME: m Certificate Issuance Tea Comprehensive Insurance Services LAIC NE Extb (949)709 -8800 (HID a,, (949) 709 -1668 26429 Rancho Parkway South ADDRESS, info@ thecompr'ehensiveinsurance. com Suite 120 INSURER(S) AFFORDING COVERAGE NAIC If Lake Forest CA 92630 INSURER A:NonIDrofits Ins Alliance of CA INSURED INSURER B:Com West Insurance Company 12177 INSURER C: Delhi Center 505 E. Central Ave. INSURER D: INSURERE: Santa Ana CA 92707 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 ADD ISUBR POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDD/YYYV LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CL x l AIMS -MADE OCCUR DAMAGE TORENTED PREMISES (Ea occurrence) $ 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: GENERAL AGGREGATE $ 3,000,000 POLICY PEA ' ° LOC PRODUCTS - COMPIOP AGO $ 3,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY I NJURY(Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 2 015 - 013 7 6 -NPO 11/1/2015 11/1/2016 BODILY INJURY (Per accident) $ HIRED AUTOS 'Y AUTOS EO Pe a c'd AMAGE $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEO RETENTION$ — $ WORKERS COMPNSATION AND EMPLOY RSELIA ILIITY YIN X STATUTE FIR -_ E. L. EACH ACCIDENT $ 1 000,000 B ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under NIA cAO05006169 -004 11/1/2015 11/1/2016 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT rr $ I 1 000 000 DESCRIPTION OF OPERATIONS below A Social Sery Professional 2015 - 01376 -NPO 11/1/2015 11/1/2016 $3,000.00OAgg11,000,0000cc $0 Deductible A Improper Sexual Conduct 2015- 01376 -NPO 11/1/2015 11/1/2016 $1,000,e00Agg11,D00,0000de $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I 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 CANCELLATION V U v ACORD 25 (2014101) INS025 (201401) ©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 (201401) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M ADDITIONAL INSURED +_'N -D9RSEMENT- 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. 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 (30rdays 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 Countersigned by fnsurancc Agenl. rt afore ��-