HomeMy WebLinkAbout2000-035 CDBG Funds CITY OF AT AgERO..-
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AGREEMENT FOR GRANT OF CDBG FUNDS
TO PROVIDE FOR DRAINAGE IMPROVEMENTS AT THE
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
THIS AGREEMENT is made and entered into this)day of P94Y4 2000, by
and between NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER a
California nonprofit corporation (hereinafter referred to as 'NORTH COUNTY
WOMEN'S RESOURCE CENTER/SHELTER", and the CITY OF ATASCADERO, a
political subdivision of the State of California(hereinafter referred to as"the City").
WITNESSETH:
WHEREAS, NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
operates a domestic violence shelter in the City of Atascadero to provide safe housing,
counseling and other necessary services to battered spouses and their children; and
WHEREAS, NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
requested funding in the amount of $4,430 through the Community Development block
Grant (CDBG) Program to provide for the installation of drainage improvements
(hereinafter referred to as"the Project"); and
WHEREAS, on March 31, 2000, the San Luis Obispo County Board of
Supervisors approved the county of San Luis Obispo Consolidated Plan and projected use
of funds pursuant to applicable federal regulations (24 CFR Part 570), hereinafter
referred to as the "2000 Consolidated Plan," providing for $4,430 from the 2000 CDBG
Program to enable NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER to
carry out the project; and
WHEREAS, HUD approved the 2000 one year action plan of the consolidated
Plan by executing a grant agreement; and
WHEREAS, NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
is an eligible entity (a nonprofit 501(C)(3) corporation) to act as designated project
sponsor and, as such, NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
will carry out the Project; and
NOW, in consideration of the mutual promises, recitals and other provisions
hereof, the parties agree as follows:
1. Scope of Activities
(a) Within 18 months after the approval of this Agreement, NORTH
COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall complete the Activities
shown below:
(i) Secure all necessary City approvals and permits for the Project.
(ii) Complete construction of the Project and obtain final inspection
approval.
(b) During the term of this Agreement NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER shall operate the existing facility as above described.
(c) During the term of this Agreement NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER will not transfer, assign, lease, sell,
encumber or submit to judicial or non judicial foreclosure proceedings of
the project site without providing written notice to and receiving the
written approval of the City.
2. Reporting
(a) NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall
submit quarterly progress reports to the City Administrative Services Department
describing the progress made toward accomplishing the above-listed activities. NORTH
COUNTY WOMEN'S RESOURCE CENTER/SHELTER agrees to submit to the City
Administrative Services Department a final report within 60 days of completing the
Project, describing which of the Project objectives and activities NORTH COUNTY
WOMEN'S RESOURCE CENTER/SHELTER has accomplished, with sufficient detail
to enable the City to properly evaluate NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER performance in completing the objectives and activities of the
Project.
(b) NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
further agrees to submit an annual report to the City Administrative Services Department
certifying the continuing operation of the facility on the property.
(c) The City shall prepare and submit all CDBG reports required under its
Grant Agreement with HUD.
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3. City Responsibilities
City shall be responsible for fulfilling responsibilities of the Grantee pursuant to
the Grant Agreement.
4. Relationship to Grant Agreement
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
acknowledges and agrees that this Agreement is subject to the obligations and limitations
imposed on the City by the Grant Agreement and all future amendments to Grant
Agreement and is intended to be in conformance and harmony with it. NORTH
COUNTY WOMEN'S RESOURCE CENTER/SHELTER further acknowledges that if
the Grant Agreement is terminated by the United States Government, prior to its
implementation by appropriation and/or funding, the City shall have the right to terminate
or amend this Agreement by giving written notice of the termination or amendment of
this Agreement to NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER.
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER hereby expressly
agrees to the provisions of the Grant Agreement and further expressly agrees that nothing
in this Agreement shall be deemed to require the City to perform an obligation in conflict
with the Grant agreement. NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER further agrees that the city's rights to enter into amendments to the
Grant Agreement is not, and shall not be restricted or impaired, in any way, by this
Agreement.
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5. Compensation
Subject to the terms and conditions of this Agreement (including the availability
of CDBG funds to the City), City shall provide to NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER the amount of $4,430 to enable NORTH COUNTY
WOMEN'S RESOURCE CENTER/SHELTER carry out the Project. In no instance shall
the City be liable for any costs of the Project in excess of $4,430, nor for any
unauthorized or ineligible costs. NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER shall not obligate or expend any part of the $4,430 for purposes
other than the drainage improvements project at the Atascadero facility. Payment for the
foregoing shall be in accordance with the following procedure:
(a) NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall
submit a request for payments to the City, along with documentation (work invoices,
inspection reports, photos, etc.) for those activities for which the payments are being
requested.
(b) Payment will be made to NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER within 30 days of the request being approved by the City. NORTH
COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall pay the contractor for
work completed.
(c) Ten percent of the grant amount will be withheld pending final approval of
the completed work.
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(d) If the Project is not successfully completed, the $4,430 will be returned to
the City Administrative Services Director.
6. Term of Agreement
The term of this Agreement shall commence on the date first above written and
shall terminate 20 years from the date, unless sooner terminated as hereinafter provided.
7. Termination of Agreement for Cause
If City determines that NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER has incurred obligations or made expenditures for purposes which
are not permitted or are prohibited under the terms and provisions of this Agreement, or if
City determines that NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
has failed to fulfill its obligations under this Agreement in a timely and professional
manner, or if NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER is in
violation of any of the terms or provisions of this Agreement, or if City is given notice by
HUD or the County that HUD or the County is terminating its Grant Agreement with the
City, or if NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER makes a
general assignment for the benefit of NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER creditors, or if a receiver should be appointed in the event of
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER insolvency, then City
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shall have the right to terminate this Agreement effective immediately upon giving
written notice thereof to NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER. Termination shall have no effect upon the rights and obligations
of the parties arising out of any transaction occurring prior to effective date of such
termination. If City's termination of NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER Agreement for cause is defective for any reason, including but not
limited to City's reliance on erroneous facts concerning NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER performance, or any defect in the notice thereof,
City's maximum liability shall not exceed the amount payable to NORTH COUNTY
WOMEN'S RESOURCE CENTER/SHELTER under paragraph five (5) of this
Agreement.
8. Termination for Convenience
Either party may terminate this Agreement at any time by giving the other party 30 days
written notice of such termination. Termination shall have no effect upon the rights and
obligations of the parties arising out of any transaction occurring prior to the effective
date of such termination. Contractor shall be paid for all work satisfactorily completed
prior to the effective date of said termination.
9. Sources and Availability of Funds
It is understood by the parties thereto that the funds being used for the purpose of
this Agreement are funds furnished to City through HUD pursuant to the provisions of
the Act. Notwithstanding any other provision of this Agreement, the liability of City
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shall be limited to CDBG funds available for the project. NORTH COUNTY
WOMEN'S RESOURCE CENTER/SHELTER understands that City must wait for
release of funds from HUD before grant funds may be advanced or reimbursed. City
shall incur no liability to NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER, its officers, agents, employees, suppliers, or contractors for any
delay in making any such payments.
10. Reimbursement of Improper Expenditures
If any time within applicable statutory periods of limitation it is determined by
City or by HUD or its duly authorized representatives, or by the United States Secretary
of Treasury or his duly authorized representatives that funds provided for under the terms
of this Agreement have been used by or on behalf of NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER in a manner or for purposes not authorized or
prohibited by said Act or regulations adopted pursuant thereto NORTH COUNTY
WOMEN'S RESOURCE CENTER/SHELTER shall, at City's request, pay to city an
amount equal to one hundred percent of the amount improperly expended.
11. Employment Status
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall, during
the entire term of this Agreement, be construed as a contractor, and nothing in this
Agreement is intended nor shall be construed to create an employer-employee
relationship or a joint venture relationship. Neither NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER nor any of NORTH COUNTY WOMEN'S
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RESOURCE CENTER/SHELTER agents, employees, or contractors are or shall be
considered to be agents or employees of the City or HUD in connection with the
performance of NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
obligations under this Agreement.
12. Inspections
The City reserves the right to inspect any work performed hereunder to ensure
that the work is being and has been performed in accordance with the applicable federal,
state and/or local requirements, and this Agreement. NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER agrees that all work found by such inspections not to
conform to the applicable requirements shall be corrected and that city may withhold
payments to NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER until
such corrections are completed.
13. Records
(a) All records, accounts, documentation and all other materials relevant to a
fiscal audit or examination, as specified by HUD, shall be retained by NORTH COUNTY
WOMEN'S RESOURCE CENTER/SHELTER for a period of not less than three (3)
years from the date of termination of this Agreement.
(b) If so directed by the City or HUD upon termination of this Agreement
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall cause all
records, accounts, documentation and all other materials relevant to the work to be
delivered to the City or HUD as depository.
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(c) NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
understands that NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
shall be subject to the examination and audit of the City Administrative Services Director
for a period of three (3)years after the final payment under this Agreement.
14. Audit
(a) All records, accounts, documentation and other materials deemed to be
relevant to the work by the City or HUD shall be accessible at any time to the authorized
representatives of the county, state or federal government, on reasonable prior notice, for
the purpose of examination or audit.
(b) An expenditure which is not authorized by this Agreement or which
cannot be adequately documented shall be disallowed and must be reimbursed to the City
or its designee by NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER.
Expenditures for work not described in paragraph one (1) of this Agreement shall be
deemed authorized if the performance of such work is approved in writing by the City or
HUD prior to the commencement of such work.
(c) Absent fraud or mistake on the part of the City or HUD, the determination
by the City and HUD of allowability of any expenditure shall be final.
15. Indemnification
NORTH COUNTY WOMEN'S RESOURCE CENTERISHELTER shall defend,
indemnify and save harmless the City, its officers, agents and employees from any and all
claims, demands, damages, costs, expenses, judgments, or liability occasioned by the
performance or attempted performance of the provisions hereof, or in any way arising out
of this Agreement, including, but not limited to, (a) those predicated upon theories of
violation of statute, ordinance or regulation, violation of civil rights, (b) any adverse
determination made by the Internal Revenue Service or the State Franchise Tax Board
with respect to NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER that
would establish a City liability for failure to make social security and income tax
withholding payments, (c) inverse condemnation, (d) equitable relief, or (e) any wrongful
act or any negligent act or omission to act on the part of NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER or of agents, employees, or independent contractors
directly responsible to NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER; providing further that the foregoing obligations to defend,
indemnify and save harmless shall apply to any wrongful acts, or any actively or
passively negligent acts or omissions to act, committed jointly or concurrently by
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER, its agents,
employees, or independent contractors and the City, its agents, employees, or
independent contractors. Nothing contained in the foregoing indemnity provisions shall
be construed to require indemnification for claims demand, damages, costs expenses or
judgments resulting solely from the conduct of the City.
16. Insurance
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall obtain
and maintain for the entire term of this Agreement and NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER shall not perform any work under this Agreement
until NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER has obtained
comprehensive general liability insurance, in companies acceptable to the City, and
authorized to issue such insurance in the State of California. Said insurance shall consist
of the following:
(a) Liability Insurance — NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER shall maintain in full force and effect, for the period covered by this
Agreement, comprehensive liability insurance. This comprehensive general and
automobile liability insurance shall include, but not be limited to, protection against
claims arising from bodily and personal injury, including death resulting therefrom, and
damage to property, resulting from any act or occurrence arising out of NORTH
COUNTY WOMEN'S RESOURCE CENTER/SHELTER operations in the performance
of this Agreement, including, without limitation, acts involving vehicles. The amount of
insurance shall be not less than one million dollars ($1,000,000) combined single limit
coverage for bodily and personal injury, including death resulting therefrom, and
property damage.
The following endorsements shall be attached to the policy:
(1) If the insurance policy covers an "accident" basis, it must be changed to
"occurrence".
(2) The policy must cover personal injury as well as bodily injury.
(3) Blanket contractual liability must be afforded and the policy must contain a cross
liability or severability of interest endorsement.
(4) The City, its officers, agents, and employees shall be named as additional insured
under the policy, and the policy shall provide that insurance will operate as
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primary insurance and that no other insurance affected by the City will be called
upon to contribute to a loss hereunder.
(b) Workers' Compensation Insurance — In accordance with the provisions of Labor
Code Section 3700, NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
is required to be insured against liability for workers' compensation or to undertake self-
insurance for any individuals working as employees of NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER. NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER agrees to comply with such provisions before commencing the
performance of the work under this Agreement.
(c) The following requirements apply to all insurance to be provided by
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER:
(1) A certified copy of each insurance policy and a certificate of insurance
shall be furnished City within sixty(60) days after execution of this Agreement. A
CERTIFICATE ALONE IS NOT ACCEPTABLE. Provided, however, a
certificate of insurance shall be furnished City prior to the approval of any
advances by the Auditor-Controller of the City pursuant to this Agreement.
(2) Certificates and policies shall state that the policies shall not be cancelled
or reduced in coverage or changed in any other material aspect without thirty (30)
days prior written notice to City.
(3) Approval of the insurance by City shall not relieve or decrease the extend
to which NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER may
be held responsible for payment of damages resulting from NORTH COUNTY
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WOMEN'S RESOURCE CENTER/SHELTER services or operations pursuant to
this Agreement.
(d) If NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
fails or refuses to procure or maintain the insurance required by this paragraph, or fails or
refuses to furnish City with required proof that insurance has been procured and is in
force and paid for, City shall have the right, at city's election, to forthwith terminate this
Agreement.
17. Equal Employment Opportunity
During the performance of this Agreement, NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER agrees that it will not discriminate against any
employee or applicant for employment because of race, color, religion, sex, or national
origin, and specifically agrees to comply with the provisions of Section 202 of
Presidential Executive Order No. 11246.
18. Entire Agreement and Modifications
This Agreement sets for the full and entire understanding of the parties regarding
the matter set forth herein, and any other prior to existing understandings or Agreements
by the parties, whether formal or informal, regarding any matters are hereby superseded
or terminated in their entirety. No changes, amendments, or alterations shall be effective
unless in writing and signed by all parties hereto. NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER specifically acknowledges that in entering into and
executing this Agreement, NORTH COUNTY WOMEN'S RESOURCE
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CENTER/SHELTER relies solely upon the provisions contained in this Agreement and
no others.
19. Funding for Additional Services
Funding for any programs, projects, or services beyond the term of this
Agreement, by any new agreement or amendment or extension of this Agreement, have
not been authorized and will depend upon City's determination of satisfactory
performance of this Agreement by NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER and upon the availability to City of additional grant funds allocated
for such purposes. Neither City nor any employee of City has made any promise or
commitment, express or implied, that any additional funds will be paid or made available
to NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER for the purpose of
this Agreement over and above the funds expressly allocated under the terms of this
Agreement.
20. Contractors and Subcontractors
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER agrees to, and
shall require its subcontractors to agree to:
(a) Perform the work in accordance with federal, state and local housing and
building codes as applicable.
(b) Comply with the Labor Standards described in 24 CFR 570.603 and with
the provisions of the California Labor Code, as applicable.
(c) Comply with the applicable Equal Opportunity requirements described in
24 CFR 570.607.
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(d) Maintain at least the minimum state-required workers' compensation
insurance for those employees who will perform the work or any part of it.
(e) Maintain, if so required by law, unemployment insurance, disability
insurance and liability insurance in an amount to be determined by the State which is
reasonable to compensate any person, firm, or corporation who may be injured or
damaged by NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER or any
subcontractor in performing the work or any part of it.
21. Compliance with City, County and State Laws and Regulations
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER agrees to
comply with all City, County and State laws and regulations that pertain to construction,
health and safety, labor, fair employment practices, equal opportunity and all other
matters applicable to NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER,
its subcontractors, and the work.
22. Compliance with Federal Laws and Regulations
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER agrees to
comply with all federal laws and regulations applicable to the CDBG program and to the
work.
23. No Assignment Without Consent
Inasmuch as this Agreement is intended to secure the specialized services of
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER, and NORTH
COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall not have the right to
assign or transfer this Agreement, or any part hereof or monies payable hereunder,
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without the prior written consent of City, and any such assignment or transfer without the
City's prior written consent shall be considered null and void.
24. Law Governing and Venue
This Agreement has been executed and delivered in the State of California, and
the validity, enforceability and interpretation of any of the clauses of this Agreement shall
be determined and governed by the law of the State of California. All duties and
obligations of the parties created hereunder are performable in San Luis Obispo County,
and such County shall be that venue for any action, or proceeding that may be brought, or
arise out of, in connection with or by reason of this Agreement.
25. Enforceability
If any terms, covenant, condition or provision of this Agreement is held by a court
of competent jurisdiction to be invalid, void or unenforceable, the remainder of the
provisions hereof shall remain in full force and effect and shall in no way be affected,
impaired or invalidated thereby.
26. Binding on Successors in Interest
All provisions of this Agreement shall be binding on the parties and their heirs,
assigns and successors in interest.
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27. Effect of Waiver
City's waiver or breach of any one terms, covenant or other provision of this
Agreement shall be not a waiver of a subsequent breach of the same term, covenant or
provision of this Agreement or of the breach of any other term, covenant or provision of
this Agreement.
28. Patents&Royalties
(a) NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall
provide and pay for all licenses and royalties necessary for the legal use and operation of
any of the equipment or specialties used in the Project. Certificates showing the payment
of any such licenses or royalties, and permits for the use of any patented or copyrighted
devices shall be secured and paid for by NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER and delivered to the City upon completion of the Project, if
required.
(b) NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER shall
assume all costs arising from the use of patented materials, equipment,
devices, or processes used in or incorporated in the Project and agrees to
indemnify and hold harmless the City and its duly authorized
representatives, from all suits of law, or actions of every nature for or on
account of the use of any patented materials, equipment, devices, or
processes.
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29. Notices
Unless otherwise provided, all notices herein required shall be in writing, and
delivered in person or sent by United States first class mail, postage prepaid. Notices
required to be given to City shall be addressed as follows: Administrative Services
Director, City of Atascadero, 6500 Palma Avenue, Atascadero, CA 93422. Notices
required to be given to NORTH COUNTY WOMEN'S RESOURCE
CENTER/SHELTER shall be addressed as follows: NORTH COUNTY WOMEN'S
RESOURCE CENTER/SHELTER, Eileen Allan, Executive Director, P.O. Box 2155,
Atascadero, CA 93423.
Provided that any party may change such address by noticing in writing to the
other parties and thereafter notices shall be transmitted to the new address.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of
the day and year first above written.
NORTH COUNTY WOMEN'S RESOURCE CENTER/SHELTER
Eileen Allan, Executive Director
CITY OF fA�TASCADERO
W6* v q0 a
WADE G. McKINNEY
City Manager
APPROVED AS TO WRM AND LEGAL EFFECT:
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RO . HANLEY
City orney
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EC.701-00 FRI 05:12 PM WOMENRESOURCECEN 4611338 P. 02
RENEWAL OF NUMBER PODGY NUMBER..� Scottsdale Insurance company
OPS021810 8877 North Gainey Center Drive,ftt(sdale, Arizona WS OPS026299
1-800.423-7875 or in AZ 1-800-225458
A STOCI( COMPANY
COMMON POLICY DECLARATIONS
item 1. Named Insured and Mailing Address:
North County Women's Resource Center
P.O. Box 2155
Atascadero, California 93423
A nt Name and Address:
J. J. Kegley Associates, Inc.
P.O. BOX 206 295018
Agent No:
Cedar Grove, New Jersey 071x09
Item 2. Policy Period From: 10/31/2000 To: 10/31/2001 Term: Annual
12:014,M.$tandard Time at your maiing address.
x. 02
Business Description: Battered Family Shelter
�._.
In return for the payment of tho premium,and subject to all the terms of this policy,we agree with you to provide the insurance as stated in tNS
policy. This policy consists of the following coverage parts for which a premium is indicated. Where no premium is shown,there is no ooverage,
:Mia premium may ho subject to adjustment.
Coverage Partte) Premium
Commercial General Liability Coverage Part $ �r—
Commeicial Property Coverage Part NQt
ComrriercialCrimeCoverage Put $--•Not Cover'f'`L
Commercial Inland Marine Coverage part _. Ntrt GOYar ad _
Cotn4nerclal Auto(Business Auto or Truckers)Coverage Part --
comii erclel those Coverage Pert Pnve pd --
Protssslonal Liability Coverage part $ dad
Direotore and Officers Liability -
j__ Not rnvQr•,pd
Total Policy Premium $------------ � � --
SURPLUS LIKES TAX 152.10 STAMPING FEE 17.75
POLICY FEE <i, 150.00 INSPECTION FEE 115.00
Forms(s)and Endorsement(s)made a part of this policy at time of issue:
Sse Schedule of Forrrm and Endorsements
r�
93
COUntersignea: 9y, —
Date LAuthorized Representative
THIS COfAMONPOUCYDECIARATIONSAND THE SUPPIEMFNTAL DEcLAgATIONS,TDOETHERIMTHTHE COMMON POLICY CONDITIONS,
ABOVE NUMBEKifD POrlG'�.
OPS•D•l(CM covFAAOE PARTS),COVERAGE FORM(S)AND ENDORSEMENTS,IF ANY.COMPLErE THE
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DEC-01-00 FRI 05 : 13 PM WOMENRE80URCF_CEN 4611338 P. 0-
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Scotfisdale Insurance Company '
ATTACNEO TO AND ENDORSEMENTEFFEDTIVE
FORMINGA PART OF (STANDARD TINE) AGENCY AND 006E
POUCY NUMBER Y YR. 12' INSURED
A.M. J. J. Negley
X5028299 10 31 2000 X orth County Women's Resource Assoc., Ina.
enter 295018
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED---DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
PROFESSIONAL L1 ,1311-11 OV,'-' Ane PART
;..,,. SCHEDULE
{� a Name of Person or Organization:
a
k *City of Atasoadero
£500 Palma
Atascadero, "CA 93422
In consideration of the premium oharged the coverage afforded under this
Covorage Part Is extended to the Person or Organization designated above
as an Additional Insured but only as respects those professional services
or operations performed by the Named Insured.
* It is agreed that the insurance afforded' by this policy shall be
considered primary insurance as respects any other valid and
collectible insurance the City of Atascadero may possess, and any
other insurance the City o Atasca ero oes not possess shall be
considered excess insurance only and not contributory insurance.
AUTHORIZED REPRESENTATIVE DATE
CLS•69s(6193)