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HomeMy WebLinkAboutA7290 - NEURO VITALITY CENTERPALM SPRINGS COMMUNITY & ECONOMIC DEVELOPMENT FACADE IMPROVEMENT GRANT AGREEMENT FACADE IMPROVEMENT GRANT AGREEMENT (OWNER) THIS FACADE IMPROVEMENT AGREEMENT (the "Agreement") is made and entered into this 28 day of August, 2018 by and between the City of Palm Springs, Community & Economic Development ("City"), and Neuro Vitality Center ("Owner"). Collectively the City and Owner are referred to as the Parties. gx0l11r_l161 A. City has established an Exterior Property Improvement Grant program for businesses in the City of Palm Springs. B. Owner is the Owner of a real property or business located at 2800 East Alejo Road, Palm Springs, ("Property"), otherwise known as Windermere Homes & Estates (building or business). C. The City shall provide a Grant not to exceed $5,000 with a match contribution from the applicant. The Grant shall be 50% of the amount of the actual approved expenditure for the improvements described in Exhibit "D", up to the $5,000 cap. D. Owner has applied for a Grant in the amount of $5,000 to make exterior improvements to the Property as described in Exhibit "B," Scope of Work. E. Owner has received all necessary approvals from the City's Planning, Building or Engineering Departments, which are shown in Exhibit "C", Evidence of Approval. The estimated cost of the work proposed is $43,600 as shown in Exhibit "D". F. The City has reviewed the application, the evidence of financial participation by Owner, the location of the Property, and the approvals, and has approved the Grant Application. NOW, THEREFORE, in consideration of the promises and mutual agreements contained herein, City agrees to grant to Owner the amount of $5,000 and Owner agrees to undertake the approved improvements, under the following terms and conditions: AGREEMENT 1. Property Owner Right to Undertake Work. Owner represents that it is the Owner of the Property entitling owner to undertake exterior physical improvements to the Property. 2. No Agency Relationship. Owner understands and acknowledges that this grant creates no agency relationship between Owner and City. 3. No Conflict of Interest. Owner, by accepting this Grant, affirms that Owner, its officers, or employees neither are employed by the City nor does Owner, its officers, or employees serve on any City board or commission or otherwise have a fiduciary duty to the City that is a conflict of interest, a potential conflict of interest or creates the appearance of impropriety. 4. Schedule. The Parties agree that all exterior improvements shall be completed within 90 days of the date of this Agreement. 5. Contractor. The Parties agree that Owner has sole responsibility for choosing and hiring the contractor, which shall be shown in Exhibit "D", ContractorNendor Agreements, and the acceptance of the material used and the work performed is the Owner responsibility, and the City is not a party to any agreement with the vendor or contractor and does not guarantee the quality of workmanship of the property improvements, nor have any liability whatsoever therefor. At all times hereunder, the Contractor shall have a valid City of Palm Springs Business License. 6. Design Approval and Permits. The Parties agree that Owner has sole responsibility for obtaining design approval and evidence of required permit approvals from the City of Palm Springs as shown in Exhibit C, and ensuring the compliance with those permits. 7. Grant Limitations. The maximum City matching grant shall not exceed $5,000 The estimated cost of the work proposed is $43,600, as shown in Exhibit "D". 8. Evidence of Completion and Open for Business. The Parties agree that the City will release the Grant funds upon the completion of the work by the Owner or his contractor. Evidence of completion shall include but is not limited to: photographs of the finished work; a final inspection by a representative of the City of Palm Springs; and, a copy of the final invoice for the work completed and proof of payment to the contractor. The business must be open to consumers. 9. Release of Liens. The Parties Agree that the Owner is responsible for obtaining the release of any Mechanics Liens or other liens placed upon Owner's property by any contractor or subcontractor hired under this program. 10. Maintenance. Owner agrees and covenants that, after the City issues its Certificate of Completion, Owner shall be responsible for maintenance of all E improvements that may exist at the Property from time to time, including without limitation buildings, parking lots, lighting, signs, and walls in first-class condition and repair, and shall keep the Property free from any accumulation of debris or waste materials. Owner shall also maintain all landscaping required pursuant to Property's approved landscaping plan, if any, in a healthy condition, including replacement of any dead or diseased plants with plants of a maturity similar to those being replaced. Owner hereby waives any notice, public hearing, and other requirements of the public nuisance laws and ordinances of the City that would otherwise apply. MISCELLANEOUS PROVISIONS 11. Covenant Against Discrimination. In connection with its performance under this Agreement, Owner shall not discriminate against any employee or applicant for employment because of actual or perceived race, religion, color, sex, age, marital status, ancestry, national origin ( i.e., place of origin, immigration status, cultural or linguistic characteristics, or ethnicity), sexual orientation, gender identity, gender expression, physical or mental disability, or medical condition (each a "prohibited basis"). As a condition precedent to City's lawful capacity to enter this Agreement, and in executing this Agreement, Owner certifies that its actions and omissions hereunder shall not incorporate any discrimination arising from or related to any prohibited basis in any Tenant activity, including but not limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship; and further, that Tenant is in full compliance with the provisions of Palm Springs Municipal Code Section 7.09.040, including without limitation the provision of benefits, relating to non-discrimination in city contracting. Owner shall ensure that applicants for employment, and its employees are treated with dignity, respect, and equality and shall not be discriminated against on any unlawful basis. 12. Prevailing Wages. Hold Harmless, and Defend. Owner agrees to fully comply with all applicable federal and state labor laws including, without limitation California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq. ("Prevailing Wage Laws"). Owner shall bear all risks of payment or non-payment of prevailing wages under California law, and Owner hereby agrees to defend, indemnify, and hold the City, its officials, officers, employees, agents and volunteers, free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 13. Notice. Any notice, demand, request, consent, approval, or communication either party desires or is required to give to the other party or any other person shall be in writing and either served personally or sent by pre -paid, first-class mail to the address set forth below. Either party may change its address by notifying the other party of the change of address in writing. Notice shall be deemed communicated seventy-two (72) hours from the time of mailing if mailed as provided in this Section. 3 To City: City of Palm Springs City Manager/City Clerk 3200 E. Tahquitz Canyon Way Palm Springs, California 92262 To Owner: Neuro Vitality Center 2800 East Alejo Road Palm Springs, Ca 92262 Attn: Jonathon Caldwell 14. Integrated Agreement. This Agreement contains all of the agreements of the parties and cannot be amended or modified except by written agreement. 15. Amendment. This Agreement may be amended at any time by the mutual consent of the parties by an instrument in writing. 16. Severability. In the event that any one or more of the phrases, sentences, clauses, paragraphs, or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs, or sections of this Agreement, which shall be interpreted to carry out the intent of the parties hereunder. 17. Indemnification. Owner shall indemnify, hold harmless, and defend the City of Palm Springs ("City"), the City Council, its officers, agents, employees and contractors free and harmless from any liability whatsoever based and asserted upon any act or omission of the City for property damage, bodily injury, or death or any other element of damage of any kind or nature, relating to or in any way connected with participation in the Program. 18. Authority. The persons executing this Agreement on behalf of the parties hereto warrant that they are duly authorized to execute this Agreement on behalf of said parties and that by so executing this Agreement the parties hereto are formally bound to the provisions of this Agreement. Owner certifies that the above statements are true and accurate to the best of Owner's belief. Failure to meet any of the terms of this Agreement shall result in the forfeiture of any Grant funds from the City for this program. 4 IN WITNESS WHEREOF, the parties have executed this Agreement as of the dates stated below. "City' City of Palm Springs Date: _ � 1-u I I � By: ag-".e Jay V ata Director Comm1wffy & Economic Development jQ Date:_ -7- 23 .2` / By. David H. Ready, Esq City Manager "OWNER" Date: By: R E i � Date: ��� � �a EXHIBIT "A" MAP Neuro Vitality Center (dba Stroke Recovery Center) 2800 E. Alejo Road CK i7ence. t r�. E Tamarisk Rd Verna C" UPS Local Demimonde Palm �= Facility & : 'a . '. Springs • � customer.- Quin )MA 7 LA u 2800 E Alejo Rd, Palm Springs, CA 92262 Bairn Springs . es Unified School -Di._ �a Globe Ham es & r, Condos LY'SBatita>>15.. Healthcare f Cir1 Dr � E A mado Rai r-1 EXHIBIT "B" SCOPE OF WORK Creation of steel frame awning at entrance. (See Schedule B of Bid Schedule) EXHIBIT "C" EVIDENCE OF APPROVAL (PLANNING, BUILDING, ENGINEERING DEPARTMENT) SEE NEXT PAGE �41FOR�, Date 03/28/2019 Submitted City of Palm Springs BUILDING PERMIT Building Address: 2800 Alejo Rd E Owner Address Stroke Recovery Center 2800 Alejo Rd E Contractor Design Construction Architect Engineer Case No.: 9113.2863 Palm Springs CA Address 74-821 Merle Dr Palm Desert CA Address Address Permit Alberto Gradilla Technician Phone 760 323 7676 Phone Lic. Number 760 986 6891 994016 Phone Phone Lot # Block # Tract Parcel Number + 607-380-026 Lot Size Zone Occupancy 202118 Building Sq. Ft. Garage/Carport Roofed Patio/Porch Remodeled Area New 15180 0 0 0 Use of building Permit Type Const. Type Commercial Commercial Addition/alteration Fire Sprinkler Units Valuation Permit Fees Paid 0 60000.00 1103.73 Describe work in detail: New entry canopy and upgrade parking lot for accessibility compliance Special Conditions: DO NOT CONCEAL OR COVER ANY CONSTRUCTION UNTIL THE WORK IS INSPECTED IIIA0r%OYA KIT Fixture Units The issuance of this permit shall not be held to be an approval of the violation of any provisions of any city or county ordinance or state law. Inspections of work are subject to an approved set of plans being on the job. Changes to plans are not to be made without permission of the Building and Safety Divisions. The owner and/or contractor is responsible for establishing all property lines. All utilities must be underground. This permit will expire if work is not started in 180 days or if more than 180 days elapses between inspections. I certify that I am familiar with all requirements of the City of Palm Springs as they apply to this permit and understand that these requirements must be completed prior to final inspection and that no certification of occupancy will be issued until such time as these requirements are met. I certify that I have read this ap o and state tha Information Is true and correct. Vfz31 19 W� NNZOKIT42'1`O'1tNAGE'f — DATE ISSUED BY Finaled This is a builds er it when prope 1y filled out, signed and validated, and is not transferable. PERMIT NUMBER ZU`i 9-1 Z3O EXHIBIT "D" CONTRACTORNENDOR AGREEMENT - PROPOSAL - ESTIMATE SEE NEXT PAGE .1c" U.S. DEPARTMENT OF HOUSING and URBAN DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM GENERAL CONTRACTOR'S CERTIFICATION Contractor's Name: ^ �l-j�-QL�'q '�+'\moo=i...c• `.,:�y ��'�.'. C/o Date '2.'A 0 72C, 19 Project Number (if any) Project Name i O c ev", T VL-,Ae4-J CL Cy "3'C:A 10 aL The undersigned, having executed a contract with for the construction of the above identified project, acknowledges that: (a) The Labor Standards provision are included in the aforesaid contract: (b) Correction of any infractions of the aforesaid conditions, including infractions by any of General Contractor's sub -contractors, is his/her responsibility: 2. The General Contractor certifies that: (a) Neither he/she nor any firm, partnership or association in which he/she has substantial interest in is designed as an ineligible contractor by the Controller General of the United States pursuant to Section 5.6(b) of the Regulations of the Secretary of Labor, Part 5 (29 CFR Part 5) or pursuant to Section 3(a) of the Davis -Bacon Act, as amended (40 U.S.C. 276a-2(a) (b) None of the aforementioned contract has been or will be subcontracted to any Sub -contractor is such Sub -contractor or any firm, corporation, partnership or association in which such substantial interest is designated as an ineligible contractor pursuant to any of the aforementioned regulator or statutory provisions. 3. The General Contractor agrees to obtain and forward to the aforementioned recipient within ten days (10 days) after the execution of any subcontract, including those executed by his/her Sub-contractor(s) and any lower tier Sub-contractor(s) a Sub -contractor's Certification Concerning Labor Standards and Prevailing Wage Requirements executed by the Sub-contractor(s). 4. The General Contractor certifies that: (a) The legal name and the business address of the undersigned: b) The undersigned is: (1) SINGLE PROPRIETORSHIP (3) A CORPORATION ORGANIZED IN THE STATE OF (2) A PARTNERSHIP :_� 1 ,/ (4) OTHER ORGANIZATI 116 Form must be completed in its entirety. a� BID SCHEDULE A Lump Sum Price for Construction of (Side Entrance Exterior Renovation Project) (Neuro Vitality Center) (2800 E Alejo Rd. Palm Springs, CA 92262) ,AMPLE PROJECT DESCRIPTION: - Creation of new ramped entrance for easier accessibility for patients with neurological disabilities who use walkers and wheelchairs - Creation of planters on both sides of entrance - Resurfacing of parking lot to ADA compliance - Creation of walk ways for clients in parking lot - Realigning of parking spaces and handicap parking SCHEDULE A: TOTAL BID PRICE — FOR SCHEDULE A For the lump sum of: $ (Price in figures) (Price in words) Name of Bidder BID SCHEDULE B Lump Sum Price for Construction of (Side Entrance Exterior Renovation Project) (Neuro Vitality Center) (2800 E Alejo Rd. Palm Springs, CA 92262) SAMPLE PROJECT DESCRIPTION: - Creation of steel frame awning at entrance SCHEDULE B: TOTAL BID PRICE — FOR SCHEDULE B For the lump sum of: (Price in figures) (Price in words) Name of Bidder TOTAL BID PRICE — FOR SCHEDULE A PLUS SCHEDULE B For the lump sum of $ (Price in figures) (Price in words) 1%IC' �7 � l.: �� �.��' SAS (��.. d,•a �� 1 �% ��� Name of Bidder Two Originals Executed Bond No. 803880P Premium: Included in Performance Bond Premium PAYMENT BOND (Public Work - Civil Code 3247 et seq.) The makers of this Bond are Design Construction as Principal and original Contractor and Indemnity Company of California a Corporation, authorized to issue Surety Bonds in California, as Surety. This Bond is issued in conjunction with that certain public works contract dated 10 April 2019 , between Principal and Neuro Vitality Center , Owner as Obligee. The BOND amount is one hundred percent (1000/,) of the contract price of One Hundred Ten Thousand Nine Hundred Seven and No/100ths Dollars ($110,907.00). Said contract is for public work generally consisting of Side Entrance Exterior Improvement Project. The beneficiaries of this Bond are as is stated in 3248 of Civil Code and the requirements and conditions of this Bond are as is set forth in 3248, 3249, 3250 and 3252 of said Code. Without notice, Surety consents to extension of time for performance change in requirements, amount of compensation, prepayment under said contract. Dated April 15, 2019 Indemnity Company of California Byv�-� 1- (Surety) W wke LOfrenz r Title Attorney -in -fact (Corporate Seal) Design Construction By Ori { r - Principal 6l41i'Z6sr Title _ g�iNLrL_ (If corporation - affix seal) See attached California All -Purpose Notary Acknowledgment with required State of California notary wording STATE OF CALIFORNIA COUNTY OF On ) ss SURETY'S ACKNOWLEDGEMENT before me personally appeared known to me to be the person whose name is subscribed to the within the instrument as attorney in fact of a corporation, and acknowledged that he subscribed the name of said corporation thereto, and his own name is its attorney in fact. Notary Public 15B Form must be completed in its entirety. (Seal) (Side Entrance Exterior Renovation Project) (Neuro Vitality Center) (2800 E Alejo Rd. Palm Springs, CA 92262) SAMPLE PROJECT DESCRIPTION: SCHEDULE B: TOTAL BID PRICE — FOR SCHEDULE B For the iump sum of: $ JAI, & 00 (Price in figures) $ �© F11� Tti[i:i !J DiLti (Price in words) pv,�oroo zMMCV) M aO�cN�OCi Q U � w Q000000 z — N cn Wrn W 00 N V � � ►� M� w`''x F zoo00 QNNNN 0 00 N0 ^ N d [.yNNN fV en cn cn m (ON" d A p.�0000 �Ud W �zz a ZaH �zz O 0 W U �dP4 0x �A aHo °¢ o04 a�. UU) U z O¢F NoO Pcq 8D0W Wit �Wd NUC7 Ate UMW w z0A rA E z� w v nz vP� Eli 99 as a� o a, oa 0 N N U a w W A A Neuro Vitality Center Fagade Improvement Grant Overall project costs Bid Schedule A - side entrance exterior renovation project Bid Schedule B - creation of steel frame awning at entrance Funding Source City of Palm Springs CDBG 2019/2020 FY Applied for Facade Grant Non funded overall project costs Non funded project costs for Schedule B (applies to Fagade Grant) $110,907 $67,307.00 $43,600.00 $15,670.00 $5,000.00 $90,237.00 $22,930.00 CONTRACT ABSTRACT CI ontract Company Name Company Contact Summary of Services Contract Price Funding Source Contract Term Recordinq Requested Contract Administration Lead Department: Contract Administrator: Neuro Vitality Center Jonathan Caldwell Fagade Improvement Grant Agreement $5,000.00 Economic Incentive Focus—1400-59422 N/A n/a Community & Economic Development Jay Virata, Director Contract Approvals Council Approval Date: Agenda Item No./ Resolution No.: Agreement No: Contract Compliance Exhibits: Signatures: Insurance: Bonds July 2018 - Business Retention Council Subcommittee n/a -k q Z-.q 0 N/A Obtained applicants N/A N/A Contract prepared by: Cathy Van Horn Submitted on: June 24, 2019 By: Cathy Van Horn 7?i/ 196TROREC-01 DNIEL CERTIFICATE OF LIABILI INSURANCE DATEILIc,' . N 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(ies) must have ADDITIONAL INSURED provisions or 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 License # 0757776 1 ueNi,ACT Virginia Ramirez Desert, CA 92211 INSURED Services Inc. Stroke Recovery Center dba: Neuro Vitality Center 2800 E. Alejo Road Palm Springs, CA 92262 � IM Na. Eau: (760) 360-4700 4252 1 i2. 11e14760) 200-5841 1 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 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 TYPEOFINSURANCE AODL SUB 01 POLICY NUMBER POLICY EFF PODCYEXP LINnS A X COMMERCIAL GENERAL LIABILITY CWMS-MADE OX OCCUR X 2022-06766 211/2022 2/1/2023 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED f 500,000 MED EXP (My one S 20,000 PERSONAL S ADV INJURY s 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY 7000T El LOC OTHER. GENERALAGGREGATE 31000,000 PRODUCTS-COMP/OP AGO 3,000,000 LICIOUR LIABILIT 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS SSWNEp AUTOS ONLY X AUTOS ONLY 2022-06766 211/2022 2/1f2023 COMBINED SINGLE LIMIT 1,000,000 X BODILY INJURY Per f BODILY INJURY Par accitlanl X P�aPEttR0 DAMAGE A UMBRELLA UAS EXCESSUAB X OCCUR CWMS44ADE 2022-06766-UMB 2N/2022 2(112023 EACH OCCURRENCE 2,000.000 X AGGREGATE 2,000,000 DED X RETENTIONS 10,000 B WORKERS COMPENSATION ANDEMPLOYERS'DABIDTY YIN AQNFY PROPREIETgO�Rq,PARTNERIEXECUTIVE ❑ K.F1=in NH) EXCLUDED? IN B yes, describe urslar DESCRIPTION OF OPERATIONS below NIA 9121137-23 1l1/2023 1/1/202A )( PER OTH- E.L. EACH ACCIDENT 1,000,000 E.L DISEASE - EA EMPLOYEE 1,000,000 E.L DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, AddlUonal Remarks Schedule, may be aeeched N more space Is required) Re: Village Fest RECEIVED City of Palm Springs is included as an Additional Insured as per the attached endorsement. DEC 192022 City Hall Reception Desk City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 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 44u -_ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2022-06766 COMMERCIAL GENERAL LIABILITY Named Insured: Stroke Recovery Center dba: Neuro Vitality Center CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR Ce73eywlLlIYATwe7T This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations Location(s) Of Covered Operations Any person or organization that you are required to All insured premises and operations. add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 © Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work' out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 12 19 © Insurance Services Office, Inc., 2012 Page 2 of 2 a 4; t. �'? T a7->"J 0 II v—STROREC-01 ri a - DNIELSEN D TE(MMI2022n ,4lllkm�K0 CERTIFICATE OF LIABILITY INSURANCE 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(ies) must have ADDITIONAL INSURED provisions or 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 certi0cate holder in lieu of such endorsements . PRODUCER License # 0757776 C ACT Virginia Ramirez HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite201 PHOIIIo,Ext: 760 360-47004252 W.No:(760) 2005841 Upm, .virginia.ramf hubintemational.com Palm Desert, CA 92211 INSURERS) AFFORDING COVERAGE NAICa INSURER A: Nonprofits' Insurance Alliance of Calffomia Inc 01184 INSURED INSURER B: State Compensation Insurance Fund of California 35076 INSURERC: Stroke Recovery Center dba: Neuro Vitality Center INSURER D: 2800 E. Alejo Road Palm Springs, CA 92262 INSURER E INSURER F : 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 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 ADDL Jm SUB POLICY NUMBER 1MMIDDNYYYIPOLICY EFF POLICY EXP LIMITS A X COMMERCIALGENERAL LIABILITY CLAIMS MADE FA] OCCUR X X 2022.06766 2/1/2022 2/1/2023 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED $ 600,000 MED EXP (Any one 20,000 PERSONAL a ADV INJURY 1,000,000 GEHL AGGREGATE LIMITAPPLIES PER: X POLICY j�T LOC OTHER GENERAL AGGREGATE 3,000,000 PRODUCTS-COMP/OP AGO 3,000,000 LICIOUR LIABILIT 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO ONMED SCHEDULED AU�RRTEEO��S ONLY 1A�UUTTIOSSyM�p X RUTOS ONLY X AUTOS IXJLV 2022-06766 2/1/2022 2/1/2023 COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY Per BODILY INJURY PeraoocwA PRwOP AMAGE PEACHOCCURRENCE A UMBRELLA LIAB EXCESSLJAS X OCCUR CLAIMSWADE 2022-06766-UME 2/1/2022 2/1/2023 2,000,00O X AGGREGATE 2,000,000 DED X RETENTIONS 10,000 B WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN pFFICERMEM EXCLUDED? Iraandatwy in � K yes describe under DESERIPTION OF OPERATIONS bebw N/A X 9121137-23 1/1/2023 1/1/2024 X PER OTH- E.L. EACHACCIDENT 1,000,000 AE E.L DISEASE - EA EMPLOYE 1,000,000 E.L DISEASE - POLICY LIMIT 11000,000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks schedule, may be anached If mom space Is required) The City of Palm Springs, It's officials, employees and agents are named as additional Insureds per the attached endorsement �jagiptjjoverage is primary and non-contributory. Waiver of subrogation applies to General Liabllty and Workers Compensation. 30 day notice of dn, except 10 day notice of non-payment of premium. DEC 19 2022 CfIryty Hall Reoeptton Desk The City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORUMD REPRESENTATIVE — -- ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NMINONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Headfor Insurance, A Heartfor Nonprofits. POLICY NUMBER: 2022-06766 FORM: NIAC-E26 11 17 NAMED INSURED: Stroke Recovery Center dba: Neuro Vitality Center THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or organization: Per Certificate - As required by written contract Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization, who may be named in the schedule above, because of payments we make for injury or damage. NIAC-E26 11 17 Page 1 of 1 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head forinsurance. A Heartfor Nmpro/Its. POLICY NUMBER:. 2022-06766 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or organization: Per Certificate - As required by written contract A. Section II — WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury' caused, in whole or in part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. The additional Insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. B. Section III — LIMITS OF INSURANCE is amended to include: 8. The limits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision A.4. above, are those specified in the written contract between you and that public entity, or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. if other insurance is also primary, we will share with all that other insurance as described In c. below; or NIAC-E61 02 19 Page 1 of 2 DMINONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for Insurance. A Heartfor Nonprofits. POLICY NUMBER: (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own Insurance. Paragraphs (1) and (2) do not apply to other Insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the other Insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for .your work' (b) That is fire, lightning, or explosion Insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That Is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE. (a) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other Insurer has a duty to defend the additional Insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance Is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurers share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC-E61 02 19 Page 2 of 2 POLICY NUMBER: 2022-06766 COMMERCIAL GENERAL LIABILITY Named Insured: Stroke Recovery Center dba: Neuro Vitality Center CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the follo,ving: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization that you are required to All insured premises and operations. add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 0 Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional Insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 12 19 © Insurance Services Office, Inc., 2012 Page 2 of 2 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO EFFECTIVE JANUARY 1, 2023 AT 12:01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING JANUARY 1, 2024 AT 12:01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME STROKE RECOVERY CENTER 2800 E ALEJO RD PALM SPRINGS, CA 92262 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US, THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2200$ OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION 9121137-23 RENEWAL SP 0-78-65-49 PAGE I OF NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT/ SS�AANNFRANCISCO: DECEMBER 16, 2022 AUTHORIZED REPRESEN PRESIDENT AND CEO 601F FORM 10217 (REV.4-2010) I 2572 OLD DP 217 a 4; t. �'? T a7->"J 0 II v—STROREC-01 ri a - DNIELSEN D TE(MMI2022n ,4lllkm�K0 CERTIFICATE OF LIABILITY INSURANCE 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(ies) must have ADDITIONAL INSURED provisions or 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 certi0cate holder in lieu of such endorsements . PRODUCER License # 0757776 C ACT Virginia Ramirez HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite201 PHOIIIo,Ext: 760 360-47004252 W.No:(760) 2005841 Upm, .virginia.ramf hubintemational.com Palm Desert, CA 92211 INSURERS) AFFORDING COVERAGE NAICa INSURER A: Nonprofits' Insurance Alliance of Calffomia Inc 01184 INSURED INSURER B: State Compensation Insurance Fund of California 35076 INSURERC: Stroke Recovery Center dba: Neuro Vitality Center INSURER D: 2800 E. Alejo Road Palm Springs, CA 92262 INSURER E INSURER F : 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 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 ADDL Jm SUB POLICY NUMBER 1MMIDDNYYYIPOLICY EFF POLICY EXP LIMITS A X COMMERCIALGENERAL LIABILITY CLAIMS MADE FA] OCCUR X X 2022.06766 2/1/2022 2/1/2023 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED $ 600,000 MED EXP (Any one 20,000 PERSONAL a ADV INJURY 1,000,000 GEHL AGGREGATE LIMITAPPLIES PER: X POLICY j�T LOC OTHER GENERAL AGGREGATE 3,000,000 PRODUCTS-COMP/OP AGO 3,000,000 LICIOUR LIABILIT 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO ONMED SCHEDULED AU�RRTEEO��S ONLY 1A�UUTTIOSSyM�p X RUTOS ONLY X AUTOS IXJLV 2022-06766 2/1/2022 2/1/2023 COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY Per BODILY INJURY PeraoocwA PRwOP AMAGE PEACHOCCURRENCE A UMBRELLA LIAB EXCESSLJAS X OCCUR CLAIMSWADE 2022-06766-UME 2/1/2022 2/1/2023 2,000,00O X AGGREGATE 2,000,000 DED X RETENTIONS 10,000 B WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN pFFICERMEM EXCLUDED? Iraandatwy in � K yes describe under DESERIPTION OF OPERATIONS bebw N/A X 9121137-23 1/1/2023 1/1/2024 X PER OTH- E.L. EACHACCIDENT 1,000,000 AE E.L DISEASE - EA EMPLOYE 1,000,000 E.L DISEASE - POLICY LIMIT 11000,000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks schedule, may be anached If mom space Is required) The City of Palm Springs, It's officials, employees and agents are named as additional Insureds per the attached endorsement �jagiptjjoverage is primary and non-contributory. Waiver of subrogation applies to General Liabllty and Workers Compensation. 30 day notice of dn, except 10 day notice of non-payment of premium. DEC 19 2022 CfIryty Hall Reoeptton Desk The City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORUMD REPRESENTATIVE — -- ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NMINONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Headfor Insurance, A Heartfor Nonprofits. POLICY NUMBER: 2022-06766 FORM: NIAC-E26 11 17 NAMED INSURED: Stroke Recovery Center dba: Neuro Vitality Center THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or organization: Per Certificate - As required by written contract Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization, who may be named in the schedule above, because of payments we make for injury or damage. NIAC-E26 11 17 Page 1 of 1 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head forinsurance. A Heartfor Nmpro/Its. POLICY NUMBER:. 2022-06766 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or organization: Per Certificate - As required by written contract A. Section II — WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named in the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury' caused, in whole or in part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. The additional Insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. B. Section III — LIMITS OF INSURANCE is amended to include: 8. The limits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision A.4. above, are those specified in the written contract between you and that public entity, or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. if other insurance is also primary, we will share with all that other insurance as described In c. below; or NIAC-E61 02 19 Page 1 of 2 DMINONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for Insurance. A Heartfor Nonprofits. POLICY NUMBER: (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own Insurance. Paragraphs (1) and (2) do not apply to other Insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the other Insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for .your work' (b) That is fire, lightning, or explosion Insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That Is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE. (a) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other Insurer has a duty to defend the additional Insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance Is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurers share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC-E61 02 19 Page 2 of 2 POLICY NUMBER: 2022-06766 COMMERCIAL GENERAL LIABILITY Named Insured: Stroke Recovery Center dba: Neuro Vitality Center CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the follo,ving: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization that you are required to All insured premises and operations. add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 0 Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional Insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 12 19 © Insurance Services Office, Inc., 2012 Page 2 of 2 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO EFFECTIVE JANUARY 1, 2023 AT 12:01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING JANUARY 1, 2024 AT 12:01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME STROKE RECOVERY CENTER 2800 E ALEJO RD PALM SPRINGS, CA 92262 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US, THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2200$ OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION 9121137-23 RENEWAL SP 0-78-65-49 PAGE I OF NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT/ SS�AANNFRANCISCO: DECEMBER 16, 2022 AUTHORIZED REPRESEN PRESIDENT AND CEO 601F FORM 10217 (REV.4-2010) I 2572 OLD DP 217 Arl z90 STROREC-01 ,d►��izo CERTIFICATE OF LIABILITY INSURANCE IDNIELSE DATEMN1131/20 3�1 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(ies) must have ADDITIONAL INSURED provisions or 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 License # 0757776 RECEIVED HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite 201 FEB 0 2 2023 Palm Desert, CA 92211 Office coAAJACT Virginia Ramirez P�NN Ea,: 760360-07004252 PAX AIC, No : 760 2005841 E .virginia.ramirez@hubintemational.com INSURER(Sl AFFORDING COVERAGE NAICa INSURER A: Nonprofits' Insurance Alliance of California Inc 01184 INSURED Stroke Recovery Center dba: Neuro Vitality Center 2800 E. Alejo Road Palm Springs, CA 92262 INSURER B: State Compensation Insurance Fund of California 35076 INSURFRC: INSURESURER D: INR E INSURER F: 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 REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL JNKJM SUB POLICY NUMBER POLICY EFF POLICY EXPJaIL LIMITS A X COMMERCLA GENERALLIABILITY CLAIMSWADE [X] OCCUR X X 2023-06766 2/1/2023 2/112024 EACH OCCURRENCE s 11000,000 DAMAGE TO RENTED 50g,000 MED EXP Any one 20,000 PERSONAL& ADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER X POLICY❑ j LOC OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMPIOP AGO S 3,000,000 Liquor Liabilit 1,000,000 A AUTOMOBILE LIABILITY X ANY AUTO ONMED SCHEDULED AU���T��O��S ONLYNAUTOS X AUTOS ONLY AUTOS ONLY 2023-06766 211/2023 211/2024 COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY Per BODILY BODILY INJURY Per accidsn S PirOPER. BN GE PEACHOCCURRENCE A UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS -MADE 2023-06766-UMB 2/1/2023 2JI12024 2,000,000 X AGGREGATE S 2,000,000 DED I X I RETENTIONS 10,000 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY A�N�Y �PREOPRIETORIPARTNERIEXECUTIVE YIN (MandetorY�n EXCLUDED? R yea, devribe under DESCRIPTION OF OPERATIONS bekrx NIA X 8121137-23 1/1/2023 1/1/2024 X PER OTH- EL EACH ACCIDENT 11000,000 E.L. DISEASE - EA EMPLOY 1,000,000 EL DISEASE -POLICY LIMN 1,000,D00 DESCRIPTION OF OPERATIONSI LOCATIONSI VEHICLES (ACORD 101, Additional Remarks Schedule, maybe aUaehed R more space Is required) The City of Palm Springs, WE officials, employees and agents are named as additional insureds per the attached endorsement. General Liability coverage IS primary and non-contributory. Waiver of subrogation applies to General Liabilty and Workers Compensation. 30 day notice of cancellation, except 10 day notice of non-payment of premium. The City of Palm Springs 3200 E. Tahqu'Itz Canyon Way Palm Springs, CA 92262 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORCEDR4ftk�EPRESENTATIVE n ACORD 25 (2016103) 01988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO EFFECTIVE JANUARY 1, 2023 AT 12:01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING JANUARY 1, 2024 AT 12:01 A.M AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME STROKE RECOVERY CENTER 2800 E ALEJO RD PALM SPRINGS, CA 92262 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 22OOS OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION 9121137-23 RENEWAL SP 0-78-65-49 PAGE 1 OF NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT_ COUNTERSIGNED AND ISSUED AT SAANNFRANCISCO: DECEMBER 16, 2022 AUTHORITED REPRESEN/2 TA'fIVE PRESIDENT AND CEO 601F FORM 10217 (REV.4-20U) E 2572 OLD OP 217 POLICY NUMBER: 2023-06766 COMMERCIAL GENERAL LIABILITY Named Insured: Stroke Recovery Center dba: Neuro Vitality Center CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Parson(s) Or Oruanization(s) I Location(s) Of Covered Operations Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. All insured premises and operations. Information required to complete this Schedule, If not shown above, will be shown in the Declarations. A. 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contractor agreement to provide for such additional Insured. B. With respect to the Insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily Injury" or "property damage" occurring after. All work, including materials, parts or equipment fumished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 © Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the Injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional Insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 12 19 © Insurance Services Office, Inc., 2012 Page 2 of 2 NONPROFITS INSURANCE ALLIANCE OFCALIFORNIA A Head far Insuranto, A Haart for Nonprofits, POLICY NUMBER:. 2023-06766 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or organization: Per Certificate - As required by written contract A. Section II —WHO IS AN INSURED is amended to Include: 4. Any public entity as an additional Insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named In the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or Its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising Injury' caused, In whole or In part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or Individual is an additional Insured for liability arising out of the sole negligence by that public entity or Its designated individuals. The additional Insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. B. Section III— LIMITS OF INSURANCE Is amended to include: 8. The limits of Insurance applicable to the public entity and applicable Individuals Identified as an additional insured(s) pursuant to Provision AA. above, are those specified In the written contract between you and that public entity, or the limits available under this policy, whichever are less. These limits are part of and not In addition to the limits of Insurance under this policy, C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This Insurance Is primary if you have agreed In a written contract or written agreement: (1) That this Insurance be primary. If other Insurance Is also primary, we will share with all that other insurance as described in c. below; or NIAC-E61 02 19 Page 1 of 2 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA A Head for lnsuranca. A Haart for Nonprofits. POLICY NUMBER: (2) The coverage afforded by this Insurance Is primary and non-contributory with the additional insured(s)' own Insurance. Paragraphs (1) and (2) do not apply to other Insurance to which the additional Insured(s) has been added as an additional Insured or to other insurance described In paragraph b. below. b. Excess Insurance This Insurance Is excess over: 1. Any of the other Insurance, whether primary, excess, contingent or on any other basis: (a) That Is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work'; (b) That Is fire, lightning, or explosion Insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That Is Insurance purchased by you to cover your liability as a tenant for "properly damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE. (e) Any other Insurance available to an additional insured(s) under this Endorsement covering Ilabllity for damages which are subject to this endorsement and for which the additional Insured(s) has been added as an additional Insured by that other insurance. (1) When this Insurance Is excess, we will have no duty under Coverages A or B to defend the additional Insured(s) against any "suit" If any other Insurer has a duty to defend the additional insured(s) against that "suit". If no other Insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance Is excess over other Insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other Insurance would pay for the loss In the absence of this Insurance; and (b) The total of all deductible and self -Insured amounts under all that other insurance. (3) We will share the remaining loss, If any, with any other insurance that Is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown In the Declarations of this Coverage Part. c. Methods of Sharing If all of the other Insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each Insurer contributes equal amounts until It has paid its applicable limit of Insurance or none of the loss remains, whichever comes first. If any other the other Insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each Insurer's share Is based on the ratio of Its applicable limit of Insurance to the total applicable limits of Insurance of all Insurers. NIAC-E61 02 19 Page 2 of 2 INONPROFITS POLICY NUMBER:2023-06766 FORM: NIAC-E26 11 17 INSURANCE NAMED INSURED: Stroke Recovery Center dba: Neuro Vitality Center ALLIANCE OF CALIFORNIA A Head Jar Insurance, A Heart for Nonproffts. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: As required by written contract Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization, who may be named In the schedule above, because of payments we make for injury or damage. NIAC-E26 1117 Page 1 of 1 3TRnRFC-01 14 -7 DNIELSEN 7 ,4ll%. o CERTIFICATE OF LIABILITY INSURANCE DAT21212023 (MMUDDNYYYI 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(ies) must have ADDITIONAL INSURED provisions or 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 License # 0757776 ACT Virginia Ramirez C NTME PHONE FAX ac. No, Eae: (760) 36011700 4252 AIC, No :(760) 2005841 HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite201 a,a EL .virginia.ramirez@hubintemational.com Palm Desert, CA 92211 INSURE S AFFORDING COVERAGE NAICS INSURER A: Nonprofits' Insurance Alliance of Califomia Inc 01184 INSURED INSURER e: State Compensation Insurance Fund of California 35076 INSURERC: Stroke Recovery Center dba: Neuro Vitality Center INSURER D: 2800 E. Alejo Road Palm Springs, CA 92262 IN E INSUSURER RER F: CrIVFRAri FR CFRTIFICATF NIIMRFR[ 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 RESPECTTO 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 ADDLSUBR POLICY NUMBER POLICY EFF POUCYEXPILTIR YYYO LIMITS A LXICONIMERCIALGENERALLIABILITY CLAIMS -MADE OCCUR X X 2023-06766 21112023 2/1/2024 EACH OCCURRENCE S 1'000,000 DAMAGE TO RENTED 500100g MED EXP (Any are 20,000 PERSONAL S ADV INJURY $ 1,000,000 GEML AGGREGATE UMITAPPLIES PER: X POLICY ❑7ERCO7 LOC OTHER: GENERAL AGGREGATE 3,000,00U PRODUCTS -COMPIOPAGO S 3,000,000 Liquor Liabilit 11000,000 A AUTOMOBILE LIABILITY ANYAUTO SCHEDULEDAUryT�O�S ONLY AUU�TN.IOSWWNN ppBODILY AUTOS ONLY X AUTOOV Ix 2023-06766 211/2023 211/2024 COMBIWe,SINGLELIMB $ 1,000,000 BODILY INJURY Per nOWNED INJURY Per accident S PROPERTY DAMAGE (par. ccident A UMBRELLALIAB EXCESSLIAO X OCCUR CLAIMS4WE 2023-06766-UMB 2/1/2023 2/1/2024 EACH OCCURRENCE 2,000,000 X AGGREGATE 2,000,000 LIED I X I RETENTION$ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEiOR/PARTNERIE%ECUTIVE YIN (4FICER/MFIMW, EXCLUDED? an D If yes describe under DESCRIPTION OF OPERATIONS beknv NIA X 9121137-23 1/1/2023 1/1/2024 X I PER OTH- TUTE E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 $ 1 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, AEdlOonal Remarks Schedule, may be affached If more apace is required) The City of Palm Springs, It's officials, employees and agents are named as additional insureds per the attached endorsement. General Liability coverage Is primary and non-contributory. Waiver of subrogation applies to General Liabilty and Workers Compensation. 30 day notice of qW f"eillfi opt 10 day notice of non-payment of premium. i EB 0 6 2023 City Hall Rece i nDesk The City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 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 - - '"— ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO EFFECTIVE JANUARY 1, 2023 AT 12:01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING JANUARY 1, 2024 AT 12:01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME STROKE RECOVERY CENTER 2800 E ALEJO RD PALM SPRINGS, CA 92262 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2`00$ OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION 9121137-23 RENEWAL SP 0-78-65-49 PAGE 1 OF NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED A/T\/S]AAN�FRANCISCO: DECEMBER 16, 2022 AUTHORIZED REPRESEN,i PRESIDENT AND CEO SOIF FORM 10217 (RSV.4.2010) I 2572 OLD OP 217 POLICY NUMBER: 2023-06766 COMMERCIAL GENERAL LIABILITY Named Insured: Stroke Recovery Center dba: Neuro Vitality Center CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) I Location(s) Of Covered Operations Any person or organization that you are required to All insured premises and operations. add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional Insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required to complete this Schedule, If not shown above, will be shown in the Declarations. A. Section 11— 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. 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the Insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 12 19 0 Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the Injury or damage arises has been put to Its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional Insureds, the following is added to Section III — Limits Of insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 1219 © Insurance Services Office, Inc., 2012 Page 2 of 2 NONPROFITS INSURANCE _M ALLIANCE Or CALIFORNIA A Haad for lnsuranco. A Martfor Nonprofits. POLICY NUMBER:. 2023-06766 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Per Certificate - As required by written contract A. Section II — WHO IS AN INSURED is amended to Include: 4. Any public entity as an additional Insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named In the Schedule above, when you have agreed In a written contract or written agreement presently In effect or becoming effective during the term of this policy, that such public entity and/or Its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily injury", "properly damage" or '.personal and advertising Injury' caused, In whole or in part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or Individual is an additional Insured for liability arising out of the sole negligence by that public entity or Its designated Individuals. The additional Insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. B. Section III — LIMITS OF INSURANCE is amended to Include: 8. The limits of Insurance applicable to the public entity and applicable Individuals identified as an additional Insureds) pursuant to Provision A.4. above, are those specified In the written contract between you and that public entity, or the limits available under this policy, whichever are less. These limits are part of and not In addition to the limits of Insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary If you have agreed In a written contract or written agreement: (1) That this Insurance be primary. If other Insurance is also primary, we will share with all that other insurance as described In c. below; or NIAC-E61 02 19 Page 1 of NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA AHeadforInsurance. AHeartforNonpro/It:. POLICY NUMBER: (2) The coverage afforded by this Insurance Is primary and non-contributory with the additional Insured(s)' own Insurance. Paragraphs (1) and (2) do not apply to other Insurance to which the additional Insured(s) has been added as an additional Insured or to other Insurance described In paragraph b. below. b. Excesslnsurance This Insurance Is excess over: 1. Any of the other Insurance, whether primary, excess, contingent or on any other basis: (a) That Is Fire, Extended Coverage, Bullder's Risk, installation Risk or similar coverage for "your work"; (b) That Is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That Is Insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE. (e) Any other Insurance avallable to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional Insured by that other insurance. (1) When this insurance Is excess, we will have no duty under Coverages A or B to defend the additional Insured(s) against any "suit" if any other Insurer has a duty to defend the additional Insured(s) against that "suit". If no other Insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other Insurance, we will pay only our share of the amount of the loss. If any, that exceeds the sum of: (a) The total amount that all such other Insurance would pay for the loss In the absence of this Insurance; and (b) The total of all deductible and self -Insured amounts under all that other insurance. (3) We will share the remaining loss, If any, with any other Insurance that Is not described in this Excess Insurance provision and was not bought specifically to apply In excess of the Limits of Insurance shown In the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional Insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until It has paid Its applicable limit of Insurance or none of the loss remains, whichever comes first. If any other the other Insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each Insurer's share is based on the ratio of Its applicable limit of Insurance to the total applicable limits of Insurance of all Insurers. NIAC-E61 02 19 Page 2 of 2 INONPROFITS POLICY NUMBER: 2023-06766 FORM: NIAC-E26 11 17 INSURANCE NAMED INSURED: Stroke Recovery Centerdba: Neuro Vitality Center ALLIANCE OF CALIFORNIA A Head for Insurance, A Heart for Nonprofits, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: As required by written contract Where you are so required in a written contract or agreement currently in effect or becoming effective during the term of this policy, we waive any right of recovery we may have against that person or organization, who may be named in the schedule above, because of payments we make for injury or damage. NIAC-E26 1117 Page 1 of 1 STROREC.01 " 1 N 1✓1 0DNIELSEN CERTIFICATE OF LIABILITY INSURANCE a DATE (MMIDN ) 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(ies) must have ADDITIONAL INSURED provisions or 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 LICBDSe // 07$7776 C NTACT Virginia Ramirez HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite201 AICN o, Eat: 760 360.4700 4252 1 FAI�c, No :(760) 2005841 ADUg6s.virginia.ramirehubintemational.com INSURERS AFFORDING COVERAGE NAICa Palm Desert, CA 92211 INSURERA: Nonprofits' Insurance Alliance of California Inc 01184 INSURED INSURER B: State Compensation Insurance Fund of California 35076 INSURER C: Stroke Recovery Center dba: Neuro Vitality Center INSURER D: 2800 E. Alejo Road Palm Springs, CA 92262 INSURER E INSURER F 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 MAYBE 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 OFINSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMA A X COMMERCIA GENERALLAMUTY CLAIMS -MADE [X] OCCUR X 2023-06766 2/1/2023 2/1/2024 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED s 500,000 MED EXP An oneU$3,000,00 PERSONALS ADV INJURY GENL AGGREGATE LIMIT APPLIES PER: X POLICY LOC GENERAL AGGREGATE PRODUCTS-COMPIOPAGGOTHER: Liquor LiabilitA AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUTOS ONLY Ix 2023-06766 2/1/2023 2/1/2024 COMBINED SINGLE LIMB (Ea a;l;khmIl BODILY INJURY Per BODILY BOpDILY Per accused)S �INyJURY Pe°eaAldarDAMAGE A UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE 2023-06766-UMB 2/1/2023 2/1/2024 EACH OCCURRENCE S 2,000,000 X M AGGREGATE $ 2,000,000 LIED I X I RETENTIONS 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPREIETOR/PARTNERIFJ(ECUTIVE YIN gFxnEa=in EXCLUDED? ,M NH) tt er yes, describe untl OrOF OPERATIONS below NIA 9121137-23 1/1/2023 1/1/2024 X PER OTIi- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 $ E.L. DISEASE -POLICY LIMITS 1 �ggg�ggg DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) RECEIVED Re: Village Fast City of Palm Springs is included as an Additional Insured as per the attached endorsement. FEB 0 6 2023 City Hall Reception Desk City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 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 SdC AZ/ _ ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2023-06766 COMMERCIAL GENERAL LIABILITY Named Insured: Stroke Recovery Center dba: Neuro Vitality Center CG 20 10 1219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 6'ZN:1�1rJ�� Name Of Additional Insured Person(s) Or Ornanization(s) I Location(s) Of Covered Operations Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional Insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. All insured premises and operations. Information required to complete this Schedule, If not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured Is amended to include as an additional insured the person(s) or organizations) 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the Insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily Injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 2010 12 19 © Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the Injury or damage arises has been put to Its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not Increase the applicable Limits of Insurance shown In the Declarations. CG 20 10 1219 © Insurance Services Office, Inc., 2012 Page 2 of 2