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HomeMy WebLinkAboutA8329 - FOOD IN NEED OF DISTRIBUTION (FIND) - FOOD BANKACORD• CERTIFICATE OF LIABILITY INSURANCE I DATE (MWDDNYYY) ~ 7/212025 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, certai n policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of s uch endorsement(s). PRODUCER ~~k ~Cl Rvan Consitt A rthur J . G a llagher R isk M a nagement Services , L L C t~8NJQ ~xi}' 630-773-3800 l f Nc No': 630-285-4062 2850 Golf Rd R o lling M ead o ws IL 60008 ~fl~~ss: Nan con s itttalai a .com RECEIVED INSURERISl AFFORDING COVERAGE NAICI INSURER A : Philadeloh ia l ndemnitv Insurance Comnanv 18058 INSURED FOOOINN-01 INSURER B : Service American l ndemnitv Comoanv 39152 Food I n N eed o f D istribut ion, I nc. JUL 1 4 2025 INSURER C: 83-775 Citrus A v enue Indio CA 92202 OFFICE OF THE CITY CLER INSURER D: 'INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER· 757270166 REVISION NUMBER· TH IS IS TO CERTIFY TH AT THE POLICIES OF INSURANCE LISTE D BELOW HAVE BEEN ISSU ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHST ANDING ANY REQUIREMENT, TER M OR CON DITION OF ANY CONTRACT OR OT HER DOCUMENT WITH RESPECT TO W HICH T HIS CERTIFICATE MAY BE ISSUE D OR MAY PERTAIN, THE INSURANCE AFFORDE D 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 C LAIMS. INSR TYPE OF INSURANCE ... ..,. , . .,.," LTR PO LI CY NUMBER I ,:'JJ-J%MF./V1 1 ,~ID-~%1v~Vv1 LIMITS A X CO MMERCIAL GENERAL LIABILITY PHPK2633794005 12/15/2024 12/15/2025 EACH OCCURRE NCE $1,000,000 ,__ D CLAIM S-MADE 0 OCCUR ,__ PREMISE~ YE':!c-~·Er'?..nce1 $1 ,000,000 MED EXP CAnv one oersonl 520,000 ,__ PERSON AL & ADV INJURY S 1,000,000 ,__ GE N'L AGGREGATE LIMIT APPLI ES PER: GE NER AL AGGREGATE $3,000,000 ~ POLICY □ ~Ge?,: □ LOC PRODUCTS • COMP/OP AGG S3 000,000 OTHE R: $ A AUTOMOBILE LI ABILITY PHPK2633794005 12/15/2024 12/15/2025 COMBINED 5 INGLE LIMIT $1,000,000 !Ea accident1 ,__ X ANY AUTO BODIL y INJ URY (Per person) $ ,__ OWNED ~ SCHEDULED BODILY INJURY (Per aoci<lent) $ ,__ AUTOS ONLY I----AUTOS X HIRED X NON-OWNED rp~~~~J;,P,AMAGE $ ~ AUTOS ONLY 1--AUTOS ONLY $ A X UM BREL LA LIAB Fl OCCUR PHUB892878005 12/15/2024 12115/2025 EACH OCCURRENCE $5,000,000 ,__ EXCESSLIAB CLA IMS-MADE AGGR EGATE $5,000,000 OED I X I RETENTION s ◄" Mft $ B WORKERS COMPENSATION SATIS0022505 7/1/2025 7/1/2026 X I ~i~TUTE I IOTH-ER AND EM PLOYERS' LIABILITY YI N ANYPROPRIETOA/PARTNERIE XECUTIVE □ NI A E.L . EACH ACCIDENT $1 ,000,000 OFFICER/MEMBER EXCLUDED? (Mandeto,y In NH) E.L. DISEASE· EA EMPLOYEE $1,000,000 U~M?p5.f1t~ ~1iPERATIONS below E.L. DISE ASE • POLICY LIMIT $1,000 000 A Inland Manne PHPK2633794005 12/15/2024 12/1 5/2025 Contractors Equipment $63,802 Deductible $1,000 DESCRIPTION OF OPERATIO NS/ LOCATIONS/ VEHICLES (ACORD 101 , Additional Remarks Sc hedule, may be attached ii mo,e apace is required) C ity of Palm Sprin gs is a n Add itional Ins ured as respects to t he gen eral liab ility p ol icy, pursu ant to and subject to the po licy's terms, d efinitions, cond itions and e xdusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B E CANC ELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIL L BE DELIVERED IN ACCORDANCE WITH TH E POLICY PROVISIONS. Cit~ o f Palm S prings 32 0 E Tahq u 1tz Canyon W ay /l~ljz:::--P a lm Spri ngs CA 92262 I © 1988-2015 ACORD CORPORATION. All r i ghts reserved . ACORD 25 (2016/03) The ACORD name and logo are regis tered marks of ACORD CONTRACT SERVICES AGREEMENT (Food In Need ofDisti-ibution,Ine) THIS AGREEMENT FOR CONTRACT SERVICES C'Agreement")is made and entered into on August 19, 2019, by and between the City of Palm.Springs, a California charter city and municipal corporation ("City"), and Food in Need of Distribution, Inc. a 501(c)(3) non-profit entity ('Contractor). City and Contractor are individually referred to as "Party" and are collectively referred to as the"Parties". RECITALS A. City requires the services of a mobile food pantry for the food desert solution initiative("Project"). B. Contractor has submitted to City a proposal to provide mobile food pantry services,to City under the terms of this Agreement. C. Based on its experience, education, training, and reputation, Contractor is qualified and desires to provide the necessary services to City for the Project, D. City desires to retain the services of Contractor for the Project. In consideration of these promises and mutual agreements, City and Contractor agree as follows: AGREEMENT 1. CONTRACTOR SERVICES 1.1. Scope of Services. In compliance with all terms and conditions of this Agreement, Contractor shall provide mobile food pantry services to City as described in the Scope of ServicesAVork attached to this Agreement as Exhibit "A" and incorporated by reference (the "services" or 'Vorr). Exhibit "A" includes- the agreed upon schedule of performance and the schedule of fees. Contractor warrants that all services and work shall be performed in a competent, professional, and satisfactory manner consistent with prevailing industry standards. In the event of any inconsistency between the terms contained in the Scope of Services[Work and the terms set forth in this Agreement,the ten-as set forth in.this Agreement shall govern. 1.2 Compliance with Law. Contractor services rendered under this Agreement shall comply with all applicable federal, state, and local laws, statutes and ordinances and all lawflil orders,rules,and regulations. 1.3 Licenses and Permits. Contractor shall obtain at its sole cost and expense such licenses,permits, and approvals as may be required by law for the performance of the services required by this Agreement. 1.4 Familiarity with Work. By executing this Agreement, Contractor warrants that it has carefully considered how the work should be performed and fully understands the facilities,difficulties,and restrictions attending performance of the work under this Agreement. 2. TIME FOR COMPLETION The time for completion of the services to be performed by Contractor is an essential condition of this Agreement. Contractor shall.prosecute regularly and diligently the work of this Agreement for twelve (12) months.. Contractor shalt not be accountable for delays in the progress of its work caused by any condition beyond its control without the fault or negligence of Contractor. Delays shall not entitle Contractor to any additional compensation regardless of the party,responsible for the delay. 3. COMPENSATION OF CONTRACTOR 3.1 Compensation. of Contractor. Contractor shall be compensated and reimbursed for the services rendered under this Agreement in accordance with the schedule of fees set forth in Exhibit "A". The total amount of Compensation shall not exceed SIXTY-THREE THOUSAND ONE HUNDRED EIGHTY DOLLARS ($63,180.00). 3.2 Method of Payment. In any month in which Contractor wishes to receive payment, Contractor shall submit to City an invoice for services rendered prior to the date of the invoice,no later than the first working day of such month,in the form provided by City's finance director. Payments by City shall be based on the hourly rates set forth .in Exhibit "A" for authorized services performed. City shall pay Contractor for all expenses stated in the invoice that are approved by City and consistent with this Agreement, within thirty(30) days of receipt of Contractor's invoice. 3.3 Chances. In the event any change or changes in the Scope of ServicesAVork is requested by City, Parties shall execute a written amendment to this Agreement, specifying all proposed amendments,including,but not limited to, any additional fees. An amendment may be entered into: A. To provide for revisions or modifications to documents, work product, or work,when required by the enactment or revision of any subsequent law; or B. To provide forr additional services not included in. this Agreement or not customarily furnished in accordance with.generally accepted practice in Contractor's profession. 3.4 Appropriations. This Agreement is subject to,and contingent upon, fiends being appropriated by the City Council of City for each fiscal year. If such appropriations are not made,this Agreement shall automatically terminate without penalty to City. 4. PERFORMANCE SCHEDULE 4.1 Time of Essence. Time is of the essence in the performance of this Agreement. 2 4.2 Schedule of Performance. All services rendered under this Agreement shall be performed.under the agreed upon schedule of performance set forth in Section 4.4 Term below. Any time period extension must be approved in writing by the City's Contract Officer. 4.3' Force Maieure. The time for performance of services to be rendered under this Agreement may be extended because of any delays due to unforeseeable causes beyond the control and without the (atilt or negligence of Contractor, if Contractor notifies; the Contract Officer within ten (10) days of the commencement of such condition. Unforeseeable causes include, but are not limited to, acts of God or of a public enemy, acts of the government, fires, earthquakes, floods,. epidemic, quarantine restrictions, riots, strikes, freight embargoes, and unusually severe weather. After Contractor notification, the Contract Officer shall investigate the facts and the extent of any necessary delay, and extend the time for per, the services for the period of the enforced delay when and if, in the Contract Officer's judgment, such delay is justified. The Contract Officer's determination shall be final and conclusive upon-the parties to this Agreement. 4.4 Term. Unless earlier terminated in accordance with Section 4.5 of this Agreement, this Agreement shall continue in full force and effect for a period of twelve months, commencing on August 19, 2019, and ending on August 18, 2020, unless extended by mutual written agreement of the parties. 4.5 Termination Prior to Expiration of'Perm. City may terminate this Agreement at any time, with or without cause, upon thirty (30) days' written notice to Contractor.. Where termination is due to the fault of Contractor and constitutes an immediate danger to health, safety, and general welfare, as determined by the City in its sole and absolute discretion, the period of notice shall.be such shorter time as may be determined by the City. Upon receipt of the notice of termination, Contractor shall immediately cease all services except such as may be specifically approved by the Contract Officer. Contractor shall be entitled to compensation for all services rendered prior to receipt of the notice of termination and for any services authorized by the Contract Officer after such notice. Contractor may terminate this Agreement, with or without cause,upon thirty(30)days'written-notice to City. 5. COORDINATION OF WORK 5.1 Representative of Contractor. The following principal of Contractor is designated as being the principal and representative of Contractor authorized to act and make all decisions .in its behalf with respect to the specified services and work: Debbie Espinosa, CEO &. President. It is expressly understood that the experience, knowledge, education, capability, and reputation of the foregoing principal is a substantial.inducement for City to enter into this Agreement. Therefore, the foregoing principal shall be responsible during the term of this Agreement for directing all activities of Contractor and devoting sufficient time to personally supervise the services under this Agreement. The foregoing principal may not be changed by Contractor without prior written approval of the Contract Officer. 5.2 City Contract Officer. The City's Contract Officer shall be the City Manager or his/her designee ("Contract Officer"). Contractor shall be responsible for keeping the:Contract Officer fully informed of the progress of the performance of the services. Contractor shall refer 3 any decisions that must be made by City to the Contract Officer. Unless otherwise specified,any approval of City shall mean the approval of the Contract Officer. 5.3 Prohibition Against Subcontracting or Assignment. The experience, knowledge, education, capability, and reputation of Contractor, its principals and employees, were a substantial inducement for City to enter into this Agreement. Therefore, Contractor shall not contract with any other individual or entity to perform any services required under this Agreement without the City's express written approval. In addition, neither this Agreement nor any interest may be assigned or transferred, voluntarily or by operation of law, without the prior written approval of City. 5.4 Indetiendent Contractor. Neither City nor any of its employees shall have any control over the manner,mode, or means by which Contractor, its agents or employees,perform the services required, except as otherwise specified. Contractor shall perform all required services as an independent contractor of City and shall not be an employee of City and shall. remain at all times as to City a wholly independent contractor with only such obligations as are consistent with,that role;however, City shall have the right to review Contractor's work.product, result, and advice. Contractor shall not at any time or in any manner represent that it or any of its agents or employees are agents or employees of City. 5.5 Personnel. Contractor agrees to assign the following individuals to perform the services in this Agreement. Contractor shall not alter the assignment of the following personnel without the prior written approval of the Contract Officer. Acting through the City Manager,the City shall have the unrestricted right to order the removal of any personnel assigned by Contractor by providing written notice to Contractor. Name: Tittle: Lorena Marroquin Director of Community Impact 6. INSURANCE Contractor shall procure and maintain, at its sole cost and expense, policies of insurance as set forth in the attached Exhibit".B",:incorporated herein by reference. 7. INDEMNIFICATION. 7.1 Indemnification. To the fullest extent permitted by law, Contractor shall defend (at Contractor's sole cost and expense), indemnify, protect, and hold. harmless City, its elected officials, officers, employees, agents, and volunteers (collectively the "Indemnified.City Parties'), from and against any and all liabilities, actions, suits, claims, demands, losses, costs, judgments, arbitration awards, settlements, damages, demands, orders,penalties, and expenses including legal costs and attorney fees (collectively "Claims"), including but not limited to Claims, arising from. injuries to or death of persons (Contractor's employees included), for damage to property, including property owned by City, from any violation of any federal, state, or local law or ordinance, and from errors'and omissions committed by Contractor, its officers, employees, .representatives, and agents, that arise out of or relate to Contractor's performance 4 under this Agreement. This indemnification clause excludes Claims arising from the sole negligence or willful .misconduct of the City, its elected officials, officers, employees, agents, and volunteers, Under no circumstances shall the insurance requirements and limits set forth in this Agreement be construed to limit Contractor's indemnification obligation or other liability under this Agreement. Contractor's indenmification obligation shall. survive the expiration or earlier termination of this Agreement until all. actions against the Indemnified. City Parties for such matters indemnified are filly and finally barred by the applicable statute of limitations or,if an action is timely filed, until such action is final. This provision is intended for the benefit of third party Indemnified.City Parties not otherwise a party to this Agreement. 7.2 Design Professional Services Not Involved in this Agreement. This Agreement is not to be construed as a"design professional services agreement" and the Parties expressly agree that Contractor is not a"design.professional"under California Civil Code Section 2782.8. 8. RECORDS AND REPORTS 811 Reports. Contractor shall periodically prepare and submit to the Contract,Officer reports concerning the performance of the services required by this Agreement, or as the Contract Officer shall require. 8.2 Records. Contractor shall keep complete, accurate, and detailed accounts of all time, costs, expenses, and expenditures pertaining in any way to this Agreement. Contractor shall keep such books and records as shall be necessary to properly perform the services requited by this Agreement and enable the Contract Officer to evaluate the performance of such services. The Contract Officer shall have ftill and free access to such books and records at all reasonable times, including the right to inspect, copy, audit, and make records and transcripts from. such records. 8.3 Ownership of Documents. All drawings, specifications, reports, records, documents, and other materials prepared by Contractor in the performance of this Agreement shall be the property of City. Contractor shall deliver all above-referenced documents to City upon request of the Contract Officer or upon the termination of this Agreement. Contractor shall have no claim for further employment or additional compensation as a result of the exercise by City of its full rights or ownership-.of the documents and materials. Contractor may retain copies of such documents for Contractor's own use. Contractor shall have an unrestricted right to use the concepts embodied in such documents. 8.4 Release of Documents. All drawings, specifications, reports, records, documents,and other materials prepared by Contractor in the performance of services under this Agreement shall not be released publicly without the prior written approval of the Contract Officer. 8.5 Cost Records. Contractor shall maintain all books,documents, papers, employee time sheets, accounting records,and other evidence pertaining to costs incurred while perforniing under this Agreement. Contractor shall make such materials available at its offices at all reasonable times during the term:of this Agreement and for three (3)years from the date of final payment for inspection by City and copies shall be promptly furnished to City upon request. 5 9. ENFORCEMENT OF AGREEMENT 9.1 California Law. This Agreement shall be construed and interpreted both as to validity and to performance of the parties in.accordance with the laws of the State of California. Legal actions concerning any dispute, claim, or matter arising out of or in relation to this Agreement shall be instituted in the Superior Court of. the County of .Riverside, State of California,or any other appropriate court in such county, and Contractor covenants and agrees to submit to the personal jurisdiction of such.court in.the event of such.action. 9.2 Interpretation. This Agreement shall be construed as a whole according to its fair language and common meaning to achieve the objectives and purposes of the Parties. The terms of this Agreement are contractual and the result of negotiation between the Parties. Accordingly, any rule of construction of contracts(including,without limitation, California Civil Code Section 1654) that ambiguities are to be construed against the drafting party, shall not be employed in the interpretation of this Agreement. The caption headings of the various sections and.paragraphs of this Agreement are for convenience and identification purposes only and shall not be deemed.to limit,expand,or define the contents of the respective sections or paragraphs. 9.3 Waiver. No delay or omission in the exercise of any right or re2nedy of a non- defaulting party on any default shall impair such right or remedy or be construed as a waiver. No consent or approval of either Party shall be deemed to waive or render unnecessary that Party's consent to or approval of any subsequent act of the other Party. Any waiver by either party of any default must be in writing. No such.waiver shall be a waiver of any other default concerning the same or any other provision of this Agreement. 9.4 Rights and Remedies are Cumulative. Except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the parties are cumulative. The exercise by either party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other party. 9.5 Legal Action. In addition to any other rights or remedies, either party may take legal action, in law or inequity, to cure, correct, or remedy any default, to recover damages for any default, to compel. specific performance of this Agreement, to obtain. injunctive relief, a declaratory judgment,or-any other remedy.eons.istent with the purposes of this Agreement. 1.0. CITY OFFICERS AND EMPLOYEES:NON-DISCRIMINATION 10.1 Non-Liability of City Officers and Employees. No officer or employee of City shall be_personally liable to the Contractor, or any successor-i.n-interest, in the event of any default or breach by City or for any amount which.may become due to the Contractor or its successor,or.for breach of any obligation of the terms of this Agreement. 10.2 Conflict of Interest. Contractor acknowledges that no officer or employee of the City has or shall have any direct or indirect financial interest in this Agreement. Contractor warrants that Contractor has not.paid or given, and will .not.pay or give, any third party any money or other consideration in exchange for obtaining this Agreement. 6 10.3 Covenant Against Discrimination. In connection with its performance under this Agreement, Contractor 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"). Contractor shall ensure that applicants are employed, and that employees are treated during their employment,without regard to any prohibited basis.As a condition precedent to City's lawful capacity to enter this Agreement, and in executing this Agreement, Contractor certifies that its actions and omissions hereunder shall not incorporate any discrimination arising from or related to any prohibited basis in any Contractor 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 Contractor 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. 1.1. MISCELLANEOUS PROVISIONS 11.1 Notice. Any notice, demand, request, consent, approval, or communication that 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, Notice shall be deemed communicated.seventy-two (72) hours from the time of mailing if mailed as provided in this Section. Either party may change its address by notifying the other party of the change of address in writing. To City: City of palm Springs Attention: City Manager/City Clerk. 3200 E.Tahquitz Canyon Way Palm Springs, California 92262 To Contractor: Food in Need of Distribution,Inc. Attention; Debbie Espinosa U775 Citrus Ave. Indio, California 92201 11.2 Integrated Agreement. This Agreement contains all of the agreements of the parties and supersedes all other written agreements. 1.L3 Amendment. No amendments or other modifications of this Agreement shall be binding.umless through written agreement by all Parties. 11A Severability. Whenever possible, each provision of this Agreement shall be interpreted in such a manner as to be effective and valid under applicable law. In the event that any one or more of the phrases, sentences, clauses, paragraphs, or sections contained in. this f 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. 11.5 Successors in Interest. This Agreement shall be binding upon and inure to the benefit of the Parties' successors and assignees. 11.6 Third Party Beneficiary. Except as may be expressly provided for in this Agreement, nothing contained in this Agreement is intended to confer,nor shall this Agreement be construed as conferring,.any rights, including, without limitation, any rights as a third-party beneficiary or otherwise,upon any entity or person not a party to this Agreement. 1.1.7 Recitals. The above-referenced Recitals are hereby incorporated into the Agreement as though fully set forth in this Agreement and each Party acknowledges and agrees that such.Party is bound,for purposes of this Agreement,by the same. 11.8 Authoritv. The persons executing this Agreement on behalf of the Parties warrant that they are duly authorized to execute this Agreement on behalf of Parties and that by so executing this Agreement the Parties are formally bound to the provisions of this Agreement. [Signatures on following page] 8 IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date first written above. "CgTY" City of Palm Springs Date: By: David H.Ready,PhD City Manager APPROVED AS TO FORM: ATTEST By: IN By: J e ey .Balli er, I A96ony Mejia City Attorney ity Clerk "CONTRACTOR" Food in Need of Distribution,.Inc. Date: I l 'J By wo (nam resident) Date: (name) (secretary) 9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 9 1189 A wmy public ee,other officer ourVisting this cent icsta v&ffiwa on)y to iden:i,y of the indiv l Aft signed the docurnont to which thin certificate it stxhad,and not the MrIftlness,=curacy.or validMy of tier document ,late of G ornia County of On -1 9-1 Ck Date- Here Irmerf Name and T1919 of Uis,officer personally appeared Lac)C rc,-VN e-,�LT�V-\ Namaqs)of who proved to me on the basis of satisfactory evidence to be the pemon(a)whose nan*e, islare, subscribed to the,within instrument and acknowledged to me that heVrhsf&,vj executed the same in hisiherAheif authorized capacity(jes),and that by hiz-the Aheir signaWre,(a)on the inutrument the person(s), or the entity upon behalf of which the person(a)acted.executed the instrument. I certify under PENALTY OF PERJURY under the lava of the State of Califomia that the foregoing paragraph MICHELLE ALVAREZ is true and correct. comm.#2210355 i -California �o WrrNESS nrl hand and official seat. N Notary Public 0 Riverside County M) Aug.17,20212 r Comm.Expires A unijimunintowm7r: signature 0 Pbca Notary Seat Above OPTIONAL Though this section it options).completing this information can dater aftierstion of the docament or fhwdukatreattarhmant of this form to an unintandad dDcumenL Description of Attached Document Title or Type of Document Document Data: Number of Pages:-3�gner,(--)Other Than Namad Above: CapacKy(ios)Cinin-tad by Signer(s) Signers Name: Signefe Name: C)Corporate 01-5cer-Title(s): Offincer-Title(c), 0 Partner- D Limited 0 General D Partner- 0 Limited 0 General 0 Individual 0 Attorney in Fact 0 Individual 0 Attoawy in Fact 0 Trustee 0 Guardian or Conservator 0 Trustee ❑Guardian or Conservator 0 Other 0 Other: Signer Is Representing: Signer Is Representing: .......... 10 E)MIBIT "A" CONTRACTOR'S SCOPE OF SERVICES/WORK Including, Schedule of Fees And Schedule of Performance FIND THE D r: 5 E R T S REGIONAL FOOD 13ANK 18 June 2019 Mr. Jay Virata Director, Community & Economic Development City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 Dear Jay: We are pleased to respond to the City of Palm Springs' request for a Mobile Pantry proposal for the Desert Highland Gateway Estates community with the attached. Please contact Louise Fasana, Director of Development and Communication,FIND Food Bank, if any questions should arise. Ms. Fasana can be reached at 760.775.3663, x1 12. Sincerely, Debbie Espinosa President & CEO IMEMBER OF Q P.O. Box 10080 Indio, CA 92202 M FINDFoodBank.org AMERICA 9 - FIND T1i1 ^ DF5E11T' 5 REGIONAL FOOD BANK BACKGROUND In our Coachella Valley communities,hunger is a pervasive hardship that affects infants, toddlers,young adults, the middle-aged and seniors, from all backgrounds, ethnicities, and demographics. However, some communities face more challenges and are geographically isolated, remote from markets, convenience stores and even restaurants. The United States Department of Agriculture(USDA) defines a"low-access community" or"food desert"as an area where at least 500 people and/or at least 33 percent of the population reside more than one mile from a supermarket or large grocery store in an urban community. Desert Highland Gateways Estates,in the northern Palm Springs region is, in fact, located in what the USDA defines as a"food desert". The nearest market to Desert Highland Gateways Estates,measured from a neighborhood mid-point of Rosa Parks Road and North Granada Avenue, is located 2.6 miles away (Albertson's,N. Sunrise Way). While geographical challenges are noteworthy,household low-income levels are even more compelling determinants of food insecurity. According.to data from the latest census, approximately 23.5 million people, or 8.4 percent of the U.S. population, live in food deserts, and nearly half of these regions are also low-income. Low-income neighborhoods are areas where more than 40 percent of the population has a household income of less than or equal to 200 percent of the Federal poverty threshold. According to ESRI data, the Desert Highland Gateway Estates community has 47.45% of the population at less than or equal to 200 percent of the Federal poverty income threshold. Another meaningful figure quantifying community need is the percent of children in the Palm Springs Unified School District who qualify for the federal Free and Reduced-Price Meal (FRPM)program. The total number of students qualifying,according to California Board of Education,2018/19 Student Poverty FRPM Data, is 19,763 children or 87.1% of Palm Springs Unified students. PROGRAM DESCRIPTION AND COST To serve the Desert Highland Gateway Estates community in Palm Springs, for a five year period, FIND Food Bank respectfully requests grant support at$50,000 per year, over five years, with a 5%increase annually(see budget.), to provide a Mobile Pantry that would provide healthy food with a strong balance of fresh produce, protein, dairy and grain items,to this community every two weeks, year-round. FIND Food Bank will also provide FIND's CalFresh Outreach Team with every distribution to secure participation, for individuals who qualify,for the California CalFresh Food Stamp program. FIND Food Barik will,for an additional $13,000 annually,provide a FIND Community Health Worker at every distribution,which also includes follow-up client services of approximately 16 hours per distribution. In P.O. Box 10080 Indio. CA 92202 ni FINDFoodBank.om AMERICA Desert Highland Gateway Estates Page two, partnership with Loma Linda University and Desert Healthcare District,FIND Community Health Coordinators realize that food insecure commmmities also require vital additional social services and health resources and actively work to break down barriers and secure assistance. The five-year cost to provide FIND's Community Health Workers every two weeks,year-round, totals $71,833. Established to address the isolated communities throughout FIND Food Bank's immense service area, FIND's Mobile Pantry Program brings food directly into these communities that lack access to affordable healthy food within a reasonable proximity. FIND's Mobile Pantries also transport fresh, healthy food directly to communities that do not have non-profit/community agencies managing food distributions in partnership with FIND Food Bank. Currently,FIND manages 20 distinct Mobile Pantries throughout our service area from Palm Springs to rural agricultural areas as far removed as Blythe. The USDA estimates the retail cost of feeding a family of four ranges from $146 to $289 for a week of healthy meals. The household savings from a mobile panty are significant; the nutritional impact,immeasurable. FIND's Mobile Pantries are specialized or converted refrigerated beverage trucks that are filled at the FIND warehouse with a wide variety of fresh produce, frozen meat,refrigerated products, dairy,bakery, and dry goods designed to provide supplemental food assistance. Each Mobile Pantry truck may deliver up to 10,000 pounds of foods.At each distribution site,FIND staff works with a cadre of site volunteers to set up tables, unload the food items and distribute the healthy foods to members of the community. The actual food distribution takes approximately one to two hours to serve up to 200 to 300 people who are often lined-up and waiting for the FIND truck's arrival. In addition,the Mobile Pantry Program also can provide important connections to resources to enhance household stability and sustainability including CalFresh(food stamps), Women, Infants and Children federal assistance nutrition program (WIC), free and reduced-price medical and preventative health programs,rental and utility assistance, and other social services. FIND has two outreach teams: CalFresh Outreach Coordinators and Community Health Workers. These staff members are trained to assist clients in submitting multiple,public-benefit program applications. The barriers to accessing these benefits are many and complex, and often deter eligible individuals from applying. The FIND CalFresh Outreach and.Community Health Teams successfidly eliminate these barriers to accessing valuable resources. The FIND CalFresh Team provides direct,hands-on assistance using mobile devices to fill out online applications, scan and upload relevant doctunents,track client applications,notify clients of appointments and facilitate the lengthy process overall. The FIND CalFresh Team annually submits nearly 2,000 CalFresh applications for individuals in need. The FIND Community Health Team are certified Community Health Workers conversant in the multitude of social service benefits available to those in need. The FIND Community Health Team can assess the root causes that may be preventing individuals from food self-sufficiency and provide referrals to low-income P.O. Box 10080 0 Indio. CA 92202 M FINDFoodBank.ora AMERICA Desert Highland Gateway Estates Page three. medical resources, government program,low-income housing agencies, financial counseling resources, education services,mental health counseling, etc. In addition,FIND's Community Health Workers support clients with applications to government programs including Medical, WIC, CalFresh,free and reduced-price school meals,as well as unemployment benefits. ABOUT FIND FOOD BANK FIND Food Bank serves an approximate 5,000 sq. mile area that includes 23 cities/unincorporated areas; the high desert, across the Coachella Valley,to the Salton Sea, up to Anza and on to Blythe. Annually,FIND Food Bank provides over 10 million pounds of food assistance (the equivalent of more than 9 million meals annually),with approximately 5 million pounds as fresh fruits and vegetables to 100+partner agency sites and directly through FIND's own distribution sites, including 22 mobile pantries, direct program distributions and CalFresh outreach and services. FIND Food Bank is also the largest food rescue organization in this vast service area. Partnering with California Association of Food Bank's "Farm To Family" program,FIND rescues 2.5 million pounds of produce annually. In addition, FIND's trucks rescue food from local grocers and retailers on a weekly basis for distribution to those in need. FIND manages food operations from a 36,000-square-foot warehouse located in Indio, California,which serves as the hub of FIND Food Bank's food processing, sorting, storing and distribution network. On average, 85,000 people each month access some form of food assistance from FIND and our agency distribution network. Of these 85,000 people,46%are children, 19% are seniors, 35% adults (5% are homeless or homebound). MFMGtc.R tit. P.O. Box 10080 Q Indio. CA 92202 0) FINDFoodBank.org AMERICA BUDGET MOBILE PANTRIES Food Processing and Handling $ 1,300 per distribution Mobile Pantry Staff $ 325 per distribution CalFresh Outreach Staff Administrative $ 125 per distribution Transportation $ 180 per distribution TOTAL PER DISTRIBUTION $ 1,930 26 DISTRIBUTIONS PER YEAR, YEAR#1 $ 50,180 26 DISTRIBUTIONS PER YEAR, YEAR#2 $ 52,689 5% Cost of Living increase 26 DISTRIBUTIONS PER YEAR, YEAR#3 $ 58,089 5% Cost of Living increase 26 DISTRIBUTIONS PER YEAR, YEAR#4 $ 60,993 5% Cost of Living increase 26 DISTRIBUTIONS PER YEAR, YEAR#5 $ 64,043 5% Cost of Living increase TOTAL 5-YEAR MOBILE FOOD PANTRIES P.O. Box 10080 6 Indio. CA 92202 M FINDFoodBank.org /-MER11CA COMMUNITY HEALTH WORKER CHW Onsite, and Follow-up Support Services $ 500 per distribution 26 VISITS PER YEAR, YEAR#1 $ 13,000 26 VISITS PER YEAR,YEAR#2 $ 13,650 5%Cost of Living increase 26 VISITS PER YEAR, YEAR#3 $ 14,333 5%Cost of Living increase 26 VISITS PER YEAR,YEAR#4 $ 15,049 5% Cost of Living increase 26 VISITS PER YEAR, YEAR#5 $ 15,802 5%Cost of Living increase TOTAL 5-YEAR COMMUNITY HEALTH.WORKER S 71,833 .,If-M(iisR O" P.O. Box 10080 Indio. CA 92202 '" " ' FIN DFoodBank.orer AMERICA F1111 , F IND F17::'001D BANK 011111001111100 THE DESERT'S REGIONAL FOOD} BANK DESERT HIGHLAND GATEWAY ESTATES BUDGET 1-YEAR MOBILE PANTRIES Food Processing and Handling $ 1,300 per distribution Mobile Pantry Staff $ 325 per distribution CalFresh Outreach Staff Administrative $ 125 per distribution Transportation $ 180 per distribution TOTAL PER DISTRIBUTION $ 1,930 26 DISTRIBUTIONS PER YEAR, YEAR#1 $ 50,180 COMMUNITY HEALTH WORKER CHW Onsite, and Follow-up Support Services $ 500 per distribution 26 VISITS PER YEAR,YEAR#1 $ 13,000 TOTAL 1-YEAR MOBILE PANTRIES + COMMUNITY HEALTH WORKER 63180 EXHIBIT "B" INSURANCE PROVISIONS Including Verification of Coverage, Sufficiency of Insurers, Errors and Omissions Coverage, Minimum Scope of Insurance, Deductibles and Self-Insured Retentions, and Severability of Interests (Separation of Insureds) 12 INSURANCE 1. Procurement and Maintenance of insurance. Contractor shall procure and maintain public liability and property damage insurance against all claims for injuries against persons or damages to property resulting from Contractor's performance under this Agreement. Contractor shall procure and maintain all insurance at its sole cost and expense, in a form and. content satisfactory to the City, and submit concurrently with its execution of this Agreement. Contractor shall also carry workers' compensation insurance in accordance with California workers' compensation laws. Such .insurance shall be kept in full force and effect during the tern of this Agreement, including any extensions. Such insurance shall not be cancelable without thirty(30)days advance written notice to City of any proposed cancellation. Certificates of insurance evidencing the foregoing and designating the City, its elected officials, officers, employees, agents, and volunteers as additional named insureds by original endorsement shall be delivered to and approved by City prior to commencement of services. The procuring of such insurance and the delivery of policies,.certificates, and endorsements evidencing the same shall not be construed as a limitation of Contractor's obligation to indemnify City, its elected officials, officers, agents,employees,and volunteers. 2. MIinimum Scope of insurance. The minimum amount of insurance required under this Agreement shall be as follows: 1. Comprehensive general liability and personal injury with limits of at least one mullion dollars ($1,000,000.00) combined single limit coverage per occurrence and two million dollars($2,000,000)general.aggregate; 2. Automobile liability insurance with limits of at Ieast one million dollars (S1,000,000,00)per occurrence; 3. Professional. liability (errors and omissions) insurance with limits of at least one million dollars ($1.,000,000.00) per occurrence and two million dollars ($2,000,000) annual.aggregate.is: required is not required; 4. Workers' Compensation insurance in the statutory amount as required by the State of California and Employer's Liability Insurance with limits of at least one million dollars $1 million per occurrence. If Contractor has no employees, Contractor shall complete the City's Request for Waiver of Workers' Compensation Insurance Requirement form. 3. Primary Insurance. For any claims related to this Agreement, Contractor's insurance coverage shall be primary with respect to the City and its respective elected officials, officers, employees,agents, and volunteers. Any insurance or self-insurance maintained by City and its respective elected officials,officers, employees, agents, and volunteers shall be in excess of Contractor's insurance and shall not contribute with it. For Workers' Compensation and Employer's Liability Insurance only. the insurer shall waive all rights of subrogation and 13 contribution it may have against City, its elected officials, officers, employees, agents, and volunteers. 4. Errors and Omissions Coverage. If Errors & Omissions Insurance is required, and if Contractor provides claims made professional liability insurance, Contractor shall also agree in writing either(1) to purchase tail insurance in the amount required by this Agreement to cover claims made within three years of the completion of Contractor's services under this Agreement, or(2) to maintain professional liability insurance coverage with the same carrier in the amount required by this Agreement for at least three years after completion. of Contractor's services Linder this Agreement. Contractor shall also be required to provide evidence to City of the purchase of the required tail insurance or continuation of the professional liability policy. S. Sufficiency of Insurers. Insurance required in this Agreement shall be provided. by authorized insurers in good standing with the State of California. Coverage shall be provided by insurers admitted in the State of California with an A.M. Best's Key Rating of B++, Class VIL or better,unless otherwise acceptable to the City. 6. Verification of Coverac,,e Contractor shall furnish City with both certificates of insurance and endorsements, including additional insured endorsements, effecting all of the coverages required by this Agreement. The certificates and endorsements are to be signed by a person authorized.by that insurer to bind coverage on its behalf. All proof of insurance is to be received and approved by the City before work commences. City reserves the right to require Contractor's insurers to provide complete, certified copies of all required insurance policies at any time. Additional. insured endorsements are not required for Errors and. Omissions and Workers' Compensation policies. Verification of Insurance coverage may be provided by: (1) an approved General and/or Auto Liability Endorsement Form for the City of Palm Springs or(2) an acceptable Certificate of Liability Insurance Coverage with an approved Additional Insured Endorsement with the following endorsements stated on the certificate: 1. "The City of Palm Springs, its officials, employees, and agents are named as an additional insured..." ( as respects City of Palm Springrs Contract Afo--___" or 'f©r any and all work performed with the City"may be included in this statement). 2. "This insurance is primary and non-contributory over any insurance or self- insurance the City may have..." ("as respects Cily of Palm Springs Contract No. or '!for a?v and all work-performed with the City"maybe included in this statement). 3. "Should any oj'the above described policies be canceled before the expiration date thereof, the issuing company will mail 30 days written notice to the Certificate Holder- named" Language such as,"endeavor to"mail and "but fail-Lire to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representative" is not acceptable and must be crossed out. 14 4. Both the Workers' Compensation.and Employers' Liability policies shall contain the insurer's waiver of subrogation in favor of City; its elected officials, officers, employees, agents, and volunteers. In addition to the endorsements listed above, the City of Palm Springs shall be named. the certificate holder on the policies. All certificates of insurance and endorsements are to be received and approved by the City before work commences. All certificates of insurance must be authorized by a person with authority to bind coverage, whether that is the authorized aggent/broker or insurance underwriter. Failure to obtain the required documents prior to the commencement of work shall not waive the Contractor's obligation to provide them. 7. Deductibles and Self-insured Retentions. Any deductibles or self-insured retentions must be declared to and approved by the City prior to commencing any work or services under this Agreement. At the option.of the City, either (1) the insurer shall reduce or eliminate such deductibles or self-insured retentions with respect to the City,its elected officials, officers, employees, agents, and volunteers; or(2) Contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration, and defense expenses. Certificates of Insurance must include evidence of the amount of any deductible or self-insured retention under the policy. Contractor guarantees payment of all deductibles and self-insured retentions. S. Severabilitv of Interests (Separation of Insureds). This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the limits of the insurer's liability. is FOODINN-01 LROCHA ,4CORO' CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDmmr) 7/25/2019 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 _ CONTACT Linda Rocha NAME: HUB International Insurance Services Inc. HON ,Ext>:(760)360-4700 4250 No):(760)FAX 360-6450 77564 Country Club Drive,Suite 401 E-MAIL Palm Desert,CA 92211 ADDRESS:linda.rocha@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:General Insurance Company of America 24732 INSURED INSURERB:American States Insurance Company 19704 Food in Need of Distribution,Inc.,dba INSURER C:United States Liability Insurance 25895 FIND Food Bank P.0.BOX 10080 INSURER D: Indio,CA 92202 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 ADDLITYPE OF INSURANCE INSD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 24CC323017-20 12/15/2018 12/15/2019 DAMAGE TO RENTED 1,000,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $. 3,000,000 X POLICY❑JE8T F LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ A AUTOMOBILE LIABILITY Ea aBINEDt SINGLE LIMIT $ 1,000,000 X ANY AUTO 24CC323017-20 12/15/2018 12/15/2019 BODILY INJURY Per e..... $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS MADE OISU435437300 12/15/2018 12/15/2019 AGGREGATE $ 3,000,000 DED X RETENTION$ 10,000 WORKERS COMPENSATION IPER I OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE LJ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ C Directors&Officers ND01556111B 11/22/2018 12/15/2019 $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Palm Springs,its officials,employees and agents are named as additional insured. This insurance is primary and non-contributory over any insurance or self-insurance the City may have. Should the above described policies be cancelled before the expiration date thereof,the issuing company will mail 30 days written notice to the certificate holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Palm Springs THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tyACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Liber Mutual. COMMERCIAL GENERAL LIABILITY 1 MSURANCE CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ADDITIONAL INSURED — BY WRITTEN lease or occupy, subject to the following CONTRACT, AGREEMENT OR PERMIT, OR additional provisions: SCHEDULE (a) This insurance does not apply to The fallowing paragraph is added to WHO IS AN any "occurrence" which takes place after you cease to be a tenant in INSURED (Section II): any premises leased to or rented to 4. Any person or organization shown in the Sched- you; ule or for whom you are required by written con- (b) This insurance does not apply to tract, agreement or permit to provide insurance any structural alterations, new con- is an insured, subject to the following additional struction or demolition operations provisions: performed by or on behalf of the a. The contract; agreement or permit must be person or organization added as an in effect during the policy period shown in insured; the Declarations, and must have been exe- (2) Your ongoing operations for that in- cuted prior to the "bodily injury", "property sured, whether the work is performed damage", or "personal and advertising by you or for you; injury". (3) The maintenance, operation or use by b. The person or organization added as an in- you of equipment leased to you by such sured by this endorsement is an insured only person or organization, subject to the to the extent you are held liable due to: following additional provisions: (1) The ownership, maintenance or use of (a) This insurance does not apply to that part of premises you own, rent, any "occurrence"which takes place after the equipment lease expires; Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02 07 Page 1 of 4 EP (b) This insurance does not apply to This exclusion applies even if the claims "bodily injury" or "property dam- against any insured allege negligence or age" arising out of the sole negli- other wrongdoing in the supervision, hiring, gence of such person or employment, training or monitoring of others organization; by that insured, if the "occurrence" which caused the "bodily injury" or "property (4) Permits issued by any state or political damage" involved the ownership, mainte- subdivision with respect to operations nance, use or entrustment to others of any performed by you or on your behalf, aircraft, "auto" or watercraft that is owned subject to the following additional pro- or operated by or rented or loaned to any in- vision: sured. This insurance does not apply to "bodily This exclusion does not apply to: injury", "property damage", or {1) A watercraft while ashore on premises "personal and advertising injury" arising you awn or rent; out of operations performed for the state or municipality. (2) A watercraft you do not own that is: c. The insurance with respect to any architect, (a) Less than 52 feet long; and engineer, or surveyor added as an insured (b) .Not being used to carry persons or by this endorsement does not apply to property for a charge; "bodily injury", "property damage", or "per- sonal and advertising injury" arising out of (3) Parking an "auto" on, or on the ways the rendering of or the failure to render any next to, premises you own or rent, pro- professional services by or for you, includ- vided the "auto" is not owned by or ing: rented or loaned to you or the insured; (1) The preparing, approving, or failing to (4) Liability assumed under any "insured prepare or approve maps, drawings, contract" for the ownership, mainte- opinions, reports, surveys, change or- nance or use of aircraft or watercraft; or ders, designs or specifications; and (5) "Bodily injury" or "property damage" (2) Supervisory, inspection or engineering arising out of: services. (a) the operation of machinery or d. This insurance does not apply to "bodily equipment that is attached to, or pp y y part of, a land vehicle that would injury" or "property damage" included within qualify under the definition of the "products-completed operations haz- "mobile equipment" if it were not and". subject to a compulsory or financial responsibility law or other motor ve- A person's or organization's status as an insured un- hicle insurance law in the state der this endorsement ends when your operations for where it is licensed or principally that insured are completed. garaged; or No coverage will be provided if, in the absence of this (b) the operation of any of the machin- endorsement, no liability would be imposed by law on ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of you. Coverage shall be limited to the extent of your "mobile equipment". negligence or fault according to the applicable princi- ples of comparative fault. (6) An aircraft you do not own provided it is not operated by any insured. NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY TENANTS'PROPERTY DAMAGE LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced When a Damage To Premises Rented To You Limit is by the following: shown in the Declarations, Exclusion j. of Coverage A, Section I is replaced by the following: g. "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or j• Damage To Property entrustment to others of any aircraft, "auto" "Property damage" to: or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- (1) Property you own, rent, or occupy, including ation and `loading or unloading". any costs or expenses incurred by you, or Page 2 of 4 any other person, organization or entity, for WHO IS AN INSURED — MANAGERS repair, replacement, enhancement, restora- tion or maintenance of such property for any The following is added to Paragraph 2.a. of WHO IS reason, including prevention of injury to a AN INSURED (Section II): person or damage to another's property; (2) Premises you sell, give away or abandon, if Paragraph(1) does not apply to executive officers, or the "property damage" arises out of any part to managers at the supervisory level or above. of those premises; SUPPLEMENTARY PAYMENTS — COVERAGES A (3) Property loaned to you; AND B — BAIL BONDS — TIME OFF FROM (4) Personal property in the care, custody or WORK control of the insured; Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — (5) That particular part of real property on which COVERAGES A AND B is replaced by the following: you or any contractors or subcontractors working directly or indirectly on your behalf b. Up to $3,000 for cost of bail bonds required are performing operations, if the "property because of accidents or traffic law violations damage" arises out of those operations, or arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. (6) That particular part of any property that must We do not have to furnish these bonds. be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — Paragraphs (1), (3) and (4) of this exclusion do COVERAGES A AND B is replaced by the following: not apply to "property damage" (other than d. All reasonable expenses incurred by the in- damage by fire) to premises, including the con- sured at our request to assist us in the in- tents of such premises, rented to you. A separate vestigation or defense of the claim or "suit", limit of insurance applies to Damage To Prem- including actual loss of earnings up to $500 ises Rented To You as described in Section III a day because of time off from work. — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if EMPLOYEES AS INSUREDS — HEALTH CARE the premises are "your work" and were never SERVICES occupied, rented or held for rental by you. Provision 2.a.(1)(d) of WHO IS AN INSURED (Section Paragraphs (3), (4), (5) and (6) of this exclusion 11) is deleted, unless excluded by separate endorse- do not apply to liability assumed under a side- ment. track agreement. Paragraph (6) of this exclusion does not apply to EXTENDED COVERAGE FOR NEWLY ACQUIRED "property damage" included in the "products- ORGANIZATIONS completed operations hazard". Provision 3.a. of WHO IS AN INSURED (Section II) is Paragraph 6. of LIMITS OF INSURANCE (Section 111) replaced by the following: is replaced by the following: a. Coverage under this provision is afforded 6. Subject to 5. above, the Damage To Premises only until the end of the policy period. Rented To You Limit is the most we will pay un- EXTENDED "PROPERTY DAMAGE" der Coverage A for damages because of "property damage" to any one premises, while Exclusion a. of COVERAGE A (Section 1) is replaced rented to you, or in the case of damage by fire, by the fallowing: while rented to you or temporarily occupied by you with permission of the owner. a. `Bodily injury" or "property damage" expected or intended from the standpoint of the insured. The Damage To Premises Rented To You limit is the This exclusion does not apply to "bodily injury" higher of the Each Occurrence Limit shown in the or "property damage" resulting from the use of Declarations or the amount shown in the Declarations reasonable force to protect persons or property. as Damage To Premises Rented To You Limit. CG 76 35 02 07 Page 3 of 4 EP EXTENDED DEFINITION OF BODILY INJURY interrupted only by a street, roadway, waterway, or right-of-way of a railroad. Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: INCREASED MEDICAL EXPENSE LIMIT 3. "Bodily injury" means bodily injury, sickness or The Medical Expense Limit is amended to$10,000. disease sustained by a person, including mental anguish or death resulting from any of these at KNOWLEDGE OF OCCURRENCE any time. The following is added to Paragraph 2. Duties In The ;, TRANSFER OF RIGHTS OF RECOVERY Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS The following is added to Paragraph S. Transfer Of (Section IV): Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- Knowledge of an "occurrence", claim or "suit" by tion IV): your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an We waive any rights of recovery we may have against officer of the named insured has received such notice any person or organization because of payments we from the agent, servant or employee. make for injury or damage arising out of your ongoing operations or "your work" done under a contract with UNINTENTIONAL FAILURE TO DISCLOSE ALL that person or organization and included in the HAZARDS "products-completed operations hazard". This waiver applies only to a person or organization for whom you The following is added to Paragraph 6. Representa- are required by written contract, agreement or permit tions of COMMERCIAL GENERAL LIABILITY CONDI- to waive these rights of recovery. TIONS (Section IV): AGGREGATE LIMITS OF INSURANCE — PER If you unintentionally fail to disclose any hazards ex- LOCATION isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of For all sums which the insured becomes legally obli- such failure. However, this provision does not affect gated to pay as damages caused by "occurrences" our right to collect additional premium or exercise our under COVERAGE A (Section 1), and for all medical right of cancellation or non-renewal. expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations LIBERALIZATION CLAUSE at a single "location": Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- The following paragraph is added to COMMERCIAL Lion ill) apply separately to each of your "locations" GENERAL LIABILITY CONDITIONS (Section IV): owned by or rented to you. 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- "Location" means premises involving the same- or mium, becomes effective during the policy period connecting lots, or premises whose connection is in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page 4 of 4 AR CERTIFICATE OF LIABILITY INSURANCE 77/26/2019(MMIDDIYYYY) 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 CONTACT Arthur J. Gallagher Risk Management Services, Inc. NAME: FAx 2850 Golf Road _(A/c No Ext): 630-773-3800 A/c No:630-285-4062 Rolling Meadows IL 60008 A DRIESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:New York Marine And General Insurance Company 16608 INSURED FOODINN-01 INSURER B: Food In Need of Distribution, Inc. 83-775 Citrus Avenue INSURERC: Indio CA 92202 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2050679971 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS, WVD POLICY NUMBER I MM/DDNYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE $ CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC201900017211 7/1/2019 7/1/2020 STATUTE ERH AND EMPLOYERS'LIABILITY Y/N — ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A _._.. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Workers Compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Palm Springs 3200 E Tahquitz Canyon Way AUTHORIZED REPRESENTATIVE Palm Springs, CA 92262 PC,, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Form WIM9 Request for `taxpayer Give Form to the (Rev.October2018) identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service ©Go to www.irs.gov/ForaiW9 for instructions and the latest information. 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. Food In Need of Distribution,Inc 2 Business name/disregarded entity name,if different from above dba FIND Food Bank 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to following seven boxes. certain entities,not Individuals;see Ca instructions on page 3): Cp ❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑Trustfestate e single-member LLC Exempt payee code(if any) ao ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership) p« Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting N LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is if an C another LLC that is not disregarded from the owner for U.S,federal tax purposes.Otherwise,a single-member LLC that code( y) a is disregarded from the owner should check the appropriate box for the tax classification of its owner. aoi Q Other(see instructions)► 501 C 3 (Apprtes to accounts matnra;wdoufdds Ma U.S.) y 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) 83775 Citrus Avenue 6 City,state,and ZIP cede Indio,CA 92201 7 List account number(s)here(optional) Taxpayer Identification {Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(S .However,fora resident alien,sole proprietor,or disregarded entity,see thea instructions for Part 1,later.For other entities,it Is your employer identification number(EIN).If you do not have a number,see Now to get a TIN,later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. FN - 0 o a 6 00 7 WOMI Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.1 am not subject to backup withholding because;(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.1 am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the Instructions for Part 11,later. sign Signature of / r, Here U.S.persan► ( a _ 4,k ,y , b.rec_ ac off- f t2.�Avc-Date► 7/ J jd General Instru &ions •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise .Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments .Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov1FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest), Information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(MIN),adoption .Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. if you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) ACORO® CERTIFICATE OF LIABILITY INSURANCE llk/ DATE(MM/DDNYYY) 1 12/26/2023 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). PRODUCED Arthur J. Gallagher Risk Management Services, LLC 2850 Golf Rd RECEIVED Rolling Meadows IL 60008 = CT Brianna Risks PHONE FAX , 630-773-3800 uc,.Nc):. 630-285i062 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICs JAN O 2 2024 —. INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED FOOdNN-01 Food In Need of Distribution, Inc. 83-775 Citrus Avenue Office of the City Clerk INSURER e: Service American Indemnity Company39152 MSURERC: Indio CA 92202 INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 412988242 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1K OCCUR PHPK2633794 12/16/2023 12/15/2024 EACHOCCURRENCE $1,000,000 PREMIRES pcaxlen $100.000 MED EXP (My rare Permi F 5,000 PERSONAL &ADV INJURY $1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY El ima LOC OTHER: GENERAL AGGREGATE S3.000,DDO PRODUCTS - COMP/OP AGO $3,OD0,000 $ A AUTOMOSILELABILITY ANY AUTO OWNED AUTOS TO S ONLY ASCU LED HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PHPK2633794 IZ15/2023 12/15/2024 ECOMMINibEUT-Uhur$1,000.000 avorar X BODILY INJURY (Per person) S I BODILY INJURY (Per moodenO S X PROPERTY DAMAGE Per accident S S A X UMBRELULAB EXCESS LAB - X O�Uq CIAIM&MADE PHUB892878 12/15/2023 12/1SI2024 FACHOCCURRENCE $5,000,000 AGGREGATE S5,000,0DO DED RETENTION $ WORKERSCOMPENSATION AN D EMPLOYEINTUABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE Of FiCEWMEMBER EXCLUDED? (Marrdetory in NH) If yes, describe under DESCRIPTIONOFOPERATIONSbNoe NIA SATIS0022503 7/1/2023 711=24 X TAT T E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000.000 " ---- a1,000,000 E.L. DISEASE -POLICY LIMIT A INIAND MARINE PHPK2633794 72/15/2023 12/152024 CONTRACTORS EQUIPMI 4138.802 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Scludale, maybe attached if more spew is regWred) City of Palm Springs is an Additional Insured as respects to the general liability policy. pursuant to and subject to the policy's terms, definitions, Conditions and exclusions. o 2 L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Palm Springs City Hall 3200 E Tahqultz Canyon Way Reception Desk Palm Springs CA 92262 AUTHORIZED UTORIZED REFTESENTATIVE ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Arthur J.,Gallagher Risk Management'Servioes, LLC 2850 Golf Road " Rolling Meadows IL 60008 MDG2023 00015030 01 • - r4141114h1hll4hhihllldhl�u^Ih�glilihr�lh4 HY , City of Palm Springs ' 3200 E Tahquitz Canyon Way Palm Springs, CA M62 We are, providing you with a Certificate of Insurance confirming our client's coverage. Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance.for our client?.Please contact us at, , COI.UpdateMyEmail@AJG.com and provide the following information for processing: 1. Confirmation that a certificate of insurance is no.longer required; or 2. E-mail address to send future certificates of.insurance in lieu of U.S. Mail delivery 3. Insured Code:. FOODINN-01 , 4.1 This Certificate Number: 412988242 To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at www'aig.com/us/about-us/how-we-work/c6re-360. Gallagher does not share your a -mail as detailed in our privacy policy found at https:// www.ajg.com/us/privacy=policy/. ' s m 0 s ACOROe CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/26/2023 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. H 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 Arthur J. Gallagher Risk Management Services LLC 2850 Golf Rd RECEIVED Rolling Meadows IL 60008 CONTACT NAME Brlanna RisksPHONE - No _ 630 2854062 6L 30-6473035 ear 6 A DRRE3 : INSURERS AFFOROMO COVERAGE NAIC, JAN 0 2 2024 INSURER A: Service American Indemnity Company 39152 INSURED FOOCINN-01 Food In Need of DistributionInc. Office ce of the City Clerk 83-775 Citrus Avenue INSURERS: Philadelphia Indemnity Insurance Company 18058 INSURER C: Carolina CasualtyInsurance Company10510 INSURER 0: Indio CA 92202 _INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1895589645 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- LTR TYPE OF INSURANCE POLICY NUMBER PO ICY EFF POLICY EXP YYY MM/DO/Y LIMITS R X GENL X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE ❑ OCCUR PHPK2633794 12/15/2023 12/1512024 EACH OCCURRENCE S1,000,000 PREMISES(Ea o curt n $100.000 MED EXP one Peron) $5,000 PERSONAL A ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY jECT ❑ LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP/OP AGG $3,000.000 $ 8 AUTOMO9ILELMSILn'Y X ANY AUTO OWNED SCHEDULED AUTOS ONLY NALTOS ON -OWNED HIRED AUTOS NLY AUTOS ONLY AUTOS PHPK2633794 12/15/2023 12/15/2024 COMBINED SINGLEL $1,000.000 BODILY INJURY (Per gamem) $ BODILY INJURY (Per eoddent) S DAMAGE par rd (P sodded, $ B X UMBRELLAUAB EXCESSLIAB X OCCUR CLAIMS -MADE PHUBB92878 12/16/2023 12/15/2024 EACH OCCURRENCE $5,000,000 AGGREGATE $6,000.000 X I DE0 I X I RETENTION $ A WORKERSCOMPENSATR)N ANDEMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER'EXECUTIVE OFFICERIMEMBEREXCLUDEDZ (Mandatory In NH) " It yyes, describe under DESCRIPTIONOFOPERATIONS Imcrs N/A SATIS0022503 7/1/2023 7/1/2024 X N- STAT TE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000.000 E.L. DISEASE -POLICY LIMIT -- --- S1.000,000 C Omedorc A 0leoera Pmreseional Liabli y DCP1795585P5 12I75/2023 12/15/2024 LIMIT AGGREGATE LIMIT $2, DOOOOO $3,000.000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Mditional Remarks SCheaule. may W attached R more space is required) City of Palm Springs is an Additional Insured as respects to the general liability policy, pursuant to and subject to the policy's terns, definitions, Conditions and exclusions. City of Palm Springs 3200 E Tahquitz Canyon Way Palm Springs CA 92262 USA 4,u 0 2 M24 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 12016103) The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher Risk, Management Services, LLC 2850' Golf Road Rolling Meadows IL 60008 MDG2023 00015977 01 II'111111'I'IIILLI'�Itllllllllillh�dl"III'IIIIIIIIdhhlJl 11 City of Palm Springs 3200 E Tahquitz Canyon Way Palm Springs, CA 92262 We are providing you with a Certificate of Insurance confirming our client's coverage. Want to get;certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies. of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance for our client? Please contact us at COI.UpdateMyEmail@AJG.com and provide the following information for processing: 1. Confirmation that a certificate of insurance is no longer required; or 2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery 3. Insured Code: FOODINN-01 . 4. This Certificate Number: 1895589645 To learn more about the" Insurance and Risk Management Services offered;by Gallagher, please visit us at www.ajg.com/us/about-us/how-we-work/core-360. Gallagher does not sfiare your e-mail as detailed in our privacy policy found at https:// www.6ig.c6m/us/privacy-policy/.