CITY OF RICHMOND
CONTRACT AMENDMENT
Department: Project Manager:
Project Manager E-mail:
Project Manager Phone No:
P.R. No: Vendor No: P.O./Contract No:
Description of Services:
Amendment No. ___ modifies the: (2nd or subsequent amendments attach Amendment History page)
Term, Payment Limit and Service Plan
Payment Limit and Service Plan
Term and Service Plan
Service Plan
The parties to this Contract Amendment do mutually agree and promise as follows:
1. Parties. The parties to this Contract Amendment are the City of Richmond, California, a municipal corporation (City), and the following named Contractor:
Company Name:
Street Address:
City, State, Zip Code:
Contact Person:
Telephone: Email:
Business License No: / Expiration Date:
A California [ ] corporation, [ ] limited liability corporation [ ] general partnership, [ ] limited partnership, [ ] individual, [ ] non-profit corporation, [ ] individual dba as [specify:]
[ ] other [specify:]
2. Purpose. This Contract Amendment is being entered into to amend the Contract between City and Contractor which was approved by the City Council of the City of Richmond or executed by the City Manager on , which original term commenced on and terminates with an original contract payment limit of $ . Said contract shall hereinafter be referred to as the "Original Contract" and is incorporated herein by reference.
3. Original Contract Provisions. The parties hereto agree to continue to abide by those terms and conditions of the Original Contract, and any amendments thereto, which are unaffected by this Contract Amendment.
Community Development
Jesus Morales
[email protected]
(510) 620-6706
14887
/ 5580
Housing Consortium of the East Bay (HCEB) and Collaborising, their sub-consultant, will deliver services for individuals living at the Rydin Road Vehicle Encampment in advance of the sunsetting on September 30, 2022. ✔
5 Housing Consortium of the East Bay (HCEB)
410 7th Street, #203 Oakland, CA 94607
Oakland, CA 94607
Darin Lounds
(510) 832-1382
[email protected]
4006-1230
December 31, 2022
✔
March 16, 2021
April 1, 2021
February 12, 2022
560,000.00
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 Contract Amendment/EJ/TE 09-26-07
4. Amendment Provisions. This Contract Amendment is subject to the Amendment Provisions attached hereto, which are incorporated herein by reference, and which control over any conflicting provisions of the Original Contract, or any amendment thereto.
5. City of Richmond Business License Active Status Maintained. Pursuant to Municipal Code Section 7.04.030, the Contractor must maintain its City of Richmond business license for this Contract Amendment to be deemed to be in effect.
6. Insurance Coverage Updated and Maintained. Pursuant to the Original Contract, the Contractor shall provide the City with updated insurance certificates, and the Contractor shall maintain insurance coverage, for this Contract Amendment to be deemed to be in effect.
7. Signatures. These signatures attest the parties’ agreement hereto:
CITY OF RICHMOND, CALIFORNIA
a municipal corporation
By _______________________
Title:
I hereby certify that the Original Contract
and this Amendment have been approved
by the City Council or executed by the City
Manager.
By _______________________
City Clerk
Approved as to form:
By_______________________
City Attorney
List of Attachments:
1. Amendment Provisions
2. Updated Insurance Certificates
CONTRACTOR:
______________________________
(*The Corporation Chairperson of the Board, President or Vice-President should sign on the line below.)
By____________________________
Title:________________________
(*The Corporation Chief Financial Officer, Secretary or Assistant Secretary should sign on the line below.)
By:___________________________
Title:________________________
(NOTE: Pursuant to California Corporations
Code Section 313, if Contractor is a
corporation or nonprofit organization, this
Contract (1) should be signed by the
Chairperson of the Board, President or
Vice-President
and the Chief Financial
Officer, Secretary or Assistant Secretary; (2)
should have both signatures conform to
designated representative groups pursuant
to Corporations Code Section 313.
Housing Consortium of the East Bay (HCEB)
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 CEO
Secretary
8/29/2022
MayoryMayor
Contract Amendment between the City of Richmond and
Amendment No. P.O./Contract No.
AMENDMENT PROVISIONS (TERM, PAYMENT LIMIT AND SERVICE PLAN)
1. Paragraph 2 (Term) of the Original Contract is hereby amended to extend the Contract term. Paragraph 2 of the Original Contract is amended to read as follows:
"2. Term. The effective date of this Contract is
____________________________________________________________ (Insert original contract commencement date)
and it terminates
___________________________________________________.
(Insert new contract termination date)
unless sooner terminated as provided herein."
2. Paragraph 3 (Payment Limit) of the Original Contract is hereby amended to increase the payment limit by $ . Paragraph 3 of the Original Contract is amended to read as follows:
"3. Payment Limit. City's total payments to Contractor under this Contract shall not exceed $ including expenses."
“The City of Richmond shall not pay for services that exceed the Contract Payment Limit without the prior written approval of the City Manager if the total Contract amount does not exceed $10,000 or without the prior approval of the City Council if the total Contract amount is over $10,000.”
3. The Service Plan (Exhibit A) of the Original Contract is hereby amended to include the following tasks and/or services:
Contract Amendment/EJ/TE 9-26-07
5 / 5580
April 1, 2021
September 30, 2022
404,958.00
964,958.00
Housing Consortium of the East Bay (HCEB)
See below Exhibits.
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29
EXHIBIT A
SERVICE PLAN
Contractor shall, to the satisfaction of the Community Development Department, perform the following services and be compensated as outlined below. The City reserves the right to adjust the Service Specifications, Timeline, and Project Outcomes of Contractor’s performance per ongoing evaluation.
1. Service Specifications.
Housing Consortium of the East Bay (HCEB) and Collaborising, their subconsultant, will deliver a number of supportive services for 27 individuals currently living in a vehicle encampment along the curb parking area on Rydin Road, north of Central Avenue.
HCEB and Collaborising will work directly with encampment participants to assist in transitioning participants to other housing options prior to the scheduled September 30, 2022, sunset date of the encampment.
HCEB and Collaborising will be responsible for the following principal activities that include, but are not limited to:
• Finalize the Rydin Resident Assessment Tool to assess housing, behavioral, and health needs of participants to assist in transition planning.
• Develop standard form for program participants to voluntarily abandon belongings
• HCEB and Collaborising will actively engage Rydin participants to keep them apprised of program deadlines and transition supports via outreach and participant meetings, with the Contra Costa County Coordinated Outreach Referral and Engagement (CORE)
• HCEB (Rachel Yarborough) and Collaborising (Lea Murray and Ramon Quintana) will conduct Rydin resident assessments on a regular schedule.
• HCEB and Collaborising will draft individual transition plans, including potential flex funds request, for participants after the individual assessments are completed.
• HCEB and Collaborising will continue to refer and coordinate with CORE and Coordinated Entry to prioritize use of already available County resources (i.e., DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 behavioral, and mental health services) to leverage and supplement City resources, including local community-based organizations.
• HCEB and Collaborising will coordinate with City staff including, but not limited to, Community Development, Parking Enforcement, Abatement, Richmond Fire Department, and Parks to ensure appropriate services are provided, clean up are held as anticipated, and the site is vacated according to city’s policies and codes.
• HCEB and Collaborising will develop a plan to distribute funds to participants to achieve relocation developed in the individual transition plans for review and approval by City staff prior to expenditures of flex funds as provided for in Exhibit C.
• HCEB and Collaborising will implement the Individual Transition Plans for participants and assist participants with their transition. The Transition Plan shall be signed by participants prior to the distribution of flex funds as provided for in Exhibit C.
• HCEB and Collaborising will assist in the posting and distribution of the required legal notices for the sunsetting of the encampment scheduled for September 30, 2022, by distributing and posting a 30-day and 15-day notice.
• HCEB and Collaborising will assist the City and participants in holding a minimum of 2-3 clean-ups in advance of the sunsetting of the encampment.
2. Timeline.
No. Tasks Date
1 Develop the Rydin Resident Assessment Tool to survey
participant housing, behavioral, and health assessments to determine needs and priorities.
August 5, 2022
2 Conduct Rydin resident assessments as assigned to
staff (HCEB & Collaborising) on a regular schedule.
August 19, 2022
3 Develop and write up Individual Transitions plans for participants, including monetary estimate to achieve the transition, including signature by participant.
August 26, 2022
4 Develop a plan to distribute flex funds to participants to achieve transition plans developed.
September 2,
2022
5 Implement the individual Transition Plans, in
collaboration with CCHS, for participants and assist
participants in their transition to a new location.
August 26 -
September 30,
2022
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 6 Develop a standard form for program participants to
voluntarily abandon/relinquish belongings and agree to
recovery support services, including mental and
substance use disorder treatment, employment,
emergency shelters, and transitional or supportive
housing available in or outside of Contra Costa County.
August 19, 2022
7 Remove abandoned and inoperable vehicles. September 30, 2022
8 Posting and distribution of the required legal notices for the sunsetting of the encampment scheduled for
September 30, by issuing a 30-day and 15-day notice.
September 1 and
September 15,
2022
9 Clean up Activities (3 minimum). September 2022
3. Project Outcomes and Evaluation
Task
No.
Program
Component
Program
Outcome
Indicator/
Measurement
Goal Evaluation
Method
1,2,3 Resident
Assessment
Form
Develop
assessment
tool to assess
housing,
behavioral,
mental, and
physical health
needs, priorities
of participants
to inform
development of
a transition plan
for each
participant
Final
assessment
form template
1 Copy of final
assessment form
provided to the
City
1,2,3 Resident
Assessments
Identify
housing,
behavioral,
mental, and
physical health
needs, and
priorities of
participants for
transition plan
development
Number of
participants
completing
assessment
27 Completed
Individual resident
assessments
submitted to City
4 Flex fund
distribution
plan
Plan to
distribute funds
to participants
to achieve
relocation
Finalized Flex
Fund Total
distribution by
August 2022,
and September
2022
TBD Copy of City-
approved
distribution plan
records
5 Participant
Transitional
Provide
planned path
Number of
participants with
27 Executed
transition plans
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 Plan &
Agreement
for participants
to transition out
of Rydin
encampment to
housing
alternative or
family
reunification
completed
transition plans
and associated
agreements
5 Participant
transition
Transition
participants
from Rydin
encampment to
identified living
situation per
Transition Plan
Number of
participants
transitioned by
August 31,
2022
7-10 Participants
transitioned out
tabulation (count)
Number (Total)
of participants
transitioned by
September 30,
2022
27 Participants
transitioned out
tabulation (count)
6 Voluntary
Relinquish
belonging
form
Form for
participants to
voluntary
relinquish
belonging
Final form
template
1 Copy of final form
template
7 Auto removal Eliminating
excess
automobiles not
used by
participants
Number of
vehicles
removed
42 Identify vehicles to
be removed and
track total number
removed
8 Abatement
Notices
Posting of
notices to
enforce no
camping law
Final notice
templates
2 Copy of final
posted notices
9 Clean up
events
Host 3 clean up
to reduce
excess
belongings for
participant
transitions
Three clean up
events held with
Abatement
3 Photos and
tonnage reports of
materials picked
up
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29
EXHIBIT B
PROGRAM BUDGET
The contractor and subcontractor (via the contractor) shall submit monthly invoices and reports outlining the work performed and hours worked on each Task. Payment is contingent upon worked performed per task and per hour up to the payment limit amount as included in the budget, and submission of agreed upon deliverables as outlined in the Scope of Work. The City reserves the right to not pay the full amount included in the budget if deliverables are not met (i.e., complete assessments, clean-up, etc.).
The withholding for this agreement is twenty percent. The City shall disburse funds for costs incurred to date, less twenty percent, upon the grantee’s satisfactory progress under the approved work program, and upon the grantee’s submission of an invoice and report outlining work performed, which shall be submitted monthly. The City shall disburse the twenty percent withheld upon the grantee’s satisfactory completion of the scope of work.
PERSONNEL Jul-22 Aug-22 Sep-22 Total
Program Manager 4,875.00 4,875.00 4,875.00 14,625.00 Fringe Benefits @ .33 1,608.75 1,608.75 1,608.75 4,826.25 Subtotal 6,483.75 6,483.75 6,483.75 19,451.25
OPERATIONS
Indirect Staff (Program Director. Exec Director) 800.00 800.00 800.00 2,400.00 Supplies ( mileage and other staff expenses) 567.00 567.00 567.00 1,701.00 PPE and other supplies 3,500.00 3,500.00 7,000.00 Flex Funds - - 200,000.00 Office/ Client Space 952.75 952.75 952.75 2,858.25 Direct Client Expenses - - - Site Security 20,500.00 20,500.00 20,500.00 61,500.00 Subtotal 22,819.75 26,319.75 26,319.75 275,459.25 Total DIRECT COSTS 29,303.50 32,803.50 32,803.50 294,910.50 May/June HCEB Services 57,790.44
Collaborising (subconsultant) 17,500.00 17,500.00 35,000.00 Executive Director 11,437.50 11,437.50
Operations Manager 6,062.50 6,062.50
Contingency 1,018.25
ICR 12.5% 3,662.94 6,287.94 6,287.94 16,238.81 TOTAL DIRECT AND INDIRECT COSTS 32,966.44 39,091.44 39,091.44 404,958.00
PROFESSIONAL SERVICES BUDGET
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29
EXHIBIT C
FLEX FUNDS FOR RYDIN ROAD ENCAMPMENT PARTICIPANTS
OBJECTIVE:
The Flex Funds are designed to remove financial barriers that prevent households from obtaining housing to transition from the Rydin Road encampment in advance of the sunsetting scheduled for September 30, 2022.
ELIGIBITY:
• Program participants living at the Rydin Road encampment (up to 27 participants) with an executed completed Program Agreement, registered in HMIS, and completed Vi- SPDAT
• Rydin Resident Assessment and Transition Plan completed PROCESS:
1. Assessment completed by authorized service providers (HCEB and/or Collaborising)
2. Complete Housing Transition Plan, in a form approved by the City of Richmond, which includes, but is not limited to, the following information:
o Contact information for participant
o Other resources received, requested and/or sought (i.e., Coordinated Entry, CORE assistance, etc.)
o Detailed budget for flex funds requested to support proposed transition option o Timeline for execution
3. City reviews, edits (as necessary), and authorizes the flex fund request prior to expenditure
4. All parties (participants, service provider, and city) sign the Transition Plan
5. HCEB disburses funds to appropriate entity (directly to the participant, purchased on behalf of participant, and/or 3rd party vendor)
6. Direct disbursement to participants will be issued at the time of transition from Rydin Road
7. Transition plans and disbursement agreement shall note that participants agree to not relocate to other parts of the city unless in a legal housing unit
8. Service providers will develop and submit a final close out report to the City outlining all flex funds issued, leveraged funding or resources, destination, and status of Rydin participants via approved Transition Plan
TYPES OF SUPPORT:
The following are examples of the types of support to be provided by the City via Service Providers:
Fees and Deposits Needed to Apply for and Secure Housing:
➢ Security deposits (up to/not to exceed 2 times the rent) ➢ Application and administrative fees
➢ Pet deposits/fees
➢ Utility deposit activation fees for new utility accounts
Lease or Utility Assistance:
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 ➢ Rental assistance, including monthly pet rent
➢ Utility assistance
Hotel or Motel Assistance:
➢ Requesting agency will be reimbursed for payment.
➢ Household must have a signed lease and move-in date established prior to approval.
Transportation:
➢ Items related to one-time, episodic, or regular transportation, that can help a client make progress towards ending their homelessness (e.g., car registration, bus passes, taxi fare, gas vouchers, tires, minor car repairs, etc.).
➢ Fares for the cost of housing navigation to view potential rental options by bus or other transportation services (e.g., Uber, Lyft, etc.).
Relocation Assistance:
➢ Bus tickets to return to locales with stable family support ➢ Train tickets to return to locales with stable family support ➢ Other transportation fees (e.g., taxis, rideshare services, etc.) ➢ Gas funds to reach destination
Critical Documents:
➢ Documentation needed to overcome barriers to employment, housing, etc. (e.g., driver’s license, state identification card, birth certificate, student records, etc.).
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 Contract Amendment between the City of Richmond and
Amendment No. P.O./Contract No.
AMENDMENT PROVISIONS (SERVICE PLAN)
(CONTRACTOR’S OBLIGATION’S)
The Service Plan (Exhibit A) of the Original Contract is hereby amended to include the following tasks and/or services:
Contract Amendment/EJ/TE 9-26-07
Housing Consortium of the East Bay (HCEB)
5 / 5580
As described in attached Exhibits.
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 Contract Amendment between the City of Richmond and
Amendment No. P.O./Contract No.
AMENDMENT PROVISIONS (AMENDMENT HISTORY)
The first Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The second Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The third Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The fourth Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
The fifth Contract Amendment was approved by City Council of the City of Richmond or executed by the City Manager on for one or more of the following provisions (check those that apply):
Increased contract payment limit by $ ________________for a payment limit not to exceed $ _________________________.
Term Amendment (insert new termination date):________________________
Service Plan
Housing Consortium of the East Bay (HCEB)
5 / 5580
February 12, 2022
0.00 560,000.00
March 14, 2022
✔
March 10, 2022
0.00 May 31, 2022
560,000.00
560,000.00
0.00 June 16, 2022
June 30, 2022
July 31, 2022
September 30, 2022
560,000.00
0.00 July 11, 2022
August 1, 2022
404,958.00
964,958.00
✔
✔
✔
✔
✔
✔
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 ___ Exhibit F
___ Section 8
City of Richmond Insurance Requirements – Type 5:
Vendors, Suppliers, Small Grant Recipients & Nonprofit
Organizations
Type 5 - Page 1 of 3
Revised: September 2011
In all instances where CONTRACTOR or its representatives will be conducting business and/or providing services to the City of Richmond (City), or will be awarded City of Richmond (City) funds to provide programs or services, the City requires the following MINIMUM insurance requirements and limits.
CONTRACTOR shall procure and maintain for the duration of the contract, agreement, or other order for work, services or supplies, 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 and the results of that work by the CONTRACTOR, its agents, representatives, or subcontractors. Maintenance of proper insurance coverage is a material element of the contract. Failure to maintain or renew coverage or to provide evidence of renewal may be treated by the City as a material breach of contract.
CONTRACTOR agrees that in the event of loss due to any of the perils for which it has agreed to provide Commercial General Liability insurance, CONTRACTOR shall look solely to its insurance for recovery.
CONTRACTOR hereby grants to CITY, on behalf of any insurer providing Commercial General Liability insurance to either CONTRACTOR or CITY with respect to the services of CONSULTANT herein, a waiver of any right to subrogation which any such insurer of said CONTRACTOR may acquire against the CITY by virtue of the payment of any loss under such insurance.
Original, signed certificates and original, separate policy endorsements, naming the City as an additional insured for general liability, as well as a waiver of subrogation for Workers’ Compensation insurance, shall be received and approved by the City before any work may begin. However, failure to do so shall not operate as a waiver of these insurance requirements.
City reserves the right to modify or require additional coverages for specific risk exposures depending on scope of CONTRACTORS work.
Minimum coverage is detailed below. The policy limits of coverage shall be made available to the full limits of the policy. The minimum limits stated herein shall not serve to reduce the policy limits of coverage of CONTRACTOR.
Minimum Scope of Insurance – the following forms shall be provided and coverage shall be at least as broad as the following:
1. Insurance Services Office Commercial General Liability coverage (ISO Occurrence Form CG 0001)
2. Insurance Services Office Automobile Liability coverage (ISO Form CA 0001, Code 1, Any Auto)
3. Original and Separate Additional Insured Endorsements for General Liability (ISO Form CG 20 10 11/85 or its equivalent) with primary and non-contributory language.
4. Workers’ Compensation insurance as required by the State of California including Employer’s Liability (for CONTRACTOR’s with employees);
5. Original and Separate Waiver of Subrogation for Workers’ Compensation Insurance.
6. Fidelity Bond/Crime Coverage – in an amount stipulated by City depending upon scope of contract.
Required Coverage Minimum Limits
Workers’ Compensation and
Employers’ Liability
Statutory limits as required by the State of California including $1 million Employers’ Liability per accident, per employee for bodily injury or disease.
If CONTRACTOR is self-insured, provide a certificate of Permission to Self- Insure, signed by the California Department of Industrial Relations and Self- Insurance. If contractor is a sole proprietor (has no employees) than contractor must sign “Contractor Release of Liability” located at:
http://www.ci.richmond.ca.us/index.aspx?nid=61
.
General Liability
(primary and excess limits
combined)
$1,000,000 per occurrence for bodily injury, personal injury and property damage. If the policy includes a general aggregate, either the general aggregate shall apply separately to this project, service or location or the minimum required aggregate limit shall be twice the per occurrence limit ($4 million aggregate).
Policy shall also include coverage for liability arising out of the use and operation of any City-owned or City-furnished equipment used or operated by the CONTRACTOR, its personnel, agents or subcontractors.
Policy shall be endorsed to name the City of Richmond as an additional insured per the conditions detailed below.
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 ___ Exhibit F
___ Section 8
City of Richmond Insurance Requirements – Type 5:
Vendors, Suppliers, Small Grant Recipients & Nonprofit
Organizations
Type 5 - Page 2 of 3
Revised: September 2011
Automobile Liability (If auto is used.) $1,000,000 per occurrence for bodily injury and property damage.
Fidelity Bond/Crime Coverage
(Applies if receiving City
funds.)
In an amount stipulated by City depending upon the scope of Contract. (Usually based upon the amount of money the Contractor is handling that could be embezzled over a period of time.)
Required Policy Conditions
Additional Insured Endorsement
Applicable to General Liability Coverage.
The City of Richmond, its officers, officials, employees, agents and volunteers are to be named as additional insureds for all liability arising out of the operations by or on behalf of the named insured including bodily injury, deaths and property damage or destruction arising in any respect directly or indirectly in the performance of this contract.
ISO form CG 20 10 (11/85) or its equivalent is required. The endorsement must not
exclude products and completed operations
coverage. If it does, then CG 20 37 (10/01) is also required.
SAMPLE ENDORSEMENT can be found at:
http://www.ci.richmond.ca.us/index.aspx?nid=61.
Waiver of Subrogation
Endorsement Form
Contractor’s insurer will provide a Waiver of Subrogation in favor of the City for Workers’ Compensation Insurance providing coverage during the life of this contract.
SAMPLE ENDORSEMENT can be found at
http://www.ci.richmond.ca.us/index.aspx?nid=61
.
Primary and Noncontributory The contractor’s insurance coverage must be primary coverage as it pertains to the City, its officers, officials, employees, agents and volunteers. Any insurance or self insurance maintained by the City is wholly separate from the insurance of the contractor and in no way relieves the contractor from its responsibility to provide insurance.
A. M. Best Rating A:VII or Better. If the A.M. Best Rating falls below the required rating, CONTRACTOR must replace coverage immediately and provide notice to City.
Deductibles and Self-Insured
Retentions
Any deductible or self-insured retention must be declared to and approved by the City. At the option of the City either the insurer shall reduce or eliminate such deductibles or self-insured retention as respects the City or the contractor shall procure a financial guarantee in an amount equal to the deductible or self-insured retention guaranteeing payment of losses and related investigations, claims administration and defense expenses.
Contractor is responsible for satisfaction of the deductible and/or self-insured retention for each loss.
Umbrella/Excess Liability Policies
If an Umbrella or Excess Liability Policy is used to meet the liability limits, coverage shall be as broad as specified for underlying coverages and cover those insured in the underlying policies.
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 ___ Exhibit F
___ Section 8
City of Richmond Insurance Requirements – Type 5:
Vendors, Suppliers, Small Grant Recipients & Nonprofit
Organizations
Type 5 - Page 3 of 3
Revised: September 2011
Subcontractors
CONTRACTOR shall include all subcontractors as insured under its policies or shall furnish to the City for review and approval, separate certificates and endorsements for each subcontractor. All coverage for subcontractors shall be subject to all of the requirements stated herein.
CONTRACTOR agrees to defend and indemnify the City of Richmond for any damage resulting to it from failure of either CONTRACTOR or any subcontractor to take out or maintain the required insurance policies.
The fact that
insurance is obtained by CONTRACTOR, and/or CONTRACTOR’s subcontractors, will not be deemed to release or diminish the liability of CONTRACTOR, including, without limitation, liability under the indemnity provisions of this contract. Damages recoverable by CITY from CONTRACTOR or any third party will not be limited by the amount of the required insurance coverage.
Verification of Coverage
All original certificates and endorsements shall be received and approved by the City before work may begin .
The City of Richmond reserves the right to require complete, certified copies of all required insurance policies including endorsements affecting the coverage at any time.
Original insurance certificates and required policy endorsements shall be mailed or delivered to the Designated Project Manager for the City of Richmond.
Insurance certificates and endorsements may be faxed to the Designated Project Manager. However, Contractor must mail the original certificates and endorsements to Designated Project Manager once faxed.
Continuous Coverage
CONTRACTOR shall maintain the required insurance for the life of the contract. Should the CONTRACTOR cease to have insurance as required during this time, all work by the CONTRACTOR pursuant to this agreement shall cease until insurance acceptable to the City is provided. In the event that CONTRACTOR fails to comply with the City’s insurance requirements, the City may take such action as it deems necessary to protect the City’s interests. Such action may include but is not limited to termination of the contract, withholding of payments, or other actions as the City deems appropriate.
If services or the scope of work extend beyond the expiration dates of the required insurance policies initially approved by the City, CONTRACTOR
must provide updated certificates and endorsements indicating that the required coverage, terms and conditions are still in place. Renewal certificates and updated endorsements shall be mailed to the Designated Project Manager.
Cancellation
CONTRACTOR shall ensure that coverage shall not be cancelled, reduced or otherwise materially changed except after thirty (30) days’ prior written notice has been given to the City.
Reporting Requirements
Any failure to comply with reporting or other provisions of the policies including breaches of warranties shall not affect coverage provided to the City, its officers, officials, employees or volunteers.
Consistent with Public Policy
The insuring provisions, insofar as they may be judged to be against public policy shall be void and unenforceable only to the minimum extent necessary so that the remaining terms and provisions herein may be consistent with public policy and thus enforceable.
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29
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
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
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
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
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 PRO-
JECT 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
4/29/2022
Arthur J. Gallagher & Co.
Insurance Brokers of CA., Inc.
505 N Brand Blvd, Suite 600
Glendale CA 91203
Star Metry
818.539.8623
818.539.8723
[email protected]
License#: 0726293
Nonprofits' Insurance Alliance of CA
10023
Technology Insurance Company, Inc
42376
Housing Consortium of the East Bay
410 7th Street, Suite 203
Oakland, CA 94607
1179829920
A
X
1,000,000
X
500,000
20,000
1,000,000
3,000,000
X
Y
2022-10963
4/15/2022
4/15/2023
3,000,000
A
1,000,000
X
X
2022-10963
4/15/2022
4/15/2023
Comp & Collision
500/$500
A
X
X
3,000,000
2022-10963-UMB
4/15/2022
4/15/2023
3,000,000
B
X
Y
TWC4100330
4/1/2022
4/1/2023
1,000,000
1,000,000
1,000,000
A
Professional Liability
2022-10963
4/15/2022
4/15/2023
Per Claim
Aggregate
$1,000,000
$3,000,000
Nonprofits' Insurance Alliance of CA - A.M. Best #011845 Policy: Sexual Abuse Liability
Policy#: 2022-10963
Carrier: Nonprofits' Insurance Alliance of CA
Policy Term: 4/15/2022 To 4/15/2023
Per Claim: $1,000,000 / Aggregate: $1,000,000
See Attached...
City of Richmond
440 Civic Center Plaza
Richmond CA 94804
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
1 1
Arthur J. Gallagher & Co.
Housing Consortium of the East Bay
410 7th Street, Suite 203
Oakland, CA 94607
25 CERTIFICATE OF LIABILITY INSURANCE
Policy: CRIME
Policy#: 2022-10963-PROP
Carrier: Nonprofits' Insurance Alliance of CA
Policy Term: 4/15/2022 To 4/15/2023
Employee Theft: Limit: $50,000 / Deductible: $500
Forgery or alteration: Limit: $50,000 / Deductible: $500 Named Insured: Housing Consortium of the East Bay; Inclusive Communities East Bay, LLC; Magnolia Terrace, LLC; Mentally Handicapped Childrens Organization, Inc., Luella Fuller Group Home; Tri-Valley BMR, LLC; Ashland NSP, LLC, Fairview Homes, LLC.
The City of Richmond, its officers, officials, employees, agents and volunteers are named additional insured with respect to the operations of the named insured.
Waiver of Subrogation on Worker compensation applies in favor of additional insured. The insurance provided in the Commercial General Liability policies are primary and any other insurance shall be excess only and not contributing. Written notice shall be provided at least ten (10) days in advance of cancellation for non-payment of premium and thirty (30) days in advance for any other cancellation or policy change. Endorsement to follow.
DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29 DocuSign Envelope ID: 38941C81-E23B-4160-8DF6-A4C0663E6B29