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HomeMy WebLinkAbout2001-035 CDBG Purchase Washing Machine CIrlOF � TASCAD RO CON T i sACT#Q1f'0o�S AGREEMENT FOR GRANT OF CDBG FUNDS FOR THE PURCHASE OF A WASHING MACHINE FOR CREATIVE ALTERNATIVE FOR LEARNING AND LIVING,INC. THIS AGREEMENT is made and entered into this _a day of , 2001, by and between CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. a California nonprofit corporation (hereinafter referred to as "CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC.", and the CITY OF ATASCADERO, a political subdivision of the State of California (hereinafter referred to as"the City"). WITNESSETH: WHEREAS, CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. operate residential homes and community based day programs; and WHEREAS, CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. requested funding in the amount of $442 through the Community Development block Grant (CDBG) Program to purchase a washing machine(hereinafter referred to as "the Project"); and WHEREAS, the San Luis Obispo County Board of Supervisors has 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 "2001 Consolidated Plan," providing for $442 from the 2001 CDBG Program to enable CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. to carry out the project; and WHEREAS, HUD approved the 2001 one year action plan of the consolidated Plan by executing a grant agreement; and 1 2001 —CDBG Agreement—C.A.L.L. lorry' `err+' WHEREAS, CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. is an eligible entity (a nonprofit 501(C)(3) corporation) to act as designated project sponsor and, as such, CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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, CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING &LIVING, INC. shall operate the existing facility as above described. (c) During the term of this Agreement CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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) CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall submit quarterly progress reports to the City Administrative Services Department describing the progress made toward accomplishing the above-listed activities. 2001 —CDBG Agreement—C.A.L.L. 2 Iftwo' CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. has accomplished, with sufficient detail to enable the City to properly evaluate CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. performance in completing the objectives and activities of the Project. (b) CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. 3. City Responsibilities City shall be responsible for fulfilling responsibilities of the Grantee pursuant to the Grant Agreement. 4. Relationship to Grant Agreement CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 2001 —CDBG Agreement—C.A.L.L. 3 err' `fir" giving written notice of the termination or amendment of this Agreement to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC.. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. 5. Compensation Subject to the terms and conditions of this Agreement (including the availability of CDBG funds to the City), City shall provide to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. the amount of $442 to enable CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. carry out the Project. In no instance shall the City be liable for any costs of the Project in excess of$442, nor for any unauthorized or ineligible costs. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall not obligate or expend any part of the $442 for purposes other than the description of project at the Atascadero facility. Payment for the foregoing shall be in accordance with the following procedure: (a) CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. 2001 -CDBG Agreement-C.A.L.L. 4 (b) Payment will be made to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. within 30 days of the request being approved by the City. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall pay the contractor for work completed. (c) Ten percent of the grant amount will be withheld pending final approval of the completed work. (d) If the Project is not successfully completed, the $442 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. makes a general assignment for the benefit of CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. creditors, or if a receiver should be appointed in the event of CREATIVE 2001 —CDBG Agreement—C.A.L.L. 5 ALTERNATIVE FOR LEARNING & LIVING, INC. insolvency, then City shall have the right to terminate this Agreement effective immediately upon giving written notice thereof to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC.. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. Agreement for cause is defective for any reason, including but not limited to City's reliance on erroneous facts concerning CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. performance, or any defect in the notice thereof, City's maximum liability shall not exceed the amount payable to CREATIVE ALTERNATIVE FOR LEARNING &LIVING, INC. 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 shall be limited to CDBG funds available for the project. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. understands that City must wait for release of funds 2001 —CDBG Agreement—C.A.L.L. 6 from HUD before grant funds may be advanced or reimbursed. City shall incur no liability to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC., 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. in a manner or for purposes not authorized or prohibited by said Act or regulations adopted pursuant thereto CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall, at City's request,pay to city an amount equal to one hundred percent of the amount improperly expended. 11. Employment Status CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. nor any of CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. obligations under this Agreement. 2001 —CDBG Agreement—C.A.L.L. 7 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. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall cause all records, accounts, documentation and all other materials relevant to the work to be delivered to the City or HUD as depository. (c) CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. understands that CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. 2001—CDBG Agreement—C.A.L.L. 8 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. that would establish a City liability for failure to make social security and income tax 2001 —CDBG Agreement—C.A.L.L. 9 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. or of agents, employees, or independent contractors directly responsible to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC.; 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC., 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall obtain and maintain for the entire term of this Agreement and CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall not perform any work under this Agreement until CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 — CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall maintain in full force and effect, for the period covered by this Agreement, comprehensive liability insurance. This comprehensive general and 2001 —CDBG Agreement—C.A.L.L. 10 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 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, CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. is required to be insured against liability for workers' compensation or to undertake self- insurance for any individuals working as employees of CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. CREATIVE ALTERNATIVE FOR LEARNING & 2001 —CDBG Agreement—C.A.L.L. 11 LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC.: (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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. may be held responsible for payment of damages resulting from CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. services or operations pursuant to this Agreement. (d) If CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. 2001—CDBG Agreement—C.A.L.L. 12 w Nfto°° 17. Equal Employment Opportunity During the performance of this Agreement, CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. agrees that it will not discriminate against any employee or CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 Ajreement 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. CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. specifically acknowledges that in entering into and executing this Agreement, CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 2001 —CDBG Agreement—C.A.L.L. 13 to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. for the purpose of this Agreement over and above the funds expressly allocated under the terms of this Agreement. 20. Contractors and Subcontractors CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. (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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. or any subcontractor in performing the work or any part of it. 21. Compliance with City County and State Laws and Regulations CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 2001 —CDBG Agreement—C.A.L.L. 14 fir► fir+'' matters applicable to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC., its subcontractors, and the work. 22. Compliance with Federal Laws and Regulations CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC., and CREATIVE ALTERNATIVE FOR LEARNING &LIVING, INC. shall not have the right to assign or transfer this Agreement, or any part hereof or monies payable hereunder, 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 2001 —CDBG Agreement—C.A.L.L. 15 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. 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) CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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 CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. and delivered to the City upon completion of the Project, if required. (b) CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. 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. 2001 —CDBG Agreement—C.A.L.L. 16 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: Director of Public Works, City of Atascadero, 6500 Palma Avenue, Atascadero, CA 93422. Notices required to be given to CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC. shall be addressed as follows: CREATIVE ALTERNATIVE FOR LEARNING & LIVING, INC., Officer and address of CREATIVE ALTERNATIVE FOR LEARNING& LIVING, INC.. 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. CREATIVE ALTERNATIVE FOR LEARNING& LIVING, INC. CITY OF ATASCADERO� fficial and Titl Wade McKinney, City Man ger APPROVED AS TO FORM AND LEGAL EFFECT: — -)aRokA anley Citrney 2001 —CDBG Agreement—C.A.L.L. 17 G, .. ,t° 'k`ri: r�� •�;,r'.�'. �'2`, .'.i+• 'i� _ iis:' ''§.b..� S,' � ;�: '� ;�'' `•iris '.;,,�'.>}: 3 k:,:: ' ,. :V:'�• rr-. ^b: '. �•?"• if.'t`r,;•: '7�: ''• =?"e .Y � '!' . i•':F{'r•'•,,��a,>{%? .7s `d• OWL " •PA, BOX $07•; SAKI.<FRANCI$C(�,�A:9�!1 1" Q$07.:.' >r `' I FtJN N S U FlA H 10 CERrTIFICA'fE.QF WaRK�R �.>COIVIP�N A 'ION 1NSURA�1 -c J f\• i oh4C"sx�:a.~:xa `1I11r. k �7S; `71693.7'79 -1' 011 �._ ', :;;:<' } i FaC�T t; 1R�Ss• 1001-0`t •µSr .dVV.n ,<.3• .'. Y':':o:'rs'• L�<:'f•: t•'a, } •.s r4 ISSUE DAT '>;10-0, 7 .. ai,. ;• �;<:�.. bio?;' .R.". r:-,t ' b;:;.x- '. CITY OF ATASCAD RD ATTN: VALERIE PU$fi.lC WORKS ,DEPT::;`";';_; 6500, PALMA AVE ATASC-ADE-RO CA. 93427 ' This is to certify that we have issued a valid Workers' Compensatign .in�urande policy in a form approved by the California in urancg Commissioner to,the.employer naJned,;belovy.19r_the-policy*pehod indicated. This policy is not subject to Cancellation by the Fund eii6epf upon 1,0 days' advance'written notice to the employer. We will also 'give you 10 days` advance notice should'&d'policy be>"cbnceiled prior to its normal expiration. This certificetiy of.insurance is not e(r) in,`surange policy acid does�not.a...... ;,exfbnd fir'alter the coverage afforded by the policies listed'herein. Notwittisfending any;requirement tet Ri;`o>�sroriditioP''ol' any contract or atfi r document 'Wit respect to which this*certificate of insurance may be'Issued or may pertain; the msurance afforded by the olicies described herein is subject to ali the termxclusions and dortditions of ouch policies. PRESIDENT ptR EMPLOYER'S 'LIABILITY LIMIT ''�1"ICLUDIN ::pg.fENSa:±C!"1.5` !.: 1,000000OCCURRENCE. a f ,�...t • ,'. .' LEGAL NAME k EMPLOYER T )LEARiVYNG CR CREATIVE ALTERNATIVE FOR. EATIVE ALTERNATIVE FOR LEARNIN�i AND AND LiVIN4 -14C LIVING INC 11700 VIE.70 CAMINO ATASCADERO CA 93422 09-17•-01 ;; :; PRINTEJ?' .,r �PQaR "4za