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Coachella Valley Rescue Mission /MOU 16ta QuiKraGEM leiv DESERT MEMORANDUM TO: Frank J. Spevacek, City Manager FROM: Chris Escobedo, Community Resources Director DATE: XAPWj>5W:jX7 April 11, 2017 RE: MEMORANDUM OF UNDERSTANDING BETWEEN THE CITY AND THE COACHELLA VALLEY RESCUE MISSION (CVRM) Attached for your signature is the agreement between the City and COACHELLA VALLEY RESCUE MISSION where the City will provide financial support to CVRM for providing food and shelter services at their facility located at 47470 Van Buren St., Indio. Please sign the attached agreement(s) 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: 101-3001-60532 X Amount of Agreement, Amendment, Change Order, etc.: $50,000 NA A Conflict of Interest Form 700 Statement of Economic Interests from Consultant(s) is attached with no reportable interests in LQ or reportable interests NA 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: NA Approved by the City Council on X City Manager's signature authority provided under Resolution No. 2015-045 for budgeted expenditures of $50,000 or less. T�i�t"rk�l�ovr;KE��feic�Yd��iX�iII1X NA 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: X Insurance certificates as required by the agreement (approved by Risk Manager on N1ETo 4/5/17 dot ) NA Performance bonds as required by the agreement (originals) NA City of La Quinta Business License number NA Purchase Order number MEMORANDUM OF UNDERSTANDING BETWEEN THE CITY OF LA QUINTA AND COACHELLA VALLEY RESCUE MISSION This Memorandum of Understanding (the "Memorandum") is made by and between the CITY OF LA QUINTA, a municipal corporation and charter city ("City"), and the COACHELLA VALLEY RESCUE MISSION ("CVRM"), as of April _a_, 201-7 with respect to the following: RECITALS WHEREAS, the City is interested in providing food and shelter to those in need and, in that regard would like to support the CVRM; WHEREAS, the CVRM agrees to use the City funding for operation of the shelter this fiscal year (2016/17); NOW, THEREFORE, the City and CVRM agree to the following: 1.0 TERM OF MEMORANDUM. The term of. this Memorandum will be for a period of one (1) year and shall expire on June 30, 2017. 2.0 OBLIGATIONS OF THE PARTIES. 2.1 CVRM will provide food and shelter services at the CVRM facility, located at 47470 Van Buren St, Indio, CA 92201. 2.2 The City will provide financial support of $50,000 to CVRM for food and shelter services, payable upon execution of this MOU. 3.0 Mutual Indemnity and Release. The CVRM hereby agree to indemnify, defend, and hold harmless the other party and its officers, employees, agents and independent contractors (collectively, "Indemnitees") from and against any and all of claims, causes of action, obligations, losses, liabilities, judgments, or damages, including reasonable attorneys' fees and costs of litigation (collectively "Claims") arising out of and/or in any way relating to the indemnifying party's activities in the performance of this Memorandum, or to the indemnifying party's acts and/or omissions in providing or administering the same, excepting only those claims, actions, obligations, losses, liabilities, judgments, or damages arising out of the sole negligence, active negligence or willful misconduct of the Indemnitees. 4.0 Insurance. CVRM Insurance Obligation. Without limiting the indemnification provisions provided herein, CVRM, at its sole expense, shall obtain and keep in force during the term of this Memorandum and any extensions thereof, a policy or policies of general liability insurance covering all injuries to persons and damage to property occurring in, upon Page 1 of 3 or about the CVRM resulting from any actions or omissions of CVRM or any use of the CVRM, or the CVRM's invitees in accordance with the terms of this Memorandum. The policy or policies evidencing such insurance shall name the City and its officials, officers, employees, and agents, as additional insureds, shall provide thatsome same may not be cancelled or amended without thirty (30) days prior written notice to the City, and shall provide for a combined single limit coverage of bodily injury and property damage in the amount of not less than One Million Dollars ($1,000,000). Such policy or policies shall be issued by an insurance company licensed to do business in the State of California and be rated A-/VIII or better by ambest.com. Prior to the date of this Memorandum, and upon renewal of such policies, CVRM shall submit to the City certificates of insurance a,nd any applicable endorsements evidencing that the foregoing policy or policies are in effect. 4.0 ADDITIONAL PROVISIONS. 4.1 In all cases, the language in all parts of this Memorandum shall be construed according to its fair meaning and not strictly for or against either party, if being agreed that the parties or their agents have all participated in the preparation of this Memorandum. 4.2 This Memorandum contains the entire agreement of the Parties and supersedes any prior oral or written statements or agreements between the Parties regarding the operation of the CVRM. 4.3 No termination of this Memorandum shall release either party from any liability or. obligation hereunder resulting from any acts, omissions or events happening prior to the termination of this Memorandum. 4.4 In the event either party brings any suit or other proceeding with respect to the subject matter or enforcement of this Memorandum, the prevailing party (as determined by California law) shall, in addition to such other relief as may be awarded, be entitled to recover reasonable attorneys' fees, expenses and costs of suit or investigation as actually incurred (including, without limitation, reasonable attorneys' fees, expenses, and costs incurred in establishing the right to indemnification). IN WITNESS WHEREOF, Coachella Valley Rescue Mission and City have executed this Memorandum as evidenced by the signatures contained below: CITY OF LA QUINTA Digitally signed Frank1. Spevacek DN Sp cn=Frank J. Spevacek, o—City of La Quinta, ou=City Manager, email=fspevacek@la-quinta.org, c—US Date. 2017.04.1409:00:40 07'00' By FRANK J. SPEVACEK, City Manager Dated! COACHELLA VALLEY RESCUE MISSION By. Name: Darla Burkett Title:_ Executive Director Page 2 of 3 ATTEST: s //�� F \(/ DN:cn=susaedbySusanMaysels Address. PO BOX 1056V Dld: cn=Susan Maysels, o=City el La Quinta, - ou=Clerk's OFFce,email=smaysels@la-quinta.org, 47470 Van Buren Street c=US By. Date:2(,7.�4.,7,227:�6- City, State, Zip: - -Indio CA 92202 SUSAN MAYSELS, City Clerk Email: DBurkett@CVRM.org Dated: r APPROVED AS TO FORM AND CONTENT: l By: MORGAN GALLAGHER, Assistant City Attorney i Page 3 of 3 AC'"RO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDYYYY) 3/24/2017 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 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). PRODUCER Desert Cornerstone Insurance Service, Inc. CA License #OF15709 81713 Highway 111, Ste E Indio CA 92201 CONTACT Sanae Martin NAME: A/CNENo Ext: (760) 347-7723 FAX A/C No: (760)347-7725 E-MAIL sanae@desertcornerstoneins.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Technology Insurance Co. 42376 INSURED Coachella Valley Rescue Mission, Boutique DBA: CVRM, , New Life Resale P . O . BOX 10660 Indio CA 92202-2564 INSURERB:Wesco Insurance Co. 25011 INSURERC: INSURER D: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER: 2017GLALEX 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 OF INSURANCE ADDLSUBRTYPE INSD WVD POLICY NUMBER POLICY EFF MM/DD YYYY POLICY EXP MM DD YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 1XI OCCUR AGE INIE1 M S PREESOEa occurrence) ccurrrence $ 100,000 MED EXP (Any one person) $ 5,000 X TPP1064878 00 2/13/2017 2/13/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY ❑ PRO - POLICY ❑ LOC X PRODUCTS - COMP/OP AGG $ 3,000,000 Professional Liability $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 , 000 , 000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS TPP1064878 00 2/13/2017 2/13/2018 BODILY INJURY (Per accident) $ X PROPERTY dent DAMAGE $ HIRED AUTOS X NON -OWNED AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 B EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WUM1525553 2/13/2017 2/13/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is added as Additional Insured as respects General Liability per attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Services Department ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta, CA 92253 // Matt List/SAN ®LL��4L, ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: TPP1064878 00 COMMERCIAL GENERAL LIABILITY 33-0729 10-13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL GENERAL LIABILITY COVERAGE EXPANSION ENDORSEMENT (NON -CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART — CG 00 01 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Additional Premium $200 SECTION I — COVERAGES COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions g. Aircraft, Auto Or Watercraft Paragraph (2) is replaced by the following: (2) A watercraft you do not own that is: (a) Less than 51 feet long; and (b) Not being used to carry persons or property for a charge. This provision applies to any person, who with your consent, either uses or is responsible for the use of a watercraft. This insurance is excess over any other valid and collectible insurance available to the insured whether primary, excess, or contingent. j. Damage To Property Paragraph (2) is not applicable. (2) This paragraph is deleted. Paragraph (4) replaced with the following: (4) Personal property in the care, custody or control of the insured which exceeds $50,000 regardless of the number of: (a) Insureds (b) Claims made; or (c) Persons or organizations making claims The most we will pay under this coverage is $50,000 when the coverage limit has been exhausted. n. Recall Of Products, Work Or Impaired Property Replace with the following: Our duty to pay and defend ends under this coverage Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) "Your product"; 33-0729 10 13 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 6 Used with permission (2) "Your work"; or (3) "Impaired property"; if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it, but this exclusion does not apply to "product recall expenses" that you incur for the "covered recall" of "your product". This insurance does not apply to "Product Recall Expense" arising out of or resulting from: a. Any product withdrawal initiated due to: (1) The failure of "your products" to accomplish their intended purpose, including any breach of warranty of fitness, whether written or implied. This exclusion does not apply if such failure has caused or is reasonably expected to cause "bodily injury" or physical damage to tangible property. (2) Copyright, patent, trade secret or trademark infringements; (3) Transformation of a chemical nature, deterioration or decomposition of "your product", except if it is caused by: (a) An error in manufacturing, design, processing or transportation of "your product"; or (b) "Product tampering" (4) Expiration of the designated shelf life of "your product". b. A "product withdrawal", initiated because of a "defect" in "your product" known to exist by the Named Insured or the Named Insured's "executive officers", prior to the inception date of this Coverage Form or prior to the time "your product" leaves your control or possession. c. Recall of any specific products for which "bodily injury" or "property damage" is excluded under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY by endorsement. d. Recall of "your products" which have been banned from the market by an authorized government entity prior to the policy period. e. The defense of a claim or "suit" against you for "product withdrawal expenses". f. COVERAGE A does not apply to "product recall expense" arising out of any withdrawal or recall that occurred before you acquired or formed the organization. We will not pay more than $100,000 annually for "product recall expense" incurred from all "Covered Recall" events covered during this policy term. Replace the following paragraph: Exclusion c. through n. do not apply to damage by "specific perils" 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. COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY 2. Exclusions Paragraph e. Contractual Liability is amended as follows: e. Contractual Liability This paragraph is deleted. Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc., 33-0729 10 13 Used with permission COVERAGE C — MEDICAL PAYMENTS Paragraph 1.a. (3)(b) under SECTION I — COVERAGE C — MEDICAL PAYMENTS is replaced with the following: (b) The expenses are incurred and reported to us within two years of the date of the accident; However, expenses reported to us after two years of the date of the accident will not be denied solely because of the late submission unless such late submission operates to prejudice our rights; and SUPPLEMENTARY PAYMENTS — COVERAGES A AND B Paragraph 1.b. and 1.d. under SECTION I - SUPPLEMENTARY PAYMENTS — COVERAGE A AND B is replaced with the following: b. Up to $2,500 for 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 furnish these bonds. 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 $300 a day because of time off from work. SECTION II — WHO IS AN INSURED Paragraph 3.a. is amended as follows: a. Coverage under this provision is afforded only until the 180'" day after you acquire or form the organization or the end of the policy period, whichever is earlier. However, provision a. above does not apply if the newly formed or acquired organization is excluded by either a provision of the Coverage Form or by endorsement. The following is added under SECTION II — WHO IS AN INSURED:: 4. Organization over which you maintain ownership of more than 50% will be a Named Insured if there is no other similar insurance available to that organization; however a. COVERAGE A. does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and b. COVERAGE B. does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. If such organizations are not shown in the DECLARATIONS, you must report them to us within 180 days of inception date of the policy. 5. Any person or organization with whom you agreed, because of written contract or written agreement to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendors business, subject to the following additional exclusions: The insurance afforded the vendor does not apply to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; d. Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing or the substitution of parts under instruction from the manufacturer, and then repackaged in the original container; e. Any failure to make such inspection, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the sale of the product; 33-0729 10 13 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 6 Used with permission f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendors premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any thing or substance by or for the vendor. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into accompanying or containing such products. 6. Any person or organization to whom you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to liability arising out of the maintenance or use of that part of any premises leased to you, including common or public areas about such premises if so required in the contract. However, no such person or organization is an insured with respect to: a. Any "occurrence" that takes place after you cease to occupy those premises; or b. Structural alterations, new construction or demolition operations performed by or on behalf of such insured. 7. Any person or organization granting a license to make, or distribute "your products" including "your products" which use the name or logo of grantor and to whom you are obligated by virtue of the written contract to provide insurance such as afforded by this policy, but only with respect to liability arising out of "your products". SECTION III — LIMITS OF INSURANCE The following is added to Paragraph 2. of SECTION III — LIMITS OF INSURANCE: d. The General Aggregate Limit applies separately to each of your "locations". For the purpose of this provision only, "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. Paragraph 6. is replaced with the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is replaced by a "Specific Perils" Limit which is the greater of: a. $300,000; or b. The amount shown in the DECLARATIONS for Damage To Premises Rented To You Limit. The "Specific Perils" limit is the most we will pay under COVERAGE A for damages because of "property damage" to any one premises, while rented to you or temporarily occupied by you with permission of the owner. However, provisions a. and b. above do not apply if any reference in the DECLARATIONS for Damage to Premises Rented to You is deleted from this policy either by the provisions of the Coverage Form or by endorsement. The following is added under SECTION III — LIMITS OF INSURANCE: 8. Product Recall Expense $100,000 is the most we will pay for all "product recall expenses" arising out of the same defect or deficiency. 9. Professional Services Subject to provisions in SECTION I — COVERAGES - COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY — 2. Exclusions r. and COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY — 2. Exclusions q. the most we will pay for Professional Services is $50,000 each annual period. Page 4 of 6 Includes copyrighted material of Insurance Services Office, Inc., 33-0729 10 13 Used with permission SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit Replace paragraph 2.a. with the following: a. You must see to it we are notified as soon as practicable of an "occurrence" or an offense, which may result in a claim. Knowledge of an "occurrence" or an offense by your "employees" shall not, in itself, constitute knowledge to you unless any one of your partners, "executive officers", directors or insurance managers shall have actually received notice. To the extent possible, notice should include: (1) How, when and where the `occurrence" took place; (2) The names and addresses of any injured persons and witnesses; and, (3) The nature and location of any injury or damage arising out of the `occurrence" or offense. The following is added to paragraph 2. under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: e. Your rights afforded under this policy shall not be prejudiced if you fail to give us notice of an "occurrence", offense, claim or "suit", solely due to your reasonable and documented belief that the "bodily injury" or "property damage" is not covered under this policy. f. You must see to it that the following are done in the event of an actual or anticipated "covered recall' that may result in "product recall expense": (1) Give us prompt notice of any discovery or notification that "your product' must be withdrawn or recalled. Include a description of "your product' and the reason for withdrawal or recall. (2) Cease any further release, shipment, consignment or any other method or distribution of like or similar products until it has been determined that all such products are free from defects that could be a cause of loss under this insurance. 4. Other Insurance The following is added to Other Insurance and supersedes any provision to the contrary with respects to the Commercial General Liability Coverage Part and Products/Completed Operations Liability Coverage Part. d. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (i) The additional insured is a Named Insured under such other insurance; and (ii)You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 6. Representations Replace with the following: By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. Any knowledge of an error or omission in the description of, or failure to completely describe any premises or operations intended to be covered by the Coverage Form will not invalidate or affect coverage for these premises or operations. You must report such error or omission to us as soon as practicable after its discovery. However, this provision does not affect our right to collect additional premium or exercise our right to cancellation or non -renewal. 8. Transfer Of Rights Of Recovery Against Others To Us Replace with the following: 33-0729 10 13 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 6 Used with permission If the insured has rights to recover all or part of any payment we have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. However, if the insured has waived those rights to recover through a written contract or if "your work" was commenced under a letter of intent or work order, subject to a subsequent reduction to writing with customers whose customary contracts require a waiver, we waive any right to recovery we may have under this Coverage Form. SECTION V — DEFINITIONS Paragraph 3. of SECTION V — DEFINITIONS is replaced with the following: "Bodily Injury" means injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death resulting from "bodily injury", sickness or disease. The following definitions are added: 23. "Covered recall," means: a. A product recall made necessary because you determine that the product recall is necessary; or b. An authorized government entity has ordered you to conduct a product recall. 24. "Product recall expense" means necessary and reasonable expenses for: a. Costs of notification; b. Costs of stationery, envelopes, production of announcements and postage or facsimiles; c. Costs of overtime paid to your regular non -salaried employees and costs incurred by your employees, including costs of transportation and accommodations; d. Costs of computer time; e. Costs of hiring independent contractors and other temporary employees; f. Costs of transportation, shipping or packaging g. Costs of warehouse or storage space; or h. Costs of proper disposal of "your products", or products that contain "your products", that can not be reused, not exceeding your purchase price or your cost to produce the products; 25. "Specific Peril" means fire; lightning; explosion or leakage from fire sprinkler extinguishing equipment. 26. "Professional services" means: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and b. Supervisory or inspection activities performed as part of any related architectural or engineering activities. All other policy wording not specifically changed, modified, or replaced by this endorsement wording remains in effect. Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc., 33-0729 10 13 Used with permission DATE ACC>R" CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) 3/27/2017 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 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 PRODUCER Clinton Polley Insurance Group, Inc. 12150 Tributary Point Dr #200 Gold River CA 95670 INSURED COACH-1 Coachella Valley Rescue Mission CVRM NMTC Project Holdings P.O. Box 10660 Indio CA 92202 INSURER B : INSURER C : INSURER D INSURER E : Clinton Polley Insurance Group, Inc. 1. 916-984-3000 1 � 9, No); 916-984-3100 ertificates@clintonpolley.com INSURER(S) AFFORDING COVERAGE NAIC # NY Marine & General 116608 nnVFRAnFR rFRTIFIrATF NIIMRFR• 386644096 RFVISInNI NIIMRFR- 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 INSD S BR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE To RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT PRO ❑ LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO AUTOWNED SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y WC201600011508 7/1/2016 7/1/2017 x PER OTH- STATUTE ER 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) A waiver of subrogation is granted to the certificate holder as per the attached endorsement. wm a:a 1 Ll thG\ 1 a1 aei 4 NJ =1 hGi. [y a 0 W_11I n1► SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Services Department ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico La Quinta CA 92253 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.b4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5.00 v of the California workers' compensation premium otherwise due on such remuneration. Person or Organization City of La Quinta Schedule Job Description City of La Quinta Community Services Dept. 78495 Calle Tampico La Quinta, CA 92253 Job Name/Contract Number: MOU 47470 flan Buren St. Indio, Ca. 92201 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 2016-07-01 Insured Coachella Valley Rescue Mission Insurance Company New York Marine and General Insurance Company /28746 Policy No. Endorsement No. 1 WC201600011508 Countersigned By WC 04 03 06 (Ed. 04-84) @1998 bythe Workers' Compensation Insurance Rating Bureau of California. All rights reserved.