HomeMy WebLinkAbout2001-036 CDBG Two Gas Ranges a s
CITY OF ATASCADERO
CONTRACT# m o u �
AGREEMENT FOR GRANT OF CDBG FUNDS
FOR THE PURCHASE OF TWO GAS RANGES FOR
CREATIVE ALTERNATIVE FOR LEARNING AND LIVING, INC.
THIS AGREEMENT is made and entered into this day of. ) , 2001, by
and between CREATIVE ALTERNATIVE FOR LEARNING & LIVIN 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 $942 through the Community Development block
Grant (CDBG) Program to purchase two gas ranges (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 $942 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
2001 —CDBG Agreement—C.A.L.L. 1
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
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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
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 $942 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$942, nor for any
unauthorized or ineligible costs. CREATIVE ALTERNATIVE FOR LEARNING &
LIVING, INC. shall not obligate or expend any part of the $942 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 $942 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
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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
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 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. 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
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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
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
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ficial and Ti e Wade McKinney, City Man er
APPROVED AS TO FORM AND LEGAL EFFECT:
CitylRoyCanley
2001 —CDBG Agreement—C.A.L.L. 17
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ISSUE- (DATE: '+10-01,-01" " n. ,' .ERT FI, A7 XF>,IRES: '1001-0 a
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CITY OF ATASCADI:''RO ,+`
ATTN: VALER__IE PUBLIC WPW' DEPTr. ..,.. "
6500 PALMA AVE. - ,
ATASCAILItk CA 93422•.
This is to certify that we have issued a valid Workers' Compdnsatim5 insurance policy in a form approved by the
California Insurance Commissioner to the employer named..belovy fqr•the Qofipy,_pe(iod indicated.
This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer.
We will also give you 10 days' advance notice• should this policy'be•,cancelled prior to .its normal expiration.
This certificate of insurance is not an insurance pplicy and. does'not amend,.ex(166d or aiter 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 aff the terms,.exclusions and conditions of•:such policies.f> PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING •D [!S CL 5:� b.`Qoo.Q k'•PEJt OCCURRENCE.
7
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EMPLOYER ''-• r, •LEGAL NAME
CREATIVE ALTERNATIVE FOR LEARNING -CRlr&IVE ALTERNATIVE FOR LEARNING AND
AND LIVING INC ' LIVING. INC
11700 V,IEJO CAMINO
ATASCAI)ERO CA 93422
. . t: 09-17-01 .x.,
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