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2014 Caha, Becky Amendment 1 - Affordable Housing Monitoring & ComplianceAMENDMENT NO. 1 TO PROFESSIONAL SERVICES AGREEMENT WITH BECKY CAHA This Amendment No. 1 to Professional Services Agreement with Becky Caha ("Amendment No. 1 ") is made and entered into as of the 1' day of July, 2014 ("Effective Date") by and between the CITY OF LA QUINTA ("City"), a California municipal corporation and Becky Caha ("Consultant"). RECITALS WHEREAS, on or about July 1', 2013, the City and Consultant entered into a Professional Services Agreement to provide Housing Compliance and Monitoring services for the City. The term of the Agreement expires on June 30', 2014; and WHEREAS, changes are indicated to Section 3.4 the term in the Professional Services Agreement; and WHEREAS, the City is utilizing Consultant for Housing Compliance and Monitoring services; NOW THEREFORE, in consideration of the mutual covenant herein contained, the parties agree as follows: AMENDMENT In consideration of the foregoing Recitals and the covenants and promises hereinafter contained, and for good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, the parties hereto agree as follows: 1. Section 3.4 is amended to read as follows: Section 3.4 - Term. Unless earlier terminated in accordance with Sections 8.7 or 8.8 of this Agreement, the term of this agreement shall commence on July 1, 2014 and terminate on June 30, 2019. In all other respects, the Original Agreement shall remain in effect. IN WITNESS WHEREOF, the City and Consultant have executed this Amendment No. 1 to the Professional Services Agreement on the respective dates set forth below. CITY OF LA QUINTAp-California municipal corporation Dated: % Manager ATTEST: smxM Susan Maysels, City Uerk APPROVED AS TO FORM: SIGNED IN COUNTERPART M. Katherine Jenson, City Attorney CONSULTANT: SIGNED IN COUNTERPART Dated: Name: Title: ATTEST: Susan Maysels, City Clerk APPROVED AS TO J enson,7C itYAttorn ey CONSULTANT: By:_ Name: Title: SIGNED IN COUNTERPART Dated: SIGNED INCOUNTERPART Dated: Frank J. Spevacek, City Manager /1N9:61ii SIGNED IN COUNTERPART Susan Maysels, City Clerk APPROVED AS TO FORM: SIGNED IN COUNTERPART M. Katherine Jenson, City Attorney CONSULTANT: Becky Caha. Consultant By: _ O (r_ Dated: 7I 21 Zbl Name: lsu ur'� Title: �D� US 6tni— R' ° CERTIFICATE OF LIABILITY INSURANCE °"'7'"M/2014 ib. `.�" o7/ov2ola 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($), AUTHORIZED .REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. U SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this Certificate does not confer rights to the certificate holder In lieu of such endoreement(s). PRODUCER CONTACT MINE: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE (888) 202-3007 FAX Ho 520 Madison Avenue E..L coma hi ADORES$: ! SmX.mm 32nd Floor INSURER(S) AFFORDING COVERAGE NAIL e INSURERA, Hiscox Insurance Company Inc 10200 New York, NY 10022 INSURED INSURER B: REBECCA CAHA INSURER t: -_-- 9812 Continental INSURER D: BISURER E: HUNTINGTON BEACH CA 92646 1 INSURER F: :ERTIFICATE NI 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. ILTH TYPE OF INSUMME JI R POLICY NUMBER POLICY EPi POLICY E%P MIDO M OIYYYY MYRS GENERAL LIABILITY x COMMERCIA GENERA LABILITY CLAIMSMADEOCCUR 1 EACH OCCURRENCE I 1,000,000 GETO RENT PREMISES.IEa=upenol $ 100,000 APED EXP (Myone person) $ 5,000 A Y Y UDC-1314750-CGL-13 12/102013 12/10/2014 PERSOMLAAOVINJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRO LOC (PRODUCTS - COMPIOP ABC $ S/T Gen. Agg. $ Bea"La1BILnY rye IN�DSINGLE LIMIT BODILY INJURY(Per person) $ NYAUTO FHMIRE LL NSCHEDULED D AUTOS NON.OWINED AUTOS BODILY INJURY PUTOSAUTOS 1 eramMenU S .PROPERTY DAMAGE Per acaeem S $ UMBRELLA Like ExCE55 LU1B OCCUR cL,vMSMADE I EACH OCCURRENCE $ AGGREGATE $ DED !RETENTIONS S WORNERS COMPEN511TION MO EMPLOYERS' LIABILITY VIM ANY PROPRIETOR)PARTNER,EXECUrIVE OFFICERVEMBEREXCLUDED9 ❑!NIA (ManaMory In NH) DESCRI WC STATU- OTf4 Om' L M I E.L. EACHACCIDENT S E.L. DISEASE -EA EMPLOYE S E.L. DISEASE POLICY LIMIT S TION OFer DESCRIPTION OF OPERATIONS balox A Professional Liability Y N UDC-1314750-EO-73 12/102013 12/10/2014 Each Claim: $ 7,000,000 I 'Aggregate: $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atbch ACORD 101, A441UonN Remarte Schf Pule, if men al»u N n4u1rM1 City of La Quintall-a Quints Housing Authority, a public body corporate and politic is additional insured on the Hiscox General and Professional Liability policies. The Hiscox General Liability Policy UDC-1 314750-CGL-1 3 is endorsed with waiver of subrogation endorsement E5402 in favor of City of La Quinta/La Quinta Housing Authority. The Hiscox General Liability Policy UDC-1 314750-CGL-1 3 is primary subject to the policy terms and Conditions. City of La Quintall-a Quinta Housing Authority, a public body Corporate and politic 76495 Calls Tampico La Quinta, CA 92253 ACORD 25 (2010/05) 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 The ACORD name and logo are registered marks of ACORD 3 All oe CERTIFICATE OF LIABILITY INSURANCE oA06182D,�4 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THE 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. H 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 NAME: Hiswx Inc. dlblal Hiswx Insurance Agency in CA 520 Madison Avenue PHONE . (888) 202-3007 EJMAIL ADDRESS: contact@hiscox.com 32nd Floor VISURIEI AFFORDING COVERAGE "GO INSURER A: Hiswx Insurance Company Inc 10200 New York, NY 10022 MEURED INSURERS: REBECCA CAHA INSURER C : 9812 Continental INSURERD: INSURER E: HUNTINGTON BEACH CA 92646 1 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 MUCY NUMBER POUCYEFF Y POUCYEXP WO LIMITS GENERAL LIABILRY EACN OCCURRENCE $ Ea aca,re,o $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR MED EXP(My one Person) It PERSONAL d ADV INJURY S GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIESPER- PRODUCTS - COMPIOP AGO $ POLICY PR- LOC E AUTOMOBILE LU1Ba1TY wMBINED SINGL D I Ea acddent BODILY INJURY(P., person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY PorewidenU S NOWOWNED HIRED AUTOS AUTOS PROPERTY DAMAGE P,n.0 nl $ E UMBRELLIILJAB OCCUR EACH OCCURRENCE S AGGREGATE f EXCESS LIAS 0-AIMS-MADE DED I I RETENTIONS S WORK ERSCOMPENSATION WC STATU. OTH- AND EMPLOYERS' LIABILITY YIN ANV PROFRIETORIPARINERIEXELUrIVE OFFICEIV EMBER EXCLUDED? ❑ NIA . E.LEACH ACCIDENT E E.L.DISEASE-EAEMPLOYE S (MandMagq In MU If yes, deav6e under EL. DISEASE -POLICY LIMIT S DESGRIPTICNOFOPERATIONSWe A Professional Liability V N UDC-1314750.E0.13 12/1012013 12110/2014 Each Claim: $ 1,000,000 Aggregate: $1,000,000 OESCRNTx)N OF OPEIUTION51 LOCARONS / VENICIEs (AaecM1 ACOrtD 101, Adaxenal RwnvYe Sd,eduM, x moo epee b rpulredj City of La Quinta/La Quints Housing Authority, a public body corporate and politic is additional Insured on the Hiswx General and Professional Liability policies. CERTIFICATE HOLDER CANCELLATION City of La Quints" Quinta Housing Authonty, a public body corporate and politic SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 78495 Calls Tampico La Quinta, CA 92253 THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) 01998-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4400 HISCOX. Policy Number: UDC-1314750-CGL-13 Named Insured: REBECCA CAHA Endorsement Number: 18 Endorsement Effective: June 17, 2014 Hiscox Insurance Company Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) City of La Quinta/La Quinta Housing Authority, a public body corporate and politic 78495 Calle Tampico La Quinta,CA 92253 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your ads or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 HISCOX INSURANCE COMPANY INC. 40 H ISCOX Endorsement 3 NAMED INSURED: REBECCA CAHA E5000.1 Additional Insured Page 1 of 1 In consideration of the premium charged, it is understood and agreed that the Policy is amended as follows: 1. In Clause VI. DEFINITIONS, paragraph V., "'You' or'Your'," is amended to include the following at the end thereof: You or Your shall also include the below listed "ADDITIONAL INSURED(S)," but only for the Wrongful Acts of those contemplated in paragraphs 1., 2. or 3. of the definition of "'You' or 'Your'": ADDITIONAL INSURED(S) City of La Quinta/La Quinta Housing Authority, a public body corporate and politic78495 Calle Tampicol-a Quinta, CA 92253 All other terms and conditions remain unchanged. Endorsement effective: June 17, 2014 Endorsement No: 3 ( 4-14U�z By: Carl Bach (Appointed Representative) Policy No.: UDC-1314750-EO-13 DPL E5000 CW (01/10) 40 HISCOX. Policy Number: UDC-1314750-CGL-13 Named Insured: REBECCA CAHA Endorsement Number: 19 Endorsement Effective: June 30, 2014 Hiscox Insurance Company Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MODIFIED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: You may waive your rights against another party so long as you do so in writing prior to: (i) an offense arising out of your business that caused a "personal and advertising injury"; or (ii) an "occurrence" that caused "bodily injury" or "property damage". CGL E5402 CW (03/10) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 M 8 Tel: 1-800-941-3000 geico.com GEICO GENERAL INSURANCE COMPANY P.O. Box 509090 San Diego, CA 92150-9090 Date Issued: June 23, 2014 RODNEY W AND REBECCA J CAHA 9812 CONTINENTAL DR HUNTINGTON BEACH CA 92646-4227 Email Address: r-aha-rodney-w@solarturbines.com Named Insured Rodney W Caha Rebecca J Caha Declarations Page This is a description of your coverage. Please retain for your records. Policy Number: 2022-65-33-37 Coverage Period: 07-27-14 through 01-27-15 12:01 a.m. standard time at the address of the named Insured. Additional Drivers None Vehicles VIN Vehicle Location Finance Company/ Lienholder 1 2003 Kia Sdna LX/EX KNDUP131736404017 Huntington Beach CA 92646 ...._. -................6......_.._.......- --- *'**Huntingto--..---nn-B --46646 .._.. ........... 2 2005 Ford F1 50 Crew 1 FTPW12555FA16954 B.each.CA.92. --- ........... 3 2010 Kia Forte EX KNA- FU4A27A5112527 Huntington Beach CA 92646 Wells Fargo Dealer Svcs Coverages* Bodily Injury Liability Each Person/Each Occurrence ................... ......... _....... . _...... __--- .. .... Property Damage Liability ........................................................................... Medical Payments _.......... _.. _.. .......... Uninsured 8 Underinsured Motorists Each Person/Each Occurrence Comprehensive Collision Emergency Road Service ........ ...._........._.._....... -..... Rental Reimbursement Six Month Premium Per Vehicle Total Six Month Premium Limits and/or Deductibles Vehicle 1 Vehicle 2 Vehicle 3 $100,000/$300,000 $64.20 $69.40 $77.70 - ........_...-------.._....._.......................... $100,000 ........ $83.10 ... .- -.....------- $90.70 .------- - ................ $101.40 . ._._....._._........ _.......-.._......_.._..... $5.000 ................................ .... ..........._... ......__... ........-........................_ _............................................._....._.. $18.40 $18.90 _.......- - ....... $24.60 -- .............. .., . $100,000/$300,000 $18.40 $20.10 $20.10 -- ........... .._-......... ........... .------ ...... ......_............._......................._..................................... $500 Ded $21.30 $23.50 $28.00 _........ ........ ..... ........ ........ $500 Ded/Waiver _............. _....... $82.30 _... _...... _..................... $99.30 _.... _........ $120.20 ...................... ...... - .......... ------ ....... ........... .............. Full ................... $8.80 $8.80 $5.70 ..................._.........._................................_........_..........._._....----------- $50 Per Day 21 AO......._$21 _-........_-...... AO 21 ..... AO ................ ......................... ........................ $1500 Max .......... 'Coverage applies where a premium or $0.00 is shown for a vehicle. $317.50 $351.70 $398.70 $1,067.90 If you elect to pay your premium in installments, you may be subject to an additional fee for each installment. The fee amount will be shown on your billing statements and is subject to change. DEC PAGE (11-11) (Page 1 of 2) Continued on Back Renewal Policy Page 9 of 20 9 Discounts Multi -Car (All Vehicles) Anti -Theft Device (Veh 2, 3) California Good Driver (All Vehicles) California Persistency (All Vehicles) Passive Restraint/Air Bag (All Vehicles) Geico Safe Driver (All Vehicles) Designated Professional Group (All Vehicles) Contract Type: A30CA Contract Amendments: ALL VEHICLES - A30CA A54CA Unit Endorsements: All15 (VEH 1,2,3); A428 (VEH 1,2,3); A431 (VEH 1,2,3); UE316C (VEH 3) Class: A - 29MFP T (VEH 1); A - 99MM O (VEH 2); A - 24MMP W (VEH 3) Important Policy Information -The estimated annual mileage figures applicable to the vehicles on your policy for the current and upcoming policy periods are: Vehicle Current Mileage Upcoming Mileage 2003 KIA SDNA LX/EX 12,000 12,000 2005 FORD F150 CREW 7.000 7,000 2010 KIA FORTE EX 15,000 15,000 -Active Duty, Guard, Reserve or Retired Military: Call 1-800-MILITARY to see if you qualify for the Military Discount. -Congratulations! You are receiving a $265.30 discount based on your professional or group affiliation. -Please verify that the coverages you requested are accurately reflected on your Declarations Page. Visit geico.com to review additional coverages and/or limits available to you. -No coverage is provided in Mexico. -Reminder- Physical damage coverage will not cover loss for custom options on an owned automobile, including equipment, furnishings or finishings including paint, if the existence of those options has not been previously reported to us. This reminder does NOT apply in VIRGINIA and NORTH CAROLINA. Please call us at 1-800-841-3000 or visit us at geico.com if you have any questions. -In accordance with Section 1872.87 of the California Insurance Code, in addition to your premium, a $0.90 charge per vehicle is assessed to fund auto insurance fraud reduction initiatives. This charge is applied once per policy tern per vehicle. -Confirmation of coverage has been sent to your lienholder and/or additional insured. DEC _PAGE (11-11) (Page 2 of 2) Renewal Policy Page 10 of 20 CERTIFICATE OF EXEMPTION FROM WORKER'S COMPENSATION LAWS I am aware of the provisions of California Labor Code Section 3700, which requires every employer to be insured against liability for workers' compensation or to undertake self-insurance in accordance with the provisions of that code. I affirm that at all times in performing the work for which this Certificate is provided I will not employ any person in any manner so that I become subject to the Workers' Compensation Laws of California. I also understand that if while performing the work for which this Certificate is provided I employ someone so that I become subject to the Workers' Compensation Laws of California, the claim of exemption executed under this form will no longer be valid. I affirm that if I become subject to the Workers' Compensation Laws of California while performing the work for which this Certificate is provided I will obtain.a Certificate of Workers' Compensation Insurance, submit that Certificate to the Housing Authority immediately following its effective date, and continuously maintain the coverage provided by the Certificate in accordance with the law. I certify under penalty of perjury under the laws of the State of California that the information provided on this exemption statement is true and accurate. Signature: sec W a Date: 5/6/2014 Name: Becky Caha Title: Consultant STATEMENT OF ECONOMIC INTERESTS care Received ate Use Duty COVER PAGE Please type or prim m ink. NAPE OF FILER (ITT) (FIRST) - (UmDLE) 1. Office, Agency, or Court Agency Name (Do not use saonyms) LA QUINTA HOUSING AUTHORITY Division, Board, Department District, it applicable Your Position CONSULTANT ► If filing for muitple positions, Get below or on an attachment (Do not use saunyms) Agency. 2. Jurisdiction of Office (Check at mast one fox) ❑ State Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of m city of LA QUINTA ❑ Other _ 3. Type of Statement (check at mast one box) m Annual:- The period covered is January 1, 2013. through ❑ Leaving Office: Data Lett --- December 31, 20t3. (Check one) -0r- The period covered is _J_J through December 31, 2013. ❑ Assuming Office: Date assumed! ❑ Candidate_ Election year O The period covered is January 1, 2013, through the dam of leaving office. Q The period covered is _ the date of leaving office. and office sough, 0 different than Part 1: through 4. Schedule Summary Chack applicable schedules or 'None." ► Total number of pages including this cover page: ❑ Schedule A-1 - Investments - schedule attached ❑ Schedule C - Income, Loans. & Business Positions - schedule attached ❑ Schedule A-2 - Investments - schedule attached ❑ Schedule 0 - Income - Gifts - schedule attached ❑ Schedule B - Reel Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached or- ® Nate - No reportable interests on my schedule 5. Verification MAILING ADDRESS STREET CITY - STATE ZIP CODE (Business mAgexy Address Rttronrnatded - Wok Om ill) 9812 CONTINENTAL DRIVE HUNTINGTON BEACH CA 92646 ( 714 ) 9OG-9668 .COm I have used all reasonable diligence in preparing this statement I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I. acknowledge this is a pubic document. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct Data Signed 04/02/2014 (Rio wo'�aina6yrgnN eotewdw K-51a eetid) FPPC Form 700 (2013/2014) FPPC Advice Email: advim@fppc.ca.gov FPPC Tall -Free Heipfine: 866/275-3772 www.fppc.ca.gov