2018-19 Riverside County - CDBG SupplementalRevised May 2017
M E M O R A N D U M
TO: Frank J. Spevacek, City Manager
FROM: Monika Radeva, City Clerk
DATE: August 9, 2018
RE: Supplemental Agreement for the 2018/19 CDBG Program which
covers: (1) City of LQ Misc. ADA Improvements ($46,226); and
(2) Boys & Girls Club – Coachella Valley ($18,217) for a Total of
$64,443 in CDBG Funds
Attached for your signature.
Please sign the attached 2 agreements and return to the City Clerk for processing
and distribution.
Requesting department shall check and attach the items below as appropriate:
X Contract payments will be charged to account number: Special Revenue Fund 210
X Amount of Agreement, Amendment, Change Order, etc.:
N/A A Conflict of Interest Form 700 Statement of Economic Interests from Consultant(s) is attached with
_____ no reportable interests in LQ or ____ reportable interests
N/A A Conflict of Interest Form 700 Statement of Economic Interests is not required because this Consultant
does not meet the definition in FPPC regulation 18701(2).
Authority to execute this agreement is based upon:
X Approved by the City Council on OCTOBER 3, 2017 (CC Resolution No. 2017-052)
N/A City Manager’s signature authority provided under Resolution No. 2018-014 for budgeted expenditures
of $50,000 or less. This expenditure is $____________and authorized by _________[Council, Director, etc]
N/A Initial to certify that 3 written informal bids or proposals were received and considered in selection
The following required documents are attached to the agreement:
N/A Insurance certificates as required by the agreement (approved by Risk Manager on _____________ date)
N/A Performance bonds as required by the agreement (originals)
N/A City of La Quinta Business License number ________________________
N/A A requisition for a Purchase Order has been prepared (amounts over $5,000)
N/A A copy of this Cover Memo has been emailed to Finance (Sandra)
CALIFORNIA JOINT POWERS INSURANCE AUTHORITY
CERTIFICATE OF
WORKERS' COMPENSATION PROTECTION
CALIFORNIA JOINT POWERS INSURANCE AUTHORITY has complied with
the requirements of the Director of Industrial Relations under the provisions of Section 3700
of the Labor Code of the State of California. The employees, governing body, and other
legally authorized or appointed committees or commissions of
City of La Quinta
are covered in accordance with California Labor Law and the provisions of the California JPIA
Memorandum of Coverage of the Primary Workers' Compensation Program for the period of
July 1, 2018 to July 1, 2019.
CALIFORNIA JOINT POWERS INSURANCE AUTHORITY
Jonathan R. Shull, Chief Executive Officer
August 9, 2018
John Thurman
County of Riverside
P.O. Box 1180,
Riverside, CA 92502
Member Name: City of La Quinta
Activity: Supplemental agreement for the use of 2018-2019 Community Development
Block Grant Funds
Coverage Period: From 12:01 AM on 7/1/2018 to 11:59 PM on 6/30/2019
The City of La Quinta (Member) along with other California public agencies, is a member of the California
Joint Powers Insurance Authority (California JPIA), and participates in the following self-insurance and
commercial insurance program that is administered by the California JPIA for its members:
Primary Liability Program, Including Automobile Liability
Coverage Limit: $1,000,000 per occurrence
Annual Aggregate Limit: $1,000,000
Workers' Compensation Program
Coverage Limits Statutory
Employers Liability $1,000,000
Coverage is subject to all the terms, Definitions, Exclusions, Conditions and Responsibilities of the
Memorandum of Coverage - Primary Liability Program and the Limits of Coverage stated above.
Sincerely,
Jim Thyden
Insurance Programs Manager
cc: Pam Nieto, La Quinta, pnieto@laquintaca.gov
August9,2018JohnThurmanCountyofRiversideEDAP.O.Box1180Riverside,CA92502MemberName:CityofLaQuintaAdditionalProtectedParty:CountyofRiversideActivity:SupplementalAgreementfortheUseof2018-2019CommunityDevelopmentBlockGrantfundsCoveragePeriod:From12:01AMon9/1/2018to11:59PMon6/30/2019TheCityofLaQuinta(Member)alongwithotherCaliforniapublicagencies,isamemberoftheCaliforniaJointPowersInsuranceAuthority(CaliforniaJPIA),andparticipatesinthefollowingself-insuranceandcommercialinsuranceprogramthatisadministeredbytheCaliforniaJPIAforitsmembers:PrimaryLiabilityProgram,IncludingAutomobileLiabilityCoverageLimit:$1,000,000peroccurrenceAnnualAggregateLimit:$1,000,000WorkersCompensationProgramCoverageLimitStatutoryEmployersLiability$1,000,000OnbehalfoftheMember,theCaliforniaJPIAagreestoincludetheabove-namedadditionalProtectedPartyasaProtectedPartyundertheMemorandumofCoverage-PrimaryLiabilityProgram,subjecttotheabove-statedlimits,butonlyfor‘Occurrences’arisingoutofthedescribedactivity,duringthedescribedCoveragePeriod,andwhererequiredunderthetermsofawrittenagreementbetweentheMemberandtheadditionalProtectedParty.TheCaliforniaJPIAwillendeavortoprovideatleastthirty(30)daysnoticeofanychangeintheforegoinginformation.Ifthewrittenagreementrequires,coverageshallbeprimary.Ifthewrittenagreementrequires,subrogationiswaived.Coverageissubjecttoalltheterms,Definitions,Exclusions,ConditionsandResponsibilitiesoftheMemorandumofCoverage-PrimaryLiabilityProgramandtheLimitsofCoveragestatedabove.AnyinjuryordamagecausedbythesolenegligenceoftheadditionalProtectedPartynamedaboveisnotcovered.Sincerely,JimThydenInsuranceProgramsManagercc:PamNieto,LaQuinta,pnieto@laquintaca.govCALlFOR.NIA]‘P’I’ACALIFORNIAJOINTPOWERSiNSURANCEAUTHORITY8081MOODYSTREET,LAPALMA,CA90623TEL(562)467-8700FAX(562)860-4992