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HomeMy WebLinkAbout04149 - FIND FOOD DISTRIBUTION CDBG SUBRECIPIENT R 19490 F ?ALAI �o City of Palm Springs 11 Community Redevelopment Agency MEMORANDUM P Date: August 14, 2003 To: Barbara White, Assistant City Clerk From: John 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 fimds paid out. The purpose of this memo is to inform you that I reviewed the list and concur with the recoimnendation to close those indicated. Please keep a copy of this memo in the file of each of the ideA fled closed contracts. Page: 4 Report: Expired Contracts: Oldest Date= / / and XREF=COMMUNITY&ECONOMIC DEV-Summary July 24, 2003 Contract Number Description Approval Date Expiration Date Closed Date A4016� 1998-99 CDBG Subrecipient Agreement 08/11/1998 08/01/1999 Contractor :Food In Need Of Distribution Insurance Status: A policy has Expired. / XREF: COMMUNITY& ECONOMIC DEVELOPMENTav �� � Service: In File A4138, 1999-2000 CDBG Subrecipient 09/08/1999 09/01/2000 Contractor :Shelter From The Storm Insurance Status: Certificate and Policies are OK XREF: COMMUNITY& ECONOMIC DEVELOPMENT Service: In File A4145y/ CDBG 1999/2000 Subrecipient Agreement 10/18/1999 10/01/2000 Contractor :Boys &Girls Club Insurance Status: Certificate and Policies are OK y p' XREF: COMMUNITY& ECONOMIC DEVELOPMENT Fal Service: In File � '3 A4146 CDBG 1999/2000 Subrecipient Agreement 10/11/1999 10/01/2000 /�— Contractor :Mizell Senior Center Insurance Status: A policy will expire soon. XREF: COMMUNITY& ECONOMIC DEVELOPMENT car i Service: In File 87� �'40� A4147 Z� 99-00 Subrecipient Agr 10/11/1999 10/01/2000 Contractor :P.S.Youth Center Insurance Status:A policy will expire soon. XREF: COMMUNITY& ECONOMIC DEVELOPMENT Service: In File er7 1:W1,319P A4148 CDBG 1999-2000 Subrecipient Agreement 10/11/1999 10/01/2000 Contractor:Fair Housing Council Of Riversode County Insurance Status: Certificate and Policies are OK XREF: COMMUNITY& ECONOMIC DEVELOPMENT ` �f,�JS Service: In File - �7f Sex A414 CDBG 1999-2000 Subrecipient Agreement 10/11/1999 10/01/2000 Contractor:Food In Need Of Distribution b - Insurance Status:A policy has Expired. � �7 XREF: COMMUNITY& ECONOMIC DEVELOPMENT Service: In File F.I.N.D. • • Subrecipient-Food Distribution AGREEMENT#4149 R19490, 10-11-99 SUBRECIPIENT AGREEMENT THIS AGREEMENT .Werein " re m nt") , is made and entered into this day of ; 19 by and between the CITY OF PALM SPRINGS, (here . "City) , a iunicipal corporation, and FOOD IN NEED OF DISTRIBUTION [F. I.N.D. ] (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 Eunds 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 TEN THOUSAND DOLLARS ($10, 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 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: WAYNE ROBINSON ROLLTF LIPICH 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 2 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; (i) The labor standard requirements as set forth in 24 CFR Part 570, Subpart K and HUD regulations issued to implement and requirements; 3 (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 sue. ) ; (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 subrecipient' s control that was acquired or improved in whole or in part with CDBG funds (including CDBG funds provided to the subrecipient 4 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 (a) 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) . 5.2 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 5 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 WITH COPY TO: Rutan & Tucker 611 Anton Blvd. , Suite 1400 Costa Mesa, California 92626-1998 6 TO CONTRACTOR: Q.I . N . . / G 0a, 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. CITY 0 SPRI LFORNIA Dated: / By: it Manage TTES APPROVE® Y THE CITY 6VIA9VAGI�G� y Cle c ON ', / L C� APPROVED AS TO FORM: RUTAN & TU KER Ci y ttorney CONTRACTOR: F.I .N.D. , INC. Dated: SEPTEMBER 7, 1999 By: s�If- Name: ROL IE E. SLIPICH Title: CHAIRMAN OF THE BOARD By: 2E J Name: LYLE PIERCEALL Title: CHIEF FINANCIAL OFFICER (Corporations require two NOTARIZEID 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 EXHIBIT "A" SCOPE OF SERVICES F.I.N.D. IS THE ONLY CERTIFIED FOOD BANK FOR EASTERN RIVERSIDE COUNTY. WE SUPPLY FOOD PRODUCTS TO 33 SITES, RECOVERY HOMES AND FIVE HOMELESS FOOD DISTRIBUTION SITES. WE MAINTAIN APPROXIMATELY 14, 000 SQUARE FEET OF WAREHOUSE SPACE LOCATED IN CATHEDRAL CITY. WE ALSO SERVICE HOMEBOUND DISTRIBUTION FOOD BOXES AND PERSONAL PRODUCTS TO EIGHT DESERT CITIES AND PROVIDE FOOD FOR LOW INCOME DAY CARE, CATHEDRAL CITY LOW INCOME DAY CAMP AND ELEMENTARY SCHOOL SNACK PROGRAM. EXHIBIT "A" 8 EXHIBIT "B" BUDGET F.I.N.D. HAS AN ANNUAL WAREHOUSE RENTAL BUDGET OF $80, 712. 00 . PLEASE SEE ATTACHED BUDGET. CDBG FUNDS AVAILABLE - $10, 000 . FUNDS WILL BE REIMBURSED AT $2, 000/MONTH INTERVALS TO ASSIST WITH RENT PAYMENTS. EXHIBIT "B" 9 sent By: CRAIG DAUGARD INS BROKE; 7603465702; Oct-22-99 4:57PM; Page 1 /1 ACORD, CERTIFICATE OF L1 ►[ IL''1TY:.1111 tJ1 ►1VC ., PA IzzD 99 moRUGEn �- THIS.CERTIFICATE IS"ISSUED AS A MATTER OF INFORMATION (760) 346-2480 Li.c#OC46899 OHLT AND CONFtftS NO IRIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTYNCAYE DOES NppT AMf%F)Xl'ENO OR Craig Daugard Ins. Brokers ALTER THE, COVER QE 'AFFORDEDTfl THE POLL S SKOW. Palm0 Dee , A 9226E DISTSBf7TIONr:N NauRERA INSURERSn� IIV — Monterey Ste 206 O COVERAGE Palm Desert, CA 92260 INSIIAEO F.2.N.D. 1NEVREItB; d� ,w '— PO BOX 41 "wRe-flc CATHEDRAL CITY, CA 92234 INWAE1101,EGI©N MPAW INSURER 11 THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO TWE INSURED NAMEq ABOViw Epp THE PpLh{;T PERIOD IN ICATED.NOTWITHSTANDING ANY REOVIREMFNT, TERM OR CONDITION OF ANY CONTRACT OR,OTHER DOCUMENT WITH RESPECT TO,WHICH THIS CE FICATE MAY BE MOM OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCP7REEi HEREIN IS SUBJECT IO ALL THE"EAMS,EXCLUSIONS NOXONOIT'IONS OF sUCH TYFE DF AT6 LIMITS HAVE SEEN MDUCE10 BY PAID CLAIM$. I FOUCIES,AGGREfATE LIMIT$SHOWN MAY mlan .." PUWCx NUM4fR 1'OW _EFFECTrvE'1'vDHC��YSiunl' ., ., LIMBS I.TR �..,a„„-, RQLYLI...CATI RIIfNGDLY GENERAL LIABILITY ', 'EACH'LCCfMWENCE -, 1 _ COMMPCIAI.GENERAL LIABILITY FIVE DAMAGE IAny onD tlrvl A _ CLAIMS MADE ❑OCCUR MED Exr1Am P�rpLrbv,d R pERBC NAL d AOV INAIRY 1 LfN RALAGGBEtlATE 1 — G£N'L A0011MATE LIMIT APFU5$PER- PflCDl1DT9-,COMP/OP AGD POLICY �RO LOC AOTOMUEILE UABILRY 'COMDIN"cO 91NOLE LIMrt ANY nuYV lii 'LEA eacldwdl r ALL OWNED AUTOS .MUILY INJURY — 6 HEOULEO AUTOS cPbr wwo).'., _ NIflEO AUTOS 'gC)Cf1',Y'{IWURY NGN,OWNED ALTOS ION ACOIIHRII . . IftViRTY DAMAGE " Irtll rNtl140P OARAgE L1AAaATY . ANY AUTO IZftHEATLEAH EA ACC S" — ' AUTO 0 _. _ EXCESS LIABILITY ,EACN Pt+GURREHCE / _ OCCUR FJ CLAIMS MADE gtl6R4GATE Y A �^ RETENTIp LE T --- IAO14m / E L VACH ACCIDENT EMPLOYEE i1, 000, D n 1VORNERS COMFFNSATION ANO F.MPLOYE115'L _ i) WC3 119-0555 07/01/99 07 1 00 EL EACHACG10ENr el OOp 000 0 _ DftASE.PauCYLIMIT F1 000 000 aTHFR D£'drRIPTION OF OPEMTIC)ra pCATIONS/VEHICLESIFJ(CLUSMNE ADDEO BY ENOQRSEMFHY/ErEOIAL PROVISIONS 10 DAY N01' E OF C EI TIO FOR"' ON'-'PAYMENT OF.PREM?fJhh� L%ERfi1FICATE HOLDER ADDIHDnu I14110IM: INa M LErrpn: . CANCELLATION, _ SHOULD ANx Of THE AU&C cwvo€O,vazi s YE CANCELLED btYp"THE exm"ATION CITY OF PALM SPRINGS DATE THEAEDr,THE IMUINO#061114I IKk FNpaAVOR TO MAIL_3_DAYS WANTBN CITY CLERK awnce in Tw CF.BTIFWp}E'NDEVEA NANK6 rD THE LEFT,MY CAROM TO DD SO MALL P.O. BOX 2 743 EMMSE NO Ou1WATION"OW YIAMILETV OF ANY KIND V"THE INSUMA. ITS AGENTS ON PALM SPRINGS, CA 92263-2743 RErameNTarnes.. ' AtrYHVBI HErHEarxrpTlVE FAX: 760-222-8320 RCNRO 25-S 171971 W ACORO CORPORATION Isea 02/28/02 THU 12:36 FAX 7603283994 FIND Z 002 ACORQ, CERTIFICA _ OF LIABILITY INSARNCE iDATE(MMMMM 0l/07/2002 PRODUCER (760)347-5552 FAX 0-_)347-2858 THIS CERTIFICATE IS.__,JEDASA MATTER OFINFORMATION Coachella Valley insurance Service, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License #0542476 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 81-557 Dr. Carreon Blvd 488 Indio, CA 92201 INSURERS AFFORDING COVERAGE INsuRED F.I.N.D. INSURERA' Nonprofits' Insurance A 68615 Perez Road INSURERB: Cathedral City, CA 92234 WSURERO: / <l INSURER D: INSURERE- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATED,'NOT"TIHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 7HIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,LTR I H TYPE OF UJSDRANCE POLICY NUMBER Cy EFFECT EI OY GXPWATION Lw Ts I GENERAL LIADIL 00108944NPO 12/15/2001 12/15/2002 EACHoccuRRENCE i� 1,000,006 X COMMERCIAL GENERAL LIABLITY FIRE DAMAGE(MY my F.) VI 1()0.00 CLAW MADE Q OCCUR MED EXP(Any q pal ) S, 10 A PERSONA_&ApVINJURY it 1.000.0oo GENERALAGGREGATE Si, 210001000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS•COI.WJOPAGG S I 2,BO0 OO POLICY JECT LOC j AUTOMOBILE LWBu.ITY COMBINED SINGLE LIMIT AWALTO (EDQ"A"" S ALL wJNEA AUTOS GODLY INJURY SCHEDULEDAUTOS (pa T,Aly�^} S •I FARFDAU705 %ONt.Y INAIRY NON-OWNED AUTOS (PYTiccwGdj S I PROPERTYDAAMOE i (wrJauaIl) I GARAGE LW➢LIJY AUTO ONLY.EAACCIDENT S ANYALrM OTHER THAN EAACC i AUTO ONLY: AGQ S EXCESS LJAGILRY EACH OCCURRENCE S OCCUR CLAIMS WDE AGGREGATE S DEOUCTALL• i RETENTION S , S WORK RSCOMPENSATIONANn TORY LW11T5 R EMPLOYERS'LIABILITY E.L.EACH ACCIDENT S ! E.L.DISEASE-EA EMPLOYEE i ELOISEASE-POLICY LD.IIT i I OT41ER DESC p��O. NOFWERARIONS&WATIONSNU ICLESIFXGL1ISION AOOED EY ENDCNiSEMENT/SPECIAL PROV161ONS ert�if7 Cate holder is name additional insured as respect General Liability otice of cancellation for non-payment of premium is 10 days. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHDULD ANY OF 7HE ABOVE OV$GRIMED POLICIES BE CANCELLED DEFORE THE EXPIRATION DATE THEREOF.THE ISSUING COMPANY WALL nww6m YAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTO THE LEST, City Clerk, City of Palm Springs P.O. Box 2743 Palm Springs„ CA 92263-2743 AUTHG �gEPPEHrA ACORD 25S(7197) � D CORPGRATION 19E6 \ i'