HomeMy WebLinkAboutA7194 - TRANGENDER HEALTH & WELLNESS CENTERCity of Palm Springs
3200 E. Tahquit: Canyon Way • Palm Spring's, Caiitornia 92262
pa I mspri n i».sca.i.'ov
August/, 2018
VIA UNITED STATES MAIL AND E-MAIL
Thomi Clinton
Transgender Health and Wellness Center
16431 Avenida Ramada
Desert Hot Springs, CA 92240
thomi@trans.health
Re: Letter Agreement, 2018-19 Grant from City of Palm Springs to Transgender Health and Wellness
Center
Congratulations on receiving an award of a grant by the City Council of the City of Palm Springs ("City").
This letter agreement ("Agreemenf) memorializes the nature of the grant awarded to your organization,
Transgender Health and Wellness Center ("Grantee") for the (fiscal) year 2018-19 (the "Grant"), and the
terms and conditions upon which the City provides it. The City's grant of assistance to Grantee (the
"Assistance") may be summarized as follows:
$5,000 cash grant In support of the Operating Support for Transgender Health and Wellness
Center
The City makes this grant upon the following terms and conditions ("Terms"). Your signature below and
return of this Agreement to the City shall serve as evidence of Grantee's acceptance of, and promise to
follow all of the Terms. Despite its informality. City and Grantee intend that this Agreement shall serve as
a fully binding and enforceable contract between them in relation to the Assistance. City will tender all
Assistance as quickly as practicable, and in coordination with Grantee's reasonable requirements as
expressed to City, upon Grantee's return of this Agreement, fully executed, to the City.
1. Grantee is known in the community for performing a function and/or providing services
("Services") that may reasonably be described as follows: Operating Support for Transgender
Health and Wellness Center. Grantee warrants and covenants to City that It will to continue to
provide Services throughout the 2018-19 fiscal year, and that it shall dedicate the entirety to the
Assistance hereunder to funding and/or supporting Services.
2. In the event that Grantee anticipates or experiences any interruption of its provision of Services,
Grantee shall provide written notice to City of that fact, and execute any amendment to this
Agreement that City deems necessary and appropriate.
3. The following principal of Grantee is identified as being Grantee's representative, authorized to
act on Grantee's behalf with respect to the Services and all interaction with City related thereto:
Thomi Clinton, CEO.
Posr Off ice Box 2743 • Palm Springs, California 92263-2743
August?, 2018
Transgender Health and Wellness Center - Operating Support for Transgender Health and Wellness Center
Page 2 of 72
4. Grantee and its representative shall ensure that all communications and other interaction with
City necessary in relation to Services, the provision of Assistance, and this Agreement shall be
with Anthony J. Mejia, City Clerk.
5. Grantee shall comply with all applicable federal, state and local law and regulations ("Law") in
providing Services, and shall secure any and all necessary licenses and permits required by Law
in doing so.
6. Grantee agrees to use the official City logo to acknowledge the City's support on its website in
the manner noted below (with a hyperlink to the City's website) and on any printed materials
associated with its program or event. Grantee is also encourage to include the City of Palm
Springs in all relevant social media postings.
Special Funding provided by The City of Palm Springs
7. Grantee shall, upon any reasonable City request, notify its employees, members and volunteers
of opportunities to volunteer at City events.
8. Grantee is an independent organization, not affiliated with City except by way of this Agreement
as a recipient of Assistance. Neither City nor any of its officials, employees, contractors,
volunteers or agents (in the aggregate, "City's Related Parties") shall have any control over the
manner, mode, or means by which Grantee, its managers, employees, contractors, volunteers or
agents (in the aggregate, "Grantee's Related Parties") perform Services. Further, this Agreement
does not establish any relationship whatsoever between City and any person(s) who receive or
benefit from Grantee's Services ("Grantee's Beneficiaries"). Grantee warrants and covenants that
none of Grantee's Related Parties or Grantee's Beneficiaries has any contractual or other
relationship with City arising from or related to this Agreement. Grantee is merely a sponsored
entity recognized by City as worthy of City's Assistance, for the sole and exclusive purpose of
promoting Grantee's Services in the community. However, in recognition of the fact that Grantee
is receiving public funds pursuant to this Agreement in the form of the Assistance, City shall have
the right to review Grantee's work product, results, records, and advice in relation to any Services
rendered to Beneficiaries that are funded or supported, in whole or in part, by the Assistance.
9. Neither Grantee, nor any person who is one of Grantee's Related Parties or Grantee's
Beneficiaries, shall at any time or in any manner represent that any person who is one of
Grantee's Related Parties or Grantee's Beneficiaries is one of City's Related Parties, by virtue of
this Agreement or otherwise.
10. Grantee shall prepare and deliver to City a Final Report that documents Grantee's application of
the Assistance to the advancement of Services; these reports shall include but not be limited to
expenditures of City funds by Grantee. Final Report must accompany your application for the
2019-20 grant cycle, or be submitted by December 31, 2019 if you are not applying.
11. Grantee shall procure and maintain, at Grantee's sole cost and expense, policies of insurance as
required by the City Attorney.
Transgender Health and Wellness Center - Operating Support for Transgender Health and W^JJlnetL Center
Page 3 of 72
12. To the fullest extent permitted by law. Grantee shall defend (at Grantee's sole cost and expense)
n TTI?''^3"J'l®ss City and City's Related Parties from and against any andall liabilities, actions, suits, claims, demands, losses, exists, 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 or related to
(i) injuries to or death of persons, including without limitation Grantee's Related Parties and
Grantee s Beneficiaries, (ii) damage to property, including property owned by any of Grantee's
Related Parties, Grantees Beneficiaries, or City, (Hi) any violation of any federal, state, or local
law or regulation, and (iv) actual or alleged errors and omissions of Grantee or any of Grantee's
Related Parties, to the full extent not directly caused by the negligence or willful misconduct of
the City or any of City's Related Parties. Under no circumstances shall the scope or nature of
Grantee's insurance required by this Agreement be construed to limit Grantee's duty to indemnify,
defend or hold City harmless hereunder.
13. In connection with Services under this Agreement, Grantee 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"). Grantee shall
ensure that Grantee's Related Parties are employed, and that contractors and volunteers are
engaged (to the extent applicable), and that Grantee's Related Parties are treated during their
employment or engagement by Grantee, without regard to any prohibited basis. As a condition
precedent to City's entry into this Agreement, Grantee has warranted and covenanted that
Grantee's actions and omissions hereunder shall not incorporate any discrimination arising from
or related to any prohibited basis in any Grantee activity, including but not limited to the following:
employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or
termination; provision of benefits, rates of pay or other forms of compensation; and selection for
training, including apprenticeship. Grantee shall fully comply with the provisions of Palm Springs
Municipal Code Section 7.09.040 relating to non-discrimination in city contracting.
14. This Agreement contains ail of the agreements between City and Grantee, and cannot be
amended or modified except by written agreement. If any portion of this Agreement is 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 portions of this Agreement, which
shall be interpreted to carry out the intent of the parties hereunder. Each of the persons executing
this Agreement on behalf of a party hereto warrants that he/she is duly authorized to execute this
Agreement on behalf of said party, and that by so executing this Agreement the party hereto for
which this Agreement is executed is formally bound to the provisions of this Agreement. The
parties may execute this Agreement in any number of counterparts, received by the City as an
original or as a digital image; together, all counterparts form a single document.
August?, 2018
Transgender Health and Wellness Center - Operating Support for Transgender Health and Weljness Renter
iiv Clerk
CITY OF PALM SP
uavia n. Ready
City Manager
AGREED
Transgender Health and Wellness Center
Byrthn/ni
Name and Title Signature
APPROVED BY CITY COUNCIL
ly, . 7^\^, H<\
A3o.
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMrDDrrYYY)
08/01/2018
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).
^'RODUCER
; ui -i -j Afjencv Insurance Services
f.lnnne Agency Corp dba
'9' MaplewoodAve
Waniewood NJ 07040
NAMEf*^ Margie Krahnert
(e(»)re3.4775 (973)763.1635
ADDRESS: TikrahneiKgmarineagency.com
INSURER(S) AFFORDING COVERAGE NAICP
INSURER A: Certain Underwriters at Lloyd's. London
inSURED
Transgender Health and Wellness Center. Inc.
15431 Avenida Ramada
Desert Hot Springs CA 92240
INSURER B:
INSURER C:
INSURER D:
INSURER E :
INSURER F:
COVERAGES CERTIFICATE NUMBER: CL188118959 REVISION NUMBER:
M 1 j to CERTIr V THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
iCATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
RTIETCATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR :TYPE OF INSURANCE
TSDUq
UlSB.
SUBR
POLICY NUMBER
POUCY EFF
(MM/DD/YYYYl
POLICY EXP
IMM/DD/YYYYI UMITS
X COMMERCIAL GENERAL UABILITY
Cl.A(MS-MADE □ OCCUR
X Professional
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence!
MED EXP (Any one person)
j Liability BABS18ig-1124 05/07/2018 05/07/2019 PERSONAL & ADV INJURY
X
i GRLGATr LIMH APPLIES PER
' OLiCv I I jEcf I I LOG
OTHER
GENERALAGGREGATE
PRODUCTS • COMP/OP AGG
Employee Benefits
1.000.000
100.000
5,000
1,000,000
3,000,000
3,000,000
AUTOMOBILE LIABILITY
I At-JVAL'TO
COMBINED SINGLE LIMITlEa accidemi
BODILY INJURY (Per person)
O'ANED
•■.(.'TOP. ONLY
liiRLO
.'.I iroS ONLY
SCHEDULED
AUTOS
NON-OWNED
AUTOS ONLY
BODILY INJURY (Per accident)
PROPERTY DAMAGEtPer accidenil
UMBRELLA LIAS
EXCESS LIAB
DEO
OCCUR
CLAIMS-MADE
EACH OCCURRENCE
AGGREGATE
RETENTION S
WORKERS COMPENSATIONI AND EMPLOYERS' LIABILITY
I "NV PROPRIETOR/PARTNER/EXECUTIVE
1 FLiCER/lviEWaER EXCLUDED^j (Mandatory in NH)
j I vi?s ilescfibe uiidei
i •; SCRIPTION OF OPERATIONS Oelow
PER
STATUTE
OTH
ER
□E.L. EACH ACCIDENT
E L DISEASE - EA EMPLOYEE
E L. DISEASE - POLICY LIMIT
>E PC RIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACOR0101, Additional Remarks Schedule, may be attached If more spece is required)
Inland Empire Health Plan
10801 6th St
Suite 120
Rancho Cucamonga CA 91730
1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
kUTHO)uzW AEPRESENTAm(&
ACORD 25 (2016/03)The ACORO name and logo are registered marks of ACORD
marine agencuinsuranceINSURANCE SINCE 1922191 MAPLEWOOD AVENUEMAPLEWOOD, NEW JERSEY 07040W. DaWIItLSM 'COT01 M.)G'mPM <4 IFIRST-CLASS MAILneoposb08/01/2018 /I "70ZIP 07040041L11243453V"=«22s^O—30323 i
Page 1 of 1■■I Alliance^□1 Member
II Services
4 Htadfor f/ituronc*. 4 Htcft fot Nonofoftt*.
serving
HI ALLIANCE OF
ILJI NONPROFITS FOR
■I INSURANCE
Nonprofits
Insurance
ALllANCr. or CALirORNlA
A Head for Insuranct. A Hoartfor Nottprofits. A Htadfor Insuranc*. A Htart for Nonprofits.
P.O. Box 490S0, San Joss. CA 95161 -9050
Member# 55166 Phono: 760-218-4326
Email:thofni1clinton@gnnail.com
Transgender Health and Wellness Center
16431 Avenida Rannada
Deserl Hot Springs, CA 92240
Current Minimum Due:
Payment Due Date;
$235.36
08/09/2018
VISIT OUR SECURE WEBSITE AT www.lnsurancefornonprofit8.org to:
- MAKE A PAYMENT: Pay your premium with a credit card / check (EFT)
- GO PAPERLESS! Sign up to receive member statement notifications via email
- View policies, endorsement, and member statements
* Simple finance charge equivalent to 3,00 % APR will be applied
each month to any unpaid balances
(excluding NAE Property and QBE Accident)
Statement Number
Statement Date:
Previous Ending Balance:
Payment Received:
/Additional Premium:
Return Premium:
Adjustments:
Finance Charge':
Total Balance:
4 of 9
07/25/2018
$1,634.90
$-236.89
$0.00
$0.00
$0.00
$3.35
$1,401.36
-1'POLICY SUMMARY - ■■i -■ ■" ' V "
icdtfler;.' Po^tiumber r-' Eflb^ye bescdptton Prevlblis ^
Balance
'^^iedlST'i
J:.
NIAC 2018-55166 04/19/2018 General Liability, Auto Liability 631.00 0.00 -90.14 540.86 89.86
NIAC 2018-5S166-DO 04/19/2018 Directors and Officers 421.00 0.00 -60.14 360.66 59.86
NIAC 2018-55166-PROP 04/19/2018 Property 509.00 0.00 -72.71 436.29 72.29
QBE 2018-55166-ACC 04/19/2018 Accident 70.00 0.00 -10.00 60.00 10.00
Finance Charge 3.90 3.35 -3.90 3.35 3.35
Policy Summary Totals:1,634.90 3.35 -236.89 1,401.36 235.36
j.; , ■ ■.recenttransactions- ■; ^
■'Date cartiar ■:■ P6!ft«N5iRter-^vrEffecWa noB ji^AiaiviW DesalBlfiif'
07/11/2018
07/25/2018
Payment Received - Check ffOSIO
Finance Charge
-236.89
3.35
BILLING QUESTIONS PLEASE CONTACT:
Felicia Frattini
Phone: 800-359-6422 exL 6090
Email: ffrattini@insurancefbmonprofit8.org
FOR POLICY OR ENDORSEMENT QUESTIONS PLEASE CONTACT:
NFP Property & Casualty Services, Inc. - Broker» 03426
Phone: 800-316-0019 ext. 116 Fax; 800-316-0021
Email: paul.waters@nfp,com
Please return bottom portion with payment
PAYMENT OPTIONS:
Website: one time via credit card or check (EFT)
Mail: check or money order
We are unable to process payments by phone
Statement Number:
Statement Date:
4 of 9
07/25/2018
TO AVOID CANCELLATION PLEASE
CONTACT US IF PAYMENT WILL NOT BE
RECEIVED BY THE DUE DATE
Member #55166
Transgender Health and Wellness Center
Attn:Thoml Clinton
16431 Avenida Ramada
Desert Hot Springs. CA 92240
^ CuiTOnifiaiiahii^r?^^^^$1,401.36
Total MinimumDue:$235.36
Payment Due Date:08/09/2018
Amount Enclosed:
AMS (Alliance Member Services)
P.O. Box 49050
San Jose, CA 95161-9050