HomeMy WebLinkAbout04146 - MIZELL SENIOR CENTER VEHICLE VAN PURCHASE CDBG SUBRECIPIENT R 19490 VAILAl City of Palm Springs
of u`v��spA
Community Redevelopment Agency
� � 9
' MEMORANDUM
°��ovnua k
C�j�FORN�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 fiords paid out.
The purpose 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 iderltfied closed contracts.
Page: 4
Report: Expired Contracts: Oldest Date= / / and XREF= COMMUNITY& ECONOMIC DEV-Summary
July 24, 2003
Approval Date Expiration Date Closed Date
Contract Number Description 08/11/1998 08/01/1999
A4016�— 1998-99 CDBG Subrecipient Agreement
Contractor;Food In Need Of Distribution
Insurance Status: A policy has Expired.
XREF: COMMUNITY& ECONOMIC DEVELOPMENT 9-7 a��1
Service In File
A4138 V 1999-2000 CDBG Subrecipient 09us: C 99 09licies 00
Contractor :Shelter From The Storm Insurance Status: Certificate and Policies are OK
XREF: COMMUNITY& ECONOMIC DEVELOPMENT
Service: In File �(O�
A4145 CDBG 1999/2000 Subrecipient Agreement 10/18/1999 10/01/2000 ' I r,� ��v
Contractor:Boys &Girls Club
Insurance Status:Certificate and Policies are OK 5
XREF: COMMUNITY& ECONOMIC DEVELOPMENT Pal f
Service: In File
64
A4146 CDBG 1999/2000 Subrecipient Agreement 10/11/A policy
Ire soon, /",� e0/�,I�
Insurance Status: A policy will expire soon. /`��
Contractor.Mizell Senior Center
XREF: COMMUNITY & ECONOMIC DEVELOPMENT TT
Service In File
A4147 r 99-00 Subrecipient Agr 10(11(1999 10/0112000
Insurance Status:A policy will expire soon. J
Contractor :P.S.Youth Center rr�
XREF: COMMUNITY & ECONOMIC DEVELOPMENT
Service: In File
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
ervice: In File
A414 CDBG 1999-2000 Subrecipient Agreement 10/11/1999 10/01/2000 �y ✓ AJ l7f
contractor:Food In Need Of Distribution Insurance Status: A policy has Expired.
XREF: COMMUNITY& ECONOMIC DEVELOPMENT
Service In File
I
Mizell Senior Center
Subrecip CDBG-Vehicle Purchase
AGREEMENT#4146
R19490, CM signed 10-11-99
SUBRECIPIENT AGREEMENT
THIS COMMUNITY DEVELOPMENT BLOCK GRANT AGREE,,..,,JJ (herein
�y1�-eeme is made and entered into this �i 'ay of _
� G �s 416Z 1999, by and between the CITY OF PALM SPRINGS, (herein
"C' y) , a municipal corporation, and the MIZELL SENIOR CENTER, (herein
"Subgrantee") .
R E C I T A L S :
A. 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") .
B. The Act provides that the City may grant the CDBG Funds to
nonprofit organizations for certain purposes allowed under the Act.
C. The Subgrantee is a nonprofit organization which operates or
desires to operate a facility which is eligible for a grant of CDBG
Funds which is located in the City of Palm Springs, County of Riverside,
State of California (the "Facility") .
D. The City desires to assist in the operation of the Facility
by granting CDBG Funds to the Subgrantee to finance all or a portion of
the cost of purchasing goods and equipment to be used at the Facility
(the "Equipment") on the terms and conditions more particularly set
forth herein. The Equipment, including the cost thereof, is more
particularly described in Attachment No. 1 attached hereto and
incorporated herein by reference.
E. The City will enter into an agreement (the "Purchase
Agreement") with a supplier (the "Supplier") to purchase the Equipment,
which Purchase Agreement will provide that the City is to pay the CDBG
Funds granted to the Subgrantee hereunder directly to the Supplier to
cover all or a portion of the costs of the Equipment, and Supplier is to
deliver the Equipment to the City, pursuant to the terms and conditions
more particularly set forth herein.
NOW, THEREFORE, the parties hereto agree as follows:
1.0 RECITALS.
1 .1 Recitals . The above Recitals are incorporated herein
and made a part of this Agreement.
2.0 SUBGRANTEE OBLIGATIONS.
2 . 1 Use of CDBG Funds. Subgrantee hereby agrees that the
CDBG Funds provided hereunder shall be used solely for the Equipment
pursuant to all the terms and conditions of this Agreement. The CDBG
Funds shall be used solely for the costs of purchase of and delivery of
the Equipment and related expenses, as set forth in Attachment No. 1.
2.2 Representations and Warranties . Subgrantee hereby
represents and warrants to the City as follows :
(a) Subgrantee has read and is familiar with all of
the terms and provisions of the Act and the
Regulations applicable to Subgrantee.
(b) Subgrantee is a nonprofit organization permitted
to receive CDBG Funds under the Act and the
Regulations.
(c) The use of the Facility, including the Equipment,
and the expenses to be covered by the CDBG Funds,
as described in this Agreement, are permitted uses
of CDBG Funds under the Act and Regulations.
(d) The purchase and delivery of the Equipment shall
not require the City or the Subgrantee to comply
with the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970, 42
U.S.C. Section 4601 et seq. , as amended from time
to time.
2 .3 Reports . Within ten (10) days following the
termination of this Agreement, and at such other times as the Contract
Officer shall request, Subgrantee 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 Subgrantee 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.
3.0 CITY OBLIGATIONS.
3. 1 Agreement With Supplier. The City, in its sole and
absolute discretion, shall choose and engage the Supplier to supply the
Equipment. City shall prepare the bid package and supervise the bidding
process and the work performed by the Supplier. The Purchase Agreement
with the Supplier shall include a schedule of delivery of the Equipment
which will, insofar as possible, be coordinated with Subgrantee' s
necessary use of the Equipment and the Facility. City shall endeavor to
assure that the Equipment supplied is of good quality and workmanship
and meets the needs of the Subgrantee.
3.2 Interpretation of Purchase Agreement. City shall have
the obligation and responsibility to interpret the Purchase Agreement,
and the Equipment list in Attachment No. 1, and Subgrantee shall be
bound thereby.
2
3. 3 Delivery of Equipment. Within fifteen (15) days of
receipt of the Equipment by City, City shall have the Equipment
delivered to Subgrantee or make arrangements for Subgrantee to pick up
the Equipment.
4.0 MUTUAL OBLIGATIONS.
4 . 1 Further Responsibilities of Parties . Both parties
agree to use reasonable care and diligence to perform their respective
obligations under this Agreement. Both parties agree to act in good
faith to execute all instruments, prepare all documents, and take all
actions as may be reasonably necessary to carry out the purposes of this
Agreement. Unless hereafter specified, neither party shall be
responsible for the obligations of the other.
4 .2 Compliance with Law; City Interpretation. 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,
including, but not limited to, the Act and the Regulations .
4 .3 Special Requirements. Additional terms and conditions
of this Agreement, if any, which are made a part hereof, are set forth
in the "Special Requirements" attached hereto as Attachment No. 2 and
incorporated herein by this reference. In the event of a conflict
between the provisions of Attachment No. 2 and any other provisions of
this Agreement,the provisions of Attachment No. 2 shall govern.
5.0 DISBURSEMENT OF CDBG FUNDS.
5. 1 Maximum Amount of CDBG Funds . The maximum amount of
CDBG Funds to be provided to Subgrantee (which funds will be paid by
City to Supplier pursuant to the terms of this Agreement) is TWENTY
THOUSAND DOLLARS ($20, 000. 00) . Subgrantee hereby acknowledges that the
City cannot guarantee that the CDBG Funds will be received from HUD.
The City's obligation to fund the Project is limited to the availability
of CDBG Funds from HUD. If the CDBG Funds are not forthcoming from HUD
for any reason, the City shall not have any obligation to fund the work
through any other source of funds, and the Subgrantee hereby covenants
and agrees to make any payments due to Supplier for the costs of the
Project.
5.2 Method of Payment. The City shall disburse the CDBG
Funds by making payment directly to the Supplier for the costs of the
Equipment in accordance with the terms of the agreement entered into by
and between the City and the Supplier pursuant to Section 3 . 1 .
6.0 PERFORMANCE SCHEDULE,
6. 1 Time of Essence. Time is of the essence in the
performance of this Agreement.
6.2 Force majeure. The time periods for performance under
this Agreement shall be extended because of any delays due to
unforeseeable causes beyond the control and without the fault or
3
negligence of the Subgrantee or the City, including, but not restricted
to, acts of God or of the public enemy, unusually severe weather, fires,
earthquakes, floods, epidemics, quarantine restrictions, riots, strikes,
freight embargoes, wars, litigation, and/or acts of any governmental
agency (except that acts or the failure to act of the City shall not
excuse performance by the City) . In the event of such a delay, the
party delayed shall continue to exercise reasonable diligence to
minimize the period of the enforced delay.
Times of performance under this Agreement may also be
extended by mutual written agreement of the parties . The Contract
Officer shall have the authority on behalf of the City to approve
extensions of time not to exceed a cumulative total of one hundred
eighty (180) days . In no event shall Subgrantee be entitled to recover
damages against the City for any delay in the performance of this
Agreement, however caused, Subgrantee' s sole remedy being extension of
the Agreement pursuant to this ,Section.
7.0 COORDINATION OF WORK.
7 . 1 Representative of Subgrantee. The following principals
of Subgrantee are hereby designated as being the principals and
representatives of Subgrantee authorized to act in its behalf with
respect to the work specified herein and make all decisions in
connection herewith:
LK0
V
7.2 Contract Officer. The Contract Officer shall be such
person as may be designated by the City Manager of City. It shall be
the Subgrantee' s responsibility to assure that the Contract Officer is
kept informed of the progress under this Agreement and the Subgrantee
shall refer 'any decisions which must be made by City to the Contract
Officer. Unless otherwise specified herein, any approval of the City
required hereunder shall mean the approval of the Contract Officer. The
Contract Officer shall have authority to sign all documents on behalf of
the City required hereunder to carry out the terms of this Contract.
7 . 3 Prohibition Against Subcontracting or Assignment.
Subgrantee 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.
7 . 4 Independent Contractor. Neither the City nor any of
its employees shall have any control over the manner, mode, or means by
which Subgrantee, its officers, agents, or employees, perform the
services required herein, except as otherwise set forth herein.
Subgrantee 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. Subgrantee shall not at any time or in any manner represent
4
that it or any of its agents or employees are agents or employees of
City.
8.0 COMPLIANCE WITH FEDERAL REGULATIONS.
8 . 1 The Subgrantee shall maintain records of its operations
and financial activities in accordance with the requirements of the Act
and the Regulations, 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 Act and the Regulations, but in no case for less than
three years after the close of the Facility.
8 .2 The Subgrantee 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 Act 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;
j . The Program Income requirements as set forth in 24
C. F.R. 570 . 504 (c) and 570.503 (b) (8) ;
5
k. The Subgrantee 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 Subgrantee does not assume the City's
environmental responsibilities described at 24
C. F.R. 570. 604; nor does the Subgrantee 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
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:
6
(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, regulations, executive orders, or similar
requirements which might be applicable.
U. The City shall have the right to periodically
monitor the program operations of the Subgrantee
under this Agreement.
9.0 INSURANCE AND INDEMNIFICATION.
9. 1 Insurance. The Subgrantee shall procure and maintain,
at its cost, and submit concurrently with its execiltion of this
Agreement, public liability and property damage insurance against claims
for injuries against persons or damages to property resulting from
Subgrantee' s acts or omissions arising out of or related to Subgrantee's
performance under this Agreement. Subgrantee 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
work under this Agreement. . .The procuring of such insurance or the
delivery of policies or certificates evidencing the same shall not be
construed as a limitation of Subgrantee's obligation to indemnify the
City, its officers, agents, or employees . The amount of insurance
required pursuant to this Section shall be as required by the Contract
Officer not exceeding Five Hundred Thousand Dollars ($500, 000) .
9.2 Indemnification. The Subgrantee shall defend,
indemnify, and hold harmless, the City, its officers, agents, and
employees, from and against any and all actions, suits, proceedings,
claims, demands, losses, costs, and expenses, including legal costs and
attorney' s 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 Subgrantee' s performance under this Agreement, except for
7
such loss as may be caused by City's own negligence or that of its
officers, agents, or employees .
10. 0 DISCRIMINATION, TERMINATION, AND ENFORCEMENT.
10 . 1 Covenant Against Discrimination. Subgrantee 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 . Subgrantee 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.
10.2 Term. Unless earlier terminated in accordance with
Section 10. 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.
10. 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 as long as such
termination will not cause the City to violate or be in default under
its agreement with the Supplier. Upon receipt of the notice of
termination both parties shall immediately cease all services hereunder
except as may be specifically approved by the other party. Upon such
termination, both parties shall be entitled to compensation for all
services rendered prior to receipt of the notice of termination and both
parties shall be entitled to reimbursement for any services which have
been paid for but not rendered.
11.0 CITY OFFICERS AND EMPLOYEES.
11 . 1 Non-liability of City Officers and Employees. No
officer or employee of the City shall be personally liable to the
Subgrantee, or any successor in interest, in the event of any default or
breach by the City or for any amount which may become due to the
Subgrantee or to its successor, or for breach of any obligation of the
terms of this Agreement.
11.2 Conflict of Interest. No officer, agent, or employee
of the City shall have any financial interest, direct or indirect, in
this Agreement nor shall any such officer or employee participate in any
decision relating to the Agreement which affects his or her financial
interest or the financial interest of any corporation, partnership, or
association in which he or she is, directly or indirectly, interested,
in violation of any State statute or regulation. The Subgrantee
warrants that it has not paid or given and will not pay or give any
third party any money or other consideration for obtaining this
Agreement.
8
12.0 LEGAL ACTIONS.
12 . 1 Applicable Law. This Agreement shall be construed and
interpreted both as to validity and to performance of the parties in
accordance with the laws of the State of California and the United
States, as applicable.
12 .2 Legal Action. In addition to any other rights or
remedies, either party may take legal action in law or in equity, to
cure, correct, or remedy any default, to recover damages for any
default, to compel specific performance of this Agreement, to obtain
declaratory or injunctive relief, or to obtain any other remedy
consistent with the purposes of this Agreement.
13.0 MISCELLANEOUS PROVISIONS.
13 . 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 by mailing in the United States mail, certified mail,
postage prepaid, return receipt requested, to the addresses set forth
below, or such other addresses as may from time to time be designated by
notice to the other party.
TO CITY: City of Palm Springs
PO Box 2743
Palm Springs, California 92263
Attn: City Manager
WITH COPY TO: Rutan & Tucker
611 Anton Blvd. , Suite 1400
Costa Mesa, California 92626-1998
TO SUBGRANTEE:
,r
�rd-�'�z'• a&�-n,n C�� �,�a�
Any such notices shall be deemed to have been given upon receipt.
13.2 Amendment. This Agreement may be amended at any
time by the mutual consent of the parties by an instrument in writing.
13.3 Waiver. No delay or omission in the exercise of
any right or remedy by a nondefaulting party on any default shall impair
such right or remedy or be construed as a waiver. A party's consent to
or approval of any act by the other party requiring the party' s consent
or approval shall not be deemed to waive or render unnecessary the other
party' s consent to or approval of any subsequent act. Any waiver by
either party of any default must be in writing and shall not be a waiver
of any other default concerning the same or any other provision of this
Agreement.
9
13. 4 Interpretation. The terms of this Agreement shall
be construed in accordance with the meaning of the language used and
shall not be construed for or against either party by reason of the
authorship of this Agreement or any other rule of construction which
might otherwise apply.
13. 5 Integration. It is understood that there are no
oral agreements between the parties hereto affecting this Agreement and
this Agreement supersedes and cancels any and all, previous negotiations,
arrangements, agreements, and understandings, if any, between the
parties, and none shall be used to interpret this Agreement.
13 . 6 Corporate Authority. The persons executing this
Agreement on behalf of the parties hereto warrant that (i) such party is
duly organized and existing; (ii) they are duly authorized to execute
and deliver this Agreement on behalf of said party; (iii) by so
executing this Agreement, such party is formally bound to the provisions
of this Agreement; and (iv) the entering into of this Agreement does not
violate any provision of any other agreement to which said party is
bound.
IN WITNESS WHEREOF, the parties have executed this Agreement on the date
first above written.
ATTEST: CITY q0FPALM SPRINGS CALIFORNIA
B By:
City Clerk ity -marVger
APPROVED AS TO FORM: APPROWD BY THE QTY MANAGER
RUTAN & TUrAiA
E R O� �' ���C�
_� Gz r
Cit ttorney
SUBGRANTEE:
i � tti 1
I By:
Name: Ben Green
Title: Exe. Director
l�'C.By: ^,ne,) � a
Name: Carrie Allan
Title: Secretary
(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. )
10
ATTACHMENT NO. 1
EQUIPMENT
Twenty thousand dollars ($20,000) for a 1999 GMC Cargo Van/l/4-1/2 ton,
Van to include Air Conditioning, Automatic transmission and Back Rear
Window. Van is to be used to deliver Meals to our Home Bound Seniors.
ATTACHMENT NO. 1
/;111�11® C RTC I 9QFINSU'RAN�A . io%i4�
PRODUCER Weingarten & Hough-Lic#0086542 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
P 0 BOX 1866 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Palm Springs CA 92263 COMPANIES AFFORDING COVERAGE
(760) 325-2526 COMPANY
A Philadelphia Insurance Companies
INSURED COMPANY
Mizell Senior Center B
480 S . Sunrise Way COMPANY
C
Palm Springs CA 92262 COMPANY �� 7
(760) 323-5689 D �r n
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T,14F- jakN3'NA ED ABOVE FOR OLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRA R OTHERS VENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICI �n EREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY IMS.
CO WPEOF INSURANCE POLICYNUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DDA-Y) DATE(MM/DDpYQ
A GENERAL LIABILITY GENERAL AGGREGATE $2 , 000 , 000
X COMMERCIAL GENERAL LIABILITY PHPG204438 10/14/99 10/14/00 PRODUCTS-COMP/OP AGO $1, 000 , 000
CLAIMS MADE I OCCUR PERSONAL&ADV INJURY $1, 000 , 000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000 , 000
FIRE DAMAGE(Any one fire) $ 100 , 000
VIED EXP(Any one person) $ 5 , 000
A AUTOMOBILE LIABILITY
ANY AUTO PHPG204438 10/14/99 10/14/00 COMBINED SINGLE LIMIT $1, 000 , 000
ALL OWNED AUTOS BODILY INJURY
X SCHEDULEDAUTOS (Per person) $
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANYAUTO / / / / OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE S
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM / / / / AGGREGATE $
OTHER THAN UMBRELLA FORM S
- WORKERS COMPENSATION ANO - STATUTORY LIMITS
EMPLOYERS'LIABILITY / / EACH ACCIDENT I$
THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT is
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE 1$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
OPERATIONS OF THE INSURED REGARDING COMMUNITY DEVELOPEMENT BLOCK GRANT
RESOLUTION NO. 19490 AGREEMENT NO. 4146
CITY OF PALM SPRINGS IS ADDITIONAL INSURED PER ATTACHED ENDORSEMENT
CFl3TIFIGAP CANOMA'1'100,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
CITY OF PALM SPRINGS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P . 0. BOX 2743 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
PALM SPRINGS, CA. 92263 OF ANY KIND UPON'1THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZ� REPS fENTI)TIV t' _
. .. 0� I��'M7�f'3lli� � : . ... ... . DATE(MM/DD/YY)
10 19/01
PRODUCER Weingarten & Hough-Lic#0086542 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
P 0 BOX 1866 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Palm Springs CA 92263 COMPANIES AFFORDING COVERAGE
(760) 325-2526 COMPANY
A Philadelphia Insurance m
INSURED
LM
COMPANY C)
Mizell Senior Center B f} �' 1�
480 S . Sunrise Way COMPANY �( / U FEB
C /
Palm Springs CA 92262 EiVED
(760) 323-5689 COMPANY
c
r �
E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO TYPE OF INSURANCE POLICYEFFECTIVE POUCYEXPIRATION
LTR POLICY NUMBER
DATE(MM/DDMn DATE(MM/DD/Y1') LIMITS
A GENERAL LIABILITY GENERAL AGGREGATE s2 , 000 , 000
X COMMERCIAL GENERAL UABIUTY PHPK013566 10/14/01 10/14/02 PRODUCTS-COMP/OP AGG $1, 000, 000
CLAIMS MADE a]OCCUR PERSONAL&ADV INJURY $1, 000, 000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000 , 000
FIRE DAMAGE(Any ane fire) S 100, 000
MED EXP(Any one person) $ 5, 000
A AUTOMOBILE LIABILITY
ANY AUTO PHPK01356G 10/14/01 10/14/02 COMBINED SINGLE LIMIT $1, 000, 000
ALL OWNED AUTOS
X SCHEDULED AUTOS BODILY INJURY S
(Per person)
X HIRED AUTOS
X NON-OWNED INJURY
WNED AUTOS (Peraccident) $
PROPERTY DAMAGE S
GaRAGE LIABILITY AUTO ONLY-EA ACCIDENT
OTHER THAN-AUTO ONLY:
EACH ACCIDENT $
AGGREGATE S
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM / / / / AGGREGATE S
OTHER THAN UMBRELLA FORM
S
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS'LIABILITY EACH ACCIDENT S
THE PROPRIEETOR/TIVE INCL
PARTNERS/ XECU DISEASE-POLICY LIMIT S
OFFICERS ARE: R EXCL I DISEASE-EACH EMPLOYEE S
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER ADDED AS ADDITIONAL INSURED PER ATTACHED ENDORSEMENT
cmbrICATI LLD] R 4: .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
RIVERSIDE COUNTY OFFICE ON AGING EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
6296 RIVERCREST DR. #K 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
RIVERSIDE, CA. 9 2 5 0 7-0 73 8 BUT FAIL RE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ATTN: LISA STARCEY OF A KIND ON 41HE C9MPANY,4 ITS AGENTS OR REPRESENTATIVES.
AUTHORIZE REPR TA
. . . .. ..,I ........... : '.;..."::.'.: : ::....::..n ....:.
'. A�#RD:4.'tY�tPCtRllT4QN,199-#'
;AC(�RI1 �.{3t931, ,
�c�VI 7�,�-J,
o.o. B b4M8bi,SA'N FR:ANcis 9414
COMPENSATION" :',
APR 1
�i�tQMPEN§XTIW -1NSURANCF—",-,-,
FUND :,6ERi.1T1QATE-0F WORKERS' RECEIVE-1
�SERTEMBER OL C
P1 S--
tR I icAm'
F-1
p
CITY OF PALPI -SkiNdtS,'
DOW hfTN' DALE C
P 6 BOX 7743
-POLM SPR INIS-,,-.CA 9,2263
This is to certify,that we have issued a valid Workers'Compensation insurance policy in'a form approved by the California
Jnsur�6&b d8mmIssionert6 the emplover named.below for the policy period indicated.;
-This'pblipy is not subject to cancellation by the Fund except upon ten days'advance written notice to the employer.
We will also give you TEN days'advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend,_
extend or'alter the coverage afforded by the
policies listed herein:.Notwithstanding-any requirement,'term, 'or condition'6f any contract or other clocument.with
respect to which this^certificate,of insurance may'bez-j�ssu&;or may pertain;thfi1risbranddafforded'by-the policies-'.
described herein'is subject to all the terms,�e xcldsons and conditions of such policies-,
AUTHORIZED REPRESEN W IvE,,
ESIDENT��
EMPLOYER'S', LIABILITY QLIMIT' .INC O' M Lp-x
4`-
'.Y
4
g
f
;7
Y'N
4
iNp
5
F, 5,- J�
......
'P
45%
'XYJ
4 V
I - It
A'rEMPLOYER:����
N nr,
'01-1
aN,1�:"
co,
C''
AP 1
ZCEIVE_,
L
2 3 CL�
'60
TF
EN$E
TER (A ,NON ......
E ER
-480 S NR.
114 A 62
V
7
THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF10262(REV.3-95)
rni II-V"nf ncm,c(-nov
ACORD. CERTIFICA' T OF LIABILITY INSURA.ME °ATE
02/O6/2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Weingarten & Hough ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
9 4 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 Box 1866 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Palm Springs CA 92263- INSURERS AFFORDING COVERAGE
INSURED INSURERN PHILADELPHIA INSURANCE -COMPANY,.,'
Mizell Senior Center INSURERB: /n
480 S. Sunrise INSURERC:
INSURER D'
Palm Springs CA 92262- 1 INSURER E: 7 .mod Y r i!"a✓ 'I�'l� 1 P
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHS' NY
REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE MMIDD/YY DATE MM/DD/YY
A GENERAL LIABILITY PHPK032484 10/14/2002 10/14/2003 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any ane fire) $ 100,000
CLAIMS MADE I—XI OCCUR / / / / MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,000
POLICYFI JECT LOG
A AUTOMOBILE LIABILITY PHPK032484 10/14/2002 10/14/2003
COMBINED SINGLE LIMIT
ANYAUTO (Ea mctdent) $ 1,000,000
ALL OWNED AUTOS / / / / BODILY INJURY
X SCHEDULED AUTOS (Per person) $
X HIRED AUTOS / / / / BODILY INJURY
X NON-OWNED AUTOS (Pereccidenl) $
PROPERTY DAMAGE
(Peracadent) $
GARAGE LIABILITY AUTO ONLY-EAACCIDENT $
ANY AUTO / / / / OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY / / / / EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE / / / / $
RETENTION $ $
EMPLOYERS'COMPENSATION AND / / / / TORv LIMTITS OER
E.L.EACH ACCIDENT $
El DISEASE-EA EMPLOYEE$
El DISEASE-POLICY LIMIT $
OTHER
DESCRIPNON OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
OPERATIONS OF THE INSURED FOR THE CERTIFICATE HOLDER REGARDING COBB. CITY OF PALM SPRINGS IS NAMED AS AN ADDITIONAL
INSURED PER THE ATTACHED ENDORSEMENT.
CERTIFICATE HOLDER X I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
CITY OF PALM SPRINGS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
P.O. BOX 2743 INSURER,ITS ENTSOR REPRESENTATIVES.
AUTHORW4 PRESS ATIV
PALM SPRINGS CA 92263-
ACORD 25-S(7/97) ACORD CORPORATION 1988
,. INS025S(991o)D2 ELECTRONIC LASER FORMS,INC -(e �)327-D 5 Page 1 of 2
CEWATE HOLDER PLM 3p
STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 C
` SEP 2 9 2002
COMPENSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
SEPTEMBER 26, 2002 GROUP:
POLICY NUMBER: 669923-2002
CERTIFICATE ID: 14
CERTIFICATE EXPIRES: 08-06-2003
08-06-2002/08-06-2003
CITY OF PLAM SPRINGS "`-
OFFICE OF THE CITY CLERK(PATRICIA SANDERS)
3200 Z CANYON AY PALM SPRINGS CA 922262
This is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend,extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement,term or condition of any contract or other document with
respect to which this certificate of insurance may be issued or may pertain,the insurance afforded by the policies
described herein is subject to all the terms, exclusions,and conditions, of such policies.
' 1
AUTHORIZED REPRESENTATIVE PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-06-2002 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
PALM SPRINGS SENIOR CENTER (A NON-PROFIT CORP. ) DBA:
MIZELL SENIOR CENTER
480 S SUNRISE WAY
PALM SPRINGS CA 92262
SCIF 10265 IEPF-UI:DB 1
ac�rl�irQ � CERTIFICATE LIABILI, J INSU.R}ANC sra °ago
y.+:„-i..
IRODUGER c THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HRH Ins Sery of So Calitomla HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
License Number0684503 At THE COVERAGE AFFORDED BY THE POLICIES BELOW.
77.564 Country Club Dr. #401 COMPANIES AFFORDING COVERAG 1F Palm Desert CA 92211 PT I-
COMPANY ``I
A Hartford Ins, % YMCA Sery b,�
NSURED
COMPANY
Family YMCA of the Desert B Westchester Fire % YMCA S RECE "
43-930 San Pablo Ave. COMPANY O
Palm Desert CA 82260 C � ' f CLEef'
COMPANY D "
,,, ,I
/I" " f m
:OVERAGES }" s..,
THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANGELISSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
q TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION - LIMITS -
DATE (MMNDNII DATE (MNVDDNY)
A GENERAL LIABILITY 83 UUN OB 5275 01/01/03 01/01/04 GENERAL AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 1,000,000
CLAIMS MADE O OCCUR PERSONAL 3 A➢V INJURY $ 1,000,000
OWNER'S R CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one fire) $
MED E%P(Any one person) $
A AUTOMOBILE LIABILITY 83 LIEN OB 5449 01/01/03 01/01/04
X ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON OWNED AUTOS (Per acciden) $
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:EHi ACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY CUS225369 01/01/03 01/01/04 EACH OCCURRENCE $ 1,000,000
X UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC STATU OTH- -
EMPLOYERS'LIABILITY TOnY IMITS EP.
EL EACH ACCIDENT $
THE PROPRIETOR! INCL EL DISEASE-POLICY LIMIT $
PARTNERSIEXECUTNE
OFFICERS ARE E%CL EL DISEASE-EA EMPLOYEE $
OTHER
SCaIWION OF OPERATIONSILOCATIONSNEHICLESISPFCIAL TEMS
IS Certificate holder Is an additional insured but only as respects loss
r damege arising out of negligent acts or omissions of the Family YMCA,
Is members, participants, guests and employee.
ERTIFICATE'yOLDER: a; CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Palm Springs Youth Center EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: Tam Brooks 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Box 9350
Palm Springs CA 92263 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE tlE1 OBLIGATION OR LIABILITY
OF ANY KIND UPOq THE COMPANY,ITS AGENTS OR REPRESENTATIVES
AUTHORIZED FP SENTA IV
Ann Willa
ACORD 25S'(1195)+';I> n._I.�LI�ENSE 0684503
ACORD CORD WT10N;1888