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2002-025 CDBG Mentor Services
C!OF ATASCADERO CONTRACT#— '� S AGREEMENT FOR GRANT OF CDBG FUNDS TO PROVIDE MENTOR SERVICES AT THE LITERACY COUNCIL PROGRAM THIS AGREEMENT is made and entered into this &Z day of tJ t\], 2002, by and between LITERACY COUNCIL a California nonprofit corporation (hereinafter referred to as "LITERACY COUNCIL", and the CITY OF ATASCADERO, a political subdivision of the State of California(hereinafter referred to as "the City"). WITNESSETH: WHEREAS, LITERACY COUNCIL provides mentor services to the children of San Luis Obispo County; and WHEREAS, LITERACY COUNCIL requested funding in the amount of $2,500 through the Community Development block Grant (CDBG) Program to provide MENTOR SERVICES (hereinafter referred to as "the Project"); and WHEREAS, , 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 "2002 Consolidated Plan," providing for $2,500 from the 2002 CDBG Program to enable LITERACY COUNCIL to carry out the project; and WHEREAS, HUD approved the 2002 one year action plan of the consolidated Plan by executing a grant agreement; and 2002 CDBG Agreement- 1 err✓ WHEREAS, LITERACY COUNCIL is an eligible entity (a nonprofit 501(C)(3) corporation) to act as designated project sponsor and, as such, LITERACY COUNCIL 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 During the term of this Agreement LITERACY COUNCIL shall provide mentor services as detailed in their Application for Funding hereby made a part of this agreement by reference. 2. Reporting (a) LITERACY COUNCIL shall submit quarterly progress reports to the City Administrative Services Department describing the progress made toward accomplishing the above-listed activities. LITERACY COUNCIL 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 LITERACY COUNCIL has accomplished, with sufficient detail to enable the City to properly evaluate LITERACY COUNCIL performance in completing the objectives and activities of the Proj ect. (b) LITERACY COUNCIL further agrees to submit an annual report to the City Administrative Services Department certifying the continuing operation of the project. 2002 CDBG Agreement- 2 (c) LITERACY COUNCIL shall submit quarterly reports, using the form provided in this contract, relative to the Characteristics of persons benefiting from these funds as required under HUD regulations. (d) 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 LITERACY COUNCIL 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. LITERACY COUNCIL 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 LITERACY COUNCIL. LITERACY COUNCIL 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. LITERACY COUNCIL 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. 2002 CDBG Agreement- 3 *400 NWO 5. Compensation Subject to the terms and conditions of this Agreement (including the availability of CDBG funds to the City), City shall provide to LITERACY COUNCIL the amount of $2,500 to enable LITERACY COUNCIL carry out the Project. In no instance shall the City be liable for any costs of the Project in excess of$2,500, nor for any unauthorized or ineligible costs. LITERACY COUNCIL shall not obligate or expend any part of the $2,500 for purposes other than the MENTOR PROJECT. Payment for the foregoing shall be in accordance with the following procedure: (a) LITERACY COUNCIL 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 LITERACY COUNCIL within 30 days of the request being approved by the City. LITERACY COUNCIL 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 $2,500 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 2002 CDBG Agreement- 4 Iwo If City determines that LITERACY COUNCIL 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 LITERACY COUNCIL has failed to fulfill its obligations under this Agreement in a timely and professional manner, or if LITERACY COUNCIL 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 LITERACY COUNCIL makes a general assignment for the benefit of LITERACY COUNCIL creditors, or if a receiver should be appointed in the event of LITERACY COUNCIL insolvency, then City shall have the right to terminate this Agreement effective immediately upon giving written notice thereof to LITERACY COUNCIL. 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 LITERACY COUNCIL Agreement for cause is defective for any reason, including but not limited to City's reliance on erroneous facts concerning LITERACY COUNCIL performance, or any defect in the notice thereof, City's maximum liability shall not exceed the amount payable to LITERACY COUNCIL 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 2002 CDBG Agreement- 5 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. LITERACY COUNCIL 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 LITERACY COUNCIL, 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 LITERACY COUNCIL in a manner or for purposes not authorized or prohibited by said Act or regulations adopted pursuant thereto LITERACY COUNCIL shall, at City's request, pay to city an amount equal to one hundred percent of the amount improperly expended. ' 2002 CDBG Agreement- 6 hrw `%00r 11. Employment Status LITERACY COUNCIL 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 LITERACY COUNCIL nor any 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 LITERACY COUNCIL 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. LITERACY COUNCIL 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 LITERACY COUNCIL 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 LITERACY COUNCIL 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 LITERACY COUNCIL shall cause all records, accounts, documentation and all other materials relevant to the work to be delivered to the City or HUD as depository. 2002 CDBG Agreement- 7 (c) LITERACY COUNCIL understands that LITERACY COUNCIL 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 LITERACY COUNCIL. 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 LITERACY COUNCIL 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, 2002 CDBG Agreement- 8 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 LITERACY COUNCIL 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 LITERACY COUNCIL or of agents, employees, or independent contractors directly responsible to LITERACY COUNCIL; 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 LITERACY COUNCIL, 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 LITERACY COUNCIL shall obtain and maintain for the entire term of this Agreement and LITERACY COUNCIL shall not perform any work under this Agreement until LITERACY COUNCIL 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 — LITERACY COUNCIL shall maintain in full force and effect, for the period covered by this Agreement, comprehensive liability insurance. 2002 CDBG Agreement- 9 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 LITERACY COUNCIL 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, LITERACY COUNCIL is required to be insured against liability for workers' compensation or to undertake self-insurance for any individuals working as employees of LITERACY COUNCIL. LITERACY COUNCIL agrees to comply with such provisions before commencing the performance of the work under this Agreement. 2002 CDBG Agreement- 10 (c) The following requirements apply to all insurance to be provided by LITERACY COUNCIL: (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 LITERACY COUNCIL may be held responsible for payment of damages resulting from LITERACY COUNCIL services or operations pursuant to this Agreement. (d) If LITERACY COUNCIL 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, LITERACY COUNCIL agrees that it will not discriminate against any employee or applicant for employment because of race, 2002 CDBG Agreement- 11 *Ape *41e 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. LITERACY COUNCIL specifically acknowledges that in entering into and executing this Agreement, LITERACY COUNCIL 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 LITERACY COUNCIL 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 LITERACY COUNCIL for the purpose of this Agreement over and above the funds expressly allocated under the terms of this Agreement. 20. Contractors and Subcontractors LITERACY COUNCIL agrees to, and shall require its subcontractors to agree to: 2002 CDBG Agreement- 12 'lrrr' *APO' (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 LITERACY COUNCIL or any subcontractor in performing the work or any part of it. 21. Compliance with City County and State Laws and Regulations LITERACY COUNCIL 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 LITERACY COUNCIL, its subcontractors, and the work. 22. Compliance with Federal Laws and Regulations LITERACY COUNCIL agrees to comply with all federal laws and regulations applicable to the CDBG program and to the work. 23. No Assignment Without Consent 2002 CDBG Agreement- 13 Inasmuch as this Agreement is intended to secure the specialized services of LITERACY COUNCIL, and LITERACY COUNCIL 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 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 2002 CDBG Agreement- 14 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) LITERACY COUNCIL 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 LITERACY COUNCIL and delivered to the City upon completion of the Project, if required. (b) LITERACY COUNCIL 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. 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 2002 CDBG Agreement- 15 to LITERACY COUNCIL shall be addressed as follows: LITERACY COUNCIL, 1264 Higuera Street, San Luis Obispo, CA 93401 —Attn: Bernadette Bernardi. 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. LITERACY COUNCIL �ti G CITY OF AT_YA/�NS,CADERQ 6r, 1�� 44 �" E G. McKINNEY City Manager APP OVED AS TjO FORM AND LEGAL EFFECT: ROY N. fANLEY' City Atp ey 2002 CDBG Agreement- 16 fir✓ Agency Name: Program Name: Quarterly/Year-End Report This Quarter Year to-date Total White,non-Hispanic Black,non-Hispanic Hispanic Asian/Pacific Islander American Indian/Alaskan Native Income less than 30%of median Income 31%to 50%of median Income 51%to 80%of median Male Female Developmentally disabled Physically disabled Age 18 or less 77 � �L �� b: Amount �i ani poi Cash Match 1. 2. Federal Government 1. 2 State 1. 2. Local 1. 2. .i Private Sources: 1. 2. 3. 4. 2002 CDBG Agreement- 17 • LITERACY COUNCILIn partnership with the San Luis Obispo City-County Library October 17, 2002 Valerie Humphrey Administrative Assistant City of Atascadero Department of Public Works 6500 Palma Avenue Atascadero, CA 93422 Dear Valerie, Enclosed is the signed 2002 Agreement between The Literacy Council and the City of Atascadero for CDBG funds in the amount of$2,500.00 Thank you for your efforts on this year's CDBG funding. I look forward to working with your department for next year's CDBG grant. Cordially, Bernadette Bernardi Executive Director Enclosure: as stated 1264 HIGUERA STREET,SUITE 102,SAN LUIS OBISPO,CA 93401 (805) 541-4219 • 1-800-549-4219 • FAX(805)781-6630 literacy@charter.net • wwwsurfart.net/-literacy/ Of s° °"Ob" C^°^" P°^ agency ACORN CERTIFICATE OF LIABILITY INSURANCE 1/05M/DDI 11/05/200 02 PRODUCU? (805)549-7430 FAX )549-7044 THIS CERTIFICATE IS I�D AS A MATTER OF INFORMATION Neal-Truesdale Insurance Inc ONLYANDCONFERS GHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR License ;IE 0368744 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1400 Madonna Road INSURERS AFFORDING COVERAGE San Luis Obispo, CA 93405-6433 INSURED San Luis Obispo Literacy Council INSURER A: Nonprofits' Insurance Alliance of CA 1264 H1guera #102 INSURER B: San Luis Obispo, CA 93401 INSURER C: INSURER D: 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 RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TWE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MWD POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 200200246 03/05/2002 03/05/2003 EACH OCCURRENCE S _ 1,000,0()(I X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 500,00 CLAIMS MADE [_j�]OCCUR MED EXP(Any one person) S 5 A PERSONAL&ADV INJURY S 1,000,0()( GENERAL AGGREGATE S 1,000 00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO S 1,000,00( POLICY P C7 LOC M ILELIABaITY.: .- - _ 200246 03/05/2002 03/05/2003 COMBINED SINGLE LIMIT S ANY AUTO (Eeaccident) 1,000"00 r ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S A X HI RED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE S (Per accident) GARAGE.LIABILITY AUTO ONLY-EA ACCIDENT S ANIS AUTO OTHER THAN EA ACC S ' AUTO ONLY: ..... .. AGG S EXCESS LUIBILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE .RETENTION S S WORKERS COMPENSATION AND TORY UMITS ER EMPLOYERS'LUIBILITY , E.L.EACH ACCIDENT S E.L.DISEASE-EA EMPLOYEE S E.L.DISEASE-POLICY LIMIT 1$ ffj) Insured 00200246 03/05/2002 03/05/2003 Per CG 20 26 11/85 A DESCRIPTION OF OPERATIONSA.00ATIONSfVEHICLES/EXCLUSIONS ADDED BY ENDOMEM901SMCIAL PROVISIONS ertificate holder is named as an add'l insured as respects Community Development Block Grant funding olicy gives 10 day notice of cancellation for non-payment of the premium CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVORTO MAIL City O f AtdsCaderO 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Gi Ci Val er 1 e Humphrey - Dept Of Public BUT FAILUIRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Attn: OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. WorksAUTHORI2ED REPRESENTATIVE 0500; Palma Avenue rSd. Jack Neal LINDA ACORD 25-S(7197) FAX: 461-7615 ©ACORD CORPORATION 7988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACR 29-8(7/97) i i i i POLICY NUMBER: 200200246 *W01 COMMERCIAL GENERAL LIABILITY San Luis Obispo Literacy Council THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: City of Atascadero 6500 Palma Avenue Atascadero,CA 95422 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED(Section II)is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984