HomeMy WebLinkAboutContract 1609 ( Ga1
AGREEMENT BETWEEN THE
CITY OF CATHEDRAL CITY
AND
SHELTER FROM THE STORM
FOR
VICTIMS OF DOMESTIC VIOLENCE
THIS AGREEMENT ("Agreement") is entered into on this day Ih1 of SP pic v14)Cv;
2014, by and between the City of Cathedral City, a California municipal corporation ("City"or
"Grantee") and Shelter from the Storm, a California non-profit corporation ("Subrecipient").
Grantee and Subrecipient are sometimes hereinafter referred to individually as a "Party"and
collectively as the "Parties".
WHEREAS, the Grantee has applied for and received Community Development Block Grant
("CDBG") funds from the United States Government under Title I of the Housing and
Community Development Act of 1974, as amended, Public Law 93-383; and
WHEREAS, the Grantee wishes to engage the Subrecipient to assist the Grantee in utilizing
such funds;
NOW, THEREFORE, it is agreed between the Parties hereto that;
I. SCOPE OF SERVICE
A. Program
The Subrecipient will be responsible for administering a 2014/2015 CDBG Emergency
Shelter Support program in a manner satisfactory to the Grantee and consistent with
any standards required as a condition of providing these funds and the attached
Exhibit A. Such program will include the following activities eligible under the CDBG
Program: provide emergency services, shelter, food, hygiene and clothing
distribution, counseling, case management, intimate partner domestic violence
prevention and intervention sessions, assistance with temporary restraining
orders, on-site school K-12, referrals for supportive transitional and temporary
housing to clients.
Reimbursement to include: Domestic Violence Advocates, case management,and
the K- 12 teacher to provide direct services to clients at the 365 day/year emergency
domestic violence shelter known as Shelter From The Storm (SFTS) located in an
undisclosed and confidential location. Shelter From The Storm's main office are
located at 73550 Alessandro Drive, Suite 103 Palm Desert CA 92260.
Although their main administrative office is not located within Cathedral City, the
Grantee has determined that the aforementioned office is the nearest qualified facility
at which such necessary emergency shelter and related services can be rendered to
the low-income families described in this Section I.A and will result in reasonable
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benefits accruing to the residents of Grantee's jurisdiction.
B. National Objectives
The Subrecipient certifies that the activities carried out with funds provided under
this Agreement will meet one or more of the CDBG program's National Objectives:
1) Benefit low/moderate income persons,
2) Aid in the prevention or elimination of slums or blight,
3) Meet community development needs having a particular urgency - as
defined in 24 CFR Part 570.208.
C. Levels of Accomplishment
In addition to the normal administrative services required as part of this Agreement,the
Subrecipient agrees to provide the levels of program services set forth in Exhibit A:
D. Performance Monitoring
The Grantee will monitor the performance of the Subrecipient against the goals and
performance standards as established in the set forth in the attached Exhibit A.
Substandard performance as determined by the Grantee will constitute non-
compliance with this Agreement. If action to correct such substandard performance is
not taken by the Subrecipient within a reasonable period of time after being notified by
the Grantee, contract suspension or termination procedures will be initiated.
II. TIME OF PERFORMANCE
Services of the Subrecipient shall cover the 2014/2015 program year, commencing
on July 1, 2014 and ending on June 30, 2015. The term of this Agreement and the
provisions herein shall be extended to cover any additional time period during which
the Subrecipient remains in control of CDBG funds or other assets, including program
income.
III. PAYMENT
It is expressly agreed and understood that the total amount to be paid by the Grantee
under this Agreement shall not exceed $3,000. Drawdowns for the payment of eligible
expenses shall be made against the line item budgets specified in the attached Exhibit
B, and in accordance with performance. Expenses for general administration shall
also be paid against the line item budgets specified in the attached Exhibit B and in
accordance with performance. Payments will be made on a quarterly reimbursement
basis.
Payments may be contingent upon certification of the Subrecipient's financial
management system in accordance with the standards specified in OMB Circular
A-110 and 24 CFR 84.21
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IV. NOTICES
Notices required by this Agreement shall be in writing and delivered via mail (postage
prepaid), commercial courier, or personal delivery or sent by facsimile or other
electronic means. Any notice delivered or sent as aforesaid shall be effective on the
date of delivery or sending. All notices and other written communications under this
Agreement shall be addressed to the individuals in the capacities indicated below,
unless otherwise modified by subsequent written notice.
Communication and details concerning this Agreement shall be directed to the
following contract representatives:
Grantee: Subrecipient:
Charles P. McClendon Angelina Coe
City Manager Executive Director
City of Cathedral City Shelter from the Storm
68700 Avenida Lalo Guerrero 73550 Alessandro Drive, STE 103
Cathedral City, CA 92234 Palm Desert, CA 92260
760-770-0372 760-674-0400
V. GENERAL CONDITIONS
A. General Compliance
The Subrecipient agrees to comply with the requirements of Title 24 of the Code of
Federal Regulations, Part 570 (the Housing and Urban Development regulations
concerning Community Development Block Grants (CDBG)). The Subrecipient also
agrees to comply with all other applicable Federal, State and local laws, regulations
and policies governing the funds provided under this Agreement. The Subrecipient
further agrees to utilize funds available under this Agreement to supplement rather
than supplant funds otherwise available.
B. "Independent Contractor"
Nothing contained in this Agreement is intended to, or shall be construed in any
manner, as creating or establishing a relationship of employer/employee between the
Parties. The Subrecipient shall at all times remain an "independent contractor" with
respect to the services to be performed under this Agreement. The Grantee shall be
exempt from payment of all Unemployment Compensation, FICA, retirement, life
and/or medical insurance and Workers' Compensation Insurance as the Subrecipient
is an independent contractor.
C
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C. Hold Harmless
The Subrecipient shall hold harmless, defend and indemnify the Grantee from and
against any and all claims, actions, suits, charges and judgments whatsoever
(collectively "Claims") that arise out of the Subrecipient's performance or
nonperformance of the services or subject matter called for in this Agreement.
Notwithstanding the forgoing, the provisions of this subsection shall not apply to Claims
occurring as a result of Grantee's sole negligence or willful acts or omissions.
D. Insurance & Bonding
The Subrecipient shall carry sufficient insurance coverage to protect contract assets
from loss due to theft, fraud and/or undue physical damage, and as a minimum shall
purchase a blanket fidelity bond covering all employees in an amount equal to any
cash advances from the Grantee. In addition to the bonding and insurance
requirements of 24 CFR 84.31 and 84.48, Subrecipient, at Subrecipient's own cost and
expense, shall procure and maintain, for the duration of this Agreement,the insurance
policies and requirements set forth in Exhibit C of this Agreement.
E. Grantee and Grantor Agency Recognition
The Subrecipient shall insure recognition of the role of the Grantee and the United
States Department of Housing and Urban Development("HUD"or"Grantor Agency") in
providing services through this Agreement. All activities, facilities and items utilized
pursuant to this Agreement shall be prominently labeled as to funding source(CDBG).
In addition, the Subrecipient will include a reference to the support provided herein in
all publications made possible with funds made available under this Agreement.
F. Amendments
The Grantee or Subrecipient may amend this Agreement at any time provided that
such amendments make specific reference to this Agreement, and are executed in
writing, signed by a duly authorized representative of both organizations, and approved
by the Grantee's governing body. Such amendments shall not invalidate this
Agreement, nor relieve or release the Grantee or Subrecipient from its obligations
under this Agreement.
The Grantee may, at its discretion, amend this Agreement to conform with Federal,
State or local governmental guidelines, policies and available funding amounts, or for
other reasons. If such amendments result in a change in the funding, the scope of
services, or schedule of the activities to be undertaken as part of this Agreement, such
modifications will be incorporated only by written amendment signed by both Grantee
and Subrecipient.
G. Suspension or Termination
Either Party may terminate this Agreement at any time by giving written notice to the
other Party of such termination, including the reasons therefor and specifying the
effective date thereof at least 30 days before the effective date of such termination.
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Partial terminations of the Scope of Service in Paragraph I.A above may only be
undertaken with the prior approval of the Grantee. In the event of any termination for
convenience, all finished or unfinished documents, data, studies, surveys, maps,
models, photographs, reports or other materials prepared by the Subrecipient under
this Agreement shall, at the option of the Grantee, become the property of the
Grantee, and the Subrecipient shall be entitled to receive just and equitable
compensation for any satisfactory work completed on such documents or materials
prior to the termination.
The Grantee may also suspend or terminate this Agreement, in whole or in part, if the
Subrecipient materially fails to comply with any term of this Agreement, or with any of
the rules, regulations or provisions referred to herein; or such statutes, regulations,
executive orders, and HUD guidelines, policies or directives as may become
applicable at any time. The Grantee may further declare the Subrecipient ineligible for
any further participation in the Grantee's contracts, in addition to other remedies as
provided by law. In the event there is probable cause to believe the Subrecipient is in
non-compliance with any applicable rules or regulations, the Grantee may withhold up
to fifteen percent (15%) of said contract funds until such time as the Subrecipient is
found to be in compliance by the Grantee, or is otherwise adjudicated to be in
compliance.
VI. ADMINISTRATIVE REQUIREMENTS
A. Financial Management
1. Accounting Standards
The Subrecipient agrees to comply with the provisions of OMB Circular A-110
and 24 CFR 84.21-28 and agrees to adhere to the accounting principles and
procedures required therein, utilize adequate internal controls, and maintain
necessary source documentation for all costs incurred.
2. Cost Principles
The Subrecipient shall administer its program in conformance with OMB
Circulars A-122, "Cost Principles for Non-Profit Organizations," or A-21, "Cost
Principles for Educational Institutions,"as applicable. These principles shall be
applied for all costs incurred whether charged on a direct or indirect basis.
B. Documentation and Record-Keeping
1. Records to be Maintained
The Subrecipient shall maintain all records required by the Federal regulations
specified in 24 CFR Part 570.506, which are pertinent to the activities to be
funded under this Agreement. Such records shall include but not be limited to:
a. Records providing a full description of each activity undertaken;
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b. Records demonstrating that each activity undertaken meets one
of the National Objectives of the CDBG program;
c. Records required determining the eligibility of activities;
d. Records required to document the acquisition, improvement, use
or disposition of real property acquired or improved with CDBG
assistance;
e. Records documenting compliance with the fair housing and equal
opportunity components of the CDBG program;
f. Financial records as required by 24 CFR Part 570.502, and OMB
Circular A-110; and
g. Other records necessary to document compliance with Subpart K
of 24 CFR 570.
2. Retention
The Subrecipient shall retain all records pertinent to expenditures incurred
under this Agreement for a period of five (5) years after the termination of all
activities funded under this Agreement. Records for non-expendable property
acquired with funds under this Agreement shall be retained for five (5) years
after final payment. Notwithstanding the above, if there is litigation, claims,
audits, negotiations or other actions that involve any of the records cited and
that have started before the expiration of the five-year period,then such records
must be retained until completion of the actions and resolution of all issues, or
the expiration of the five-year period, whichever occurs later.
3. Client Data
The Subrecipient shall maintain client data demonstrating client eligibility for
services provided. Such data shall include, but not be limited to, client name,
address, ethnicity, income level or other basis for determining eligibility, and
description of service provided. Such information shall be made available to
Grantee monitors or their designees for review upon request.
4. Disclosure
The Subrecipient understands that client information collected under this
Agreement is private and the use or disclosure of such information, when not
directly connected with the administration of the Grantee's or Subrecipient's
responsibilities with respect to services provided under this Agreement, is
prohibited, unless written consent is obtained from such person receiving
service and, in the case of a minor, that of a responsible parent/guardian.
5. Property Records
The Subrecipient shall maintain real property inventory records which clearly
Ce identify properties purchased, improved or sold. Properties retained shall
continue to meet eligibility criteria and shall conform to the "changes in use"
restrictions specified in 24 CFR 570.505, as applicable.
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6. Close-Outs and Reversion of Assets
The Subrecipient's obligation to the Grantee shall not end until all close-out
requirements are completed. Activities during this close-out period shall
include, but are not limited to: Making final payments, disposing of program
assets (both personal property and real property including the return of all
unused materials, equipment, unspent cash advances, program income
balances, and accounts receivable to the Grantee), and determining the
custodianship of records. All real property under the Subrecipient's control that
was acquired or improved, in whole or in part, with CDBG funds in excess of
$25,000, must either be:
a. Used to meet one of the national objectives in 570.208 until (5) five
years after expiration of the agreement, or
b. If not used in accordance with paragraph (a) above, the Subrecipient
shall pay to the Grantee an amount equal to the current market
value of the property, less any portion of the value attributable to
expenditures of non-CDBG funds for the acquisition of, or
improvement to the property.
7. Audits & Inspections
All Subrecipient records with respect to any matters covered by this Agreement
shall be made available to the Grantee, Grantor Agency and the Comptroller
General of the United States, or any of their designees or representatives at
any time during normal business hours, as often as the Grantee or Grantor
Agency deems necessary, to audit, examine, and make excerpts or transcripts
of all relevant data. Any deficiencies noted in audit reports must be fully cleared
by the Subrecipient within 30 days after receipt by the Subrecipient. Failure of
the Subrecipient to comply with the above audit requirements will constitute a
violation of this Agreement and may result in the withholding of future
payments. The Subrecipient hereby agrees to have an annual agency audit
conducted in accordance with current Grantee policy concerning Subrecipient
audits and, as applicable, OMB Circular A-133.
C. Reporting and Payment Procedures
1. Program Income
The Subrecipient shall report monthly all program income as defined at 24 CFR
570.500(a)generated by activities carried out with CDBG funds made available
under this Agreement. The use of program income by the Subrecipient shall
comply with the requirements set forth at 24 CFR 570.504. By way of further
limitations, the Subrecipient may use such income during the contract period for
activities permitted under this Agreement and shall reduce requests for
additional funds by the amount of any such program income balance on hand.
All unused program income shall be returned to the Grantee at the end of the
contract period. Any interest earned on cash advances from the U.S. Treasury
is not program income and shall be remitted promptly to the Grantee.
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2. Indirect Costs
If indirect costs are charged, the Subrecipient will develop an indirect cost
allocation plan for determining the appropriate Subrecipient's share of
administrative costs and shall submit such plan to the Grantee for approval, in a
form specified by the Grantee.
3. Payment Procedures
The Grantee will pay to the Subrecipient funds available under this Agreement
based upon information submitted by the Subrecipient and consistent with the
budget set forth in Exhibit B (or any subsequent budget approved by Grantee)
and Grantee policy concerning payments. Payments will be made for eligible
expenses actually incurred by the Subrecipient, not to exceed actual cash
requirements. Payments will be awarded to the Subrecipient on a quarterly
reimbursement basis. In addition, the Grantee reserves the right to liquidate
funds available under this Agreement for costs incurred by the Grantee on
behalf of the Subrecipient.
4. Progress Reports
The Subrecipient shall submit quarterly progress reports to the Grantee in the
form, content, and frequency as required by the Grantee. (Found on the CDBG
r Direct Benefit Activity Report and the City of Cathedral City Request for CDBG
Reimbursement Form.)
D. Procurement
1. Compliance
The Subrecipient shall comply with current Grantee policy concerning the
purchase of equipment and shall maintain inventory records of all non-
expendable personal property as defined by such policy as may be procured
with funds provided herein. All program assets (unexpended program income,
property, equipment, etc.) shall revert to the Grantee upon termination of this
Agreement.
2. OMB Standards
The Subrecipient shall procure all materials, property, or services in accordance
with the requirements of OMB Circular A-110 implemented at 24 CFR Part 84
as modified by the provisions of 24 CFR 570.502(b).
3. Travel
The Subrecipient shall obtain written approval from the Grantee for any travel
outside the metropolitan area with funds provided under this Agreement.
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4. Use and Reversion of Assets
The use and disposition of real property and equipment under this Agreement
shall be in compliance with the requirements of 24 CFR Part 84 and 24 CFR
570.502, 570.503, and 570.504, as applicable, which include but are not
limited to the following:
a. The Subrecipient shall transfer to the Grantee any CDBG funds on
hand and any accounts receivable attributable to the use of funds
under this Agreement at the time of expiration, cancellation, or
termination.
b. Real property under the Subrecipient's control that was acquired or
improved, in whole or in part, with funds under this Agreement in
excess of $25,000 shall be used to meet one of the CDBG National
Objectives pursuant to 24 CFR 570.208 until five (5) years after
expiration of this Agreement. If the Subrecipient fails to use CDBG-
assisted real property in a manner that meets a CDBG National
Objective for the prescribed period of time, the Subrecipient
shall pay the Grantee an amount equal to the current fair market
value of the property less any portion of the value attributable to
expenditures of non-CDBG funds for acquisition of, or improvement
to, the property. Such payment shall constitute program income to
the Grantee. The Subrecipient may retain real property acquired or
improved under this Agreement after the expiration of the five-year
period.
c. In all cases in which equipment acquired, in whole or in part, with
funds under this Agreement is sold, the proceeds shall be program
income (prorated to reflect the extent to that funds received under
this Agreement were used to acquire the equipment). Equipment
not needed by the Subrecipient for activities under this Agreement
shall be (a) transferred to the Grantee for the CDBG program or (b)
retained after compensating the Grantee in an amount equal to the
current fair market value of the equipment less the percentage of
non-CDBG funds used to acquire the equipment.
VII. RELOCATION, REAL PROPERTY ACQUISITION AND ONE-FOR-ONE HOUSING
REPLACEMENT
The Subrecipient agrees to comply with (a) the Uniform Relocation Assistance and
Real Property Acquisition Policies Act of 1970, as amended (URA), and implementing
regulations at 49 CFR Part 24 and 24 CFR 570.606(b); (b)the requirements of 24 CFR
570.606(c) governing the Residential Anti-displacement and Relocation Assistance
Plan under section 104(d) of the HCD Act; and (c) the Requirements in 24 CFR
570.606(d) governing optional relocation policies. The Subrecipient shall provide
relocation assistance to persons (families, individuals, businesses, nonprofit
organizations and farms) that are displaced as a direct result of acquisition,
rehabilitation, demolition or conversion for a CDBG-assisted project. The Subrecipient
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also agrees to comply with applicable Grantee ordinances, resolutions and policies
concerning the displacement of persons from their residences.
VIII. PERSONNEL & PARTICIPANT CONDITIONS
A. Civil Rights
1. Compliance
The Subrecipient agrees to comply with Title VI of the Civil Rights Act of 1964
as amended, Title VIII of the Civil Rights Act of 1968 as amended, Section
104(b) and Section 109 of Title I of the Housing and Community Development
Act of 1974 as amended, Section 504 of the Rehabilitation Act of 1973, the
Americans with Disabilities Act of 1990, the Age Discrimination Act of 1975,
Executive Order 11063, and with Executive Order 11246 as amended by
Executive Orders 11375, 11478, 12107 and 12086.
2. Nondiscrimination
The Subrecipient will not discriminate against any employee or applicant for
employment because of race, color, creed, religion, ancestry, national origin,
sex, disability or other handicap, age, marital/familial status, or status with
regard to public assistance. The Subrecipient will take affirmative action to
insure that all employment practices are free from such discrimination. Such
employment practices include but are not limited to the following: hiring,
upgrading, demotion, transfer, recruitment or recruitment advertising, layoff,
termination, rates of pay or other forms of compensation, and selection for
training, including apprenticeship. The Subrecipient agrees to post in
conspicuous places, available to employees and applicants for employment,
notices to be provided by the contracting agency setting forth the provisions of
this nondiscrimination clause. The Subrecipient agrees to comply with the non-
discrimination in employment and contracting opportunities laws, regulations,
and executive orders referenced in 24 CFR 570.607, as revised by Executive
Order 13279. The applicable non-discrimination provisions in Section 109 of the
HCD Act are still applicable.
3. Land Covenants
This Agreement is subject to the requirements of Title VI of the Civil Rights Act
of 1964 (P.L. 88-352) and 24 CFR 570.601 and 602. In regard to the sale,
lease, or other transfer of land acquired, cleared or improved with assistance
provided under this Agreement, the Subrecipient shall cause or require a
covenant running with the land to be inserted in the deed of lease for such
transfer, prohibiting discrimination as herein defined, in the sale, lease or rental,
or in the use or occupancy of such land, or in any improvements erected or to
be erected thereon, providing that the Grantee and the United States are
beneficiaries of and entitled to enforce such covenants. The Subrecipient, in
undertaking its obligation to carry out the program assisted hereunder, agrees
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to take such measures as are necessary to enforce such covenant, and will not
itself so discriminate.
4. Section 504
The Subrecipient agrees to comply with all federal regulations issued pursuant
to compliance with Section 504 of the Rehabilitation Act of 1973 (29 U.S.C.
794), which prohibits discrimination against individuals with disabilities or the
handicapped in any Federally assisted program. The Grantee shall provide the
Subrecipient with any guidelines necessary for compliance with that portion of
the regulations in force during the term of this Agreement.
B. Affirmative Action
1. Approved Plan
The Subrecipient agrees that it shall be committed to carry out as applicable an
Affirmative Action Program in keeping with the principles as provided in
President's Executive Order 11246 of September 24, 1965.
2. Access to Records
The Subrecipient shall furnish and cause each of its own subrecipients or
subcontractors to furnish all information and reports required hereunder and will
permit access to its books, records and accounts by the Grantee, HUD or its
agent, or other authorized Federal officials for purposes of investigation to
ascertain compliance with the rules, regulations and provisions stated herein.
3. EEO/AA Statement
The Subrecipient will, in all solicitations or advertisements for employees placed
by or on behalf of the Subrecipient, state that it is an Equal Opportunity or
Affirmative Action employer.
4. Women and Minority Owned Business (W/MBE)
The Subrecipient will use its best efforts to afford small businesses, minority
business enterprises, and women's business enterprises the maximum
practicable opportunity to participate in the performance of this Agreement. As
used in this Agreement, the terms "small business" means a business that
meets the criteria set forth in section 3(a) of the Small Business Act, as
amended (15 U.S.C. 632), and "minority and women's business enterprise"
means a business at least fifty-one percent (51%) owned and controlled by
minority group members or women. For the purpose of this definition, "minority
group members"are Afro-Americans, Spanish-speaking, Spanish surnamed or
Spanish-heritage Americans, Asian-Americans, and American Indians. The
Subrecipient may rely on written representations by businesses regarding their
status as a minority and female business enterprises in lieu of an independent
investigation.
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C. Employment Restrictions
1. Prohibited Activity
The Subrecipient is prohibited from using funds provided herein or personnel
employed in the administration or the program for: political activities; sectarian
or religious activities; lobbying, political patronage, and nepotism activities.
2. Labor Standards
The Subrecipient agrees to comply with the requirements of the Secretary of
Labor in accordance with the Davis-Bacon Act, as amended (40 U.S.C. 276a—
276a-5); the provisions of Contract Work Hours and Safety Standards Act, (40
USC 327, et seq.); the Copeland "Anti-Kickback"Act(18 USC 874 et seq. and
its implementing regulations of the United States Department of Labor at 29
CFR Part 5); and all other applicable Federal, State and local laws and
regulations pertaining to labor standards insofar as those acts apply to the
performance of this Agreement. The Subrecipient shall maintain
documentation which demonstrates compliance with hour and wage
requirements of this part. Such documentation shall be made available to the
Grantee for review upon request.
C The Subrecipient agrees that, except with respect to the rehabilitation or
construction of residential property containing less than eight (8) units, all
contractors engaged under contracts in excess of $2,000.00 for construction,
renovation or repair work financed in whole or in part with assistance provided
under this Agreement, shall comply with Federal requirements adopted by the
Grantee pertaining to such contracts and with the applicable requirements of
the regulations of the Department of Labor, under 29 CFR Parts 1,3,5 and 7
governing the payment of wages and ratio of apprentices and trainees to
journey workers: provided, that if wage rates higher than those required under
the regulations are imposed by state or local law, nothing hereunder is intended
to relieve the Subrecipient of its obligation, if any, to require payment of the
higher wage. The Subrecipient shall cause or require to be inserted in full, in all
such contracts subject to such regulations, provisions meeting the requirements
of this paragraph.
3. "Section 3" Clause
a. Compliance
Compliance with the provisions of Section 3 of the HUD Act of 1968, as
amended, the regulations set forth in 24 CFR 135, and all applicable
rules and orders issued hereunder prior to the execution of this
Agreement, shall be a condition of the Federal financial assistance
provided under this Agreement and binding upon the Grantee, the
Subrecipient, Subrecipient's subrecipients and subcontractors. Failure
to fulfill these requirements shall subject the Grantee, the Subrecipient,
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and any of the Subrecipient's subrecipients and subcontractors, their
successors and assigns to those sanctions specified by the Agreement
through which Federal assistance is provided. The Subrecipient certifies
and agrees that no contractual or other disability exists which would
prevent compliance with these requirements.
The Subrecipient further agrees to comply with these "Section 3"
requirements and to include the following language in all subcontracts
executed under this Agreement:
"The work to be performed under this Agreement is a project
assisted under a program providing direct Federal financial
assistance from HUD and is subject to the requirements of
Section 3 of the HUD Act of 1968, as amended (12 U.S.C. 1701).
Section 3 requires that to the greatest extent feasible
opportunities for training and employment be given to low- and
very low-income residents of the project area and contracts for
work in connection with the project be awarded to business
concerns that provide economic opportunities for low- and very
low-income persons residing in the metropolitan area in which the
project is located."
The Subrecipient further agrees to ensure that opportunities for training
and employment arising in connection with a housing rehabilitation
(including reduction and abatement of lead-based paint hazards),
housing construction, or other public construction project are given to
low and very low-income persons residing within the metropolitan area in
which the CDBG-funded project is located; where feasible, priority
should be given to low- and very low-income persons within the service
area of the project or the neighborhood in which the project is located,
and to low- and very low-income participants in other HUD programs;
and award contracts for work undertaken in connection with a housing
rehabilitation (including reduction and abatement of lead-based paint
hazards), housing construction, or other public construction project are
given to business concerns that provide economic opportunities for low-
and very low-income persons residing within the metropolitan area in
which the CDBG-funded project is located; where feasible, priority
should be given to business concerns which provide economic
opportunities to low- and very low-income residents within the service
area or the neighborhood in which the project is located, and to low-and
very low-income participants in other HUD programs.
The Subrecipient certifies and agrees that no contractual or other legal
incapacity exists which would prevent compliance with these
requirements.
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b. Notifications
The Subrecipient agrees to send to each labor organization or
representative of workers with which it has a collective bargaining
agreement or other contract or understanding, if any, a notice advising
said labor organization or worker's representative of its commitments
under this Section 3 clause and shall post copies of the notice in
conspicuous places available to employees and applicants for
employment or training.
c. Subcontracts
The Subrecipient will include this Section 3 clause in every subcontract
and will take appropriate action pursuant to the subcontract upon finding
that the subcontractor is in violation of regulations issued by the grantor
agency. The Subrecipient will not subcontract with any entity where it
has notice or knowledge that the latter has been found in violation of
regulations under 24 CFR 135 and will not let any subcontract unless the
entity has first provided it with a preliminary statement of ability to comply
with the requirements of their regulations.
D. Conduct
1. Assignability
The Subrecipient shall not assign or transfer any interest in this Agreement
without the prior written consent of the Grantee thereto; provided, however,that
claims for money due or to become due to the Subrecipient from the Grantee
under this Agreement may be assigned to a bank, trust company, or other
financial institution without such approval. Notice of any such assignment or
transfer shall be furnished promptly to the Grantee.
2. Subcontracts
a. Approvals
The Subrecipient shall not enter into any subcontracts with any agency
or individual in the performance of this Agreement without the written
consent of the Grantee prior to the execution of such agreement.
b. Monitoring
The Subrecipient will monitor all subcontracted services on a regular
basis to assure contract compliance. Results of monitoring efforts shall
be summarized in written reports and supported with documented
evidence of follow-up actions taken to correct areas of non-compliance.
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c. Content
The Subrecipient shall cause all of the provisions of this Agreement in its
entirety to be included in and made a part of any subcontract executed in
the performance of this Agreement.
d. Selection Process
The Subrecipient shall undertake to insure that all subcontracts let in the
performance of this Agreement shall be awarded on a fair and open
competition basis and in accordance with all applicable procurement
requirements. Executed copies of all subcontracts shall be forwarded to
the Grantee along with documentation concerning the selection process.
3. Hatch Act
The Subrecipient agrees that no funds provided, nor personnel employed under
this Agreement, shall in any way or to any extent engage in the conduct of
political activities in violation of Chapter 15 of Title V United States Code.
4. Conflict of Interest
The Subrecipient agrees to abide by the provisions of 24 CFR 84.42 and
570.611 with respect to conflicts of interest, including but not limited to
the following:
a. The Subrecipient shall maintain a written code or standards of
conduct that shall govern the performance of its officers,
employees or agents engaged in the award and administration of
contracts supported by Federal funds.
b. No employee, officer or agent of the Subrecipient shall participate
in the selection, or in the award, or administration of, a contract
supported by Federal funds if a conflict of interest, real or
apparent, would be involved.
c. No covered persons who exercise or have exercised any
functions or responsibilities with respect to CDBG-assisted
activities, or who are in a position to participate in a decision-
making process or gain inside information with regard to such
activities, may obtain a financial interest in any contract, or have a
financial interest in any contract, subcontract, or agreement with
respect to the CDBG-assisted activity, or with respect to the
proceeds from the CDBG-assisted activity, either for themselves
or those with whom they have business or immediate family ties,
during their tenure or for a period of one (1) year thereafter. For
Cv purposes of this paragraph, a "covered person" includes any
person who is an employee, agent, consultant, officer, or elected
15
or appointed official of the Grantee, the Subrecipient, or any
designated public agency.
5. Lobbying
The Subrecipient hereby certifies that:
a. No Federal appropriated funds have been paid or will be paid, by
or on behalf of it, to any person for influencing or attempting to
influence an officer or employee of any agency, a member of
Congress, an officer or employee of congress, or an employee of
a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of
any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative
agreement; and
b. If any funds other than Federal appropriated funds have been
paid or will be paid to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of
a Member of Congress in connection with this Federal contract,
grant, loan, or cooperative agreement, it will complete and submit
Standard Form-LLL, "Disclosure Form to Report Lobbying," in
accordance with its instructions; and
c. It will require that the language of paragraph (d) of this
certification be included in the award documents for all sub-
awards at all tiers (including subcontracts, sub-grants, and
contracts under grants, loans, and cooperative agreements) and
that all Subrecipients shall certify and disclose accordingly:
d. Lobbying Certification - Paragraph d
This certification is a material representation of fact upon which
reliance was placed when this transaction was made or entered
into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by Section 1352, Title
31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each failure.
6. Copyright
If this Agreement results in any copyrightable material or inventions, the
Grantee and/or Grantor Agency reserves the right to royalty-free, non-exclusive
and irrevocable license to reproduce, publish or otherwise use and to authorize
others to use, the work or materials for government purposes.
16
7. Religious Organizations
The Subrecipient agrees that funds provided under this Agreement will not be
utilized for inherently religious activities, such as worship, religious instruction,
or proselytization in accordance with the Federal regulations specified in 24
CFR 570.200(j).
IX. ENVIRONMENTAL CONDITIONS
A. Air and Water
The Subrecipient agrees to comply with the following requirements insofar as they
apply to the performance of this Agreement:
- Clean Air Act, 42 U.S.C., 7401, et seq.
- Federal Water Pollution control Act, as amended, 33 U.S.C. 1251, et seq., as
amended, 1318 relating to inspection, monitoring, entry, reports, and
information, as well as other requirements specified in said Section 114 and
Section 308, and all regulations and guidelines issued thereunder.
- Environmental Protection Agency(EPA) regulations pursuant to 40 C.F.R., Part
50, as amended.
B. Flood Disaster Protection
In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42
U.S.C. 4001), the Subrecipient shall assure that for activities located in an area
identified by FEMA as having special flood hazards, flood insurance under the National
Flood Insurance Program is obtained and maintained as a condition of financial
assistance for acquisition or construction purposes (including rehabilitation).
C. Lead-Based Paint
The Subrecipient agrees that any construction or rehabilitation of residential structures
with assistance provided under this Agreement shall be subject to HUD Lead-Based
Paint Regulations at 24 CFR 570.608, and 24 CFR Part 35. Such regulations pertain
to all HUD-assisted housing and require that all owners, prospective owners, and
tenants of properties constructed prior to 1978 be properly notified that such properties
may include lead-based paint. Such notification shall point out the hazards of lead
based paint and explain the symptoms, treatment and precautions that should be
taken when dealing with lead-based paint poisoning and the advisability and availability
of blood lead level screening for children under seven. The notice should also point
out that if lead based paint is found on the property, abatement measures may be
undertaken.
D. Historic Preservation
The Subrecipient agrees to comply with the Historic Preservation requirements set
forth in the national historic Preservation Act of 1966, as amended (16 U.S.C.470)and
the procedures set forth in 36 CFR, Part 800, Advisory Council on Historic
17
Preservation Procedures for Protection of Historic Properties, insofar as they apply to
the performance of this Agreement.
In general, this requires concurrence from the State Historic Preservation Officer for all
rehabilitation and demolition of historic properties that are fifty years old or older or that
are included on a Federal, State, or local historic property list.
X. SEVERABILITY
If any provision of this Agreement is held invalid, the remainder of the Agreement shall
not be affected thereby and all other parts of this Agreement shall nevertheless be in
full force and effect.
XI. SECTION HEADINGS AND SUBHEADINGS
The section headings and subheadings contained in this Agreement are included for
convenience only and shall not limit or otherwise affect the terms of this Agreement.
XII. WAIVER
The Grantee's failure to act with respect to a breach by the Subrecipient does not
waive its right to act with respect to subsequent or similar breaches. The failure of
the Grantee to exercise or enforce any right or provision shall not constitute a waiver
of such right or provision.
XIII. ENTIRE AGREEMENT
This Agreement constitutes the entire agreement between the Grantee and the
Subrecipient for the use of funds received under this Agreement and it supersedes
all prior or contemporaneous communications and proposals, whether electronic,
oral, or written between the Grantee and the Subrecipient with respect to this
Agreement.
XIV. AUTHORITY TO EXECUTE AGREEMENT
The person or persons executing this Agreement on behalf of Subrecipient warrants and
represents that he/she has the authority to execute this Agreement on behalf of the
Subrecipient and has the authority to bind Subrecipient to the performance of its obligations
hereunder.
[END OF PAGE — SIGNATURES ON FOLLOWING PAGE]
Ce
18
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date first
written above.
Grantee Subrecipient
CITY OF CATHEDRAL CITY SHELTER FROM THE STORM
�i By:
0111611011111111.1.1.1.
.O-1.2r!gM
Name: Charles P. McClendon Name: gelina Coe
Title: City Manager Title: Executive Director
ATTEST:
• Clerk V
APPROVED AS TO FORM:
City Attorney
19
EXHIBIT "A"
SCOPE OF SERVICES
I. Shelter From the Storm (SFTS) will perform the following Services:
A. SFTS staff will provide safe and secure, undisclosed and confidential shelter
services to battered and abused persons and their children from July 1, 2014 through
June 30, 2015.
B. SFTS case management staff will provide case management services (CM),
defined as a client-centered service linking clients with appropriate and often extremely
necessary health care; social services; employment/benefit services; transportation
assistance; living skills; development of local resource knowledge and other services.
All assistance is designed to ensure timely and coordinated access to support services
from July 1, 2014 through June 30, 2015.
C. The Shelter services described above will assist at least 120 clients/individuals
during the contract period.
II. As part of the Services, SFTS staff will provide and deliver the following services to
clients:
A. Shelter services to include:
Nutrition:
Clients will receive three healthful meals and two snacks each day. They will learn
about proper nutrition, will experience foods from cultures other than their own,will
learn how to prepare healthful meals on a small budget, and, learn how use a
balanced and healthy diet to maintain stability.
Issuance Clothing and Hygiene Items:
Shelter From The Storm will distribute clothing and hygiene items to each client and
help the client to understand and maintain basic hygiene practices. Hygiene items
include a basic hygiene welcome kit, hot showers daily, fresh linens, client laundry
services and referrals with follow-up to address any special hygiene needs of the
clients.
Transportation Assistance:
Each client will be transported by staff to and from advocacy appointments(off-site
doctor's visits, court appointments, housing interviews as necessary), and staff will
remain with the client during these appointments, at the client's request. SFTS
clients are also supplied with SunLine bus passes as needed for medical
appointments, employment searches, affordable housing searches, appointments
to apply for mainstream benefits, etc. without charge.
A-1
Medical and Mental Health Services:
Clients will undergo a medical/health assessment within the first 24 hours of
entering the program and will be referred to the volunteer physician at the shelter's
on-site medical clinic for urgent medical treatment and follow up care. Immediate
medical needs will be addressed and prescriptions will be provided, as needed.
Financial assistance to fill prescriptions will be provided for those without medical
prescription insurance coverage. Clients will work with clinical therapists and
undergo a mental health services assessment. Clients will receive counseling to
understand the cycle of violence in which they are trapped, how to end that cycle,
and what they can do to build a life free from violence and guarantee their safety,
as individuals and as a family unit.
B. Case Management Services to include:
Staffing
Competent, para-professional and professional bilingual staff members will be
provided to administer the program, all of whom are trained and State certified
Domestic Violence Advocates (via the State Mandated 40 Hour Domestic Violence
Advocate Training Program) to work with a multi-ethnic population and deliver
services in a non-discriminatory manner. Invaluable formal case management and
assistance is provided to participants to access services from community partners
in order to prepare for and secure gainful employment, manage family finances,
secure and maintain affordable housing and deal successfully with other self-
sufficiency issues.
Upon entry into the emergency crisis domestic violence shelter, clients meet with the
Case Manager who conducts a comprehensive assessment of women and families'
housing and service needs. Each client is assisted to develop a written case
management plan with quantifiable self-sufficiency goals in the areas of:
• Job training
• Employment
• Child care
• Transportation
• Education
• Financial literacy (e.g. opening a bank account, balancing a checkbook)
• Health care (i.e. finding a medical provider for themselves and their children)
• Accessing resources & public benefits such as food Stamps and Medical
• Support Networks, including participation in ongoing support groups
• Transitional and Permanent Housing
During the twice weekly meetings with the Case manager, clients discuss their progress
toward their personalized self-sufficiency goals and how to overcome barriers to greater
A-2
independence including breaking the cycle of violence in their lives and that of their
children, once they transition from the shelter to the community.
Work Plan
Clients are assisted with becoming self-sufficient and preventing future
homelessness as well as overcoming/breaking the cycle of domestic violence in
their lives and those of their children.
(a) Adjusting to Communal Living Crisis Shelter Environment:
Clients will be provided crisis shelter in a communal living environment for a
maximum of 45-days at the emergency crisis domestic violence shelter.
(b) Participating in the Process of Identifying and Achieving Goals
Upon entry into the emergency crisis domestic violence shelter, clients will meet
with the Case Manager to complete comprehensive assessment of housing and
service needs. A written case management plan is develop with quantifiable self-
sufficiency goals.
(c) Developing and Individualized Safety and Housing Plan
Participants develop an Individualized Safety and Housing Plan with program staff.
Each participant begins developing an Individualized Safety Plan and Individualized
Housing Plan by completing an assessment with staff. The assessment identifies
each participant's current level of safety and readiness for moving into more
permanent, stable housing and indicates areas where additional skills may be
needed to live successfully in such housing free from continued violence.
(d) Development of Skills to Obtain Permanent Housing
Case Management Staff assists participants in identifying their needs and monitor
their performance goals. Success rates will be recorded; outcome measures are to
include: public benefit approvals and/or income achieved; money management
skills developed; medical and mental health care referrals, appointments from
referrals attended; crisis/peer counseling sessions offer/attended; substance abuse
treatment referrals (if applicable); mainstream resources accessed; and other life-
skills trainings offered and received.
(e) Participant Advocacy
Advocacy is provided to help participants with obtaining a permanent restraining
order(RO), public benefit approval, and housing placement. CM staff provide court
and public benefit application accompaniment and provide letters of support to link
participants to other resources and housing placement
(g) Reporting
A monthly service report from Shelter From The Storm is required. This report shall
A-3
be a listing of active clients participating in this program each assigned a distinct
number to track services provided to them. This will allow verification without
compromising client confidentiality.
Procedures
Shelter From The Storm Inc. (SFTS) provides formal case management,
which is well integrated into SFTS' Emergency Crisis domestic Violence
Shelter program and is designed to foster shelter clients' self-sufficiency and
prevent future homelessness. Case management assist homeless women to
access the services of our numerous community partners in order to prepare
for and secure gainful employment, manage family finances, secure and
maintain affordable housing and deal successfully with other self-sufficiency
issues. Upon entry into the emergency crisis domestic violence shelter,
clients meet with the Case Manager who conducts a comprehensive
assessment of women and families' housing and service needs. Each client
is assisted to develop a written case management plan with quantifiable self-
sufficiency goals in the areas of:
o Job training
o Employment
o Child care
o Transportation
o Education
o Financial literacy (e.g. opening a bank account, balancing a checkbook)
o Health care (i.e. finding a medical provider for themselves and their
children)
o Accessing resources &public benefits such as food Stamps and Medical
o Support Networks, including participation in ongoing support groups
o Transitional and Permanent Housing
During the twice weekly meetings with the Case manager, clients discuss
their progress toward their personalized self-sufficiency goals and how to
overcome barriers to greater independence including breaking the cycle of
violence in their lives and that of their children, once they transition from the
shelter to the community.
III. During performance of the Services, SFTS staff will keep the City appraised of the
status of performance by delivering the following status reports:
A. Quarterly accomplishment reports, July 2014 through June 2015.
B. Quarterly direct benefit activity report, July 2014 through June 2015.
A-4
Cr( IV. The tangible work status reports will be delivered to the City pursuant to the
following schedule:
A. Within 10 days of the end of the month, for monthly reports.
B. As agreed upon at the time of request.
V. SFTS will utilize the following personnel and supplies to accomplish the Services:
A. The SFTS shelter and case management staff as necessary to provide services
requested;
B. Supplies need to provide described shelter services.
VI. AMENDMENT
The Scope of Services, including services, work products, and personnel, are subject to
change by mutual written agreement (pursuant to Section V.F of this Agreement). In the
absence of mutual Agreement regarding the need to change any aspects of performance,
Shelter from the Storm shall comply with the Scope of Services as indicated above.
Cy-
A-5
EXHIBIT "B"
COMPENSATION
I. Shelter from the Storm shall use the following rates of pay in the performance of the
Services:
A. In conformance with OMB Circular A-110 and A-122
II. The City will compensate Shelter from the Storm for the Services performed upon
submission of a valid invoice. Payments will be made on a reimbursement basis. Each
invoice is to include:
A. Line items for all personnel describing the number of hours worked the hourly rate
and all associated costs of employment with supporting documentation.
B. Line items for all supplies properly charged to the Services with supporting
documentation.
III. The total compensation for the described services shall not exceed $3,000, to be
expended in substantial accordance with the following budget:
Line Item Amount
(1) Personnel Services $3,000
Salaries and related costs of staff
(2) Non-Personnel Services $0
Space rent, utilities, liability insurance, travel
expenses, equipment leases and supplies
(3) TOTAL (1-2) $3,000
B-1
EXHIBIT "C"
SUBRECIPIEINT INSURANCE REQUIREMENTS
A. Policies. Sub recipient, at Sub recipient's own cost and expense, shall procure
and maintain, for the duration of this Agreement, the following insurance policies:
1. Workers'Compensation Coverage. Sub recipient shall maintain Workers'
Compensation Insurance and Employer's Liability Insurance for its employees in accordance
with the laws of the State of California. In addition, Sub recipient shall require each
subcontractor to similarly maintain Workers' Compensation Insurance and Employer's Liability
Insurance in accordance with the laws of the State of California for all of the subcontractor's
employees. Any notice of cancellation or non-renewal of all Workers' Compensation policies
must be received by the City at least thirty (30) calendar days prior to such change. The
insurer shall agree to waive all rights of subrogation against the City, its officers, agents,
employees, and volunteers for losses arising from work performed by Sub recipient for the
City.
2. General Liability Coverage. Sub recipient shall maintain commercial
general liability insurance in an amount not less than one million dollars ($1,000,000) per
occurrence for bodily injury, personal injury and property damage. If a commercial general
liability insurance form or other form with a general aggregate limit is used, either the general
aggregate limit shall apply separately to the work to be performed under this Agreement or the
general aggregate limit shall be at least twice the required occurrence limit.
3. Automobile Liability Coverage. Sub recipient shall maintain automobile
liability insurance covering bodily injury, personal injury and property damage for all activities
of the Sub recipient arising out or of in connection with the work to be performed under this
Agreement, including coverage for owned, hired and non-owned vehicles, in an amount of not
less than one million dollars ($1,000,000) combined single limit for each occurrence.
4. Professional Liability Coverage. Sub recipient shall maintain professional
errors and omissions liability insurance for protection against claims alleging negligent acts,
errors or omissions which may arise from Sub recipient's operations under this Agreement,
whether such operations are by the Sub recipient or by its employees, subcontractors, or sub
recipients. The amount of this insurance shall not be less than one million dollars
($1,000,000) per occurrence.
B. Endorsements. Each general liability and automobile liability insurance policy
shall be with insurers possessing a Best's rating of no less than A:VII and shall be endorsed
with the following specific language:
1. The City of Cathedral City and the City, their elected or appointed
Co; officers, employees, agents and volunteers are to be covered as additional insured's with
respect to liability arising out of work performed by or on behalf of the Sub recipient, including
materials, parts or equipment furnished in connection with such work or operations.
C-1
2. This policy shall be considered primary insurance with respect to the City,
its elected or appointed officers, officials, employees, agents and volunteers. Any insurance
maintained by the City, including any self-insured retention the City may have shall be
considered excess insurance only and shall not contribute with it.
3. This insurance shall act for each insured and additional insured as
though a separate policy had been written for each, except with respect to the limits of liability
of the insuring company.
4. The insurer waives all rights of subrogation against the City, its elected or
appointed officials, officers, employees or agents.
5. Any failure to comply with reporting provisions of the policies shall not
affect coverage provided to the City, its elected or appointed officers, officials, employees,
agents or volunteers.
6. The insurance provided by this policy shall not be suspended, voided,
canceled, or reduced in coverage or in limits except after thirty (30) calendar days' written
notice has been received by the City.
C. Deductibles and Self-Insured Retentions. Any deductibles or self-insured
retentions must be declared to and approved by the City. At the City's option, Sub recipient
shall demonstrate financial capability for payment of such deductibles or self-insured
retentions.
D. Certificates of Insurance. Sub recipient shall provide certificates of insurance
with original endorsements to the City as evidence of the insurance coverage required herein.
Certificates of such insurance shall be filed with the City on or before commencement of
performance of this Agreement. Current certification of insurance shall be kept on file with the
City at all times during the term of this Agreement.
C
C-2
-�'1 SHELT-1 OP ID: TE
AACCPRCY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDKYYY)
09/05/2014
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
Curtis&Harris Insurance Sery NAME: Hugh K.Curtis
CA License#OF30715 PH N ,Est):760-778-8787 I FAX c,No): 760-778-7676
1801 E.Tahquitz Cyn,S1E201 n DRESS:hugh@curtisharrisinsurance.com
Palm Springs,CA 92262
Hugh K.Curtis INSURER(S)AFFORDING COVERAGE NAIC
INSURER A:Philadelphia Insurance Company 23850
INSURED Shelter from the Storm INSURER B:State Compensation Ins. Fund 35076
73-550 Alessandro#102,103&
INSURER C:
Palm Desert,CA 92260
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1
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.
INSR TYPE OF INSURANCE ADM_SUER POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR X X PHPK1195339 07/01/2014 07/01/2015 pREMISES EaoNcurOence) $ 100,000
MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
X POLICY PEO LOC PRODUCTS-COMP/OPAGG $ 2,000,000
OTHER: $
AUTOMOBILE LIABILITY CO aBINEDtj INGLE LIMIT $ 1,000,000
ANY AUTO PHPK1195339 07/01/2014 07/01/2015 BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS )
X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE
AUTOS $
(Per accident)
X UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 1,000,000
A EXCESS LIAB CLAIMS-MADE PHUB464362 07/01/2014 07/01/2015 AGGREGATE _ $ 1,000,000
DED I X RETENTION$ 10,000 $
WORKERS COMPENSATION X STATUTE ER H
AND EMPLOYERS'LIABILITY
B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X 9078032-14 04/01/2014 04/01/2015 E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? NI A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
A Professional PHPK1195339 07/01/2014 07/01/2015 Ea.Occ. 2,000,000
Liability Aggregate 2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHCLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
The City of Cathedral City and their elected or appointed officers,
employees,agents and volunteers are named as additional insured per attached
form CG2026 07/04 when required by a written contract. Waiver of
subrogation applies per attached form CG2404 05/09 when required by written
contract. Primary wording applies when required by a written contract.
CERTIFICATE HOLDER CANCELLATION
CITYOFC
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Cathedral City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ty ACCORDANCE WITH THE POLICY PROVISIONS.
C Attn: Charles McClendon
City Manager AUTHORIZED REPRESENTATIVE
68700 Avenida Lalo Guerrero
Cathedral City,CA 92234 -C :f
1
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
NOTEPAD: HOLDER CODE CITYOFC SHELT-1 PAGE 2
INSURED'S NAME Shelter from the Storm OP ID: TE Date 09105/2014
Waiver of subrogation applies to workers compensation per form 10217 (to
follow from carrier) when required by a written contract.
co POLICY NUMBER PHPK1195339 COMMERCIAL GENERAL LIABILITY
CG 20 26 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
I Name of Additional Insured Person(s)or Organization(s)
The City of Cathedral City and its officers,volunteers, employees,
contractors and subcontractors
Information required to complete this Schedule,if not shown above,will be shown in the Declarations
Section II-Who Is An Insured 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"or"personal and advertising injury"
caused, in whole or in part,by your acts or omissions
or the acts or omissions of those acting on your
behalf:
A. In the performance of your ongoing
operations:
or
B. In connection with your premises owned by
or rented to you.
CG 20 26 07 04 Copyright,ISO Properties,Inc.,2004 Page 1 of 1
COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
POLICY NUMBER:PHPK1195339
WAIVER OF TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
Any person or organization, but if the following conditions are met:
a) You have expressly agreed to the waiver in a written contract entered into by you; and
b) The injury or damage occurs subsequent to the execution of the written contract.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations
The following is added to Paragraph 8. Transfer of out of your ongoing operations or"your work"done under a
Rights Of Recovery Against Others To Us of contract with that person or organization and included in the
Section IV—Conditions: "products-completed operations hazard". This waiver
applies only to the person or organization shown in the
We waive any right of recovery we may have against the Schedule above.
person or organization shown in the Schedule above
because of payments we make for injury or damage arising
CG 24 04 05 09