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Agmt, Signature & Insurance - Disability Community Resource Center, Inc.

Redondo Beach City Council
February 18, 2025

Document
Agmt, Signature & Insurance - Disability Community Resource Center, Inc.
Meeting
February 18, 2025
Body
Redondo Beach City Council
Original file
7.4 MB
Text extracted from the city's file for reading and search. Open the original on redondo.legistar1.com. That file is the official record.

i

CITY OF REDONDO BEACH

COMMUNITY DEVELOPMENT BLOCK GRANT

PUBLIC SERVICE FUNDING AGREEMENT
CONTRACTOR: DISABILITY COMMUNITY RESOURCE CENTER

PROJECT TITLE: INDEPENDENT LIVING SERVICES (ILS) PROGRAM ii

TABLE OF CONTENTS
Section

ARTICLE I

INTRODUCTION AND CONDITIONS PRECEDENT
101. Parties to the Agreement
102. Representatives of the Parties and Service of Notices 103. Time of Performance
104. Conditions Precedent

ARTICLE II

DUTIES AND POWERS OF THE CONTRACTOR
201. Services to be Provided by the Contractor

ARTICLE III

DUTIES OF THE CITY
301. Compensation
302. Funding of the Agreement

ARTICLE IV

METHOD AND TIME OF PAYMENT
401. Payment to the Contractor
402. Withheld Payments
403. Receipt, Use and Accountability of Other Than Budgeted Funds 404. Utilization of Funds

ARTICLE V

REPORTS, RECORDS AND AUDITS
501. Reporting Requirement
502. Maintenance of Records
503. Audits and Inspections
504. Accounting Practices
505. Documentation of Expenditures
iii
Section

ARTICLE VI

GENERAL TERMS AND CONDITIONS
601. Indemnification and Insurance Requirements
602. Prohibition Against Assignment
603. Limitation of Expenditures
604 Limitation of Corporate Acts
605. Funding Reduction
606. Amendments to the Agreement
607. Compliance with Statutes and Regulations
608. Waivers
609. Independent Contractor
610. Attorney’s Fees
611. Nondiscrimination Provision
612 Program Income
613 Reversion of Assets
614. Anti-Lobbying
615 Conflict of Interest
616. Non-Liability of Officials and Employees of the City 617. Conflicting Provisions
618. Non-Exclusivity
619. Confidentiality
620. Third Parties
621. Governing Law and Venue
622. Claims
623. Interpretation
624. Severance
625. Authority

ARTICLE VII

DEFAULTS, SUSPENSION AND TERMINATION
701. Defaults
702. Suspension
703. Termination

ARTICLE VIII

ENTIRE AGREEMENT
801. Complete Agreement
802. Number of Pages and Attachments
iv

EXHIBITS
Exhibit I Program Budget
Exhibit II Job Descriptions
Exhibit III Income Level Guidelines
Exhibit IV Quarterly Summary Sheet
Exhibit V Public Service Agency Expenditure Report
Exhibit VI Application
Exhibit VII Insurance Requirements
1 AGREEMENT BETWEEN THE CITY OF REDONDO BEACH

AND DISABILITY COMMUNITY RESOURCE CENTER

RELATING TO ILS PROGRAM
THIS AGREEMENT (“Agreement”) is entered into between the City of Redondo Beach, a chartered municipal corporation (“City”) Disability Community Resource Center, a California nonprofit corporation (“Contractor”), with reference to the following: Independent Living Services (“ILS”) Program.

WITNESSETH
WHEREAS, the City has entered into a Grant Agreement with the United States Department of Housing and Urban Development, hereinafter called the Grantor, pursuant to Title I of the Housing and Community Development Act of 1974, as amended, to address the community development needs of the City; WHEREAS, the City has received the Community Development Block Grant (“CDBG”) from the Grantor to administer City programs as described in the City’s Grant Agreement with the Grantor (“Agreement”);
WHEREAS, the City Community Services Department has been designated by the City to provide for proper planning, coordination and administration of these programs;
WHEREAS, the City Community Services Department cooperates with private organizations, other agencies of the City and agencies of other governmental jurisdictions in carrying out these programs;
WHEREAS, the project which is the subject of this Agreement has been established by the City as one of the above described programs, and has been approved by the City Council and the Mayor; and
WHEREAS, the City wishes to engage the Contractor to provide the services described herein to carry out this project.

NOW, THEREFORE, the City and the Contractor agree as follows:
2 AGREEMENT

ARTICLE I

INTRODUCTION AND CONDITIONS PRECEDENT
101. Parties to the Agreement
The parties to this Agreement are:

1. The City of Redondo Beach, a Chartered Municipal Corporation, having its principal office at 415 Diamond Street, Redondo Beach, California 90277.

2. Disability Community Resource Center, a nonprofit institution incorporated under the laws of the State of California, having its principal offices at 12901 Venice Boulevard, Los Angeles, California 90066.
102. Representatives of the Parties and Service of Notices The representatives of the respective parties to whom formal notices, demands and communications shall be given are as follows:

1. The representative of the City shall be, unless otherwise stated in the Agreement:

Elizabeth Hause, Community Services Director
Community Services Department
1922 Artesia Boulevard
Redondo Beach, California 90278

2. The Administrative representative of the Contractor shall be:

Thomas J. Hill, Executive Director
Disability Community Resource Center
12901 Venice Boulevard
Los Angeles, California 90066

3. The accountant or financial representative of the Contractor shall be Susan Pearson, Senior Accounting Manager.

4. Formal notices, demands and communications to be given hereunder by either party shall be made in writing and may be effected by personal delivery or by mail. Notice by mail shall be deemed communicated as of the date of mailing.
103. Time of Performance
The term of this Agreement shall commence on July 1, 2024 and end June 30, 2025 is subject to the provisions of sections 301, 302, and 701 herein.

Performance shall not commence until the Contractor has obtained the City’s approval of the insurance required in section 601.B.
3 104. Conditions Precedent
A. Prior to the execution of this Agreement, the parties have cooperated in the preparation of the following:

1. Program Budget. A per-unit cost of service for Contractor’s services. The budget described herein shall be adhered to unless modified and approved in writing as provided by 606 of this Agreement. The Program Budget is attached hereto as Exhibit I and by this reference incorporated herein.

2. Job Descriptions. A compilation of the individual job descriptions for all CDBG-funded personnel, attached hereto as Exhibit II and by this reference incorporated herein.

B. Prior to the execution of this Agreement, the Contractor shall provide the City with copies of the following documents:

1. Contractor’s Articles of Incorporation, and all amendments thereto, as filed with the Secretary of State.

2. Contractor’s By-Laws, and all amendments thereto, as adopted by the Contractor and properly attested.

3. Resolutions or other corporate actions of the Contractor’s Board of Directors, properly attested or certified, which specify the name(s) of the person(s) authorized to obligate the Contractor and execute contractual documents.

ARTICLE II

DUTIES AND POWERS OF THE CONTRACTOR
201. Services to be Provided by the Contractor
A. Client Eligibility

1. This Agreement funds DCRC Independent Living Services that are provided to City residents. During the term of this Agreement, at least

1.33% percent of the total persons served by the CDBG-funded activity shall reside in the City.

2. Contractor shall ensure fifty-one percent (51%) of the City residents served under this funding Agreement shall meet the low and moderate income guidelines as determined by the U.S. Department of Housing and Urban Development, as described in Exhibit III, attached hereto and by this reference incorporated herein. It is likely that these clients shall likely meet the guidelines because, as disabled persons, HUD defines them as a "limited clientele."
4 3. Contractor shall verify residency by checking driver license, utility bill, passport or other means of comparable identification.

4. Contractor shall document disability for each CDBG-funded client, as provided in Exhibit VI, attached hereto and by this reference incorporated herein.

5. Contractor shall submit a "Quarterly Summary Sheet," as provided in Exhibit IV, attached hereto and by this reference incorporated herein, with each request for payment. The City in its sole discretion, may withhold payment if Contractor does not submit the Quarterly Summary Sheet.

B. Services to be Provided

1. Contractor shall operate the DCRC Independent Living Services Program at its Main Office, 12901 Venice Blvd., Los Angeles, CA 90066.

2. Contractor shall ensure that the DCRC Independent Living Services Program offers the following services to persons with disabilities:
• Independent living skills training in personal care and community mobility;
• Recruitment and placement of personal care assistants; • Advocacy assistance for consumers seeking benefits and services; • Housing information and advocacy;
• Counseling for individuals, groups and families; and
• Information and referral for equipment and services.

3. Contractor’s hours of operation at the Main Office shall be from 9:00 a.m. to 5:00 p.m., Monday through Friday and at an accessible satellite office located at the Beach Cities Health District Offices (the third Friday of each month from 9:00 a.m. to 1:00 p.m.).

4. Contractor shall make (and perform if required) the following services available to Redondo Beach residents during its normal business hours at its main office at the Beach Cities Health District Offices. • Benefits Advocacy;
• Personal Assistance Services;
• Peer Counseling;
• Housing Advocacy;
• Independent Living Services; and
• Information and Referral Services.

5. Contractor shall ensure its Comptroller will keep accounting records and submit financial reports required under this Agreement. 5 C. Intended Beneficiaries
Contractor shall ensure ten (10) unduplicated City residents will be served during the contract period. Contractor shall not double count clients that receive more than one type of service. Contractor shall ensure that five (5) residents will be call-in clients (duplicated), and assist them on the telephone with information and referral services.

ARTICLE III

DUTIES OF THE CITY
301. Compensation
A. The City shall pay to the Contractor an amount not to exceed $8,900 for complete and satisfactory performance of the terms of this Agreement; for the period July 1, 2024 through June 30, 2025 only; subject to the provisions of sections 302 and 605 of this Agreement.

B. Funding for the periods set forth by the foregoing Subsection A is subject to change in accordance with the availability of Grant funds provided to the City by the Grantor. The City reserves the right to change the amount of Compensation set forth herein accordingly.

C. The City assumes no responsibilities to pay for salaries or other expenses not specifically enumerated in this Agreement and as understood by both parties that the City makes no commitment to fund this project beyond the term of this Agreement.
302. Funding of the Agreement
Notwithstanding the provision of section 103, Time of Performance, concerning the term of the Agreement, funding shall be provided according to the following provision:

Funding for the period July 1, 2024 through June 30, 2025 shall be as set forth by section 301, Compensation herein and is subject to changes set forth by the foregoing subsection 301.C.

ARTICLE IV

METHOD AND TIME OF PAYMENT
401. Payment to the Contractor
A. The Contractor shall be reimbursed for all expenses authorized under the terms and conditions of this Agreement, subject to the availability of funds for this project and subject to all other provisions of this Agreement. 6 B. Unless other arrangements are made, the City will issue reimbursement checks on a quarterly basis within 45 days of City’s receipt of Contractor’s “Public Service Agency Expenditure Report” (Exhibit V) and the “Quarterly Summary Sheet” (Exhibit IV), which shall detail clients served to-date under this Agreement.
402. Withheld Payments
A. Unearned payments under this Agreement may be suspended or terminated if grant funds to the City are suspended or terminated, or if the Contractor refuses to accept additional conditions imposed on it by the Grantor or the City.

B. The City has the authority to withhold funds under this Agreement pending a final determination by the City of questioned expenditures or indebtedness to the City arising from past or present agreements between the City and the Contractor. Upon final determination by the City of disallowed expenditures or indebtedness, the City may deduct and retain the amount of the disallowance or indebtedness from the amount of the withheld funds.

C. Payments to the Contractor may be withheld by the City if the Contractor fails to comply with the provisions of this Agreement.
403. Receipt, Use, and Accountability of Other Than Budgeted Funds The Contractor agrees that income funds realized as a result of activities which are funded by this Agreement shall be reported in writing to the City along with the Contractor’s quarterly reports. The Contractor further agrees that all such income funds shall: (1) be the property of the City; (2) be used solely to offset the operating expenses of the activities funded by this Agreement; and (3) be subject to all of the provisions of this Agreement.
404. Utilization of Funds
Funds paid to the Contractor pursuant to this Agreement shall be used exclusively for the activities set forth by this Agreement.

ARTICLE V

REPORTS, RECORDS AND AUDITS
501. Reporting Requirement
A. At such times and in such forms as the City may require, Contractor shall furnish to the City such statements, records, reports, data and information as the City may request pertaining to matters covered by this Agreement.

B. On or before the fifteenth day of the month following a three-month period, the Contractor shall submit to the City a Public Service Agency 7 Expenditure Report, including copies of invoices. A copy of the “Public Service Agency Expenditure Report” form is attached hereto as Exhibit V, and by this reference incorporated herein.
502. Maintenance of Records
A. Records, in their original form, shall be maintained in accordance with requirements prescribed by the Grantor and the City with respect to all matters covered by this Agreement. Such records shall be retained for a period of five (5) years after termination of this Agreement and all other pending matters are closed. “Pending matters” include, but are not limited to, audit, litigation, or other actions involving records. The City may, at its discretion, take possession and retain said records.

B. Records in their original form pertaining to matters covered by this Agreement shall at all times be retained within the Los Angeles Area unless authorization to remove them is granted in writing by the City. 503. Audits and Inspections
A. At any time during normal business hours and as often as the Grantor, the U.S. Comptroller General, or the City may deem necessary, the Contractor shall make available to the City for examination, all of its records with respect to all matters covered by this Agreement. The City, and the U.S. Comptroller General shall have the authority to audit, examine and make excerpts or transcripts from records, including all contracts, invoices, materials, payrolls, records of personnel, conditions of employment and other data relating to all matters covered by this Agreement.

1. The City shall have the authority to examine the books and records used by the Contractor in accounting for expenses incurred under this Agreement. Should these books and records not meet the minimum standards of the accepted accounting practices of the City, the City reserves the rights to withhold any or all of its funding to the Contractor until such time as they do meet these standards.

2. The City shall have the authority to examine all forms and documents used, including, but not limited to, client files, purchase requisitions, purchase orders, supply requisitions, invoices, journal vouchers, travel vouchers, payroll checks and other checks used by the Contractor. It further reserves the right to require that personnel forms and documents be pre-numbered and kept under accounting control.

3. The City may require the Contractor to use any or all of the City’s accounting or administrative procedures used in the planning, controlling, monitoring, and reporting of all fiscal matters relating to this Agreement.
8 4. The City reserves the right to dispatch auditors of its choosing to any site where any phase of the program is being conducted. Such sites may include the home office, any branch office or other locations of the Contractor if such sites or the activities performed thereon have any relationship to the program covered by this Agreement.

5. The City shall have the authority to make physical inspections and to require such physical safeguarding devices as locks, alarms, safes, fire extinguishers, sprinkler system, etc., to safeguard property and/or equipment authorized by this Agreement.

6. Subject to the discretion of the City, certain authorized members of the City shall have the right to be present at any and all of the Contractor staff meetings, Board of Directors meetings, Advisory Committee meetings and Advisory Board meetings if an item to be discussed is an item of this Agreement.

B. When a fiscal or special audit determines that the Contractor has expended funds which are questioned under the criteria set forth herein, the Contractor shall be notified and given the opportunity to justify questioned expenditures prior to the City’s final determination of disallowed costs. The City shall determine any amount to be paid to the Contractor during the period of audit.
504. Accounting Practices
The Contractor shall maintain a system of internal control in accordance with accepted accounting practices as approved by the City. Internal control comprises the plan or organization and all of the coordinate methods and measures adopted within an organization to safeguard its assets, check the adequacy and the reliability of its accounting data, promote operating efficiency and assure adherence to prescribed management policies.
505. Documentation of Expenditures
Expenditures shall be supported by properly executed payrolls, time records, invoices, vouchers, or other official documentation evidencing in proper detail the nature and propriety of the charges. Checks, payrolls, invoices, vouchers, orders, or other accounting documents shall be clearly identified and readily accessible.
9 ARTICLE VI

GENERAL TERMS AND CONDITIONS
601. Indemnification and Insurance Requirements
A. Indemnification
To the maximum extent permitted by law, Contractor hereby agrees, at its sole cost and expense, to defend protect, indemnify, and hold harmless the City, its elected and appointed officials, officers, employees, volunteers, attorneys, and agents (collectively “Indemnitees”) from and against any and all claims, including, without limitation, claims for bodily injury, death or damage to property, demands, charges, obligations, damages, causes of action, proceedings, suits, losses, stop payment notices, judgments, fines, liens, penalties, liabilities, costs and expenses of every kind and nature whatsoever, in any manner arising out of, incident to, related to, in connection with or arising from any act, failure to act, error or omission of Contractor’s performance or work hereunder (including any of its officers, agents, employees, Subcontractors) or its failure to comply with any of its obligations contained in the Agreement, or its failure to comply with any current or prospective law, except for such loss or damage which was caused by the sole negligence or willful misconduct of the City. Contractor’s obligation to indemnify shall not be restricted to insurance proceeds, if any, received by Contractor or Indemnitees. This indemnification obligation shall survive this Agreement and shall not be limited by any term of any insurance policy required under this Agreement.

1. Nonwaiver of Rights. Indemnitees do not and shall not waive any rights that they may possess against Contractor because the acceptance by City, or the deposit with City, of any insurance policy or certificate required pursuant to this Agreement.

2. Waiver of Right of Subrogation. Contractor, on behalf of itself and all parties claiming under or through it, hereby waives all rights of subrogation and contribution against the Indemnitees.

B. Insurance
Contractor shall comply with the requirements set forth in Exhibit VII.

Insurance requirements that are waived by the City's Risk Manager do not require amendments or revisions to this Agreement.
602. Prohibition Against Assignment
A. The Contractor shall not assign this Agreement, nor assign or transfer any interest or obligation in this Agreement (whether by assignment or novation) without prior written consent of the City, which may be withheld in the City’s sole discretion.
10 B. The Contractor shall not enter into any agreement with any other party under which such other party shall become the recipient of claims due or to become due to the Contractor from the City without prior written consent of the City, which may be withheld in the City’s sole discretion.

The sale, assignment, transfer or other disposition, on a cumulative basis, of twenty-five percent (25%) or more of the ownership interest in Contractor or twenty-five percent (25%) or more the voting control of Contractor (whether Contractor is a corporation, limited liability company, partnership, joint venture or otherwise) shall constitute an assignment for purposes of this Agreement. Further, the involvement of Contractor or its assets in any transaction or series of transactions (by way of merger, sale, acquisition, financing, transfer, leveraged buyout or otherwise), whether or not a formal assignment or hypothecation of this Agreement or Contractor’s assets occurs, which reduces Contractor’s assets or net worth by twenty-five percent (25%) or more shall also constitute an assignment for purposes of this Agreement.
603. Limitation of Expenditures
A. The Contractor shall not expend funds provided under this Agreement subsequent to the Agreement suspension or termination in accordance with sections 702 and 703 of this Agreement.

B. Expenditures shall be made in conformance with the Program Budget (Exhibit I).

C. Expenditures shall be made in compliance with Office of Management and Budget Circulars (OMB) A-110 and A-122.

D. Expenditures shall be in direct support of the project which is the subject of this Agreement. The Contractor shall notify the City in writing of any expenditures for items jointly used for any other projects(s) and the expenditures shall be apportioned according to the percentage of direct use for this project.

E. Budget changes shall have the prior written approval of the City.

Unauthorized expenditures may result in withheld payments. 604. Limitation of Corporate Acts
The Contractor shall not amend its Articles of Incorporation or Bylaws, move to dissolve, transfer any assets derived from funds provided under section 301 herein or take any other steps which may materially affect the performance of this Agreement without first notifying the City in writing. The Contractor shall notify the City immediately in writing of any change in the Contractor’s corporate name.
11 605. Funding Reduction
A. During the performance of this Agreement, the City shall have the authority to review the Contractor’s actual project expenditures and work performance. Should the City determine that the Contractor is in noncompliance with any contractual obligations, the City shall take appropriate action as provided by section 701 of this Agreement.

B. In the event that CDBG funds to the City are reduced, suspended or terminated by the U.S. Department of Housing and Urban Development, the City reserves the right to reduce, suspend or terminate the funds provided by this Agreement accordingly.
606. Amendment(s) to this Agreement
Either party may request an Amendment to this Agreement. Amendments to this Agreement must be in writing and properly executed by both parties and approved by the City Council.
607. Compliance with Statutes and Regulations
A. The Contractor warrants and certifies that in the performance of this Agreement, it shall comply with all applicable federal, state and local laws, statutes, ordinances, rules and regulations, and the orders and decrees of any courts or administrative bodies or tribunals, with respect to this Agreement, including without limitation laws and regulations pertaining to labor, wages, hours and other conditions of employment, and the City’s Affirmative Action Plan.

B. Examples of applicable statutes, rules, or regulations include, but are not limited to the following:

1. Office of Management and Budget (OMB) Circular A-110, Uniform Administration Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Non-Profit Organizations;

2. Office of Management and Budget (OMB) Circular A-122, Cost Principles for Non-Profit Organizations;

3. Copeland “Anti-Kickback” Act (18 USC 874) (39 CFR, Part 3);

4. Contract Work Hours and Safety Standards Act (40 USC 327-330) (29 CFR, Part 5);

5. Clean Air Act, as amended (42 USC 1857, et seq.);

6. Federal Pollution Control Act, as amended (33 USC 1251, et seq.); 12 7. Title VI of the Civil Rights Act of 1964 (42 USC 2000d) and implementing regulations;

8. Title VII of the Civil Rights Act of 1964, as amended by the Equal Employment Opportunity Act of 1972, (42 USC 2000e), and implementing regulations;

9. Section 3 of the Housing and Urban Development Act of 1968, as amended; and the implementing regulations at 24 CFR Part 135;

10. Section 503, Affirmative Action for Handicapped Workers ($2,500+);

11. Section 402, Affirmative Action for Vietnam Era Veterans ($10,000+);

12. The Age Discrimination Act of 1975, as amended, 42 USC 6101, et seq.) and implementing regulations;

13. Executive Order 11246, Non-Discrimination;

14. 24 CFR part 85, Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments;

15. The assurances made by the City to the U.S. Department of Housing and Urban Development in its application for funds under Title I of the Housing and Community Development Act of 1974, as amended; and

16. The Grant Agreement between the City and the U.S. Department of Housing and Urban Development which is subject to Title I of the Housing and Community Development Act of 1974, as amended, including its General Terms and Conditions, which are hereby incorporated by reference (Provisions therein include “Section 3” compliance, Flood Disaster Protection, Equal Employment Opportunity, Lead-Based paint Hazards, Compliance with Air and Water Acts, Nondiscrimination).

C. Religious organizations must comply with the following conditions:

1. It will not discriminate against any employee or applicant for employment on the basis of religion and will not limit employment or give preference in employment to persons on the basis of religion;

2. It will not discriminate against any person applying for such public services on the basis of religion and will not limit such services or give preference to persons on the basis of religion; and 13 3. It will provide no religious instruction or counseling, conduct no religious worship or services, engage in no religious proselytizing, and exert no other religious influence in the provision of such public services.
608. Waivers
A. Waivers of the provisions of this Agreement must be in writing and signed by the appropriate authorities of the City or the Contractor.

B. The waiver by the City of any breach of any term or provision of this Agreement shall not be construed as a waiver of any subsequent breach. 609. Independent Contractor
A. Contractor acknowledges, represents and warrants that Contractor is not a regular or temporary employee, officer, agent, joint venturer or partner of the City, but rather an independent contractor. This Agreement shall not be construed as a contract of employment. Contractor understands and agrees that all persons furnishing services to City pursuant to this Agreement shall have no rights to any benefits which accrue to City employees unless otherwise expressly provided in this Agreement. Due to the independent contractor relationship created by this Agreement, the City shall not withhold state or federal income taxes, the reporting of which shall be Contractor's sole responsibility.

B. Contractor shall bear the sole responsibility and liability for furnishing Worker’s Compensation benefits to any person for injuries arising from or connected with services performed on behalf of Contractor pursuant to this Agreement.
610. Attorney’s Fees
In the event either party to this Agreement brings any action to enforce or interpret this Agreement, the prevailing party in such action shall be entitled to reasonable attorneys' fees (including expert witness fees) and costs. This provision shall survive the termination of this Agreement. 611. Nondiscrimination Provision
The Contractor, with regard to the work performed by it during the contract, shall not discriminate on the grounds of race, religion, creed, color, sex, age, disability, or national origin in the selection and retention of subcontractors, including procurement of materials and leases of equipment.
612. Program Income
Any program income directly generated from total or partial use of City Community Development Block Grant funds shall be expended exclusively on 14 the activities outlined in this Agreement. All terms of this Agreement shall apply to such expenditures.
613. Reversion of Assets
Upon expiration of this Agreement, Contractor shall transfer to the City any City granted CDBG funds on hand, and any accounts receivable attributable to the use of City granted CDBG funds
614. Anti-Lobbying
Contractor certifies that no Federal appropriated funds have been paid or will be paid, by or on behalf of it, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement.

Contractor certifies that if any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, it will complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
615. Conflict of Interest
Contractor acknowledges, represents and warrants that Contractor shall avoid all conflicts of interest (as defined under any federal, state or local statute, rule or regulation, or at common law) with respect to this Agreement. Contractor further acknowledges, represents and warrants that Contractor has no business relationship or arrangement of any kind with any City official or employee with respect to this Agreement. Contractor acknowledges that in the event that Contractor shall be found by any judicial or administrative body to have any conflict of interest (as defined above) with respect to this Agreement, all consideration received under this Agreement shall be forfeited and returned to City forthwith. This provision shall survive the termination of this Agreement for one (1) year.
616. Non-Liability of Officials and Employees of the City No official or employee of the City shall be personally liable for any default or liability under this Agreement.
617. Conflicting Provisions
In the event of a conflict between the terms and conditions of this Agreement and those of any exhibit or attachment hereto, this Agreement proper shall prevail. In 15 the event of a conflict between the terms and conditions of any two or more exhibits or attachments hereto, those prepared by the City shall prevail over those prepared by Contractor.
618. Non-Exclusivity
Notwithstanding any provision herein to the contrary, the services provided by Contractor hereunder shall be non-exclusive, and City reserves the right to provide funding to other contractors in connection with the project. 619. Confidentiality
To the extent permissible under law, Contractor shall keep confidential its obligations hereunder and the information acquired during the performance of the project or services hereunder.
620. Third Parties
Nothing herein shall be interpreted as creating any rights or benefits in any third parties. For purposes hereof, transferees or assignees as permitted under this Agreement shall not be considered "third parties."
621. Governing Law and Venue
This Agreement shall be construed in accordance with the laws of the State of California without regard to principles of conflicts of law. Venue for any litigation or other action arising hereunder shall reside exclusively in the Superior Court of the County of Los Angeles, Southwest Judicial District. 622. Claims
Any claim by Contractor against City hereunder shall be subject to Government Code §§ 800 et seq. The claims presentation provisions of said Act are hereby modified such that the presentation of all claims hereunder to the City shall be waived if not made within six (6) months after accrual of the cause of action. 623. Interpretation
Contractor acknowledges that it has had ample opportunity to seek legal advice with respect to the negotiation of this Agreement. This Agreement shall be interpreted as if drafted by both parties.
624. Severance. Any provision of this Agreement that is found invalid or unenforceable shall be deemed severed and all remaining provisions of this Agreement shall remain enforceable to the fullest extent permitted by law. 625. Authority
City warrants and represents that upon City Council approval, the Mayor of the City of Redondo Beach is duly authorized to enter into and execute this Agreement on behalf of City. The party signing on behalf of Contractor warrants and represents that he or she is duly authorized to enter into and execute this Agreement on behalf of Contractor, and shall be personally liable to City if he or 16 she is not duly authorized to enter into and execute this Agreement on behalf of Contractor.

ARTICLE VII

DEFAULTS, SUSPENSION AND TERMINATION
701. Defaults
Should the Contractor fail for any reason to comply with the contractual obligations of this Agreement within the time specified by this Agreement, the City reserves the right to:

1. Reduce the total budget;

2. Make any changes in the general scope of this Agreement;

3. Suspend the Contractual Agreement in accordance with section 702; and

4. Terminate the Agreement in accordance with section 703. 702 Suspension
A. The City, by giving written notice, may suspend all or part of the project operations for failure of the Contractor to comply with the terms and conditions of this Agreement.

B. Said notice shall set forth the specific conditions of non-compliance and the period provided for corrective action.

C. Within five (5) working days the Contractor shall reply in writing setting forth the corrective actions which will be undertaken, subject to City approval in writing.

D. Failure to take necessary corrective actions will result in withheld funds.

The City shall have final authority to determine whether or not Contractor is in full compliance.

E. Performance under this Agreement shall be automatically suspended without any notice from the City as of the date the Contractor is not fully insured in compliance with section 601.B. Performance shall not resume without the prior written approval of City.
703. Termination
A. The parties agree that at any time during the term of the Agreement the City may terminate this Agreement or any part hereof upon giving the Contractor at least thirty (30) days written notice prior to the effective date of such termination, which date shall be specified in such notice. 17 B. All property, documents, data, studies, reports and records purchased or prepared by the Contractor under this Agreement shall be disposed of according to City directives.

C. In the event the Contractor goes out of existence, copies of all records relating to the project or activity that are the subject of this Agreement shall be furnished to the City.

D. Upon satisfactory completion of all termination activities, the City shall determine the total amount of compensation that shall be paid to the Contractor for any unreimbursed expenses reasonably and necessarily incurred in the satisfactory performance of this Agreement.

E. The foregoing Subsections B, C and D shall also apply if the Agreement terminates upon the date specified in section 103 or upon contractor’s completion of performance.

ARTICLE VIII

ENTIRE AGREEMENT
801. Complete Agreement
This Agreement contains the full and complete Agreement between the parties concerning the subject matter hereof and supersedes any previous oral or written agreement; provided, however, that correspondence or documents exchanged between Contractor and City may be used to assist in the interpretation of the exhibits to this Agreement. No verbal agreement or conversation with any officer or employee of either party shall affect or modify any of the terms and conditions of this Agreement.
802 Number of Pages and Attachments
This Agreement includes 18 pages and seven exhibits which constitute the entire understanding and agreement of the parties.
18 IN WITNESS WHEREOF, the parties have executed this Agreement in Redondo Beach, California, as of this 18th day of February, 2025.

CITY OF REDONDO BEACH, DISABILITY COMMUNITY RESOURCE
a chartered municipal corporation CENTER, a California nonprofit corporation ____________________________ By: _______________________ James A. Light, Mayor Name:_______________________
Title: _______________________
ATTEST: APPROVED:
___________________________ ______________________________ Eleanor Manzano, City Clerk Diane Strickfaden, Risk Manager APPROVED AS TO FORM:
____________________________
Michael W. Webb, City Attorney
Executive Director
Thomas J. Hill
I-1

EXHIBIT I

PROGRAM BUDGET
JULY 1, 2024 - JUNE 30, 2025
Agency Name: Disability Community Resource Center
Program Title: Independent Living Services (ILS) Program Cost
Category
CDBG
Share
Agency
Share
Total
Cost
Personnel $8,010 $6,278 $14,288
Lease/Rent
Equipment
Supplies
Professional
Services
Other* $890 $1,000 $1,890
Total $8,900 $7,278 $16,178
Please indicate whether you will bill on a monthly or quarterly X basis. *Indirect Costs @ 10%
II-1

EXHIBIT II

JOB DESCRIPTIONS
See attached document.

II-2

JOB DESCRIPTION
POSITION TITLE: Comprehensive Services Specialist II
CLASSIFICATION: Non-Exempt
REPORTS TO: Program Manager

SUMMARY
The Comprehensive Services Specialist II (CSS II) is under the direction and supervision of the Program Manager and is responsible for traditional CSS II duties.

RESPONSIBILITIES
• Conduct initial interviews with new DCRC members, including collecting all information requested by DCRC and completing all documentation requested by DCRC. • Develop transportation goals with DCRC members and distribute transportation assistance to eligible DCRC members.
• Provide three (3) hours of outreach per quarter (3 months) for a total of 12 hours a year with one (1) hour dedicated to presenting a substantive presentation to a group of 5 or more people and the two (2) hours dedicated to representing DCRC at a resource fair or other similar community event.
• Conduct comprehensive assessments and evaluations of individuals to determine their goals and desires for services.
• Develop and implement Independent Living Plans in collaboration with members, DCRC and other community service providers.
• Participate in member service meetings with DCRC and community service providers. • Provide goal oriented resource management services around adjustment to disability and/or life situation on a group, family and/or individual basis. • Advise individual members, community agencies and organizations of available services. • Educate and train members around specific activities of daily living issues. • Educate community about specific issues affecting people with disabilities and the frail elderly individuals to increase their knowledge of DCRC services and Independent Living philosophy. • Provide Peer Counseling as needed and appropriate
• Engage in advocacy activities focused on the rights of people with disabilities. • Participates on self-directed work teams and staff committees. • Perform other duties as assigned by the Program Manager.

UNION REPRESENTATION
This position is a bargaining unit position. As such, the position is represented by the union, the Association of Disabled Service Employees (APDSE). Membership to the APDSE is optional; however, the APDSE is certified to represent the positions within the bargaining unit at DCRC.

I HAVE READ AND UNDERSTAND THIS JOB DESCRIPTION.
______________________________________ _____________________ Employee Signature Date
III-1

EXHIBIT III
INCOME LEVEL GUIDELINES*
NO. IN
FAMILY
LOW
INCOME

VERY LOW
INCOME

EXTREMELY

LOW INCOME
1 77,700 48,550 29,150
2 88,800 55,450 33,300
3 99,900 62,400 37,450
4 110,950 69,350 41,600
5 119,850 74,900 44,950
6 128,750 80,450 48,300
7 137,600 86,000 51,600
8 146,500 91,550 54,950
*U.S. Department of Housing and Urban Development. Effective 4/1/2024.

Income Level Guidelines includes gross income from all sources for all members in the household who are 18 years of age or older and not full-time students. Income from household members under 18 years of age who are more than half-time students is not included in gross income unless regular payment is received, such as child support, social security, or aid to dependent children.

IV-1

EXHIBIT IV

QUARTERLY SUMMARY SHEET

RACE/ETHNICITY
# White # Black/African American
# Asian # American Indian or Alaskan
Native # Native Hawaiian or Other
Pacific Islander # American Indian or Alaska
Native AND White # Asian AND
White # Hispanic/Latino #
Black/African American AND White
# American Indian/Alaska Native AND Black/African
American # Other:

SEX
# Female Head of Household (i.e., female with dependent child) INCOME
Total Redondo Beach Clients
Total Low Income (51%-80% Area
Median Income) Total Very Low Income (31%-
50% Area Median Income) Total Extremely Low
Income (Equal to or less
than 30%) Total Non-Low Income
Agency Director Agency Name
V-1

EXHIBIT V

PUBLIC SERVICE AGENCY EXPENDITURE REPORT

CITY OF REDONDO BEACH DEPARTMENT OF COMMUNITY SERVICE

1. Contractor’s Name: 2. Address of Contractor:

3. Fiscal Year Report No. 4. Report Period
Month or Quarter

5. Contact Person: 6. Telephone No.:

I. REQUEST FOR PAYMENT

1. Total Cumulative Expenditures (Section II, Column C-2, Line 5) $

2. Reimbursements to Date $

3. Amount Requested for Payment $

CITY USE ONLY
Date Report Received
Amount Authorized

Date Report Reviewed Reviewed By
II. CITY FUNDED EXPENDITURES
A. LINE ITEM COSTS B. PROGRAM BUDGET C. EXPENDITURES D.

AVAILABLE
BALANCE 1. Current 2. Cumulative

1. Staff Salary: wages

2. Equipment

3. Rent/Lease Costs

4. Other

5. Total Costs
VI-1

EXHIBIT VI

APPLICATION
See attached document.

VI-2
Application Form
Name: Today’s Date:

Address:

City: State: Zip:

Home: ( ) Cell: ( ) Work: ( )
E-mail:

Date of Birth:Gender: Ethnic Group: Marital Status:

Are you a Veteran?  Yes  No Who referred you to DCRC? Are you, or have you
ever worked with anyone at DCRC?  Yes  No
If yes, staff name:

Were you referred by the Department of Rehabilitation?  Yes  No Counselor’s Name: Phone number: ( )
Current Housing Status: Number of persons in household:

Do you or anyone in your household have unmet employment needs? Yes  No Have you missed or been late on a home rental or mortgage payment within the last 12 months?  Yes  No
Do you or anyone in your household have an unmet childcare/afterschool need?  Yes  No
Do you have any children under the age of 16?  Yes  No Education Level: How many years of schooling have you had? If you are eligible to vote, would you like to register today?  Yes  No  Already Registered
Disability: Please specify your disabilities Onset of Disability:

Physical:

Mental:

Learning:

Visual:

Hearing:

Other:

Income Source: How much is your income for each source? SS Retirement $ SDI $ SSDI $ SSI $
VA Benefits $ General Relief $ Cal Fresh $
Unemployment $
SR Revised 5/8/2018
Employment $ Other: $
VI-3
Health Insurance:
 Medi-Cal  Medicare  Private  None  Other:

Emergency Contacts:

Name:

Address:

Telephone: ( )
Relationship:

Doctor’s name:

Phone number: ( )
Would you like information about the programs and services that are offer through the Southern California Gas Company?  Yes  No
Current/Prior Agencies you have worked with:

Choose the top 3 services listed below that DCRC can assist you with. Please rank the services in order of importance.

Case Management/Skills Training Department of Rehabilitation Peer Counseling Mental Health Services
Food/Clothing Benefits Assistance
Employment Housing Assistance
Transportation Assistive Technology
Personal Assistance Medical
Money Management Financial Literacy
Basic Computer Training Social Activities & Groups
Is there any additional information that you can provide us to better assist you with receiving services at DCRC?
Verified City of LA Residence Self-Certified:  Income  Residency Eligible Ineligible
For staff use only
Referral to:

Explanation of circumstances: member was found eligible/ ineligible based on comprehensive initial interview by service Specialist and will benefit from DCRC programs.

Explanation of Circumstances:

Staff signature:

Staff
Ineligibility follow-up: 1 year
Date
VII-1

EXHIBIT VII

INSURANCE REQUIREMENTS FOR CONTRACTORS
Without limiting Contractor’s indemnification obligations under this Agreement, Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder by the Contractor, its agents, representatives, or employees.

Minimum Scope of Insurance
Coverage shall be at least as broad as:

Insurance Services Office Commercial General Liability coverage (occurrence form CG0001).

Insurance Services Office form number CA 0001 (Ed. 1/87) covering Automobile Liability, code 1 (any auto).

Workers’ Compensation insurance as required by the State of California.

Employer’s Liability Insurance.

Minimum Limits of Insurance
Contractor shall maintain limits no less than:

General Liability: $2,000,000 per occurrence for bodily injury, personal injury and property damage. The general aggregate limit shall apply separately to this project. An umbrella policy may be used to provide additional liability coverage, so long as the combined General Liability coverage (General Liability and umbrella) is at least $2,000,000.

Automobile Liability: $1,000,000 per accident for bodily injury and property damage.

Employer’s Liability: $1,000,000 per accident for bodily injury or disease.

Deductibles and Self-Insured Retentions
Any deductibles or self-insured retentions must be declared to and approved by the City. At the option of the City, either: (1) the insurer shall reduce or eliminate such deductibles or self-insured retentions as respects the City, its officers, officials, employees and volunteers or (2) the Contractor shall provide a financial guarantee satisfactory to the City guaranteeing payment of losses and related investigations, claim administration and defense expenses.

VII-2
Other Insurance Provisions
The general liability and automobile liability policies are to contain, or be endorsed to contain, the following provisions:

Additional Insured Endorsement:

General Liability: The City, its officers, elected and appointed officials, employees, and volunteers shall be covered as insureds with respect to liability arising out of work performed by or on behalf of the Contractor. General liability coverage can be provided in the form of an endorsement to the Contractor’s insurance, or as a separate owner’s policy.

Automobile Liability: The City, its officers, elected and appointed officials, employees, and volunteers shall be covered as insureds with respect to liability arising out of automobiles owned, leased, hired or borrowed by or on behalf of the Contractor.

For any claims related to this project, the Contractor’s insurance coverage shall be primary insurance as respects the City, its officers, elected and appointed officials, employees, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Contractor’s insurance and shall not contribute with it.

Each insurance policy required by this clause shall be endorsed to state that coverage shall not be canceled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City.

Each insurance policy shall be endorsed to state that the inclusion of more than one insured shall not operate to impair the rights of one insured against another insured, and the coverages afforded shall apply as though separate policies had been issued to each insured.

Each insurance policy shall be in effect prior to awarding the contract and each insurance policy or a successor policy shall be in effect for the duration of the project. The maintenance of proper insurance coverage is a material element of the contract and failure to maintain or renew coverage or to provide evidence of renewal may be treated by the City as a material breach of contract on the Contractor’s part.

Acceptability of Insurers
Insurance shall be placed with insurers with a current A.M. Best’s rating of no less than A:VII and which are authorized to transact insurance business in the State of California by the Department of Insurance.

VII-3
Verification of Coverage
Contractor shall furnish the City with original certificates and amendatory endorsements effecting coverage required by this clause. The endorsements should be on the City authorized forms provided with the contract specifications.

Standard ISO forms which shall be subject to City approval and amended to conform to the City’s requirements may be acceptable in lieu of City authorized forms. All certificates and endorsements shall be received and approved by the City before the contract is awarded. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements effecting the coverage required by these specifications at any item.

Subcontractors
Contractor shall include all subcontractors as insured under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the requirements stated herein.

Risk Management
Contractor acknowledges that insurance underwriting standards and practices are subject to change, and the City reserves the right to make changes to these provisions in the reasonable discretion of its Risk Manager. 07/09/2024
All-Cal Insurance Agency
505 Vernon Street
Roseville CA 95678
Kimberly Zatkulak
(916) 784-9070 (916) 784-0158
[email protected]
Disability Community Resource Center
12901 Venice Blvd
Los Angeles CA 90066
Great American Assurance Company 26344
Great American Alliance Insurance Company 26832
State Compensation Insurance Fund (SCIF) 35076
Swiss Re Corporate Solutions America Ins -see attached 29874 CL2462614333
A
Abuse or Molestation Coverage
$1,000,000/$3,000,000
Liquor Liability - 1 mil/3 mil
Y PAC 2607774 06 07/01/2024 07/01/2025
1,000,000
100,000
5,000
1,000,000
3,000,000
3,000,000
Professional Liability 1 mil / $3 mil
A PAC 2607774 06 07/01/2024 07/01/2025
1,000,000
B
10,000
UMB 2607775 06 07/01/2024 07/01/2025
2,000,000
2,000,000
C Y 9063301-24 07/01/2024 07/01/2025
1,000,000
1,000,000
1,000,000
A
Employee Dishonesty
Forgery and Alteration PAC 2607774 06 07/01/2024 07/01/2025 Limit $300,000
Deductible $3,000

THE CITY OF REDONDO BEACH, ITS OFFICERS, AGENTS, OFFICIALS, EMPLOYEES AND VOLUNTEERS ARE NAMED ADDITIONAL INSURED AS A FUNDING SOURCE. FORM CG 89 70 APPLIES.

City of Redondo Beach
Recreation & Community Service
1922 Artesia Blvd
Redondo Beach CA 90278

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #
NAME:

CONTACT
(A/C, No):

FAX
E-MAIL
ADDRESS:

PRODUCER
(A/C, No, Ext):

PHONE

INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

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).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$

PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOS ONLY AUTOS

NON-OWNED

OWNED SCHEDULED

ANY AUTO

AUTOMOBILE LIABILITY
Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTHSTATUTEPER
(MM/DD/YYYY) LIMITS

POLICY EXP
(MM/DD/YYYY)

POLICY EFF

LTR TYPE OF INSURANCE POLICY NUMBER
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $
AGGREGATE $
$
OCCUR

CLAIMS-MADE
DED RETENTION $
PRODUCTS - COMP/OP AGG $
GENERAL AGGREGATE $
PERSONAL & ADV INJURY $
MED EXP (Any one person) $
EACH OCCURRENCE $

DAMAGE TO RENTED
PREMISES (Ea occurrence) $

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY
PROJECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
CG 89 70 (Ed. 11/14) (Page
1 of 12)
CG 89 70 (Ed. 11/14)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

SIGNATURE GENERAL LIABILITY BROADENING ENDORSEMENT
This Endorsement modifies and is subject to the insurance provided under the following form:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
The following extension only applies in the event that no other specific coverage for the indicated loss exposure is provided under this Policy. If other specific coverage applies, the terms, conditions and limits of that Coverage are the exclusive coverage applicable under this Policy, unless otherwise noted in this Endorsement. This isa summary of the various additional coverages and coverage modifications provided by this Endorsement. For complete details on specific coverages, consult the actual policy wording.

Coverage Description Limit of Insurance Page
Non-Owned Aircraft Included2
Non-Owned Watercraft Included2
Bodily Injury- Mental Injury, Mental Anguish, Humiliation or Shock Included3 Medical Payments$ 20,0003
Damage to Premises Rented to You$ 1,000,0003
Supplementary Payments- Bail Bonds$ 3,0004
Supplementary Payments- Loss of Earnings$ 1,000 per day4 Newly Formed or Acquired Organizations Included4
Unintentional Failure to Disclose Hazards Included5
Knowledge of Occurrence, Claim or Suit Included5
Property Damage Liability- Elevators Included5
Property Damage Liability- Borrowed Equipment Included5 Liberalization Clause Included6
Amendment of Pollution Exclusion (Premises) Included6
Limited Property Damage to Property of Others$ 5,0006
Additional Insured- Manager or Lessor of Premises Included7 * S1 * 07/05/2024 * PAC 2607774 06 GREAT AMERICAN ASSURANCE COMPANY *D/B* 690958005 227065 CG 89 70 (Ed. 11/14) (Page
2 of 12)
Coverage Description Limit of Insurance Page
Additional Insured- Funding Sources Included7
Additional Insured- By Contract Included8
Primary and Non-Contributory Additional Insured Extension Included 10 Additional Insureds- Protection of Your Limits Included 10 Blanket Waiver of Transfer of Rights of Recovery Against Others Included to Us (Subrogation) 11
Property Damage Extension With Voluntary Payments$ 1,000/$ 5,000 11 Who Is An Insured- Fellow Employee Extension- Management Included Employees 12
Broadened Personal and Advertising Injury Included 12
A. Non-Owned Aircraft
Under paragraph 2. Exclusions of SECTIONI- COVERAGEA- Bodily Injury and Property Damage Liability, exclusion g. Aircraft, Auto or Watercraft does not apply to an aircraft provided:

1. it is not owned by any insured;

2. it is hired, chartered or loaned witha trained paid crew;

3. the pilot in command holdsa currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating him or hera commercial or airline pilot; and

4. it is not being used to carry persons or property fora charge.

However, the insurance afforded by this provision does not apply if there is available to the Insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this Policy), contingent or on any other basis, that would also apply to the loss covered under this provision.

B. Non-Owned Watercraft
Under paragraph 2. Exclusions of SECTIONI- COVERAGEA- Bodily Injury and Property Damage Liability, subparagraph (2) of exclusion g. Aircraft, Auto or Watercraft is replaced by the following:

This exclusion does not apply to:
(2)A watercraft you do not own that is:
(a) less than 60 feet long; and * S1 * 07/05/2024 * PAC 2607774 06 GREATAMERICANASSURANCECOMPANY *D/B* 690958005 22706
5 CG 89 70 (Ed. 11/14) (Page
3 of 12)
(b) not being used to carry persons or property fora charge.

C. Bodily Injury- Mental Injury, Mental Anguish, Humiliation or Shock Under SECTIONV- DEFINITIONS, Definition 3. is replaced by the following:

3. "Bodily Injury" means physical injury, sickness, or disease, including death ofa person. "Bodily Injury" also means mental injury, mental anguish, humiliation, or shock if directly resulting from physical injury, sickness, or disease to that person.

D. Medical Payments
If CoverageC Medical Payments is not otherwise excluded, the Medical Payments provided by this Policy are amended as follows:

The Medical Expense Limit in paragraph 7. of SECTION III- LIMITS OF INSURANCE is replaced by the following Medical expense Limit:

The Medical Expense Limit provided by this Policy shall be the greater of:
a.$ 20,000; or
b. the amount shown in the Declarations for Medical Expense Limit This provision 7. is subject to all the terms of SECTION III- LIMITS OF INSURANCE.

E. Damage to Premises Rented to You
If Damage to Premises Rented to You is not otherwise excluded from this Coverage Part:

1. Under paragraph 2. Exclusions of SECTIONI- COVERAGEA- Bodily Injury and Property Damage Liability:

3. The last paragraph of paragraph 2. Exclusions is deleted in its entirety and replaced by the following:

Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke, leakage from an automatic fire protection system or water to premises while rented to you or temporarily occupied by you with permission of the owner.A separate Limit of Insurance applies to this coverage as described in SECTION III- LIMITS OF INSURANCE.

However, this insurance does not apply to damage to premises while rented to you, or temporarily occupied by you with the permission of the owner, caused by:
i. rupture, bursting, or operation of pressure relief devices; ii. rupture or bursting due to expansion or swelling of the contents of any building or structure, caused by or resulting from water;
iii. explosion of steam boilers, steam pipes, steam engines, or steam turbines; or iv. flood

2. Paragraph 6. Under SECTION III- LIMITS OF INSURANCE is deleted in its entirety and replaced with the following: * S1 * 07/05/2024 * PAC 2607774 06 GREATAMERICANASSURANCECOMPANY *D/B* 690958005 22706
5 CG 89 70 (Ed. 11/14) (Page
4 of 12)

6. Subject to paragraph 5. above, the most we will pay under CoverageA for damages because of "property damage" to any one premises, while rented to you, or in the case of damage caused by fire, lightning, explosion, smoke, leakage from automatic fire protection system or water while rented to you or temporarily occupied by you with the permission of the owner, for all such damage caused by fire, lightning, explosion, smoke, leakage from automatic fire protection systems or water proximately caused by the same event, whether such damage results from fire, lightning, explosion, smoke, leakage from automatic fire protection systems or water or any combination of the six, is the higher of$ 1,000,000 or the amount shown in the Declarations for the Damage to Premises Rented to You Limit.

3. Under SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS, subsection 4. Other Insurance, paragraph b. Excess Insurance where the words "Fire insurance" appear they are changed to "insurance for fire, lightning, explosion, smoke, leakage from an automatic fire protection system or water."

4. As regards coverage provided by this provision I. Damage to Premises Rented to You- paragraph 9.a. of Definitions is replaced with the following:

9. a.a contract fora lease of premises. However, that portion of the contract fora lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, leakage from automatic fire protection systems or water to premises while rented to you or temporarily occupied by you with the permission of the owner is not an "insured contract";
F. Supplementary Payments

1. In the Supplementary Payments- CoveragesA andB provision, paragraph 1.b. is replaced with:
b. Up to$ 3,000 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds.

2. Paragraph 1.d. is replaced by the following:
d. All reasonable expenses incurred by the Insured at our request to assist us in the investigation or defense of the claim or "suit," including actual loss of earnings up to$ 1,000a day because of time off work.

G. Newly Formed or Acquired Organizations
Paragraph 3. of SECTION II- WHO IS AN INSURED is replaced by the following:

3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify asa named insured if there is no other similar insurance available to that organization. However:
a. coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you;
b. coverageA does not apply to "bodily injury" or property damage that occurred before you acquired or formed the organization; and
c. coverageB does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. * S1 * 07/05/2024 * PAC 2607774 06 GREAT AMERICAN ASSURANCE C OMPANY *D/B* 690958005 22706
5 CG 89 70 (Ed. 11/14) (Page
5 of 12)
d. records and descriptions of operations must be maintained by the first named insured.

No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown asa named insured in the Declarations or qualifies as an insured under this provision.

H. Unintentional Failure to Disclose Hazards
Under SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS, the following is added to Condition 6. Representations:

Failure of the Insured to disclose all hazards existing as of the inception date of this Policy shall not prejudice the insurance with respect to the coverage afforded by this Policy, provided such failure or omission is not intentional on the part of the Insured.

I. Knowledge of Occurrence, Claim or Suit
Under SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS, the following is added to Condition 2. Duties in the Event of Occurrence, Offense, Claim or Suit:

Knowledge of any occurrence, claim, or suit by any agent, servant or employee of the Named Insured does not in itself constitute knowledge by the Insured unless notice of such injury, claim or suit shall have been received by:
a. you, if you are an individual;
b.a partner, if you area partnership
c. an executive officer or insurance manager, if you area corporation.

J. Property Damage Liability- Elevators

1. Under paragraph 2. Exclusions of SECTIONI- COVERAGEA- Bodily Injury and Property Damage Liability, subparagraphs (3), (4) and (6) of exclusion j. Damage to Property do not apply if such property damage results from the use of elevators.

2. The following is added to SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 4. Other Insurance, paragraph b. Excess Insurance:

The insurance afforded by this provision of this Endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis.

K. Property Damage Liability- Borrowed Equipment

1. Under paragraph 2. Exclusions of SECTIONI- COVERAGEA- Bodily Injury and Property Damage Liability, subparagraph (4) of exclusion j. Damage to Property does not apply to "property damage" to borrowed equipment while not being used to perform operations ata job site.

2. The following is added to SECTION IV- COMMERCIAL GENERAL LIABILITY Conditions, Condition 4. Other Insurance, paragraph b. Excess Insurance:

The insurance afforded by this provision of this Endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. * S1 * 07/05/2024 * PAC 2607774 06 GREAT AMERICAN ASSURANCE COMP ANY *D/B* 690958005 22706
5 CG 89 70 (Ed. 11/14) (Page
6 of 12)
L. Liberalization Clause
If we revise this Signature General Liability Broadening Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the date the revision is effective in your state.

M. Amendment of Pollution Exclusion (Premises)

1. The following is added to paragraph (1)(a) of Exclusion f. of SECTIONI- COVERAGEA- Bodily Injury and Property Damage Liability:
(iv) "Bodily injury" or "property damage" arising out of the actual discharge, dispersal, seepage, migration, release or escape of "pollutants."
As used in this Endorsement, the actual discharge, dispersal, seepage, migration, release or escape of pollutants must:
(aa) commence ona clearly identifiable day during the policy period; and (bb) end, in its entirety, within seventy-two (72) hours of the commencement of the discharge, dispersal, seepage, migration, release or escape of "pollutants"; and (cc) be discovered and reported to us within fifteen (15) days of the clearly identifiable day that the discharge, dispersal, seepage, migration, release or escape of "pollutants" commences; and
(dd) be neither expected nor intended from the standpoint of any insured; and (ee) be unrelated to any previous discharge, dispersal, seepage, migration, release or escape; and
(ff) not originate at or froma storage tank or other container, duct or piping which:
a. is below the surface of the ground or water; or
b. at any time has been buried under the surface of the ground or water and then is subsequently exposed.

2. For the purposes of this coverage, the following is added to the definition of "property damage" of SECTIONV- DEFINITIONS and applies only as respects this coverage:

Land or water, whether below ground level or not, is not tangible property.

3. Coverage provided hereunder does not apply to any discharge, dispersal, seepage, migration, release or escape that is merely threatened or alleged rather than shown to have actually occurred.

N. Limited Property Damage to Property of Others
The following is added under SECTIONI- SUPPLEMENTARY PAYMENTS- COVERAGESA andB:

3. We will pay up to$ 5,000 for loss to personal property of others while in the temporary care, custody or control of an insured caused by any person participating in your organized activities.

For the purpose of this supplementary payment, loss shall mean damage or destruction but does not include mysterious disappearance or loss of use. In the event ofa theft,a police report must be filed. This supplementary payment does not apply if:
a. coverage is otherwise provided by the Property Coverage part (if any) of this Policy; or * S1 * 07/05/2024 * PAC 2607774 06 GREAT AMERICAN ASSURANCE COMPANY *D/B* 690958005 227065 CG 89 70 (Ed. 11/14) (Page
7 of 12)
b. the loss is covered by any other insurance you have or by any insurance of such person who causes such loss.

These payments will not reduce the Limits of Insurance.

O. Additional Insured- Manager or Lessor of Premises

1. SECTION II- WHO IS AN INSURED is amended to include as an additional insured any person or organization from whom you lease or rent property and which requires you to add such person or organization as an additional insured on this Policy under:
(a)a written contract; or
(b) an oral agreement or contract wherea Certificate of Insurance showing that person or organization as an additional insured has been issued;
but the written or oral contract or agreement must be an "insured contract," and, (i) currently in effect or become effective during the term of this Policy; and (ii) executed prior to the "bodily injury," "property damage," "personal and advertising injury."

2. With respect to the insurance afforded to the Additional Insured identified in paragraph 1. above, the following additional provisions apply:
(a) This insurance applies only with respect to the liability arising out of the ownership, maintenance or use of that part of the premises leased to you. (b) The Limits of Insurance applicable to the Additional Insured are the lesser of those specified in the written contract or agreement or in the Declarations for this Policy and subject to all the terms, conditions and exclusions for this Policy. The Limits of Insurance applicable to the Additional Insured are inclusive of and not in addition to the Limits of Insurance shown in the Declarations.
(c) In no event shall the coverages or Limits of Insurance in this Coverage Form be increased by such contract.
(d) Coverage provided herein is excess over any other valid and collectible insurance available to the Additional Insured whether the other insurance is primary, excess, contingent or on any other basis unlessa written contractual arrangement specifically requires this insurance to be primary.
(e) This insurance applies only to the extent permitted by law.

3. This insurance does not apply to:
(a) Any "occurrence" or offense which takes place after you cease to bea tenant in that premises.
(b) Structural alterations, new construction or demolition operations performed by or on behalf of the Additional Insured.

P. Additional Insured- Funding Sources

1. SECTION II- WHO IS AN INSURED is amended to include as an additional insured any Funding Source which requires you ina written contract to name the Funding Source as an additional insured but only with respect to liability arising out of: * S1 * 07/05/2024 * PAC 2607774 06 GREAT AMERICAN ASS URANCECOMPANY *D/B* 690958005 22706
5 CG 89 70 (Ed. 11/14) (Page
8 of 12)
a. your premises; or
b. "your work" for such additional insured; or
c. acts or omissions of such additional insured in connection with the general supervision of "your work"
and only to the extent set forth as follows:
a. The Limits of Insurance applicable to the Additional Insured are the lesser of those specified in the written contract or agreement or in the Declarations for this Policy and subject to all the terms, conditions and exclusions for this Policy. The Limits of Insurance applicable to the Additional Insured are inclusive of and not in addition to the Limits of Insurance shown in the Declarations.
b. The insurance afforded to the Additional Insured only applies to the extent permitted by law c. If coverage provided to the Additional Insured is required bya contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. d. In no event shall the coverages or Limits of Insurance in this Coverage Form be increased by such contract.

Q. Additional Insureds- By Contract

1. SECTION II- WHO IS AN INSURED is amended to include as an insured any person or organization whom you have agreed to add as an additional insured ina written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of:
a. your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the Additional Insured that are subject of the written contract or written agreement provided that the "bodily injury" or "property damage occurs, or the "personal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or
b. the maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or
c. the Additional Insureds financial control of you; or d. operations performed by you or on your behalf for which the state or political subdivision has issueda permit
However:

1. the insurance afforded to such additional insured only applies to the extent permitted by law; and

2. if coverage provided to the Additional Insured is required by contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide such additional insured.

With respect to paragraph 1.a. above,a person's or organization's status as an additional insured under this Endorsement ends when: * S1 * 07/05/2024 * PAC 2607774 06 GRE ATAMERICANASSURANCECOMPANY *D/B* 690958005 22706
5 CG 89 70 (Ed. 11/14) (Page
9 of 12)
(1) all work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed for or on behalf of the Additional Insured(s) at the location of the covered operations has been completed; or
(2) that portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations fora principal asa part of the same project.

With respect to paragraph 1.b. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor.

The insurance provided by this Endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage." We have no duty to defend an additional insured under this Endorsement until we receive written notice ofa "suit" by the Additional Insured as required in paragraph b. of Condition 2.

Duties in the Event of Occurrence, Offense, Claim or Suit under SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITION.

2. With respect to the insurance provided by this Endorsement, the following are added to paragraph 2. Exclusions under SECTIONI- COVERAGEA- Bodily Injury and Property Damage Liability:

This insurance does not apply to:
a. "Bodily injury" or "property damage" that occurs prior to your commencing operations at the location where such "bodily injury" or "property damage" occurs. b. "Bodily injury," "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including:
(1) the preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or
(2) supervisory, inspection, architectural or engineering activities.

This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that Insured, if the "occurrence" which caused the "bodily injury" or "property damage," or the offense which caused the "personal and advertising injury," involved the rendering of, or failure to render, any professional architectural, engineering or surveying services. c. "Bodily injury" or "property damage" occurring after:
(1) all work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed for or on behalf of the Additional Insured(s) at the location of the covered operations has been completed; or
(2) that portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations fora principal asa part of the same project. * S1 * 07/05/2024 * PAC 260
777406GREATAMERICANASSURANCECOMPANY *D/B* 690958005 22706 5 CG 89 70 (Ed. 11/14) (Page 10 of 12)
d. Any person or organization specifically designated as an additional insured for ongoing operations bya separate additional insured endorsement issued by us and made part of this Policy.

3. With respect to the insurance afforded to these Additional Insureds, the following is added to SECTION III- LIMITS OF INSURANCE:

If coverage provided to the Additional Insured is required bya contract or agreement, the most we will pay on behalf of the Additional Insured is the amount of insurance:
a. required by the contract or agreement; or
b. available under the applicable Limits of Insurance shown in the Declarations; whichever is less.

This Endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

R. Primary and Non-Contributory Additional Insured Extension This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this Policy.

Condition 4. Other Insurance of SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows:
a. The following is added to paragraph a. Primary Insurance:

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:
(1) the Additional Insured isa named insured under such other insurance; and (2) you have agreed in writing ina contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured.
b. The following is added to paragraph b. Excess Insurance:

Whena written contract or written agreement, other thana premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the Additional Insured is designated asa named insured.

Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the Additional Insured has been added as an additional insured on other policies.

S. Additional Insureds- Protection of Your Limits
This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this Policy.

1. The following is added to Condition 2. Duties in the Event of Occurrence, Offense, Claim or Suit:

An additional insured under this Endorsement will as soon as practicable: * S1 * 07/05/2024 * PAC 2607774 06 GREAT AMERICAN ASSURANCE COMPAN Y *D/B* 690958005 22706
5 CG 89 70 (Ed. 11/14) (Page 11 of 12)
a. give written notice of an "occurrence" or an offense that may result ina claim or "suit" under this insurance to us;
b. tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the Additional Insured; and
c. agree to make available any other insurance which the Additional Insured has fora loss we cover under this Coverage Part.
d. we have no duty to defend or indemnify an additional insured under this Endorsement until we receive written notice ofa "suit" by the Additional Insured.

2. The Limits of Insurance applicable to the Additional Insured are those specified ina written contract or written agreement or the Limits of Insurance stated in the Declarations of this Policy and defined in SECTION III- LIMITS OF INSURANCE of this Policy, whichever are less. These limits are inclusive of and not in addition to the Limits of Insurance available under this Policy.

T. Blanket Waiver of Transfer of Rights of Recovery Against Others to Us (Subrogation) Under SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS, the following is added to Condition 8. Transfer of Rights of Recovery Against Others to Us:

If required bya written contract or written agreement, we waive any right of recovery we may have againsta person or organization because of payment we make for injury or damage arising out of your ongoing operations or "your work" done undera contract for that person or organization and included in the "products-completed operations hazard" provided that the injury or damage occurs subsequent to the execution of the written contract or written agreement.

U. Property Damage Extension with Voluntary Payments

1. The following is added to paragraph 1. Insuring Agreement of SECTIONI- COVERAGEA- Bodily Injury and Property Damage Liability:

At your request we will pay for "loss" to property of others caused by your business operations for which this Policy provides liability insurance. Such payment will be made without regard to your legal obligation to do so. The "loss" must occur during the policy period and must take place in the "coverage territory."

2. With respect to the coverage afforded under paragraph 1. above, paragraph 2. Exclusions of SECTIONI- COVERAGESA- Bodily Injury and Property Damage Liability is amended as follows:

Exclusions j.(3), j.(4), j.(5) and j.(6) are deleted.

3. As respects coverage afforded by this coverage, SECTION III- LIMITS OF INSURANCE is replaced by the following:

Regardless of the number of insureds, claims made or "suits" brought or persons or organizations making claims or bring "suits":

1. Subject to 2. Below, the most we will pay for one or more "loss" arising out of any one "occurrence" is$ 1,000.

2. The aggregate amount we will pay for the sum of all "loss" in an annual period is$ 5,000.

This aggregate amount is part of and not in addition to the General Aggregate Limit described in paragraph 2. of SECTION III- LIMITS OF INSURANCE. * S1 * 07/05/2024 * PAC 2607774 06 GREAT AMERICAN ASSURANCE COMPANY *D/B* 690958005 22706 5 CG 89 70 (Ed. 11/14) (Page 12 of 12)
V. Who Is an Insured- Fellow Employee Extension- Management Employees

1. The following is added to paragraph 2.a.(1) of SECTION II- WHO IS AN INSURED:

Paragraph (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting ina supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, including the direct supervision of other "employee" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury," caused in whole or in part by their intoxication by liquor or controlled substances.

This coverage is excess over any other valid and collectable insurance available to your "employee."
W. Broadened Personal and Advertising Injury

1. Unless "Personal and Advertising Injury" is excluded from this Policy, the following is added to SECTIONV- DEFINITIONS Item 14.:
h. mental injury, mental anguish, humiliation, or shock, if directly resulting from Items 14.a. through 14.e. * S1 * 07/05/2024 * PAC 2607
77406GREATAMERICANASSURANCECOMPANY *D/B* 690958005 22706 5 DISABILITY COMMUNITY RESOURCE CTR
12901 VENICE BLVD
LOS ANGELES, CA 90066
EFFECTIVE July 1, 2024 AT 12.01 A.M. AND EXPIRING July 1, 2025 AT 12.01 A.M. June 26, 2024 POLICY 9063301

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