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2019-20 Desert Care Network (Volunteer) - Free Blood Pressure, Body Max Indexta Qai�tra -- GEM of the DESERT — M E M 0 R A N D U M TO: Christina Calderon, Community Resources Manager FROM: Caroline Doran, Community Resources Specialist DATE: October 17, 2019 RE: Desert Care Network, Volunteer Organization Service Agreement 2019 Attached for your signature is an agreement with Desert Care Network (John F. Kennedy Memorial Hospital) offering Free Blood Pressure, Body Mass Index and Blood Glucose Screenings for the Community. Please sign the attached agreement and return to the City Clerk for processing and distribution. ReAuesting &partment shall check and attach the items below as aupropriate• N/A Contract payments will be charged to account number: N/A Amount of Agreement, Amendment, Change Order, etc.: $0.00 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: N/A Approved by the City Council on N/A Community Resources Manager's signature authority provided under Resolution No. 2019-021 for budgeted expenditures of $5,000 or less. This expenditure has no cost City 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: r X Insur nce certificates as required by the agreement (approved by "sk Manager on N/A Performance bonds as required by the agreement (originals) X 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 VOLUNTEER ORGANIZATION SERVICE AGREEMENT Our organization, Desert Care Network, will provide volunteers to perform only the services as outlined in the attached scope of work for the City of La Quinta ("City"). We understand that we will not be compensated for our work and we will complete our organization volunteer duties in a responsible manner. If we decide to discontinue our organization volunteer services, our contact person Deborah Wales will notify Caroline Doran, City designee. We understand and agree that: No one in the group is to appear for volunteer service under the influence of any drugs or alcohol. • Our organization will provide the City with a roster of individual participants including the names and hours worked. • Our organization will report any injuries sustained by participants during their volunteer activities to Caroline Doran, City designee immediately upon occurrence. • Our organization is responsible for directly supervising the activities of all the individuals in our group who will be doing volunteer work, and therefore, in consideration of our organization and members being permitted to perform services on City property, our organization agrees to defend, indemnify, and hold harmless the City and its officials, employees, and agents from any damage claim or lawsuit for injury, illness, damage or other loss of any kind to anyone including members of our organization that might arise out of our activities or the actions of any individuals of our group, except for injuries or damages caused by the sole negligence of the City. Our organization has commercial general liability insurance of at least one million dollars to cover our activities. A copy of the certificate of insurance, the additional insured endorsement, naming the City as an "additional insured," and a Primary and Non -Contributory endorsement is attached or will be submitted to the City prior to the start of any activity. The City may terminate this agreement at any time without cause, and we agree that we are volunteering our services at will and may be asked to discontinue such without prior notice or reason. This agreement will be in effect for the duration of our volunteer services or one year, whichever is less, beginning on this date. Dated this 24th day of October, 2019. CITY OF LA QUINTA, a Califoroia Municipal 9prporation CHRTSTINA CALDERON Community Resources Manager City of La Quinta, California Dated: ATTEST; �o d s l9 MONIKA R DEV , City Clerk La Quinta, California APPROVED AS TO FORM: THAI PHAN, Acting Assistant City Attorney City of La Quinta, California Desert Care Network Name of Organizatia ,&Ahb rize Signature on behalf of Organization Gary L. Honts Printed Name Chief Executive Officer Title 47-111 Monrob:.Street Address Indio, CA 92201 par=.honts@tenethealth.com Email Address 760-775-9019 Phone Number Desert Care Network are Index Measurement (BMI), Health and Wellness Fair 2019. Screenings will include: Attachment Scope of Work providing Blood Pressure Screenings, Body Mass and Blood Glucose screenings for attendees of the at the La Quinta Wellness Center on October 24, Blood Pressure Screening: Screening will consist of use of blood pressure cuff and stethoscope - measures systolic pressure heart beats and diastolic pressure between heart beats. Body Mass Index Measurement (BMI): Participant body weight, height, age and sex is entered into a hand-held body fat analyzer machine. Participant holds the grip electrodes and the machine measures the percent of body fat. Body mass index is calculated by the machine. The results are explained using a chart showing normal and abnormal values for body fat percent and BMI. Blood Glucose: the nurse will prick the participant's finger and place a drop of blood on the test strip and insert the strip into a glucose meter. The glucose meter will provide results in 3 seconds. The results are entered on the result form and will show normal values for blood glucose. If the participant has abnormal results, they are advised to discuss the results with their doctor. ACa ilf CERTIFICATE OF LIABILITY INSURANCE DATE(MMMD/YYYY) 10114/201 9 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 pollcy(les) 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 endorsements). PRODUCER CONTACT NAMEGlobal Risk Mariag err! nt Arthur J. Gallagher & Co. PHONE- FAX Insurance Brokers of CA. Inc. LIC #0726293 rNc exlk 918w539 2301)r10 818381801 505 N. Brand Boulevard, Suite 600 AM RtRIF_a: girm_certiflcatesQajg.gom Glendale CA 91203 INSURERM AFFORDING COVERAGE NAICY INSURER A: Various INSURED Tenet Healthcare Corp. 1445 Ross Avenue, Suite 1400 Dallas, TX 75202-2703 RER C I RER D : COVERAGES CERTIFICATE NUMRF12-217A6171173. RFVIgIC1N NIIMRFR• 19445 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. Lf TR TYPE OF INSURANCE ADOL SUUR POLICY EFF P.DUCY E7q! 1 _Mz POLICYNUMELER M LIMITS B COMMERCIAL GENERAL LIABILITY Y GL6862325 6/l/2019 611/2020 EACH OCCURRENCE S1,0D0,000 CLAIMS -MADE X � OCCUR bd G1'i 79� $1,000.000 rX S MED EXP (Any one person PERSONAL S ADV INJURY $1.000,ODO GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY PRO n LOC JECT PRODUCTS-COMPIOP AGG S 1,000,000 $ OTHER: AUTOMOBILE LIABILITY COMMNW SINGLE UW A4_4t1 S $ ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ S UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR DEp RE7 1DN SS A WORKERS COMPENSATION 'AND EMPLOYERS' LIABILITY YIN V See Attached 6/112019 61112020 .i(I PER TATTE ,!. ER fj S 2,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE 11--�� OFFICERIMEMet-R EXCLUDED? NIA E.L. EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE S 2.000,000 (MendsturyIn NH) u yea describe urder $2,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD'1011, Additional Remarks Schedule, may be attached If more space Is required) Insured/Facility: JFK Memorial Hospital, 47-111 Monroe Street, Indio, CA 92201 Re: ParticipatiDn in wellness fairlhealth screening October 24 2019 La Quints Wellness Center, The City of La Quints, its officers and employees are included as Additional Insured with respect to General Liability but solely as respects to Liability Arising out of the Named Insured's Operations or Premises Owned by or rented by the Named Insured, excluding Contract or Agreements for Professional Sery ces, and Subject to the Terms and Conditions of the referenced policy as required by written contract. City of La Quinta 78-495 Calle Tampico La Quinta CA 92253 (,:ANL,tLLA I ILI N 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 eee�zo w1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ENDORSEMENT This endorsement, effective 12:01 A.M. 06/01/2019 forms a part of policy No. GL 6862325 issued to Tenet Healthcare Corporation by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - PRIMARY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section IV, Commercial General Liability Conditions, paragraph 4., Other Insurance, subparagraph a. Primary Insurance, is amended by the addition of the following: However, coverage under this policy afforded to an additional insured will apply as primary insurance where required by contract, and any other insurance issued to such additional insured shall apply as excess and noncontributory insurance. AUTHORIZED REPRESENTATIVE 74434 (10/99)