HomeMy WebLinkAbout05261 - DESERT AIDS PROJECT INC ENTRANCE ADA UPGRADE RENOVATION Page 1 of 1
Kathie Hart
From: Dale Cook
Sent: April 03, 2008 2:51 PM
To: Kathie Hart
Subject: RE. Desert Aids-A5261 Y�
10-4, it has been completed.
From: Kathie Hart
Sent: Friday, March 21, 2008 11:54 AM
To: Dale Cook
Subject: Desert Aids - A5261
This was for FY 06-07. Is it ready to be closed?
Kathie Hart, CMC
Chief Deputy City Clerk
City or Palm Sprigs
3200 7ahgwh Canyon Way
Palm Sprigs CA 92262
Kathia.Harr@polmsprmgs-cogov
Office (760),M-8206
i �
V
04/03/08
SUBRECIPIENT AGREEMENT
Vh
rr THIS AGREEMENT (herein "Agreement"), is made and entered into this d y ofv
2001, by and between the CITY OF PALM SPRINGS, (herein "City), a municipal corporation and
charter city, and the Desert AIDS Project. Inc. , (herein "Provider").
WHEREAS, the City has entered into various funding agreements with the United States
Department of Housing and Urban Development ("HUD"), which agreements provide funds ("CDBG
Funds") to the City under the Federal Housing and Community Development Act of 1974 (42 U.S.C.
Section 5301 et sett.), as amended from time to time (the "Act"), and the regulations promulgated
thereunder(24 C.F.R Section 570 et sec. ("Regulations"), and
WHEREAS, the Act provides that the Oily may grant the CDBG Funds to nonprofit
organizations for certain purposes allowed under the Act; and
WHEREAS, the Provider is a nonprofit organization which operates a program which is eligible
for a grant of CDBG funds and the City desires to assist in the operation of the program by granting
CDBG Funds to the Provider to pay for all or a portion of those costs incurred in operating the program
permitted by the Act and the Regulations on terms and conditions more particularly set forth herein;
NOW, THEREFORE,the parties hereto agree as follows:
1.0 SERVICES OF PROVIDER.
1.1 Scope of Services. Provider agrees to provide to City all of the services
specified and detailed in its application for funding and Exhibit A, and to conduct all programs specified
therein in a manner to reflect credit upon the City and Provider. Provider represents and warrants to
City that it is able to provide, and will use funds granted by the City to provide the services represented
in the Provider's application for funding. City provided funds shall be used only for those purposes
specified in such application.
1.2 Compliance with Law. All services rendered hereunder shall be provided in
accordance with all ordinances, resolutions, statutes, rules, and regulations of the City and any
Federal, State or local governmental agency of competent jurisdiction.
1.3 Reports. No later than ten (10) days prior to any payment date specified in
Section 2.2, within ten (10) days following the termination of this Agreement, and at such other times
as the Contract Officer shall request, Provider shall give the Contract Officer a written report describing
the services provided during the period of time since the last report and accounting for the specific
expenditures of contract funds hereunder, if applicable. At the times and in the manner required by
law, the Provider shall provide to the City, the Department of Housing and Urban Development, the
Comptroller General of the United States, any other individual or entity, and/or their duly authorized
representatives, any and all reports and information required for compliance with the Act and the
Regulations
1.4 Financial Reporting, Any Provider receiving or due to receive or due to
receiver`b20,000.00 or more from the City during the 2006— 2007 Fiscal Year shall provide to City a
financial statement prepared by a recognized accounting firm approved by or satisfactory to City's
Finance Director completed within the most recent twelve (12) months showing the Provider's financial
records to be kept in accordance with generally accepted accounting standards. The report shall
include a general ledger balance sheet which identifies revenue sources and expenses in sufficient
detail to demonstrate contract compliance and be balanced to bank statements. Any organization
receiving or due to receive less than $20,000.00 in the current fiscal year from the City shall provide a
copy of the organization's most recent charitable trust report to the Attorney General, or other financial
information satisfactory to City's Finance Director. The financial information provided for in this
paragraph shall be furnished not later than January Vt of the current fiscal year.
2.0 COMPENSATION.
2.1 Contract Sum. The City shall pay to the Provider on a reimbursable basis for
its services a sum not to exceed TWENTY-TWO THOUSAND and EIGHTY-EIGHT DOLLARS
($22.088.00) (the "Contract Sum") in accordance with the Budget attached hereto in Exhibit B and
incorporated herein by this reference; and as herein provided. The budget cost categories set out in
Exhibit B are general guidelines and if mutually agreed by both parties, may be amended
administratively by no more than 10%, without the requirement of a formal amendment to this
Agreement, but in no event shall such adjustments increase the Contract Sum. The Provider shall
submit to the City monthly statements on reimbursable expenditures pursuant to the attached Budget
along with pertinent supporting documentation. The City shall promptly review the monthly
expenditure statements and, upon approval, reimburse the Provider its authorized operating costs.
2.2 Payroll Records. In cases where the contract sum will reimburse payroll
expenses as part of operations, the Provider will establish a system of maintaining accurate payroll
records which will track daily hours charged to the project by the Provider's respective employees, as
set forth in OMB Circular A-122 Attachment B.6.
2.3 Draw Downs. Failure by Provider to request reimbursement or encumbrance
of at least 25% of the total grant by the end of each fiscal year quarter (September 30, December 30,
March 31, and June 30) shall result in the immediate forfeiture of 25% of the total grant.
3.0 COORDINATION OF WORK.
3.1 Representative of Provider. The following principals of Providers are hereby
designated as being the principals and representatives of Provider authorized to act in its behalf with
respect to the work specified herein and make all decisions in connection therewith:
tlr�
3.2 Contract Officer. The Contract Officer shall be such person as may be
designated by the chief administrative officer of City.
3.3 Prohibition Against Subcontracting or Assignment. Provider shall not contract
with any other entity to perform in whole or in part the services required hereunder without the express
written approval of the City. Neither this Agreement nor any interest herein may be assigned or
transferred, voluntarily or by operation of law, without the prior written approval of the City.
3.4 Independent Contractor Neither the City nor any of its employees shall have
any control over the manner, mode or means by which Provider, its agents or employees, perform the
services required herein, except as otherwise set forth herein. Provider shall perform all services
required herein as an independent contractor 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. Provider 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.
4.0 COMPLIANCE WITH FEDERAL REGULATIONS.
4.1 The Provider shall maintain records of its operations and financial activities in
accordance with the requirements of the Housing and Community Development Act and the
regulations promulgated thereunder, which records shall be open to inspection and audit by the
authorized representatives of the City, the Department of Housing and Urban Development and the
Comptroller General during regular working hours. Said records shall be maintained for such time as
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may be required by the regulations of the Housing and Community Development Act, but in no case
for less than three years after the close of the program.
42 The Provider certifies it shall adhere to and comply with the following as they
may be applicable:
(a) Submit to City through its Community and Economic Development
Department monthly reports on program status;
(b) Section 109 of the Housing and Community Development Act of 1974,
as amended and the regulations issued pursuant thereto,
(c) Section 3 of the Housing and Urban Development Act of 1968, as
amended;
(d) Executive Order 11246, as amended by Executive Orders 11375 and
12086, and implementing regulations at 41 CFR Chapter 60,
(e) Executive Order 11063, as amended by Executive Order 12259, and
implementing regulations at 24 CFR Part 107;
(f) Section 504 of the Rehabilitation Act of 1973 (P.L. 93-112), as
amended, and implementing regulations;
(g) The Age Discrimination Act of 1975 (P.L. 94-135, as amended, and
implementing regulations;
(h) The relocation requirements of Title II and the acquisition requirements
of Title III of the Uniform Relocation Assistance and Real Property
Acquisition at 24 CFR Part 42;
(1) The restrictions prohibiting use of funds for the benefit of a religious
organization or activity as set forth in 24 CFR 570,200 0);
Q) The labor standard requirements as set forth in 24 CFR Part 570,
Subpart K and HUD regulations issued to implement and
requirements,
(k) The Program Income requirements as set forth in 24 C.F.R.
570.504(c) and 570.503(b)(8);
(1) The Provider is to carry out each activity in compliance with all
Federal laws and regulations described in 24 C.F.R. 570, Subpart K,
except that the Provider does not assume the City's environmental
responsibilities described at 24 C.F.R. 570,604: nor does the
Provider assume the City's responsibility for initiating the review
process under the provisions of 24 C.F R. Part 52;
(m) Executive Order 11988 relating to the evaluation of flood hazards and
Executive Order 11288 relating to the prevention, control and
abatement of water pollution,
(n) The flood insurance purchase requirements of Section 102(a) of the
Flood Disaster Protection Act of 1973 (P.L. 93-234),
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(o) The regulations, policies, guidelines and requirements of 24 CFR
570; the "Common Rule", 24 CFR Part 85 and subpart J; OMB
Circular Nos. A-102, Revised, A-87, A-110 and A-122 as they relate
to the acceptance and use of federal funds under the federally-
assisted program;
(p) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) and
implementing regulations issued at 24 CFR Part 1;
(q) Title VIII of the Civil Rights Act of 1968 (P.L. 90-284) as amended;
(r) The lead-based paint requirements of 24 CFR Part 35 issued
pursuant to the Lead-Based Paint Poisoning Prevention Act (42
U S.C. 4801 et seq.),
(s) Maintain property inventory system to numerically identify HUD
purchased property and document its acquisition date as is set forth
in OMB Circular A-110 Attachment N Property Management
Standard 6d; and
(t) Reversion of asset. Upon the Expiration of the agreement, the
subrecipient shall transfer to the City any CDBG funds on hand at the
time of expiration and any accounts receivable attributable to the use
of CDBG funds Additionally, any real property under the
subrecipient's control that was acquired or improved in whole or in part
with CDBG funds (including CDBG funds provided to the subrecipient
in the form of a loan) in excess of$25,000 is either'
(i) Used to meet one of the national objectives in Section
570.208 (formerly Section 570.901) until five years after
expiration of the agreement, or for such longer period of time
as determined to be appropriate by the City; or
(ii) Not used in accordance with paragraph (s)(i) above, in which
event the subrecipient shall pay to the City an amount equal
to the current market value of the property less any portion of
the value attributable to expenditures of non-CDBG funds for
the acquisition of, or improvement to, the property. The
payment is program income to the City. (No payment is
required after the period of time specified in paragraph (s) of
this section.)
(u) Such other City, County, State, or Federal laws, rules, and regulations,
executive orders or similar requirements which might be applicable.
4.3 The City shall have the right to periodically monitor the program operations of
the Provider under this Agreement
5.0 INSURANCE AND INDEMNIFICATION,
5.1 Insurance, The Provider shall procure and maintain, at its cost, and submit
concurrently with its execution of this Agreement, public liability and property damage insurance
against claims for injuries against persons or damages to property resulting from Provider's acts or
omissions arising out of or related to Provider's performance under this Agreement. Provider shall also
carry Workers' Compensation Insurance in accordance with State Workers' Compensation laws. Such
insurance shall be kept in effect during the term of this Agreement and shall not be cancelable without
thirty (30) days' prior written notice of the proposed cancellation to City. A certificate evidencing the
-4-
foregoing and naming the City as an additional insured shall be delivered to and approved by the City
prior to commencement of the services hereunder. The procuring of such insurance or the delivery of
policies or certificates evidencing the same shall not be construed as a limitation of Provider's
obligation to indemnify the City, its officers, or employees. The amount of insurance required
hereunder shall be as required by the Contract Officer not exceeding Five Hundred Thousand Dollars
($500,000).
5.2 Indemnification. The Provider shall defend, indemnify and hold harmless the
City, its officers and employees, from and against any and all actions, suits, proceedings, claims,
demands, losses, costs, and expenses, including legal costs and attorneys' fees, for injury to or death
of person(s), for damage to property (including property owned by the City) arising out of or related to
Contractor's performance under this Agreement, except for such loss as may be caused by City's own
negligence or that of its officers or employees.
6.0 DISCRIMINATION, TERMINATION, AND ENFORCEMENT,
6.1 Covenant Against Discrimination. Provider covenants that, by and for itself, its
heirs, executors, assigns, and all persons claiming under or through them that there shall be no
discrimination against or segregation of any person or group of persons on account of race, religious
creed, color, national origin, ancestry, physical disability, mental disability, medical condition,
pregnancy, marital status, age, sex, sexual orientation, or any other basis Protected Characteristic by
applicable federal, state or local law in the performance of this Agreement. Provider shall take
affirmative action to insure that applicants are employed and that employees are treated during
employment without regard to their race, color, creed, religion, sex, marital status, physical or mental
disability, national origin, ancestry or any other basis Protected Characteristic by applicable federal,
state or local law.
6.2 Term, Unless earlier terminated in accordance with Section 6.3 of this
Agreement, this Agreement shall continue in full force and effect until completion of the services, but
not exceeding one (1) year from the date hereof.
6.3 Termination Prior to Expiration of Term. Either party may terminate this
Agreement at any time, with or without cause, upon thirty (30) days' written notice to the other party,
Upon receipt of the notice of termination the Provider shall immediately cease all services hereunder
except as may be specifically approved by the Contract Officer. Provider shall be entitled to
compensation for all services rendered prior to receipt of the notice of termination and City shall be
entitled to reimbursement for any services which have been paid for but not rendered.
7 0 MISCELLANEOUS PROVISIONS
7.1 Notice. Any notice, demand, request, document, consent, approval, or
communication either party desires or is required to give to the other parry shall be in writing and either
served personally or sent by prepaid, first-class mail to the address set forth below, or such other
addresses as may from time to time be designated by mail.
TO CITY:
City of Palm Springs
3200 East Tahquitz Canyon Way
Palm Springs, CA 92262-6959
Attn: City Manager
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WITH COPY TO:
City of Palm Springs
3200 East Tahquitz Canyon Way
Palm Springs, CA 92262-6959
Attn: City Attorney
TO PROVIDER:
Desert AIDS Project- DAP
PO Box 2890, 1695 N Sunrise Way
Palm Springs, CA 92263-2890
T2 Amendment. This Agreement may be amended at any time by the mutual
consent of the parties by an instrument in writing,
IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the date
first written above.
[ End—Signatures on Next Page ]
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CITY OF PALM SPRINGS
ATTE
/ a munici al corporatio
By g
Clerk �tO 0e) City Manager
APPROV TO FORM:/f
6G�/ APPROVED 6Y CITY COMM
City Attorney
PROVIDER: Check one: _Individual _Partnership Corporation
(Corporations require two notarized signatures: One signature must be from the Chairman of
Board, President, or any Vice President. The second signature must be from the Secretary,
Assistant SecrejA, Treasurer, istant Treasurer, or Chief Financial Officer).
By By: S C
Notarize Signature of ShFaj man of Boar , Notarized Signature Secrets y Asst Secretary,
President or any Vice President Treasurer, Asst Treasurer or lef Financial Officer
Name 4.r&*Z—' Name: SZA2� Pr • U.A%Crr�f;y
Title /3N4sf.-," 14>6ke/y Title: s�ZCLsTA�I , i`� A•V- �At�
State of`^+�"• 6'Arcz, - State of r -
County�o -55 County of e9% = ;5p5
before me, On m r+ I r7��Q6(p before me,
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personally appeared personally appeared
personally known personally known
to me(or proved to me on the basis of satisfactory evidence) to me (or proved to me Ion the ba s of satisfactory evidence)
to be the person(d) whose name(7) islalit subscribed to the to be the person(whose nameQ4 is/ar/subscn ed to th
within instrument and acknowledged to me that he/skt/th4 within instrument and acknowledged to me that)she/t y
executed the same in his/hp'r/thVf authorized eapacity(iA), executed the same in hkherlthp(r authorized capacity, 5),
and that by his/Vrl4ir signature(gf on the instrument the and that by by/her/thVr signature(y/j on the instrument the
person(,A1, or the entity upon behalf of which the person(K person(,J), or the entity upon behalf of which the person(
acted executed the instrument. acted,executed the instrument.
WITNESS my hand and official seal. WITNESS my hand and official seal
Notary
S gnature�/y� C p S Notary
gnature6',,/ L✓ 66w,
Notary Seal: Notary Seal:
M ALEXANDRA CHRISTENSEN ALEXANDRA CWRISTENSEN
COMM #1596364 COMM #1596364
ro NOTARY PUBLIC.CALIFORNIA NOTARY Q NOTARY PUBLIC.CALIFORNIA
RIVERSIDE COUNTY RIVERSIDE COl1NTY
Commission ims AUG 19 2009 Oamlisslon EI ires AUG 19,2989
DAP_SuhreelpAgrmr1t-ADA-RD1 J005
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CITY OF PALM SPRINGS
EXHIBIT A
Scope of Services
Proiect/Activity,Title' Project Number:
Desert AIDS Project/ 0001
Entrance ADA Upgrade Renovation
Name/Address of Provider:
Desert AIDS Project- DAP
PO Box 2890, 1695 N Sunrise Way
Palm Springs, CA 92263-2890
O b i e ctiv es/Activities
The intent of this program is to provide the most comprehensive direct client services and advocacy to
help people living with HIV/AIDS manage their disease, including a state-of-the-art medical center to a
nutritionally balanced Food Depot, to case management, legal services, education, prevention,
anonymous testing, wellness, dental, transportation, housing assistance and home health services. This
will be accomplished through the continued of ADA renovation to their facility by upgrading two main
entrances with the installation of barrier-free automatic sliding doors. These upgrades would increase
ADA accessibility and overall improved ingress/egress convenience for their disabled user base of clients,
visitors and volunteers. DAP covers a 11,250 square mile radius of Palm Springs which this immense
area is recognized as the fifth largest concentration of HIV/AIDS population in the United States, serving
2,400 clients Valley-side and 1,337 Palm Springs' clients.
The Provider shall be responsible for the completion of the following objectives/activities in a manner
acceptable and satisfactory to the City and consistent with the standards required as a condition of
providing these CDBG funds.
Objective 1: Assist the Cdy by timely providing any additional information requested.
TARGET
DATE ACTIVITY#1
On-Going Make readily available any information relative to the successful implementation of the
activity.
Objective 2: Establish and maintain a programmatic and financial record keepino process
TARGET
DATE ACTIVITY#1
On-Going Establish and maintain an efficient program process/procedure for proper record keeping.
Set-up a filing system for CDBG files only. Document and maintain all records related to
this program in a stable and secure location.
Objective 3: Advertise, market and publicize the program to facilitate positive promotion for all parties
(i e. Provider City, CDBG etc.).
TARGET
DATE ACTIVITY#1
On-Going Draft a promotional piece and submit to City for approval. Advertise in the Desert Sun.
Submit final publication to City.
Objective 4: Enroll and income qualify at least a total of one thousand one hundred thirty-seven
(1,137) very low income to moderate-income Palm Springs residents.
TARGET
DATE ACTIVITY#1
On-Going Provide direct client services and advocacy to help Palm Springs residents living with
HIVIAIDS manage their disease. Maintain records of names, addresses, demographics
and service dates for all assistance.
Objective 5: Maintain records for all CDBG activities related to this program
TARGET
DATE ACTIVITY#1
On-Going Document and maintain all records related to this program, including those required, in
accordance with HUD Regulations, in a stable and secure location.
ACTIVITY#2
On-Going Submit Semi-Annual reports—referenced Exhibit E.
Objective 6: Manage/monitor program activities.
TARGET
DATE ACTIVITY#1
On-Going Perform monitoring activities necessary to ensure that the program is being conducted in
compliance with the CDBG policies, federal regulations, and local statues, including
Davis-Bacon Act, Copeland Act, and Non-discrimination/ EEO requirements.
Objective 7: Modernize the building's prima y public restroom in the main lobby which retrofits and
upgrades the space for increased ADA accessibility in accordance with an `open
competitive' procurement process as outlined in proposal.
TARGET
DATE ACTIVITY#1
On-Going Conduct program activities, as stipulated in the proposal and in consultation with the City.
Objective 8: Provide an evaluation within fifteen (15) calendar days of the pro ram completion or final
reimbursement
TARGET
DATE ACTIVITY#1
07/15/07 Provide an evaluation and final report on all programmatic and financial activities.
General Administration
Provide the management oversight and leadership to address specific operational tasks in meeting the
established performance levels, as well as perform supportive activities (i.e., clerical, monitoring, etc.)
CITY OF PALM SPRINGS
EXHIBIT B
Budget Summary
Proiect/Activity Title: Project Number.
Desert AIDS Project/ 0001
Entrance ADA Upgrade Renovation
Name/Address of Provider:
Desert AIDS Project- DAP
PO Box 2890, 1695 N Sunrise Way
Palm Springs, CA 92263-2890
,`, BUDGET SUMMARY„
COST CATEGORY CDBG OTHER TOTAL
SHARE SOURCES COST
1 Personnel $- 0 - $- 0 - $- 0 -
2 Consultant/Contract Services $- 0 - $- 0 - $- 0 -
3 Travel $- 0 - $- 0 - $- 0 -
4 Space Rental $- 0 - $- 0 - $- 0 -
5 Consumable Supplies $- 0 - $- 0 - $- 0 -
6 Rental, Lease or Purchase of $- 0 - $- 0 $- 0 -
E ui ment
7 Insurance $- 0 - $- 0 - $- 0 -
8 Other $22,088, $5,298. $27,386.
Construction Contract
$- 0 - $- 0 - $- 0 -
$22,088. $5,298. $27,386,
TOTALS
If costs are to be shared by other sources of funding, including CDBG funds from other jurisdictions,
identify the source of funding, grantor/lending agency, and cost category information.
Other funding sources include private donations
Progress payments, approved by the Subrecipient and based upon the percentage of completion of
the work with a 10% retention, shall be paid by the 30th day of each month, provided that the
payment application has been submitted to the City on or before the first working day of the month.
The Subrecipient shall receive reimbursements in accordance with the aforementioned cost
categories and line items.
Services are to be performed over a twelve month period of July 1, 2006 through June 30, 2007
with funds allocated from 2006—07 Program Year.
CITY OF PALM SPRINGS
EXHIBIT C
Insurance Inventory
ProiecUActivity Title. Project Number-
Desert AIDS Project/ 0001
Entrance ADA Upgrade Renovation
Name/Address of Provider:
Desert AIDS Project- DAP
PO Box 2590, 1695 N Sunrise Way
Palm Springs, CA 92263-2$90
INSURANCEINVENTORY
LIABILITY INSURANCE POLICY
Name of Provider's Insurance Company American States Insurance
Effective Dates of Policy 10/05/06 to 10/05/07
Claims Made Policy / / Per Occurrence Policy
Limits of Liability $3 000 000
Deductibles:
Per Occurrence
Annual Aggregate
Additional Insured Endorsement (Certificate Holder) I7 Yes ❑ No
Original Certificate of Insurance Attached ❑ Yes IZ No
WORKER'S COMPENSATION POLICY
Name of Provider's Insurance Company State Fund
Effective Dates 02/09//06 to 02/09/07
Limits of Liability_ $1 000 000 Per Occurrence
Underlying Coverage Limits
Original Certificate of Insurance Attached ❑ Yes Ef No
Client#: 1290 2DESEAID
ACORD- CERTIFICATE OF LIABILITY INSURANCE 1DATE
2/12/06D i
PRODUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Desert Empire Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Services,Inc. LIC#OF09643 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
77-564 Country Club Drive
Palm Desert,CA 92211 INSURERS AFFORDING COVERAGE NAIL#
INSURED INSURERA' American States Insurance BW
Desert AIDS Project Inc INSURER B; State Fund 35076
P O Box 2890 INSURER C General Insurance Co.of America 24732
Palm Springs,CA 92263 INSURER D' American States Insurance 19704
NSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO 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 B SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR R ND TYPE OF INSOL URANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE IDDlYYPATE MMIDD LIMITS
A GENERAL LIABILITY 01CH31308910 10105/06 10/05/07 EACH OCCURRENCE 5110001000
X COMMERCIAL GENEFALLIABILITY DAMAGETORENTED $200000
CLAIMS MADE 51OCCUR MED EXP(Any One pecan) $10000
PERSONAL&ADV INJURY 51000000
GENERAL AGGREGATE S3,000,000
GEN LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO 53000000
P .
POLICY JECT LOO
D AUTOMOBILE LIABILITY OICGO688445 09/22/06 09/22/07 COMBINED SINGLE LIMIT S1,DDD,DDO
X ANY AUTO (Esacudont)
ALL OWNED AUTOS
BODILY INJURY S
SCHEDULED AUTOS (Per Peron)
X HIRED AUTOS BODILY INJURY
X NON-OWNEDAUTOS (Peracddenp S
PROPERTY DAMAGE S
(per acudonp
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5
ANY AUTO OTHERTHAN GACC 5
AUTO ONLY: AGO S
A EXCE5SA MSREQ.A LIABILITY DISU34288440 10/05/06 10/05107 EACH OCCURRENCE $1 00D 0O0
X1OCCUR CLAIMS MADE AGGREGATE $1 0001000
5
DEDUCTIBLE S
X RETENTION 51000D
B WORKERSCOMPENSATIONAND 83411792006 02/09/06 02/09/07 X WC STgT U� OTW- .
EMPLOYERS'LIABILITY
ANY PROPRIETORJPARTNEWEXE-CUTIVE E.L.EACH ACCIDENT S1.000,000
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 51.0001000
II yes,describe under
SPECIAL PROVISIONS below EL.DISEASE-POLICY LIMIT E1,DDD.DDD
C OTHER Prof.Liab HLP778D796E' 10105/06 10/05107 $1,000,000 Occurrence
$3,000,000 Aggregate
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE:Entrance ADA Upgrade Renovation
City of Palm Springs,Its officers or employees are named as additional
Insured per attached.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Palm Springs bATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAIL —30_ bAYSWRITTEN
3200 E.Tahquitz Canyon Way NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL
Palm Springs,CA 92262-6959 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES,
AUUTMTHORIM REPRESENTATIVE
!`fAA41vt fA
ACORD 26(200f/0B)1 of 2 #S96374/M93681 2DNIE 0 ACORD CORPORATION 1988
POLICY NUMBER: 01-CH-313089-10 COMMERCIAL GENERAL LIABILITY
CG 20 26 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
ADDITIONAL INSURED -- DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Persons Or Or anization s
City of Palm Springs, its officers or employees
Informat on re aired to complete this Schedule,if not shown above,will be shown in the Declarations.
Section 11 — Who Is An Insured is amended to in-
clude as an additional insured the person(s) or organi-
zation(s) shown in the Schedule, but only with respect
to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or
in part, by your acts or omissions or the acts or omis-
sions of those acting an your behalf:
A. In the performance of your ongoing operations;or
B. In connection with your premises owned by or
rented to you.
CG 20 26 07 04 0 ISO Properties, Inc.,2004 Page 1 of 1 q
CITY OF PALM SPRINGS
EXHIBIT D
Beneficiary Qualification Statement
Proiect/Activity Title. Proiect Number:
Desert AIDS Project/ 0001
Entrance ADA Upgrade Renovation
Name/Address of Provider:
Desert AIDS Project- DAP
PO Box 2890, 1695 N Sunrise Way
Palm Springs, CA 92263-2890
BENEFICIARY QUALIFICATION STATEMENT
This Statement must be completed and Signed by each person or head of household (legal guardian) receiving benefits form the
described project/activity Please answer each of the following questions-
1. How many persons are in your household?
For this question a household is a group of related or unrelated persons occupying tho same house with at least one member
being the head of the household Renters, roomers,or borders cannot be included as household members.
2. Circle your combined gross annual income(Riversid"an Bernardino-Ontario,CA MSA—03/08106)
MEDIAN NUMBER OF PERSONS IN YOUR HOUSEHOLD:
INCOME 1 2 3 4 5 6 7 8
LEVEL
VERY LOW
INCOME S20,150 S23 000 $25 9D0 $28,750 S31,050 S33,350 $35 650 S37 350
Below 50%
LOW INCOME $32,200 $36,800 $41,400 S46,000 $49 700 $53,350 $67,050 $60,700
51 —80%
MODERATE
INCOME S48,300 S55,200 S62,100 $69.000 $74,500 $80,000 S85,600 891,100
120
3. What race/ethnicity do you identify yourself as;please note that this self-identification is voluntary in accordance with
equal opportunity laws?
❑ White ❑ American Indian or Alaska Native AND White
❑ Black/African American ❑ Asian AND White
❑ Asian ❑ Black/African American AND White
❑ American Indian or Alaskan Native U American Indian/Alaska Native AND Slack/African American
C1 Native Hawaiian or Other Pacific Islander CI Other:
HISPANIC/LATINO ETHNICITY ❑ Yes ❑ No If yes check one 0 Mexican/Chicano
Cl Puerto Rican
r1 Cuban
❑ Other:
4. Are you female Head of Household? Q YES ❑ NO
5. Do you have a disability? ❑ YES ❑ NO If YES,please describe
ACKNOWLEDGEMENT AND DISCLAIMER
I CERTIFY UNDER PENALTY OF PERJURY THAT INCOME AND HOUSHOLD STATEMENTS MADE ON THIS FORM ARE TRUE.
NAME: DATE:
ADDRESS: PHONE NO:
SIGNATURE:
The information you provide on this form Is confidential and Is only utilized for Community Development Block Grant(COBG) program purposes, a
Federally.fundod program governmental reporting purposes to monitor compliance
CITY OF PALM SPRINGS
EXHIBIT E
Semi-Annual Program Progress Report
Prolect/Activity Title: Praiect Number:
Desert AIDS Project/ 0001
Entrance ADA Upgrade Renovation
Name/Address of Provider:
Desert AIDS Project- DAP
PO Box 2890, 1695 N Sunrise Way
Palm Springs, CA 92263-2890
PROGRAM PROGRESS REPORT Period:
DIRECT BENEFIT REPORT
♦ Number of First-Time Program Beneficiaries Serviced:
#of Households #of Persons
0.50%below 51-80%below 120% below
♦ Number of First-Time Female Headed Households
♦ Counts by Race/Ethnicity
White American Indian or Alaska Native AND White
Black/African American Asian AND White_
Asian — elack/Afncan American AND White,
American Indian or Alaskan Native American Indian/Alaska Native AND Black/African American
Native Hawaiian or Other Pacific Islander Other.
HISPANIC/LATINO ETHNICITY Mexican/Chioano Puerto Rican
Cuban Other:
ACCOMPLISHMENT NARRATIVE
LEVERAGING RESOURCES NARRATIVE
Signed Title Date
CITY OF PALM SPRINGS
EXHIBIT F
Request for Reimbursement
Project/Activity Title: Proiect Number:
Desert AIDS Project/ 0001
Entrance ADA Upgrade Renovation
Name/Address of Provider:
Desert AIDS Project- DAP
PO Box 2890, 1695 N Sunrise Way
Palm Springs, CA 92263-2890
BENEFICIARY QUALIFICATION STATEMENT
il:
A roved t Curren . Prior Total Grant
Description Grant Reimbursement Reimburs't (ent YTD Balance
d.. -
Amount Perio ', Porlod s Reimbursement Overl Under
Other $22,088.
Construction Contract
TOTAL
I CERTIFY THAT, (a) the City of PALM SPRINGS, as grantee of the CDBG, has not previously been billed for the
costs covered by this invoice, (b) funds have not been received from the Federal Government or expended for such
costs under the terms of the Agreement or grant pursuant to FMC-74-4 & 24 CFR Part 58;(c) this agency is in full
compliance with all applicable provisions under the terms of the Contractor grant; and (d) this agency is in full
compliance with all applicable tax laws and hereby affix original signatures.
PREPARED BY: APPROVED BY:
Name, Title, Date Name, Title, Date
City of PALM SPRINGS Use Only
Audited by. Examined by Approved by
If necessary, additional sheet(s) must be attached detailing cost breakdowns, and verified by original signatures
CITY OF PALM SPRINGS
EXHIBIT G
Employment Restrictions
1. Labor Standards
The PROVIDER agrees to comply with the requirements of the Secretary of Labor in accordance with the Davis-Bacon Act as
amended, the provisions of Contract Work Hours and Safety Standards Act, the Copeland "Anti-Kickback" Act (40 U.S.0
276a-276a-5;40 USC 327 and 40 USC 2760)and all other applicable Federal, state and local laws and regulations pertaining
to labor standards insofar as those actS apply to the performance of this contract The PROVIDER shall agree to submit
documentation provide by the CITY which demonstrates compliance with hour and wage requirements of this part
The PROVIDER agrees that, all general contractors or subcontractors engaged under contracts In excess of 52,000.00 for
construction, renovation or repair work financed in whole or in part with assistance provided under this contract, shall comply
with Federal requirements adopted by the CITY pertaining to such contracts and with the appl;cable requirements of the
regulations of the Department of labor, under 29 CFR Parts 1, 3, 5 and 7 governing the payment of wages and ratio of
apprentices and trainees to journeyworkcrs, provided that if wage rates higher than those required under the regulations are
imposed by state and local law nothing hereunder is intended to relieve the PROVIDER of its obligation. If any, to require
payment of the higher wage. The PROVIDER shall cause or require to be Inserted in full,in all such contracts subject to such
regulations,provisions meeting the requirements of this paragraph
2 "Section 3 Clause"
a. Compliance
Compliance with the provisions of Section 3,the regulations set forth in 24 CFR 135, and all applicable rules and orders
issued hereunder prior to the execution of this contract shall be a condition of the Federal financial assistance provided
under this Contract and binding upon the CITY, the PROVIDER and any of the PROVIDER'S subrecipients and
subcontractors. Failure to fulfill these requirements shall subject the CITY, the PROVIDER and any of the PROVIDER'S
subrecipients and subcontractors, their successors and assigns, to those sanctions specified by the Agreement through
which Federal assistance is provided. The PROVIDER certifies and agrees that no contractual or other disability exists
which would prevent compliance with these requirements
The PROVIDER further agrees to comply with these 'Section 3" requirements and to include the following language in all
subcontracts executed under this Agreement:
"The work to be performed under this contract is a project assisted under a program providing direct Federal financial
assistance from HUD and Is subject to the requirements of Section 3 of the Housing and Urban Development Act of
1968, as amended, 12 U S.0 1701. Section 3 requires that to the greatest extent feasible opportunities for training
and employment be given to low- and very low-income residents of the project area and contracts for work in
connection with the project be awarded to business concerns that provide economic opportunities for low-and very
low-income persons residing in the metropolitan area in which the project Is located.'
The PROVIDER further agrees to ensure that opportunities for training and employment arising in connection with a housing
rehabilitation (including reduction and abatement of lead-based paint hazards), housing construction, or other public
construction project are given to low-and very low-income persons residing within the metropolitan area In which the CDBG-
funded project is located,where feasible, priority should be given to low-and very low-income persons within the service area
of the project or the neighborhood in which the project is located and to low-and very low-income participants in other HUD
programs; and award contracts for work undertaken in connection with a housing rehabilitation (including reduction and
abatement of lead-based paint hazards), housing construction, or other public construction project are given to business
concerns that provide economic opportunities for low- and very low-income persons residing within the metropolitan area in
which the CDBG-funded project is located, where feasible, priority should be given to business concerns which provide
economic opportunities to low-and very low-income residents within the service area or the neighborhood in which the project
is located,and to low-and very low-income participants in other HUD programs.
The PROVIDER certifies and agrees that no contractual or other legal incapacity exists which would prevent compliance with
these requirements.
b. Notifications
The PROVIDER agrees.to send to each labor organization or representative of workers with which it has a collective
bargaining agreement or other contract or understanding, if any, a notice advising said labor organization or worker's
representative of its commitments under this Section 3 Clause and shall post copies of the notice in conspicuous places
available to employees and applicants for employment or training.