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.
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.
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
For the Contract between the City of
Richmond and
RCF Connects - Amendment No. 2
_____________________________
EXHIBIT A - SERVICE PLAN
Contractor shall, to the sa�sfac�on of the city of Richmond, perform the following services as outlined below.
1. Service Specifica�on
Richmond Community Founda�on and their subcontractor (RCF) shall administer the development and implementa�on of the Housing First Program under the ERF-2-R Grant Program for the City of Richmond.
RCF will develop and implement the housing and support services needed to provide unhoused individuals and families with temporary and/or permanent housing op�ons to support health and safety, as well as extensive wrap-around services for those in need. City staff and CORE in collabora�on with RCF will determine which individuals on the wai�ng list or otherwise meet eligibility criteria under the ERF-2-R Grant Program. The unhoused individuals and families will be from the city of Richmond encampment sites and must complete an intake with CORE, including a ViSPDAT.
Final decisions regarding program development and implementa�on, program partners, outreach, performance metrics and goals, budget, and any other program components, will be developed in close collabora�on with the City of Richmond.
The following programs include the following major service offerings:
Housing First Program shall help people obtain housing quickly, increase self-sufficiency, and remain housed. The Housing First model is an approach that priori�zes providing safe, stable, long-term housing to unhoused community members and building a community of support around them from which they can pursue personal goals and improve their quality of life. The core components of Housing First shall include:
Iden�fica�on of Resident Needs
o Leveraging the years of trust building with community members who are unhoused staff and trusted partners will also seek to understand the needs of each person.
Crea�on of a Housing Transi�on Plan (from unhoused to housed) o RCF will engage unhoused individuals and families in a peer-based planning, problem-solving, and naviga�on process to move from encampments, address their safety and survival needs, and support their overall health and wellbeing as they transi�on into housing. The naviga�on process will:
o Assist unhoused individuals in accessing services and o Help them plan for the housing resources provided through the Housing First model. o Develop a housing transi�on plan, evaluated regularly, that will include strategies for addressing the needs iden�fied
For the Contract between the City of
Richmond and
RCF Connects - Amendment No. 2
_____________________________
Housing Naviga�on
o RCF will provide housing naviga�on services for eligible clients based on individual needs per the Housing Transi�on Plan.
Iden�fy suitable housing accommoda�ons for eligible unhoused individuals and families.
Assist with paperwork and other required documenta�on to apply for available housing. o Assist with appointments, provide transporta�on assistance, to tour units and/or meet with property owners and property management.
o Coordinate move-in into housing with eligible unhoused individuals and families and property owners.
Housing Iden�fica�on
o RCF will build on its list of landlords from the Housing First pilot program willing to par�cipate in the program and regularly update the list of available housing units. RCF will develop agreements with and ever-growing list of landlord par�cipants in Richmond and across the East Bay Area.
Rent and Move-in Assistance
o RCF will assist with move-in support u�lizing flex funds as well as securing dona�ons of furniture, cooking supplies, and other items needed to help set up each home. RCF will assist with the leasing process and provide payment for up to one year of rent, paid quarterly in advance, for the housing unit. RCF will also u�lize flex funds to prepay u�lity services for 6 to 12 months.
Case Management
o Case Managers will support each person’s transi�on into housing and help sustain this housing arrangement by serving as a liaison with the person, the landlord, the neighbors, and service providers to develop the network and rela�onships the person will need to truly thrive.
Access to Services
o Case Managers will work with iden�fied community partners to provide “warm referrals” to services that can meet a resident’s needs (e.g., health, income, etc.)
Financial Management and Coaching
o Provide addi�onal financial and asset-building services to help residents build their own financial safety nets and stabilize their housing
Housing Stability
o RCF and partners will support each person or family in maintaining their housing because their needs have been met (medical, behavioral, mental health), they have income to support their housing (at least 75% of self-sufficient income), and they have built a strong, posi�ve rela�onship with the landlord and their neighborhoods.
For the Contract between the City of
Richmond and
RCF Connects - Amendment No. 2
_____________________________
The funding available for direct renal assistance will include $660,000 from the City of Richmond ERF-2-R Grant Program to assist at least 30 households with rental assistance for up to one year. In addi�on, $150,000 in flex funds from the ERF-R2 Grant Program will be made available to RCF to assist residents with home living items, personal hygiene, employment support, transporta�on, and other personal items as needed to help them become self-sustainable.
Program eligibility, to be finalized with City of Richmond staff, may include but not limited to:
o Preferably a resident(s) that lost their housing in the city of Richmond and or has been a long �me Richmond resident
o Is currently unhoused and living in a homeless encampment in the city of Richmond that is been targeted per the goals and guidelines of the city’s ERF-2-R grant program. o Must complete an intake with the CORE team, including a ViSPDAT o Agrees to adhere and follow the program regula�ons
RCF and its partners shall provide services in English and Spanish. Should a person require another language in order to receive services, the Case Managers will contact Keylingo Transla�on services based in Concord, California, or other transla�on services.
2. Timeline
The proposed �meline for program is 12 months but the �meline may be extended or shorten based on various factors including, but not limited to, community needs, available budget, etc. The proposed �meline is subject to change and can be amended based on mutual agreement between the City and RCF.
Task/Ac�vi�es Month
Contract Amendment No. 2 is executed with RCF December 2023
Case Managers job descrip�ons are posted for hiring and Waitlist is provided to CORE to begin CORE intake, including ViSPDAT
December 2023
Case Managers hired. January-February 2024
Landlord lists are updated and outreach to new landlords begins.
February-March 2024
Eligible unhoused residents and those already in the Housing First pipeline begin process of needs assessment and the development of a housing transi�on
March-April 2024
Housing placements begin for unhoused residents. February-April 2024 and ongoing
For the Contract between the City of
Richmond and
RCF Connects - Amendment No. 2
_____________________________
Care Managers are engaging with residents, landlords and neighbors on a weekly basis.
March-April 2024 and
ongoing
Initial evaluation of performance metrics occurs. April 2024, quarterly thereafter
3. Project Outcome and Evalua�on
The City, in collabora�on with RCF, will establish clear performance metrics and goals a�er contract execu�on and prior to the end of the first quarter. The table below will be amended, per the approval of the Director of Community Development, to accurately reflect the needs of community and the shared goals for the program.
1. Housing Placement Rate: This metric measures the rate at which unhoused individuals are successfully placed into temporary or permanent housing through the program. It can be calculated by dividing the number of individuals successfully housed by the total number of individuals enrolled in the program.
2. Housing Stability Rate: This metric measures the rate at which individuals remain stably housed a�er being placed through the program. It can be calculated by dividing the number of individuals who maintain their housing for a specified period (e.g., 6 months or 1 year) by the total number of individuals housed.
3. Income Gain: This metric measures the increase in income for individuals enrolled in income sustaining programs facilitated by the Housing First Program. It can be calculated by comparing the individuals' income levels before and a�er par�cipa�ng in the program.
4. Employment Rate: This metric measures the rate at which individuals secure and maintain employment a�er par�cipa�ng in job training educa�on and income sustaining programs. It can be calculated by dividing the number of individuals employed by the total number of individuals enrolled in the program.
5. Support Services U�liza�on: This metric measures the u�liza�on of support services provided by the program or through referred partners, such as job training, financial literacy workshops, counseling, and healthcare access. It can be calculated by tracking the number of individuals accessing and engaging with these services.
6. Par�cipant Sa�sfac�on: This metric measures the sa�sfac�on levels of program par�cipants regarding the housing and support services provided. It can be assessed through surveys or interviews to gather feedback on their experience and the impact of the program on their lives.
These metrics will help RCF assess the effec�veness of the Housing First Program in assis�ng unhoused individuals with income sustaining programs and iden�fy areas for improvement.
For the Contract between the City of
Richmond and
RCF Connects - Amendment No. 2
_____________________________
Program
Component Program
Outcome
Indicator/ Measurement Goal Evaluation
Method
Placement
Provide long
term, safe and
supportive
housing for
unhoused
members of our
community
Number of residents housed via the Housing
First Program ERF-2-R Grant Program (1)
30 Tabulation or
count reported
by Case
Managers,
partners, and
participants
Number of landlords participating in the
program
TBD
Percentage of people who remained housed
for six months (2)
TBD
Percentage of people who remain housed for
12 months (2)
TBD
Sufficiency
Build three key
elements of
financial
stability and
Percentage of people that increased
income and income stability (3)
TBD
Develop a
step-by-step
action plan
and keep
clients on
track.
Percentage of people that started
part-time or full-time education (4) TBD
Percentage of people that started and
completed job training and started jobs (4)
TBD
Health
Provide access
to providers to
care for the
physical/medical
health,
behavioral
health
(including
substance use),
and mental
health of
participants
Number of households to receive care
management services (5)
30 Tabulation or
count reported
by Case
Managers,
partners, and
participants
Number of people that access health care
services (5)
TBD
Number of people that access menta/
behavioral health services (5) TBD
Number of people that access other
supportive services (5)
TBD
Type and number of supportive services
offered (5)
TBD
Percentage or people that report they are
satisfied with the services they are
receiving and that their health issues are
being addressed (6)
TBD Participant
survey
response
For the Contract between the City of
Richmond and
RCF Connects - Amendment No. 2
_____________________________
4. Program Budget
RCF will provide services outlined in the scope of work for a total not to exceed amount of $1,111,633,000.15. The Program Budget can be modified up to the disbursement limit upon request from RCF and approval from the City’s Project Manager.
Expenses for transla�on services, outreach materials, and any other items necessary to implement the programs which are not explicitly called out in the budget below, will be the responsibility of RCF, unless otherwise approved and agreed upon with the City.
RCF will enter into appropriate agreements with all subcontractors and agree to pay the subcontractors for work performed under this contract. RCF will share said agreements with the City for informa�on purposes. RCF will invoice the City monthly based on the work completed by their organiza�on and/or any subcontractors.
RCF Housing First ERF-2-R Budget
Description
Staff Salary FTE Hrly Rate
Anuual Hours (12
months) Total
Program Manager/Housing Navigator 1 36.00$ 2080 74,880.00$ Case Manager 1 33.00$ 2080 68,640.00$
143,520.00$
Benfits @ 23% 23% 33,009.60$
Total Staff Salary 176,529.60$
Households
Avg. Monthly
Rent Term, 12 months
Rental Assistance 30 1,850.00$ 12 666,000.00$
Flex Funds 30 5,000.00$ 150,000.00$
Total Assistance 816,000.00$
Subtotal 992,529.60$
Indirect 12.0% 119,103.55$
Total 1,111,633.15$
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
___ Exhibit F
___ Section 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page 1 of 3
Revised: September 2011
In all instances where CONTRACTOR or its representatives will provide professional services (architects, engineers, construction management, counselors, medical professionals, hospitals, clinics, attorneys, consultants, accountants, etc.) to the City of Richmond (City), 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, employees 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 coverage, 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), and including coverage for bodily and personal injury, property damage, and products and completed operations (if applicable).
2. Insurance Services Office Automobile Liability coverage (ISO Form CA 0001, Code 1, Any Auto).
3. Original and Separate Additional Insured Endorsement 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 coverage.
5. Original and Separate Waiver of Subrogation for Workers’ Compensation insurance.
6. Professional Liability or Errors & Omissions Liability Insurance appropriate to the CONTRACTOR’s profession (if required.)
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” found at:
http://www.ci.richmond.ca.us/index.aspx?nid=61.
General Liability
(primary and excess limits
combined)
$2,000,000 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 limit).
Policy shall be endorsed to name the City of Richmond as an additional insured per the conditions detailed below.
___ Exhibit F
___ Section 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page 2 of 3
Revised: September 2011
Automobile Liability $1,000,000 per occurrence for bodily injury and property damage.
PROJECT COST R EQUIRED LIMIT
$0 - $1 million $1 million p/o
$1 million - $5 million $2 million p/o
Over $5 million $5 million p/o
Professional Liability or Errors &
Omissions Liability –
Required for all professionals
including architects, engineers,
consultants, construction
management, counselors, medical
professionals, hospitals, clinics,
attorneys and accountants, & other
consultants as may be required by
the City.
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. If the Contractor is supplying their product or providing a service then the endorsement must not
exclude products and completed operations
coverage. If it does, then CG 20 37 (10/01) is also required.
SAMPLE Endorsements 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.
Waiver of Subrogation
Endorsement Form
Contractor’s insurer will provide a Waiver of Subrogation in favor of the City for Workers’ Compensation Insurance during the life of this contract.
SAMPLE Endorsements can be found at
http://www.ci.richmond.ca.us/index.aspx?nid=61.
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.
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.
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 coverage’s and cover those insured in the underlying policies.
___ Exhibit F
___ Section 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page 3 of 3
Revised: September 2011
Claims-Made Policies
If any insurance policy is written on a claims-made form: 1) the retroactive date must be shown, and must be before the date of the contract or the beginning of contract work. 2) Insurance must be maintained and evidence of insurance must be provided for at least five (5) years after completion of the contract of work. 3) If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a retroactive date prior to the contract effective date, the Contractor must purchase an extended period coverage for a minimum of five (5) years after completion of contract work.
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 Manger. 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.
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
03/22/2023
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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).
PRODUCER
AUTOMATIC DATA PROCESSING INS AGCY
76250717
71 HANOVER ROAD
FLORHAM PARK NJ 07932
CONTACT NAME:
PHONE
(A/C, No, Ext):
(800) 524-7024 FAX
(A/C, No):
E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A : Hartford Fire and Its P&C Affiliates 00914
INSURED
RICHMOND COMMUNITY FOUNDATION
FOUNDATION
3260 BLUME DR STE 110
SAN PABLO CA 94806-1960
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR
LTR TYPE OF INSURANCE ADDL
INSR
SUBR
WVD
POLICY NUMBER POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/Y YYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
POLICY PRO-
JECT
LOC PRODUCTS - COMP/OP AGG
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident)
ANY AUTO BODILY INJURY (Per person)
ALL OWNED
AUTOS
SCHEDULED
AUTOS BODILY INJURY (Per accident)
HIRED
AUTOS
NON-OWNED
AUTOS
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-
MADE
EACH OCCURRENCE
AGGREGATE
DED RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY
PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/ A 76 WEG AN4J6U 09/09/2022 09/09/2023
X PER
STATUTE
OTH-
ER
Y/N E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE -EA EMPLOYEE $1,000,000
E.L. DISEASE - POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations.
CERTIFICATE HOLDER CANCELLATION
Workforce Development
Board of Contra Costa
4071 Port Chicago Highway, Suite 250
Concord CA 94520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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