RSVP / Indemnity & Hold Harmless 14INDEMNITY AND HOLD HARMLESS AGREEMENT
This Indemnity Agreement and Hold Harmless ("Agreement") is hereby entered
into by the City of La Quinta ("City") and Retired Senior Volunteer Program
(RSVP) ("Agency") as of April 14 12014.
RECITALS
A. The Agency has proposed to provide volunteers to the La Quinta Senior Center
and have the site be a registered volunteer station. ("Services").
B. The City wishes to have Agency provide the Services at a location where Senior
Citizens can volunteer their time, skills and experience.
NOW, THEREFORE, in consideration of performance by the parties of the
mutual promises, covenants, and conditions herein contained, the parties agree as
follows:
Section 1
The foregoing Recitals are true and correct and are hereby incorporated herein by
this reference and are expressly made a part of this Agreement.
Section 2
2.1 Agency shall defend, indemnify and hold harmless the City and its
officers, employees, and agents (collectively, "Indemnified Parties") 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
Agency's activities in the performance of the Services described in this
Agreement, or to the Agency'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 Indemnified Parties.
2.2 In the event the Indemnified Parties are made a party to any action,
lawsuit, or other adversarial proceeding alleging negligent or wrongful conduct on
the part of the Agency, the Agency shall provide a defense to the Indemnified
Parties, or at the City's option, reimburse the Indemnified Parties on an ongoing
monthly basis their costs of defense, including reasonable attorneys' fees,
incurred in defense of such Claims.
2.3 In addition, the Agency shall be obligated to promptly pay any final
judgment or portion thereof rendered against the Indemnified Parties.
Revised 2-5-14
Section 3
3.1 Prior to the execution and throughout the duration of this Agreement, Agency
shall maintain insurance in conformance with the requirements set forth below. Agency
may use existing coverage to comply with these requirements. If that existing coverage
does not meet the requirements set forth here, Agency shall have it amended to do so.
Agency acknowledges that the insurance coverage and policy limits set forth in this
Section 3.1 constitute the minimum amount of coverage required. Any insurance
proceeds in excess of the limits and coverage required in this Agreement and which is
applicable to a given loss, will be available to City in the event of a loss covered by this
Agreement.
Agency shall provide the following types and amounts of insurance:
A. Commercial General Liability Insurance using Insurance Services Office
"Commercial General Liability" policy form CG 00 01, with an edition date prior
to 2004, or the exact equivalent. Coverage for an additional insured shall not be
limited to its vicarious liability. Defense costs must be paid in addition to limits.
Limits shall be no less than $1,000,000 per occurrence for all covered losses and
no less than $2,000,000 general aggregate.
B. Workers' Compensation on a state -approved policy form providing statutory
benefits as required by law with employer's liability limits no less than
$1,000,000 per accident for all covered losses.
3.2 Agency agrees to provide evidence of the insurance required herein,
satisfactory to the City, consisting of (a) certificate(s) of insurance evidencing all of the
coverages required and, (b) an additional insured endorsement to Agency's Commercial
general liability policy using ISO Form CG 20 10 with an edition date prior to 1988,
which form shall include coverage for completed operations. The additional insured
endorsement shall expressly name the City, its officers, and employees as additional
insureds on the policy (ies) as to commercial general liability coverages, and completed
operations coverages, with respect to liabilities arising out of Agency's performance of
the Services under this Agreement.
3.3 Proof of compliance with these insurance requirements, consisting of
endorsements and certificates of insurance, shall be delivered to City prior to Agency
commencing performance of any of the Services described in this Agreement. Copies of
this Agreement and any other forms of communication between the parties shall be
directed to the addresses set forth below:
Revised 25-14
To City:
CITY OF LA QUINTA
Attention:
78-495 Calle Tampico
IA Quetta, California 92253
Email address:
APPROVED AS TO FORM:
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CITY OF ILA QUINTA
("City")
ATTEST TO CITY MANAGER'S SIGNATURE:
Susan Maysels, City C rk
Surplus Lines Broker: Insuring Company:
XS/Group, Inc. Certain Underwriters at Lloyd's of London }
Laurie S. Coleman - President Lloyds of London Syndicate
2750 Killarney Drive, Suite 202
Woodbridge VA 22192 40.00% CSL (#1084) - Chaucer Specialist Lines
License No. OG98538 17.86% ARK (#4020) - Ark Syndicate Management
10.00% SAM (#0727) - S. A. Meacock
14.28% AUW (#0609) - Atrium Underwriters Limited
17.86% AMI (#2001) - Amlin
Named Organization and Mailing Address
Riverside County Office of Aging
RSVP
78900 Avenue 47, Suite 200
La Quinta, CA 92253
Named Organization's Business: Social Services
Master Policy No.: MIL2012
Master Policyholder: Volunteers Insurance
Service Association, Inc.
Certificate No. CAPALMI - CNP
Certificate Period 07/01/2013 to 07/01/2014
( 12:01 A.M. )
Certificate is: New
VOLUNTEERS INSURANCE SERVICE
Excess Volunteer Liability
Certificate of Insurance
This certificate, subject to all its terms, conditions, and limitations, shall expire on 07/01/2014, 12:01 a.m.,
Standard Time at the Named Organization Mailing Address.
Limits of Insurance
Each Occurrence Limit
Annual Aggregate Limit
Total Premium: $891.25 CA Surplus Lines Tax: $26.74
$1,000,000
$3,000,000
CA Stamping Fee: $1.78
This policy has a minimum annual premium of $100.00.
This Certificate and the attached coverage form and endorsements, if any, complete this policy.
NOTICE
By applying for this insurance, the applicant also is applyingfor membership in Volunteers insurance Service
Association, Inc., a risk purchasing group formed and operating pursuant to the Liability Risk Retention Act of
1986 (15USC 3901 et seq.).
Authorized Signature:
Laurie S. Coen
Date: August 05, 2013
MIL2013
Surplus Lines Broker:
XS/Group, Inc.
Laurie S. Coleman - President
2750 Killarney Drive, Suite 202
Woodbridge VA 22192
License No. OG98538
Named Organization and Mailing Address
Riverside County Office of Aging
RSVP
78900 Avenue 47, Suite 200
La Quina; CA 92253
Named Organization's Business: Social Services
Insuring Company:
Certain Underwriters at Lloyd's of London
Lloyds of London Syndicate
40.009/6 GSL (#1084) - Chaucer Specialist lines
17.86% ARK (#4020) - Ark Syndicate Management
10.00% SAM (#0727) - S. A. Meacock
14.28% AUW (#0609) - Atrium Underwriters Limited
17.86% AML (#2001) - Amlin
Master Policy No.: MIL2012
Master Policyholder: Volunteers Insurance
Service Association, Inc.
Certificate No. CAPALMI - CNE
Certificate Period 07/01/2013 to 07/01/2014
( 12:01 A.M. )
Certificate is: New
VOLUNTEERS INSURANCE SERVICE
Excess Auto Liability
Certificate of Insurance
This certificate, subject to all its terms, conditions, and limitations, shall expire on 07/01/2014, 12:01 a.m
Standard Time at the Named Organization Mailing Address.
Limits of Insurance
Each Automobile Accident Limit
Total Premium: $1,485,00 CA Surplus Lines Tax: $44.55
CA Stamping Fee: $2.97
This policy has a minimum annual premium of $100.00.
This Certificate and the attached coverage form and endorsements, if any, complete this policy.
NOTICE
By applying for this insurance, the applicant also is applying for membership in Volunteers Insurance Service
Association, Inc., a risk purchasing group formed and operating pursuant to the Liability Risk Retention Act of
1986 (15USC 3901 at seq.).
Authorized Signature:
Laurie S. Cofeman
Date: August 05, 2013
M I L2013
Underwritten by.,
QBE Insurance Corporation
88 Pine Street
New York, NY 10005
STATEMENT OF COVERAGE
Corporation for National Service
Administered by -as Agent:
The CIMA Companies, Inc.
2750 Killarney Drive, Ste 202
Woodbridge, VA 22192
1-800-488-4200
This Statement of Coverage confirms that Blanket Accidental Death and Dismemberment and Accident
Medical Expense coverages are provided to Covered Persons volunteering with the Participating Volunteer
Organization (Organization) named below, under Policy #MHH010302, Issued by QBE to: Volunteers
Insurance Service Association, Inc.
Organization Name
Organization Number
Organization's Effective Date of Coverage
Riverside County Office of Aging
RSVP
78900 Avenue 47, Suite 200
La Ouinta, CA 92253
CAPALMI
7/1 /2013
Covered Persons All designated, recorded Volunteers participating in a volunteer project through the
Organization's program
Covered Activities Performance of duties required to carry out assignments made by the Organization,
including travel to, during and from those assignments
Accidental Death and Dismemberment Coverage
Principal Sum
100% paid for ..... ............................................................
50% paid for......................................................._...--
25% paid for ...... .......... .......--...........................---.---
Accident Medical Expense Coverage
Maximum Benefits for any one Covered Accident..........
Benefit Period for anyone Covared Accident ----
Deductible....................................................
Scope of Coverage ........---................... ..... ....
.
Benefit Amount Payable........
Covered Expenses Include ................
$2,500
Loss of life, two or more hands or feet, sight of
both eyes or one hand or foot and sight of one eye
Loss, or loss of use, of one hand or one foot, or
loss of sight in one eye
Loss of thumb and index finger of the same hand
$50,000
52 weeks
None
................... Excess—pays benefits after any other Health
Care Plans have paid benefits
......................1 o0% of Usual and Customary charges, up to
Maximum Benefit per Covered Accident
.....................In S Out -Patient Hospital, Ambulatory Medical
Center Emergency Room, Physician visits
surgery, diagnostic tests, nursing services and
ambulance charges
Exclusions and Limitations These coverages are subject to exclusions and limitations detailed in the Policy.
Coverage is provided only for treatment of injuries sustained by Covered Persons during Covered Activities, and
excludes injuries resumng from suicide, commission of a felony or assault, riot, war, flying except as a fare -
paying passenger, races or speed contests, any sickness or disease, intoxication, or treatment of existing
This Statement of Coverage provides a brief overview of provisions, benefits and exclusions and
limitations—only the Blanket Accident Medical Insurancepolicy
oi provide The CIMA Companies, Information and governs the
of that from
terms of coverage provided. you may request a copy policy
the address shown above.
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January 3, 2018
* • • an invitation to volunteer your time, skills, and
experience.
The Honorable Mayor Linda Evans
City of La Quinta
78-485 Calle Tampico
La Quinta, CA 92253
Dear Mayor Evans:
Volunteers serving
the Coachella Valley & Blythe
I am writing to thank the City of La Quinta for its support of RSVP Coachella Valley. Your $2,500 contribution
will help maintain the work of over 1,000 retired adults and seniors who volunteer at 62 community service
organizations in the Coachella Valley and Blythe.
RSVP is a part of Senior Corps, America's largest volunteer network matching volunteers 55 years of age and
older with organizations of their choice affording them opportunities to share their time, skills and experience.
During fiscal year 2016-2017, RSVP volunteers from La Quinta provided 8,196 hours of service at sites like the
La Quinta Wellness Center, La Quinta Community Center, Riverside County Sheriff's Department, California
Highway Patrol (COP), Watercolors of La Quinta, Friends of the Desert Mountains, The Living Desert,
Eisenhower Medical Center, and McCallum Theater. This service represents a value of $226,128 in donated
labor for the community.
The Annual RSVP Volunteer Recognition Luncheon will be held on February 1St at Heritage Palms in Indio. In
recognition of your support, we have reserved two seats for your representatives to attend the luncheon.
Please contact Esmeralda at our office to let us know whom to expect (760) 863-7887 or emartinez@rivco.org.
Your check can be made payable to the Office on Aging.
Sincerely,
Stephen Geist
RSVP Director
♦ Stephen Geist, RSVPNolunteer Connect Program Manager + Jared Katchmar , RSVPNolunteer Connect , Coordinator
saelst ►rvco.or Dir. Line: (760) 863.7886 IkatchmarOrNmorn Dir. Line: (760) 863-7888
I' 44.199 Monroe Street, Suite B, Indio, CA 92209 Phone 1760) 771.0501 Fax (7601836.7944
Tne RSVPNolunteer Connect Program is sponsored by: Riverside County Office on Aging and the Regional Access Project
CU1 Nu,1rI0N