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Home My WebLink AboutWEST HARTFORD PUBLIC LIBRARYCity of Santa i a Clerk of the Council COTC Office Use Only r AGREEMENT TERMINATION FORM 2020 FEB -6 4' 24 I Please complete this form when the attached agreement and 011TY OF s;t NTIA ANA amendments (if any) are no longer in effect. CLtRK OF COUNCIL Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with No. N-2015-092 was completed on bo l y and final payment has been made. (List all amendments. Use space below if needed.) Department: Phone/Ext.: Signature: Q<�L Q @1i C1� Date: aq#- t Revised 10-31-12 INSURANCE ON FILE WORK, MAY PROCEED UNTIL INSURANCE EXPIRES N-2015-092-03 '%-NK OF COUNCIL 0: PRCS (�) 28 20111 Silvia Cuevas SECOND AMENDMENT TO CONSULTANT AGREEMENT WITH WEST HARTFORD LIBRARY FOR INSTITUTE OF MUSEUM AND LIBRARY SERVICES GRANT "MEMORIES OF MIGRATION" PROJECT THIS SECOND AMENDMENT effective as of 2nd day of November, 2017, by and between West Hartford Public-Library(hereinafter "West Hartford") and the City of Santa Ana ("City"), a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California. RECITALS A. The City is a recipient and grantee of the 2014 Federal Institute of Museum and Library Services (IMLS) National Leadership Grant Program for its project "Memories of Migration" (hereinafter "the project"). As part of the grant, City as the Grant administrator has entered into Agreements for services related to the project with several. government entities including West Hartford. B. On December 1, 2014, City and West Hartford entered into an Agreement #N-2015-092 for West Hartford to collect and archive community memories from new immigrants to the community for the Memories of Migration project. As part of the Agreement, West Hartford agreed to abide by the General Terms and Conditions for IMLS Discretionary Awards. C. On or about August 30, 2017, City and West Hartford mutually agreed to extend the tern of the Agreement for one year until September 30, 2018. D. In the original Grant application, the City and the sub -recipients including West Hartford, were going to utilize a company specializing in robotics to assist in the project. However, that company has gone out of business. City, with the approval of the grantor, will purchase the robotic equipment and provident to all participants in the project. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set firth, the parties agree as follows: 1. Subsection d, will be added to Section2, Compensation, to read as follows: d. The original grant from IMLS for the project included robotic equipment to be purchased by the City and utilized by -all agencies participating in the project. However, the vendor of the robotic equipment is no longer in business. City agrees to purchase robotic and/or STEM (Science, Technology, Engineering, and Math) equipment as outlined in the original grant for the project and to provide that equipment to West Hartford for use on the project. West Hartford agrees to maintain the equipment and should it be requested, return the equipment to the grantor IMLS as outlined in the general terms and conditions for IMLS Discretionary Awards 2. Except as modified by this Second Amendment, and the First Amendment to the Agreement, all terms and conditions of the Agreement remain unchanged and in full force and effect. N-2015-092-03 IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the Agreement the date and year first written above. ATTEST: APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney Bv:�to, �7C PW.CXw� Laura A. Rossini Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: Gerardo Mouet. Executive Director, Parks, Recreation and Community Services Agency CITY OF SANTA ANA Raul Godinez II City Manager WEST HARTFORD PUBLIC LIBRARY m6A J Gtr C li; u'l By: Title: I�rT t2�G�Cl I -1017- 16 Client#: 160973 WESTHART ACORDT„ CERTIFICATE OF LIABILITY INSURANCE DA YY) TYPE OF INSURANCE 8//20(2201201177 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIPICATE 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), suhject 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 endorsameril PRODUCER NAME: USI SouthwestPHONE e MAIL' EM: 713 490.4500 A(c�.Ne�,a713-4904700 9811 Katy Freeway, Suite 500 EACH OCCURRENCE $1000000 Houston, TX 77024 N-2015-092-03 ADDRESS: Retained Limit 713 490.4600 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : aaminl Ie,sor=a Cu10ey j 10833 PRODUCTS - COMP/OPAGG S INSURED Town of West Hartford INSURER B _ sn.N Nmm„m C --ft, C=m -15105 INSURER C: 50 South Main Street INSURER D: West Hartford, CT 06107 nn �\e �%"`p ,!f 't �<`,,./ 1 l / a51 , `QiJ INSURER F.: INSURER F: __ BODILY INJURY (Per person) $ COVERAGES CERTIFICATE NUMBER: 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 REII,,D�UC��EppDDp BY PAID CLAIMS. (LTR TYPE OF INSURANCE INORL VWD RI POLICY NUMBER MMIODN MWDDyYYy LIMITS A X' COMMERCIAL GENERAL LIABILITY X CLAIMGMADE OCCUR X. $250,000 �,1.. PEM000000605 7/011201 710710112018 I 1 EACH OCCURRENCE $1000000 PRiMISES Eeocc��nce $ MED EXP An one person) S Retained Limit PERSONAL A ADV INJURY S SENT. AGGREGATE LIMIT APPLIES PER: PRO. POLICY = .(ECT _I LOC I OTHER GENERAL AGGREGATE $1,000,000 PRODUCTS - COMP/OPAGG S S AUTOMOBILE LIABILITY I ANY AUTOnV ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOSNON-OWNED AUTOS nn �\e �%"`p ,!f 't �<`,,./ 1 l / a51 , `QiJ I £ COMBINED SINGLE LIM IT Ea aCCldanl __ BODILY INJURY (Per person) $ `S BODILY INJURY (Per accident) $ PROPER Y DAMAGE $ S UMBRELLA LIAR EXCESS LIAR OCCUR�(^ CLAIMS -MADE S� V EACHOCCURRENCE $ AGGREGATE 5 DEO 1 1 RETENTIONS $ B WORKERS EMPLOY EMPLOYERS' AND EMPLOYERS' LIABILITY YIN APIYPRIRRAEMORIPARTPEXECUTIVE OFFICER/MEMBER EXCLUDED' C (Mandatory In NH) If gas, describe under DESCRIPTION OF OPERATIONS below NIA SP4057079 $500,000 SIR 7/0112017107/01/201 X PER oTH- E.L EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT $1000000 ]-j— DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Effective Date: March 19, 2015 Description: Consultant Agreement- Institute of Museum and Library Services (IMES) Leadership Grant City of Santa Ana, its Officers, employees, agents and representatives are named as additional insured with respects to the General Liability, when required by written contract. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01511111-2014 ACORD CORPORATION All rinhm raenmenri ACORD 25 (2014/01) 1 Oft The ACORD name and logo are registered marks of ACORD #$21509898/M21258453 BZLHA ENDORSEMENT This endorsement forms a pan of the policy to which it is attached. Please read it carefully. ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION Policy Number Endorsement Effective Date Endorsement Number PEM 0000006-05 July 1, 2017 14 This endorsement modifies insurance provided under the following: GENERAL LIABILITY COVERAGE PART PUBLIC ENTITY RETAINED LIMITS POLICY SCHEDULE Name of additional insured person(s) or organization (s): The City of Santa Ana, its officers, employees, agents, and representative are named with respect to services provided as Consultant for the Institutes of Museum and Library Services Leadership Grant. $1,000.000 Occurrence Limit $1,000,000 Aggregate With respect to the General Liability Coverage Part only, it is agreed that Definition 20. Insured, contained in the Common Conditions, Definitions and Exclusions is amended to 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, personal injury, or advertising injury caused in whole or in part, by acts or omissions of the named insured or the acts or omissions of those acting on behalf of the named Insured: A. In the performance of the ongoing operations of the named insured; or B. In connection with the named insured's premises owned by or rented to the named insured. If, prior to an occurrence, you have specifically agreed in a written contract to provide primary insurance for any person(s) or organizations (s) shown in the Schedule, this insurance will apply on a primary basis with respect to such occurrence and will not contribute with any other valid and collectible insurance in force for such additional insured. All other terms and conditions of this policy remain unchart RDx sj W p�G Page 1 of 1 a Berkley Company Includes copyrighted material of Insurance Services Office Inc. with its permission. PEN1008 01/15