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HomeMy WebLinkAbout04175 - CATHOLIC CHARITIES HOMELESS CDBG 2000-01 F ?AL&I s City of Palm Springs Community Redevelopment Agency MEMORANDUM tOv n1FP � .gL�F�aN�P Date: August 14, 2003 To: Barbara White, Assistant City Clerk From: Jolm Raymond, Director of Community&Economic Develo Subject: Closing/termination of expired contracts Yesterday I sent over a long list of expired contracts that had been reviewed by Dale Cook, the Community Development Administrator, with instructions to close the ones indicated. These were mostly CDBG contracts that have expired, the services provided, and the funds paid out. The pin-pose of this memo is to inform you that I reviewed the list and concur with the recommendation to close those indicated. Please keep a copy of this memo in the file of each of the iderAified closed contracts. Page: 5 Report: Expired Contracts: Oldest Date= / / and XREF=COMMUNITY&ECONOMIC DEV-Summary July 24, 2003 Contract umber Description Approval Date Expiration Date Closed Date A415 CDBG 1999-2000 Subrecipient Agreement 10/29/1999 11/01/2000 Contractor:Foundation For The Retarded Insurance Status: Certificate and Policies are OK �� XREF: COMMUNITY& ECONOMIC DEVELOPMENT Service: In File A4162 99-00 Subrecipient Agr 10/29/1999 11/01/2000 Contractor:P.S. Unified School District Insurance Status: Certificate and Policies are OK XREF: COMMUNITY& ECONOMIC DEVELOPMENT Service: In File A4165 CDBG 1999-2000 Subrecipient Agreement 12/01/1999 12/01/2000 Contractor:CV Small Business Development Insurance Status:A policy has Expired. � r�, ��/�g� / XREF: COMMUNITY& ECONOMIC DEVELOPMENT T Z 4�/� Service: In File �Ioo/ l A417 CDBG 1999-2000 Subrecipient Agreement 12/03/1999 12/01/2000 /// /'—`� Contractor:Catholic Charities Certificate and Policies are OK { 7J �B J Insurance Status: XREF: COMMUNITY& ECONOMIC DEVELOPMENT T —" Service: In File A418EX CDBG 1999-2000 Subrecipient Agreement 01/12/2000 01/01/2001 Contractor :P.S. Economic Development Corp. Insurance Status: Certificate and Policies are OK XREF: COMMUNITY& ECONOMIC DEVELOPMENT Service: In File t 83ifi6we" �/ s Insurance Status: Certificate and Policies are OK XREF: COMMUNITY& ECONOMIC DEVELOPMENT A4268 Cdbg 2000-01, SubrecipientAgr, Replace Carpet 04/05/2000 04/01/2001 ,ram%�y�e,� ndS o Contractor :Mizell Senior Center Insurance Status: A policy will expire soon. ✓ {g� / �� XREF: COMMUNITY& ECONOMIC DEVELOPMENT Service: In File ��� 3 Catholic Charities • CDBG 2000-01-Homeless Outrch AGREEMENT #4175 CM Signed 12-3-99 SUBRECIPIENT AGREEMENT THIS AGREEMENT (herein "Agreement") , is made and entered into this �r day of ��?2 e1✓ �9 19s�'Cz�, by and between the CITY OF PALM SPRINGS, (herein "City) , a mufiicipal corporation, and CATHOLIC CHARITIES, (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 seq. ) , as amended from time to time (the "Act") , and the regulations promulgated thereunder (24 C. F.R. Section 570 et seq. ("Regulations") ; and WHEREAS, the Act provides that the City 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 CONTRACTOR. 1 . 1 Scope of Services . In compliance with all terms and conditions of this Agreement, the Provider shall provide those services specified in the "Scope of Services" attached hereto as Exhibit "A" and incorporated herein by this reference. Provider warrants that all services will be performed in a competent, professional and satisfactory manner. 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 . 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 THIRTY-THREE THOUSAND DOLLARS ($33, 000. 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 100, 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 250 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 250 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: Sister Georgianna Cahill Catholic rharf+•ac oar a2rn2rdine1Ri ;er5ide 1450 Nnrth n C±reet San Bernardino, CA 92405 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 2 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 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. 4 .2 The Provider certifies it shall adhere to and comply with the following as they may be applicable: (a) Submit to City through its Economic Development Division 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; 3 (i) The labor standard requirements as set forth in 24 CFR Part 570, Subpart K and HUD regulations issued to implement and requirements; (j ) The Program Income requirements as set forth in 24 C. F.R. 570 . 504 (c) and 570.503 (b) (8) ; (k) 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; (1) Executive Order 11988 relating to the evaluation of flood hazards and Executive Order 11288 relating to the prevention, control and abatement of water pollution; (m) The flood insurance purchase requirements of Section 102 (a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) ; (n) 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. (o) Title VI of the Civil Rights Act of 1964 (P.L. 88- 352) and implementing regulations issued at 24 CFR Part 1; (p) Title VIII of the Civil Rights Act of 1968 (P.L. 90-284) as amended; and (q) 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. ) ; (r) 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. (s) 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 4 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. ) (t) 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 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 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, color, creed, religion, sex, marital status, physical or mental disability, national origin, or ancestry 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, or ancestry. 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 party 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, California 92263 Attn: City Manager 6 WITH COPY TO: Rutan & Tucker 611 Anton Blvd. , Suite 1400 Costa Mesa, California 92626-1998 TO CONTRACTOR: iTr T ri u�r 7 .2 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 this Agreement on the date first above written. PP CITY OF PAL SPRINGS, CALIFORNIA c, Dated: Oa _3 �/ y BY: /-t 1� -G✓ City Manager ATiTE}& APPROVED PY THE CffkA�f�Vi9a GEV Ci y Clerk APPROVED AS TO FORM: �. MARY JAQUISH RUTAN & TUCKER �nn Comm.#1092749 rn VI :"A 'd7 NOTAAY PUBLIC-CALIFOANIA V, 'fy �� San Bernardino County Ci Attorney My Comm, Expves Mar. 28,2000 CONTRACTOR: Dated: �Z(:;c -1 B � � me:Title: e V. By: riG Name: 4M,0",f Title: �p�,y pGGgr (Corporations require two NOTARIZED signatures; one from each of the following: A. Chairman of Board, any Vice President; AND B. Secretary, Assistant Secretary, Treasurer, Assistant Treasurer, or Chief Financial Officer. ) 7 I i • ALL-PURPOSE ACKNOWLEDGMENT • State of California • County of San Bernardino SS. ' October 25 1999 • On before me, Mary Jaquish ' • (DATE) (NOTARY) • personally appeared Georgianna Cahill I SIGNER(S) ❑ personally known to me - OR- ® proved to me on the basis of satisfactory ' evidence to be the person) whose name(N) • 91 is/mecsubscribed to the within instrument and ' acknowledged to me that hdsheklmy executed the same in lads/her/t#naix authorized 11 capacity(I", and that by TMF1herPttf1£ I MARY JAQUISH signature( ) on the instrument the person(, • Comm. 1092749 or the entity upon I C�� l;� � solnevPueueeautoeNm � Y p behalf of which the ;) San Bernardino county ,, person(s) acted, executed the instrument. � My Comm. Expires Mer. 28,3000 WITNESS my hand and official seal. I A 'S SIGNATURE ! OPTIONAL INFORMATION • The information below is not required by law. However, it could prevent fraudulent attachment of this acknowl- edgment to an unauthorized document. • CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL • © CORPORATE OFFICER Subrecipient Address • GeQ g'anna Cahill , Vice President TITLE OR TYPE OF DOCUMENT TRLE(S) ❑ • •PARTNER(S) ❑ ATTORNEY-IN-FACT 7 pages with exhibits "A" and "B" ❑ TRUSTEE(S) total of rrjlAB4FsPAGES • GUARDIAN/CONSERVATOR '� ❑ OTHER- ' • 10-25-99 • DATE OF DOCUMENT • SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) Catholic ('ha i G/S n B nardino/Riverside • OTHER APA 1/94 VALLEY-SIERRA, 800-362-3369 ALL-PURPOSE ACKNOWLEDGMENT r State of California County of San Bernardino • • On October 25, 1999 before me, Mary Jaquish I (DATE) (NOTARY) ' • personally appeared Amelia A. Toledo SIGNER(S) ❑ personally known to me - OR- proved to me on the basis of satisfactory 1 evidence to be the person(s) whose name(s) •/ it is3We subscribed to the within instrument and acknowledged to me that helsheAkey executed i the same in h4/herXh:PAr authorized capacity(ig and that by }aij/her/t4agAR i " "' MARY JAQUISH signature( on the instrument the person(s), Comm. #1092749 No CALIFORNIA N or the entity upon behalf of which the \° Sun Bernardino county person(k) acted, executed the instrument. My P,mnm. Expires Mir, g,2000 -,..-, - ..,,..., Y.a,... WITNESS my hand and official seal. • NVA.Yp SIGNATURE OPTIONAL INFORMATION The information below is not required by law. However, it could prevent fraudulent attachment of this acknowl- edgment to an unauthorized document CAPACITY CLAIMED BY SIGNER (PRINCIPAL,) DESCRIPTION OF ATTACHED DOCUMENT yy ❑ INDIVIDUAL Y � ® CORPORATE OFFICER Amelia A. Toledo, Controller Subrecipient Address TITLE OR TYPE OF DOCUMENT ❑ PARTNER(S) TITLE(S) • ❑ ATTORNEY-IN-FACT 7 pages with exhibit "A" and "B" El TRUSTEE(S) NUMBER OF PAGES ❑ GUARDIAN/CONSERVATOR 9 pages total ❑ OTHER: 10-25-99 • DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) r Catholic Charities of San Be na d' /Riverside OTHER APA 1/94 VALLEY-SIERRA, 800-362-3369 SCOPE OF SERVICES: HOMELESS OUTREACH CDBG CITY OF PALM SPRINGS This project involves maintaining a Homeless Outreach Advocate/Counselor and Job Placement Counselor to serve homeless individuals on the streets in the city of Palm Springs. The Advocate networks with private and government social services agencies and the Palm Springs Police Department visiting places where homeless are known to congregate. A case management technique is employed by interviewing each client to determine the reason for their homeless condition and then helping them find immediate appropriate shelter. The shelter opportunities include the Coachella Valley Rescue Mission, Nightengale Manor, and vouchers for motel-hotel accommodations available through Catholic Charities. Next the advocate helps the clients access services that are available to them, accompanying them to appointments and helping them fill out necessary papervork. At this point, the Job Placement Counselor evaluates the clients to help establish an employment plan that includes both long and short term goals. This counselor helps the clients look for employment or other sources of laconic. The program components include local educational and job training resources, transportation through the shelter van and SunBus Services. The clients are assisted with job applications, interviewing techniques, resume writing and other job readiness issues. Community volunteers are being utilized as individual mentors. The Homeless Outreach Advocate/Cotmselor assists the clients in finding permanent housing and through a 12 month on-going counseling process, helps them to continue to be successfully independent. NOV-10-99 WED 14:02 CATHOLIC CHARITIES. FAX NO, 3222422 P, 02 CITY OF PALM SPRINGS HOMELESS OUTREACH(CDBG BLOCK GRANT) FOR PERIOD JULY 1, 1999 THRU JUNE 30,2000 Orig Catholic Charities 35-325 Date Palm Drive#153-A Cathedral City,CA 92234 (760)202-1222 Fax(760)202-1230 BUDGET HOMELESS OUTREACH ADVOCATE $21,060.00 (30 Hm.per week Q$13.fi0 per hr.Including benefits) ADMINISTRATIVE SUPPORT $ 2,640.00 Supplies and Accounting services CLIENT SERVICES MOTEIJHOTEL VOUCHERS $ 7,500.00 300 nwm rights @$26.00 per night TRANSPORTATION COSTS Van operation Q$150.DO per month $ 1.800.00 TOTAL BUDGET REQUEST $33,000.00 IN KIND SERVICES BUDGET(CATHOLIC CHARITIES) $20,480.00 TOTAL BUDGET AND IN KIND SERVICES $53A80.00 THE CATHOLIC MUTUAL RELIEF SOCIET ��OF PAWL/ 4223 CENTER ST, OMAHA, NE 6,8105 4'oe P� CERTIFICATE OF COVERAGE n�ECF�V��, �LZ ---------------------------------•---------------- ------- C This is to certify that the following coverage is in force issued in n e of: THE ROMAN CATHOLIC BISHOP OF SAN BERNARDINO, CA, A CORPORATION SOLE a 7 DIOCESE OF SAN BERNARDINO ✓/ / 1201 EAST HIGHLAND v SAN BERNARDINO, CA 92404 Certificate Number: 8571 Term: 7/01/99 - 7/01 Covered Premises : Location/Property CATHOLIC CHARITIES, COACHELLA VALLEY 67-625 E PALM CANYON A-5, CATHEDRAL CITY, CA 92234 Real Property Personal Property Deductible Coinsurance Additional CITY OF PALM SPRINGS Protected Person(s) Liability 500, 000 Medical Payments Limits (Each person-excluding school students) COMMENTS: COVERAGE ONLY EXTENDS TO CLAIMS DIRECTLY ARISING OUT OF CDBG/HOUSING AND JOB PLACEMENT FOR HOMELESS PERSONS IN PALM SPRINGS, CA, FOR THE TERM OF THE CERTIFICATE . In the event of cancellation of this coverage the Society will mail notice thereof to: CHANCERY OFFICE SAN BERNARDINO, CA Should any of the above described coverages be cancelled before the expiration dates thereof, the carrier will endeavor to mail 30 days written notice to the certificate holder, but failure to mail such notice will impose no obligation nor liability upon the Society. Unless so designated, this certificate of coverage does not amend, extend, or alter the coverage evidenced by this certificate of coverage and has been issued as a matter of information only. Dated at OMAHA, NEBRASKA This 2ND Day of ,SEPTEMBER 1999 1, • / 1 BY � ( I Auth zed Representative Form Number H80250 0 ENDORSEMENT • fro BE ATTACHED TO CERTIFICATE) Effective Date of Endorsement _ July 1, 1999 Charge Credit Cancellation Date of Endorsement July 1,2000 Certificate Holder Diocese of San Bernardino Location San Bernardino, CA Certificate No. 8571 of The Catholic Mutual Relief Society is amended as follows: SECTION II-ADDITIONAL PROTECTED PERSON(S) It is understood and agreed that Section II-Liability(only with respect to Coverage D-General Liability, Coverage F-Medical Payments to Others and Coverage H-Counseling Errors and Omissions) is amended to include as an Additional Protected Person(s)members of the organizations shown in the schedule, but only with respect to their liability for the Protected Persons)activities or activities they perform on behalf of the Protected Person(s). It is further understood and agreed that coverage extended under this endorsement is limited to and applies only with respect to liability assumed by contract or agreement; and this extension of coverage shall not enlarge the scope of coverage provided under this certificate or increase the limit of liability thereunder. Unless otherwise agreed by contract or agreement,coverage extended under this endorsement to the Additional Protected Person(s)will not precede the effective date of this certificate of coverage endorsement or extend beyond the cancellation date. Schedule-ADDITIONAL PROTECTED PERSON(S) City of Palm Springs Remarks: Coverage only extends to claims directly arising out of ti CDBG/Housing and Job Placement for Homeless Persons in Palm Springs, CA,for the i,erm of the certificate. JA thoriz d Repres�n ative PKS-122(1-99) mt By: Catholic Charities; 909 348 1130; Feb-5-4 4 4:14PM; Page 213 [ IC, 75-'5144 r s!u" 03 09P 3a Ga% 7 Mutua _ eb o- NO, 1047 P. 3/4 tEB. 3: 24; 9 52ANI__CMfi 402 551 2443 -` C CERTIFICATE OF LIABILITY INSURANCE 2-03 003 v; z,.L•: Ws' THq CERTIFICATE 14 ISSUED AS A MAITCR OF FORMATbN C.H.G. AGE Y, INC. ONLY ANO CONFER$ NO RIOM UPON THE CERTIFICATE HOLDiN. TRI8 RTINCATF DOER NOT AMEND, EXTENO OR 10843 OLD t�0 SUITE 300 AL'SxFi THE COVi ARFORnE- BY THE PIOLIAES MELOW. wr. 3 L , OMAHA, NE j 8154-2600 I. Aa ^ . INSURERSAFFORDINOGOVERAGE -, HAW-4----..�, '" IwauRED .." `..`—� Iu -OMHBINED SSPPE Al ,:HE ROMAN FP1a0LIC BISHOP 0 SAN SERNARDINO �� 4 ,,•yri A CO TION SOLE 1201 E RIG D AVE ?! \ SAN HERNAR 0, CA 92404 _ cuPEB3 O COVERABfi 'v'"' .fivy TMEW7y1CRy50D. SURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NAMED I90U4►OR THE►OLICYpoloo INO(Cokrm O - VfNSTAM016G ANY A5QUIREM TERM ON CONDITION OF ANY c:ONTBACY OR EITHER OOOVMlNT MTN RESPECT TO W"fCN THIS CERTIFICATE MAY 605,IDt&OR MnY►ERTAIN,T }NSUAANCE AFIOR09D BY THE POLICIES 09&cPIBED HEREIN Ig SUBJECT TO ALL THE TERMS.EXGUAMS AND CONDInowi5 FGVOI! R7LICIES.AODR YELWITSSFWWNMAY NAVf REEN REDUCCO_aYpAIDCWMS y i 4ENERAL i 1):D.lrt EACXDGCUWIENCE E , 3 1" NMNV`'1'N(CiµjiEnENAL LIABILITY rll MI (Ei eexnE�- 1 �CFI'�,1y0 MADE �(OCCUH ,.1)' GEHEwLAann/GA*E_-,� �,;: OENL AGO illlM%A10.iS�EA. MOOUCTSkQ11MNEAG6 E __ POLIL'i �,' ), cONpNCPSWGLf uMT L ALI,ONI; AVLDS BOMY b1)UPY �Sc pAUTO] ry pNbnl x w JU N \ 9 II bPS1XY JuRY C hHQN-- ufoSe ' NON 0 �R�`D A PNOAERMAMAGE ^ i cuaoE LUI{ Y�tr Ayfoo. vEAACCmH.T ANVAVJt I EAACO'3 - - ,•tw.; ''.rwJ DTXEN AN it.,, 1 AVTOOHI,Y. �O I S+�✓. I EYCE9wW��,LA IYIIUR FACHOCCVxnENLF .. _ � __ _.__ OCCUn I CLAIMS MADE AQCP oA i f SEE ATTACKED DEDUCT 10; j. ;'M', AI,TEN7 S L1 MDMLEI,E CAT.T AM XISQ317L4Af,L, GNALCIOENI L 10U,0O0AECUTV! 0100063245-00 1-01�-03 1-:01-04A OMlCENMlYAEIpi E} O,LRASI•EA EMplOYEE E Mron IOx ' ___ E,L,DISlAEE-FDUCYLIMQ, ] OTHER I O!"LL'11V'IW110TOYehA fLB3:ATONiITEMCyE]I EXCLV]NSM ADDED IYENWRIAMCITI IAMALAAOW],ON! COVERAGE VER ' , ED tOR CATHOLIC CHARITIES, 1450 NORTH D STREET, SAT BSRNARDINO, CA 9%05. '• ":, FOR THE TERM I ` THE CERTIFICATE. � ' CENAFlCAT NOLo �' CANCELLATION -�-- ^^ 9MUL0 ANY QV THE MOVE QB]CMW MLm"RS CANCELLED di�mne WE EX.RMTHR, OAT[THI,IEOP,TRC IElUNlD FiEYNU WILL lXNEAYOA Tp Mk.�.V.— DAY}NMTIIN NOTICE IO THE LYNTIp,GNV!HOLW R NAMED TO THE E!!i,WT FANDNN T4 DO EQ SHALL i ! lNfwaE NO artlDAnpN OR LMELLRT OF ANY KIND VADN THE MTEO N.Rz AOINI]DII 'I AUTNORISEDREENgE -.. a '*ACORDCq3MAATIQN TEu t 1011.