HomeMy WebLinkAbout1999-043 Grant - Community Health Center CITY OF ASHLAND
FINANCIAL ASSISTANCE AWARD CONTRACT
CITY: CITY OF ASHLAND
20 E Main Street
Ashland OR 97520
(541) 488-5300
FAX: (541) 488-5311
GRANTEE:
Address:
Telephone:
Community Health Center
240 FuLrl [I, gtroct ~'
Ashland, Or 97520
541-482-9717
Date of this agreement: July 1, 1999
Amount of grant: $27,130
Budget subcommittee: Social Services
I
Contract made the date specified above between the City of Ashland and Grantee
named above.
RECITAL: City has reviewed Grantee's application for a grant and has determined that
the request merits funding and the purpose for which the grant is awarded serves a
public purpose.
City and Grantee agree:
1. Amount of Grant. Subject to the terms and conditions of this contract and in
reliance upon Grantee's approved application, the City agrees to provide funds in the
amount specified above.
2, Use of Grant Funds, The use of grant funds are expressly limited to the activities in
the grant application with modifications, if any, made by the budget subcommittee
designated above.
3. Unexpended Funds. Any grant funds held by the Grantee remaining after the
purpose for which the grant is awarded or this contract is terminated shall be returned to
the City within 30 days of completion or termination.
4. Financial Records and Inspection. Grantee shall maintain a complete set of books
and records relating to the purpose for which the grant was awarded in accordance with
generally accepted accounting principles. Grantee gives the City and any authorized
representative of the City access to and the right to examine all books, records, papers
or documents relating to the use of grant funds.
5. Default. If Grantee fails to perform or observe any of the covenants or agreements
contained in this contract or fails to expend the grant funds or enter into binding legal
agreements to expend the grant funds within twelve months of the date of this contract,
the City, by written notice of default to the Grantee, may terminate the whole or any part
of this contract and may pursue any remedies available at law or in equity. Such
remedies may include, but are not limited to, termination of the contract, stop payment
on or return of the grant funds, payment of interest earned on grant funds or declaration
of ineligibility for the receipt of future grant awards.
6. Amendments. The terms of this contract will not be waived, altered, modified,
supplemented, or amended in any manner except by written instrument signed by the
parties. Such written modification will be made a part of this contract and subject to all
other contract provisions.
7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers,
employees and agents harmless from any and all losses, claims, actions, costs,
expenses, judgments, subrogations, or other damages resulting from injury to any
person (including injury resulting in death,) or damage (including loss or destruction) to
property, of whatsoever nature arising out of or incident to the performance of this
agreement by Grantee (including but not limited to, Grantee's employees, agents, and
others designated by Grantee to perform work or services attendant to this agreement).
Grantee shall not be held responsible for damages caused by the negligence of City.
8. Insurance. Grantee shall, at its own expense, at all times for twelve months from the
date of this agreement, maintain in force a comprehensive general liability policy
including coverage for contractual liability for obligations assumed under this Contract,
blanket contractual liability, products and completed operations, and owner's and
contractor's protective insurance. The liability under each policy shall be a minimum of
$500,000 per occurrence (combined single limit for bodily injury and property damage
claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for
property damage. Liability coverage shall be provided on an "occurrence" not "claims"
basis. The City of Ashland, its officers, employees and agents shall be named as
additional insureds. Certificates of insurance acceptable to the City shall be filed with
City's Risk Manager prior to the expenditure of any grant funds.
9. Merger. This contract constitutes the entire agreement between the parties. There
are no understandings, agreements or representations, oral or written, not specified in
this contract regarding this contract. Grantee, by the signature below of its authorized
representative, acknowledges that it has read this contract, understands it, and agrees
to be bound by its terms and conditions.
GRANTEE
BY
Its
CITY OF ASHLAND
BY//'~Director of Fi~'~"'f'//'4'nanc%
Content review by:
Department Head
Form review by: ~ (City Attorney)
Coding:
(for City use only)
PAGE 2-GRANT AGREEMENT
;;-:::::.;.;.;.;.;.;.;.:::::::.:.;.:.:.;.:.;.:.:.:-:-:-:::::.;.:::.:.;.;.:-:::::::-:.:-:.:.;.:.;.:.:.:-:;:;:;:::;:;::;.;.:::.;.;.;.;.;.;.:::::.:::::.:.;.:.;.:;:::::::::::-:-:.;.;.:.:.:-:.::::::::::::
:::.;.;.;.:;:-:::::-;.;.:.:.:.:.:.:.:::::::::::::.;.:.:.:.:.:-:-:-:::::.:::::.;.;.:.:;:.:.:::::.;.:.:.;.:.:-;.:-:.:<<:;.;.:::::.;.:.:.:-:.:.;.;.:.;.:.:.;.:.;.;.:.:.;.:.:.:.:.:<::.;.:::.;.;.:.:-:::::.
.:-:;:.:.;.:.;.:.:.::
ACORQ.(lIIIIIIIS.rmlll.IIIIIII'I.BII'~li DATE (MMfDDlYY)
'mi):i.}~}i' 02/17/1999
PRODUCER ( 541) 482 -0831 FAX ( 541) 488- 5851 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
d ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
shl an Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
585 A Street ALTER THE COVERAGE AFFORl!lED BY THE POUCIES BELOW.
P.O. Box 880 COMPANIES AFFORDING COVERAGE
Ashland, OR 97520 Mutual Clftnullu:law
Attn: Pamela Lawson Ext:
INSURED .
Communlty Health Center Inc
19 Myrtle Street
Medford, OR 97504
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
LTR DATE (MMfDDfYY]
GENERAL LIABILITY GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY PRODUCTS.. COMPIOP AGG $
A CLAIMS MADE X OCCUR M013734 03/14/1999 03/14/2000 PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $ 5000 25000
COMBINED SINGLE LIMIT 1,000,000
ALL OWNED AUTOS BODILY INJURY
(Per person) $
A M013734 03/14/1999 03/14/2000
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident)
X Empl non ownership
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! INCL
PARTNERSfEXECUTIVE
OFFICERS ARE: EXCL
OTH;': $10,000 blanket 1 i mi t
Emp oyee Dishonesty
A M013734 03/14/1999 03/14/2000 $250.00 Deductible
DESCRIPTION OF DPERATIONSlLOCATlDNSNEHICLESlSPECIAL ITEMS
ity of Ashland is additional i nsu red
City of Ashland
City Hall
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
L12. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHAU IMPOSE NO OBLIGATION OR LIABILITY
REPRESENTATIVES,
.~...~..'..$ii$... tn.ftMii..
................... ...................
...., .... ...........
---
CITY OF ASHLAND
FINANCIAL ASSISTANCE AWARD CONTRACT
CITY: CITY OF ASHLAND
20 E Main Street
Ashland OR 97520
(541) 488-5300
FAX: 541 488-5311
GRANTEE: Community Health Center,
Inc.
Address:
Tele
Date of this a reement: June 19,1998
1. Amount of rant: $26,340
Contract made the date specified above between the City of Ashland and Grantee
named above.
RECITAL: City has reviewed Grantee's application for a grant and has determined that
the request merits funding and the purpose for which the grant is awarded serves a
public purpose.
City and Grantee agree:
1. Amount of Grant. Subject to the terms and conditions of this contract and in
reliance upon Grantee's approved application, the City agrees to provide funds in the
amount specified above.
2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in
the grant application with modifications, if any, made by the budget subcommittee
designated above.
3. Unexpended Funds. Any grant funds held by the Grantee remaining after the
purpose for which the grant is awarded or this contract is terminated shall be returned
to the City within 30 days of completion or termination.
4. Financial Records and Inspection. Grantee shall maintain a complete set of
books and records relating to the purpose for which the grant was awarded in
accordance with generally accepted accounting principles. Grantee gives the City and
any authorized representative of the City access to and the right to examine all books,
records, papers or documents relating to the use of grant funds.
5. Default. If Grantee fails to perform or observe any of the covenants or agreements
contained in this contract or fails to expend the grant funds or enter into binding legal
agreements to expend the grant funds within twelve months of the date of this contract,
the City, by written notice of default to the Grantee, may terminate the whole or any part
of this contract and may pursue any remedies available at law or in equity. Such
remedies may include, but are not limited to, termination of the contract, stop payment
on or return of the grant funds, payment of interest earned on grant funds or declaration
of ineligibility for the receipt of future grant awards.
-
,-
6. Amendments. The terms of this contract will not be waived, altered, modified,
supplemented, or amended in any manner except by written instrument signed by the
parties. Such written modification will be made a part of this contract and subject to all
other contract provisions.
7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers,
employees and agents harmless from any and all losses, claims, actions, costs,
expenses, judgments, subrogations, or other damages resulting from injury to any
person (including injury resulting in death,) or damage (including loss or destruction) to
property, of whatsoever nature arising out of or incident to the performance of this
agreement by Grantee (including but not limited to, Grantee's employees, agents, and
others designated by Grantee to perform work or services attendant to this agreement).
Grantee shall not be held responsible for damages caused by the negligence of City.
8. Insurance. Grantee shall, at its own expense, at all times for twelve months from
the date of this agreement, maintain in force a comprehensive general liability policy
including coverage for contractual liability for obligations assumed under this Contract,
blanket contractual liability, products and completed operations, and owner's and
contractor's protective insurance. The liability under each policy shall be a minimum of
$500,000 per occurrence (combined single limit for bodily injury and property damage
claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for
property damage. Liability coverage shall be provided on an "occurrence" not "claims"
basis. The City of Ashland, its officers, employees and agents shall be named as
additional insureds. Certificates of insurance acceptable to the City shall be filed with
City's Risk Manager prior to the expenditure of any grant funds.
9. Merger. This contract constitutes the entire agreement between the parties. There
are no understandings, agreements or representations, oral or written, not specified in
this contract regarding this contract. Grantee, by the signature below of its authorized
representative, acknowledges that it has read this contract, understands it, and agrees
to be bound by its terms and conditions.
CITY OF ASHLAND
By-ftl/~'AM
irector of Finance
Content review by: #-'
/ Department Head
/'"
Form review by:
(City Attorney)
Coding:
(for City use only)
PAGE 2-GRANT AGREEMENT (G:IBUDGET\Social ServiceslSS Grant Contracts 1998,wpd)
A9QB4.......llllillll. ............,..lllllllllIillll......dlll.................................III........
PRODUCER (541)482-0831
shland Insurance, Inc.
585 A Street
P. o. Box 880
Ashland, OR 97520
Attn: Pamela Lawson
INSURED .
Communlty Health
19 Myrtle Street
Medford, OR 97504
FAX (541)488-5851
DATE (MMlDDIYY)
05/04/1998
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
COMPANIES AFFORDING COVERAGE
Mu1':ual..of.. Erilimclaw....
Ext:
COMPANY
A
Center Inc
POLICY NUMBER
03/14/1998
M013734
03/14/1998 03/14/1999
NON-OWNED AUTOS
Empl non ownership
OTHER THAN UMBRELLA FORM
THE PROPRIETORl
PARTNERSfEXECUTIVE
OFFICERS ARE
OTHER
INCL
EXCL
DESCRIPTION OF OPERATlONSiLOCATIONSNEHICLESlSPECIAL ITEMS
ity of Ashland is additional insured
~~~j'g~i.._gI
f/lZ'h /' Ji; /3T ]), Nti-60;iJ
;.;.:..:.;.;.;.;.;.:.:.;.;.:'.:.;.;.....:.;.;.:.;.;.:.:.;.:.:,.:.:.>.:.:-;.:.:.;.;.:.;.;.:.;.:.;
...,............. ..........................
..................................................................................'....
.........................................
.....................,................
....................................
...............................
..............................
............................
.........................
....................
City of Ashland
City Hall
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
~.. .0. ..QII)...... ..1.. /Iii$" .......~.1IU........ .).................
. ... .. ...........................
. . . ..............
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...;...:...:::...:...;....'..:;;..-.-:...;:;.:.,.;;:.,;...;.:...;.:.:.::;::::-:.:........
..
-
.-.
CITY OF ASHLAND
FINANCIAL ASSISTANCE AWARD CONTRACT
CITY: CITY OF ASHLAND
20 E Main Street
Ashland OR 97520
(541) 488-5300
FAX: 541 488-5311
Date of this a reement: Jul 1, 1997
1. Amount of rant: $25,420
GRANTEE: Community Health Center,
Inc.
Address:
Contract made the date specified above between the City of Ashland and Grantee
named above.
RECITAL: City has reviewed Grantee's application for a grant and has determined that
the request merits funding and the purpose for which the grant is awarded serves a
public purpose.
City and Grantee agree:
1. Amount of Grant. Subject to the terms and conditions of this contract and in
reliance upon Grantee's approved application, the City agrees to provide funds in the
amount specified above.
2. Use of Grant Funds. The use of grant funds are expressly limited to the activities in
the grant application with modifications, if any, made by the budget subcommittee
designated above.
3. Unexpended Funds. Any grant funds held by the Grantee remaining after the
purpose for which the grant is awarded or this contract is terminated shall be returned to
the City within 30 days of completion or termination.
4. Financial Records and Inspection. Grantee shall maintain a complete set of
books and records relating to the purpose for which the grant was awarded in
accordance with generally accepted accounting principles. Grantee gives the City and
any authorized representative of the City access to and the right to examine all books,
records, papers or documents relating to the use of grant funds.
5. Default. If Grantee fails to perform or observe any of the covenants or agreements
contained in this contract or fails to expend the grant funds or enter into binding legal
agreements to expend the grant funds within twelve months of the date of this contract,
the City, by written notice of default to the Grantee, may terminate the whole or any part
of this contract and ma~ursue any remedies available at law or in equity. Such
remedies may include, t are not limited to, termination of the contract, stop payment
on or return of the gran funds, payment of interest earned on grant funds or declaration
of ineligibility for the receipt of future grant awards.
-
-,
6. Amendments. The terms of this contract will not be waived, altered, modified,
supplemented, or amended in any manner except by written instrument signed by the
parties. Such written modification will be made a part of this contract and subject to all
other contract provisions.
7. Indemnity. Grantee agrees to defend, indemnify and save City, its officers,
employees and agents harmless from any and all losses, claims, actions, costs,
expenses, judgments, subrogations, or other damages resulting from injury to any
person (including injury resulting in death,) or damage (including loss or destruction) to
property, of whatsoever nature arising out of or incident to the performance of this
agreement by Grantee (including but not limited to, Grantee's employees, agents, and
others designated by Grantee to perform work or services attendant to this agreement).
Grantee shall not be held responsible for damages caused by the negligence of City.
8. Insurance. Grantee shall, at its own expense, at all times for twelve months from
the date of this agreement, maintain in force a comprehensive general liability policy
including coverage for contractual liability for obligations assumed under this Contract,
blanket contractual liability, products and completed operations, and owner's and
contractor's protective insurance. The liability under each policy shall be a minimum of
$500,000 per occurrence (combined single limit for bodily injury and property damage
claims) or $500,000 per occurrence for bodily injury and $100,000 per occurrence for
property damage. Liability coverage shall be provided on an "occurrence" not "claims"
basis. The City of Ashland, its officers, employees and agents shall be named as
additional insureds. Certificates of insurance acceptable to the City shall be filed with
City's Risk Manager prior to the expenditure of any grant funds.
9. Merger. This contract constitutes the entire agreement between the parties, There
are no understandings, agreements or representations, oral or written, not specified in
this contract regarding this contract. Grantee, by the signature below of its authorized
representative, acknowledges that it has read this contract, understands it, and agrees
to be bound by its terms and conditions.
G~
BY' .. jJH Rrv
Its "!if!.~IIIf' D/~tcrolt.
BY
Its
CITY OF ASHLAND
BYt~~~~ ~
Content review by: ..!I--""
,oepartment Head
Form review by: /r
(City Attorney)
Coding:
(for City use only)
PAGE 2-GRANT AGREEMENT (g:lbudge\\socialselssgranlfrm)
.............................
ACORDTMIIIII
DATE (MMlDDNY)
02/19/1997
THIS CER IS ISSU ATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Miiiual"of' 'Enuriiclaw"
::::::':::':':"::::':::::::::::::::::':::':::':::':'::':>:::",:::-::::>:,:<,::>:::::,:::::,:::::.,.:.:-:.:.:.:.:
PRODUCER (541)482-0831
shland Insurance, Inc.
585 A Street
P. O. Box 880
Ashland, OR 97520
Attn: Pamela Lawson
INSURED .
Communlty Health Center Inc
19 Myrtle Street
Medford, OR 97504
Ext:
COMPANY
A
COMPANY
B
POLICY NUMBER
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE . X OCCUR M013734
OWNER'S & CONTRACTOR'S PROT
03/14/1997
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
OTHER THAN UMBRELLA FORM
THE PROPRIETORJ INCL
PARTNER5nOXECUTIVE
OFFICERS ARE EXCL
OTHER
DESCRIPTION OF OPERATIONSlLOCA TIONSNEHICLESlSPECIAL ITEMS
ertificate holder is additional insured
'~"'C"'_"'"''''''t''I'$'''''''''''('_'''''''l'''''''''
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'.:::::::::::::::::::::::::::::::::::::::::::::::';:.::::::.::::;:::::;::::::::::::::'::::.:::::::;;:::::::;:::::::::::::::::::::::::
..,....................... ................................
.'...........................,.....................,..,.....
.......................................................
.....................................
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTH~ENTATIVE
.::i{:::}.{:::{{{:}::{{{{{:}:::::::}}}}::~~..}}....::
City of Ashland
City Hall
Ashland, OR 97520
--
~
19 Myrtle Street
Medford, Oregon 97504
(503) 773.3863
246 4th Street
Ashland, Oregon 97520
(503) 482-9741
July 9, 1997
Ms. Jill Turner, Director of Finance
City of Ashland
20 East Main Street
Ashland, Oregon 97520
Dear Jill,
Please find enclosed Community health Center's signed contract for "financial assistance" from the City of
Ashland. On behalf of the low income and vulnerable residents of Ashland who will directly benefit from
this grant, a very special thanks to all who make this support a reality.
On a personal note, thank you for providing payments on a quarterly basis. I believe this change will
benefit all programs who partner with the City of Ashland to provide essential "safety net" services for the
needy of the city. I can assure you, my organization greatly appreciates the flexibility that quarterly
payments bring to our cash flow management.
Your personal support and advocacy on behalf of a safe and healthy community are greatly appreciated!
. .H.,R.N.
A non-profit corporation providing low cost primary health care