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04013 - DESERT AIDS PROJECT CP98-99 CDBG SUBRECIPIENT JOB REEMPLOYMENT
vALAq S City of Palm Springs . a Community Redevelopment Agency Fo ' MEMORANDUM 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 funds paid out. The propose 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 ideAified closed contracts. Page: 3 Report: Expired Contracts: Oldest Date= / / and XREF=COMMUNITY&ECONOMIC DEV-Summary July 24, 2003 Contract Number Description Approval Date Expiration Date Closed Date A2967 Lease at 215 S. Palm Cyn,Village Green 04/01/1992 04/01/1997 Contractor :Agua Caliente Cultural Museum Insurance Status: Certificate and Policies are OK XREF: COMMUNITY& ECONOMIC DEVELOPMENT Service: Lease Agreement iG►fiiWrl nein•,� �o��rw�� 96119E'�3 n Insurance Status: XREF: COMMUNITY& ECONOMIC DEVELOPMENT ilimming Insurance Status: XREF: COMMUNITY& ECONOMIC DEVELOPMENT A3853 97-98 Subrecipient Agr C D B G 09/24/1997 09/01/1998 Contractor:P.S. Unified School District Insurance Status: Certificate and Policies are OK ��� XREF: COMMUNITY &ECONOMIC DEVELOPMENT Service: In File A3854 -' 97-98 Subrecipient Agr,Adult School 09/24/1997 09/01/1998 Contractor:P.S. Unified School District Insurance Status: Certificate and Policies are OK XREF: COMMUNITY &ECONOMIC DEVELOPMENT Service: In File /` A3920 1997-98 CDBG Inland Empire Economic Partnership 03/12/1998 03/01/1999 Contractor:Small Business Development Center Insurance Status: Certificate and Policies are OK ✓ � XREF: COMMUNITY &ECONOMIC DEVELOPMENT C Service: In File A4013 1998-99 CDBG Job Re-employment 04/15/1998 08/01/1999a/9 Contractor :Desert Aids Project Insurance Status: A policy will expire soon. f XREF: COMMUNITY&ECONOMIC DEVELOPMENT Service: In File �VL Desert Aids Project Job Re-Employment Program • AGREEMENT #4013 CM Signed, 8-10-98 SUBRECIPIENT AGREEMENT THIS AGREEMENT (herein "Agreement") , is made and entered into dad of , 19�, by and between the CITY OF this �Q PALM SPRINGS, (herein u"City) , a municipal corporation, and the DESERT AIDS PROJECT (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 at seq. ) , as amended from time to time (the "Act") , and the regulations promulgated thereunder (24 C.F.R. Section 570 at 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 I . . • �. 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 FIFTY TIIOUSAND DOLLARS ($50, 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: De h-j 71rec--6or V rootrCLVY\S 3.2 Contract Officer. The Contract Officer shall be such person as may be designated by the chief administrative officer of City. 2 3.3 Prohibition Against Subcontracting or Assignment. Provider shall not contract with any other entity to perform in whole or in part the services required hereunder without the express written approval of the City. Neither this Agreement nor any interest herein may be assigned or transferred, voluntarily or by operation of law, without the prior written approval of the City. 3.4 Independent Contractor. Neither the City ' nor any of its employees shall have any control over the manner, mode or means by which Provider, its agents or employees, perform the services required herein, except as otherwise set forth herein. Provider shall perform all services required herein as an independent contractor of City and shall remain at all times as to City a wholly independent contractor with only such obligations as are consistent with that role. Provider shall not at any time or in any manner represent that it or any of its agents or employees are agents or employees of City. 4 .0 COMPLIANCE WITH FEDERAL REGULATIONS. 4 .1 The Provider shall maintain records of its operations and financial activities in accordance with the requirements of the Housing .and Community Development Act and the regulations promulgated thereunder, which records shall be open to inspection and audit by the authorized representatives of the City, the Department of Housing and Urban Development and the Comptroller General during regular working hours. Said records shall be maintained for such time as 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; 3 (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; (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. 4 (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: (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. ) 5 (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 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 6 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 7 TO CONTRACTOR: 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. THE I Y OF P P , Dated: �I ] I By: Ci y anager ATTEST: City Clerk ue eir P. V�Y .APPROVED AS TO FORM: RUT TUCFZER ���� City Attorney CONTRACTOR: Dated: By: C\'-- '=� C Name., KeN' Title: Depaf j lam, l(fchl 8 EXIHBIT A Scope of Services 7/1/98 - 6/30/99 City of Palm Springs CDBG Funding Job Re-Employment The Desert AIDS Project's Job Re-employment Program will provide: 1. Social services that enhance community stability, by providing employment readiness for individuals who were fonnerly unable to return to work because of a long period of unemployment and disability challenges; and 2. Expand the city of Pahn Springs' economic base, increase private sector investment, and promote greater employment opportunities, by conducting the re-employment project and filling open positions with motivated, competent, and job-ready employees. The program will continue to work with desert businesses, temporary employment agencies, and non-profit organizations to provide employment opportunities for employment ready workers. The Job Re-employment Program will be available to all persons infected with HIV, with special efforts specifically targeting low-income persons. The Desert AIDS Project's Job Re-employment coordinator will provide the following services: *Initial intake and assessment *Review of employable skills or lack thereof ♦Testing of skill level(s) ♦Coordinate training, schools, workshops in order to update employable skills (when applicable) *Design, produce,purchase, and distribute appropriate training materials *Assist with costs for education/vocational training, when applicable *Assist with contracted placement costs, when applicable *Work closely with local training facilities *Work closely with local placement agencies ♦Increase employer referral base throughout the year *Provide bus passes,when appropriate, to those clients who otherwise do not have private transportation for job interviews and/or transportation to the work place (until the client is stabilized in a job placement) *Monitor all client placements for a period of 6 months to ensure that placement is successful Quarterly reports will review the program's quantitative numbers for all activities and placements maintained for each respective quarter. mo/b.08_99fjubadb, EXIHBIT B BUDGET 7/1/98 - 6/30/99 City of Palm Springs CDBG Funding Job Re-Employment Annual a. Personnel Salary FTE Amount Job Re-Employment Coord. (KQ $37,000. 100% $37,000. Subtotal Salaries $37,000. Benefits @ 10% $ 3,700. TOTAL SALARIES & BENEFITS $40,700. b. Indirect Expense $ _ 0 _ c. Materials 1. Design/production of training materials and instructions, $ 1,500. Including testing materials 2. Bus Passes for clients (4 months X 15 clients) $ 800. TOTAL MATERIALS $ 2,300. d. Media Outreach $ e. Travel/Staff Training $ 400. f. Contract(Placement Costs) $ 4,500. g. EducationNocational Training $ 2,100. h. TOTAL BUDGET M r.oroud98_"/jebedns u .w�uW1 1116 ac�aa: CERTIFICAT F INSURANCE BSUE°ATE (MM,°D,YY) .. ` :I 09/23/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER'OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE HRH Ins Sent of Coachella VI POLICIES BELOW, License Number 0684503 _ . .. .... . . .. . .. 77-564 Country Club Dr. #401 COMPANIES AFFORDING COVERAGE Palm Desert CA 92211 LETTER A Frontier Insurance Compan COMPANSURED _ -... . .... LETTER B COMPANY �. . Desert A ds Project, InD. LETTER 7 '. ATTN:Alex " ' --- 750 S Vella Road COMPANY Palm Springs CA 92264 LETTER D COMPANY LETTER E -.... - - ....-. COVERAGES THIS ISTOCERTIFY'THATTHE POLI'CIESOF INSURANCE LISTED BELOWIIAVE EEEN'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-1ERIVIS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Go TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MWDUNY) DATE(MMIDDNY) A GENERAL LIABILITY G200025334-00 ( 09/05/96 HIHII99 ( GENERAL AGGREGATE $ 3,000,000 X COMMERCIAL GENERAL LIABILITY - j PRODUCTS-COMPIOP AGG. $ CLAIMS MADE X 'OCCUR. } PERSONAL 8 ADV. INJURY $ 1,000,000 OWNER'S A CONTRACTOR'S PROT, ' EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 50,000 i MED.EXPENSE(Any one person) $ 5,000 AUTOMOBILE LIABILITY .. A A200001272.00 09105/98 09I05199 :COMBINED SINGLE ANY AUTO 'LIMIT $ 1 000 000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS i(Per person) $ X 'HIRED AUTOS BODILY INJURY X "NON OWNED AUTOS : g(Per accident) $ -GARAGE LIABILITY I PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM ' 3 AGGREGATE $ OTHER THAN UMBRELLA FORM " WORKER'S COMPENSATION STATUTORY LIMITS - AND EACH ACCIDENT $ - -- - -- - - - i DISEASE-POLICY LIMIT $ EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ OTHER - .. . . .... ., A Professional Liability - 0200001143-01 01/23/98 01/23/99 IPer Occurrence 1,000,000 jGeneral Agregale 3,000,000 DESCRIPTION OF OPERATIONS�t044ATIONSNEHICLESISPECIAL ITEMS RE: 1998-99 CDBG Job He-employment A4013 Certificate holder is named as additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENr.O(4MWXXXXXXXX .; MAIL 30 'DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 'City Of Palm Springs LEFT, BkX)DMXMXQXDt�kXN�(�Ik�XiC 03kAkp(yfit42�t6cRKXylAkl�9Tif )MXXXXXXXXXX City Clerk P 0 Box 2743 k9lYX&W)WX94X6()Ml Mk RRc)OUAIW�"NnY,Sw> *R)Pkrkk&KkX1 RXXXXXXXXXXXX Palm Springs CA 92263-2743 "EXCEPT 10 DAYS FOR NON PAYMENT OF PREMIUM `'AUTHORIZ11 REPRESENTATIVE as . .. . = " AS(7�0!/ - CIF LNS 1/l ��4 173 OACORD CORPORATION 1990 Client#: 24090 291SEND ACORM, CERTIFICATE OF LIABILITY INSURANCE 0DATE(MM 5/12/03 Dn ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH Insurance Services of ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE- Southern California HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 77-564 Country Club Dr.,#401 Palm Desert,CA 92211 OF INSURERS AFFORDING COVERAGE C# INSURED INSURERA. State Fund Desert AIDS Project Inc INSURERS "C] f f} 2 P O BOX 2890 INSURER C. n E'2 Gam!„ Palm Springs, CA 92263 INSURERD INSURER E. COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PEATE EXPIRATION LIMITS R NSR GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE OERENTED oacw ante $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY GENERAL AGGREGATE $ GEN'L AGGREGATE LIMITAPPLIES PER PRODUCTS—COMPIOP AGG $ POLICY JEOT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accldanl) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per eamtlenl) $ PROPERTY DAMAGE $ (Per accident) GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE S DEDUCTIBLE $ RETENTION $ TAT - 1 $ A WORKERS COMPENSATION AND 161525103 02/09/03 02/09/04 TWRYLIMIT OEH EMPLOYERS'LIABILITY EL EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under ' SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Palm Springs DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL .10_ DAYS WRITTEN Office of City Clerk NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL ATTN: Patricia Sanders IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P O Box 2743 REPRESENTATIVES. Palm Springs,CA 92263 AUTHOR E ES T IVE ACORD 25(2001108)1 of 2 #S47819/M47818 2DNIE © ACORD CORPORATION 1988 LICENSE#0684503 j Al �a f n 1S DATE (MWDOYY E� CEfTIFICATE C4ABILIIYINS „RANC.Et � ' r � 1�7= ' }c3 PRooucEa THIS CERTIFICATE IS ISSI A MATTER OF INFORMATION ONLY AND CONFERS NO t, ,IS UPON THE CERTIFICATE HRH Ins Sery of So California _ -_.- ____ HOLDER. THIS CERTIFICATE DOES NOT AMEND, E)C END OR License Number 06B4503 - _ -- [tALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. T7-%4 Country Club Dr. 3401 COMPANIES AFFORDING COVERAGE Palm Desert CA 92211 — - ----- , PANY American States Insurance INSURED I'' COMPANY Desert AIDS Project, Inc. I' Blade 6 WhicHOaldand P O Box 2890 I a C PANY Palm Springs CA 92263 State Fund COMPANY D Q_VSY .. { A, i... sNl o•' _ . 4. Is, ,,x r ,xp . _ 'rr xf., >-��r n...p ,+'e Y. S.'.,., ,f ..mi,tia3a:l�LISTED l, HAVE BEEN ISS."�u'.'�'iY 1'ASW`,e�:aaAi�.t'��7lar»s"ED ABOVE FO,r$+Y.? POLI4a PER 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. DO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD 'FI DATE (1.INDDNY) L1Mfia /Y B GENERAL LIABILITY CP7780196 10/05102 10/05/03 GENERAL AGGREGATE 5 3,000,000 X COMMERCIAL GENERAL LIABILITY COMPANY-FIRST NAT'L _I_I_ PRODUCTS COMPOP AGO s 3 000,000 CLAIMS MADE IKOCCUR INS 00GP AMERIGA PERSONAL b AOV INJURY $ 1,000,000 OWNERS 6 CONTRACTORS PROT EACH OCCURRENCE 5 1 '000,000 FIRE DAMAGE (Any we fire) $ 200,000 MED EXP(Any one peron) s 10,000 A AUTOMOBILE LIABILITY 02 CC968844 3 09122102 09/22/03 COMBINED SINGLE LIMIT 5 1 000 000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY 5 SCHEDULED AUTOS (Per person) X HIRED AUTOS This certificate is issued as a matter of X NON OWNED AUTOS inlormanon only and C nfers no rights BODILY INJURY s upon the certificate 110 der.This (Per accmam) certificate does not am nd,extend or PROPERTY DAMAGE s alter the coverage atfor by thepoliciea GARAGE LIABILITY rnen Uo—n AUTO ONLY_EA ACCIDENT s ANY AUTO OTHER TNAN AUTO ONLY EACH ACCIDENT 5 AGGREGATE s MX ESS LIABILITY UL7780196 10/05102 10/05/03 EACH OCCURRENCE 5 1000,000 UMBRELLA FORM COMPANY-SAFECO INS AGGREGATE s 1.000,000 OTHER THAN UMBRELLA FORM CO OF AMER I GA 5 WORKERS COMPENSATION AND TO C. LIMITS ER tql"" '""' ' •-T' ` EMPLOYERS LIABILITY C 7 616251-02 02109102 0210,9103 EL EACH AccIDENT s 1 000,000 THE PROPRIETOR, INCL EL DISEASE POLICY LIMIT s 1 .000 000 PARTNERS,EXECUTIVE OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE 5 1 000.000 OTHER B Professional Liability HLP7780196 10105/02 10105/03 Per Occurrence 1 ,000,000 COMPANY GENERAL INS Policy Aggregate 3,000,000 CO OF AMER ICA DESCRIPTION OF OPERATIONB8L AT`ONSNEHICLES, PECIA ITEMS As per loins l0 2002- COFNT'i ty evefopment Block Grant Sub reclplenl A reement Certlllcale holder Is additional Insured 10 days notice of cancellation for nonpayment of premium CERRTIFICATE'HOLDER ;;CANCELLATIO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Palm Springs, Economic Dev,/Redeveklpmeni EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Attn: Barbara 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT P.O. Box 2743 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Palm Springs CA 92263-2743 OF ANY KING UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES AUINIO ESE Mad 44&CO&ORATION 1W =°' `