HomeMy WebLinkAbout1999-120 Grant - ICCA/CERVS 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:
ICCNCERVS
144 N. 2nd Street
Ashland, OR 97520
541-488-3886
Date of this agreement: July 1, 1999
Amount of grant: $9,330
Budget subcommittee: Social Services
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.
BY
Its
Director of Finance
Form review b~
Content review by:
Coding:
(for City use only)
PAGE 2-GRANT AGREEMENT
ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/ODNY)
MAR 16 01
MID VALLEY GENERAL AGENCY LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
3400 STATE ST G 740 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
SALEM OR 97301 POLICIES BELOW.
PHONE: 503-365-7001
FAX: 503-365-7354 COMPANIES AFFORDING COVERAGE
INSURED iCOMPANY A: SCOTTSDALE INSURANCE COMPANY
ASHLAND HOUSING OPPORTUNITIES, INC. 'COMPANY B:
1215 SW "G" ST. ---.- -.
GRANTS PASS OR 97526 COMPANY C:
COMPANY D:
I COMPANY E:
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 .____n__ 0--_- PJ>;+~~:~~~~E .. I Pgk!fEY(~:h~N
LTR TYPE OF INSURANCE POLICY NUMBER LIMITS
GENERAL LIABILITY CLS0589792 MAR 31 01 MAR 31 02 EACH OCCURRENCE $ l,UUU,uuu
!Xl COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any One Fire) $ 100,000
1 I CLAIMS MADE Ixl OCCUR I MEO, EXP (Any One Person) $ 5,000
'_J I
At] I PERSONAL & ADV INJURY $ 1,000,000
-.-------------- ; GENERAL AGGREGATE
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 1,000,000
h POLlCY n PROJECT n Loe I
FOMOBILE LIABILITY COMBINEO SINGLE LIMIT
ANY AUTO (Ee eccldent) $
'--- ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
- I
HIRED AUTOS I BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
- ~. PROPERTY OAMAGE $
I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
, $
,
=1 DEOUCTIBLE 1 I $
RETENTION $ i $
WORKERS COMPENSATION AND I I ~,~.,'i,~~l.'IT. 1 I OTHER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
E.L. OISEASE-EA EMPLOYEE $
I E.l. DISEASE.POLlCY LIMIT $
,VI Mere I I ,
I I I
I i I !
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
CITY OF ASHLAND SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE
20 EAST MAIN STREET EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10
ASHLAND, OREGON 97520 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER, IT,'S AGENTS OR REPRESENTATIVES.
AUTHORIZEDj:\ENTATIVE
MID VALLEY N L AGENCY
LLC _ /L D;o- ~.
Attention: ROBERT D NELSON ~~11
ACORD 25-5 (7/97)
Certificate #
6038
;'
CITY OF ASHLAND
FINANCIAL ASSISTANCE AWARD CONTRACT
CITY: CITY OF ASHLAND GRANTEE: ICCAlCERVS
20 E Main Street Address: 144 N. 2nd Street
Ashland OR 97520 Ashland, OR 97520
(541) 488-5300
FAX: (541) 488-5311 Telephone: 541-488-3886
Date of this agreement: July 1, 1999
Amount of grant: $9,330
Budget subcommittee: Social Services
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
ACORD~ CERTIFICA -= OF LIABILITY INSUP--',NC~~2 I DATE (MM/DDIYY)
08/06/99
PRODUCER THIS CERTIFICATE IS I~SUED AS A MA TIER OF INFORMATION
. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Reinholdt & O'Harra Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
383 East Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ashland OR 97520-1896
Phone: 541-482-1921 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Capitol Indemnitv Corporation
INSURER B:
Community Emergency Resources INSURER C:
PO Box 4 24 INSURER D:
Medford OR 97501
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOlWlTHSTANDING
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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
II~f~ TYPE OF INSURANCE POLICY NUMBER &~'rk"TMMIilDNYi - P8..t.Ji'(~M1DDi'ti1 LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 500,000
-
A X COMMERCIAL GENERAL LIABILITY CPOOll1940 08/04/99 08/04/00 FIRE DAMAGE (Any one fire) $100,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
PERSONAL & ADV INJURY $ 500,000
-
GENERAL AGGREGATE $ 500,000
-
h'L AGG~nTE LIMIT An~ PER PRODUCTS-COM~OPAGG $ 500,000
POLICY ~r8T LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I-- $
ANY AUTO lEa accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Po, poroon)
-
HIRED AUTOS BODILY INJURY
I-- $
NON.QWNED AUTOS (Per accident)
I--
I-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
:::J OCCUR D CLAIMS MADE AGGREGATE $
$
=1 ~EDUCllBLE $
RETENll0N $ $
WORKERS COMPENSA liON AND I f8R'{.'O~YTsI IUE~'
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYE $
E.L. DISEASE. POLICY LIMIT $
OTHER
A Property Section CPOOll1940 08/04/99 08/04/00
DESCRIPll0N OF OPERAll0NSlLOCA1l0NSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Additional Insured:
City of Ashland
It's Officers, Employees & Agents.
CERTIFICATE HOLDER I Y I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION
CITYOFA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPlRAllDN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City of Ashland 10 DAYS WRITTEN NOllCE TO THE CERllF1CATE HOLDER NAMED TO THE
Attn: Kathy Griffin -
20 East Main Street LEFT, BUT FAILU~~R SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
Ashland OR 97520 ANY KtND UPON 'Ii E IN RER,ITS AGENTS OR REPRESENTATlVES.
I Russ W. S~kert
ACORD 25-S (7/97)
. ACORD CORPORATION 1988
-
IMPORTANT
If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the Issuing Insurer(s), authorized representative or producer, and the certificate holder, nor does It
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-5 (7/97)
ACORD. CERTIFICA ~ .OF liABILITY INSU~NC~2 I DATE (MMIDDIYY)
07/28/99
PRODUCER THIS CERTIFICATE IS Il:iSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Reinho1dt & O'Harra Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
383 East Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ash1and OR 97520-1896 INSURERS AFFORDING COVERAGE
Phone: 541-482-1921
INSURED INSURER A: Capito1 Indemnity Corporation
INSURER B:
Communii:{ Emergency Resources INSURER C:
PO Box 4 24 INSURER D:
Medford OR 97501
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERlOO 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~f'i\' TYPE OF INSURANCE POLICY NUMBER iiX'fErMMIDDIYY) I '6'A'fi~MMIDDlYYi LIMITS
~NERAL LIABILITY EACH OCCURRENCE , 500,000
A X COMMERCIAL GENERAL LIABILITY CPOO111940 08/04/98 08/04/99 FIRE DAMAGE (Anyone fire) , 100,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone poreon) '5,000
PERSONAL & ADV INJURY , 500,000
-
GENERAL AGGREGATE , 500,000
-
GEN'L AGGREGATE LIMIT APPLIES PER PRQDUCTS.COM~OPAGG , 500,000
I POLICY n ~~i n LOC
~TOMOBlLE LIABILITY COMBINED SINGLE LIMIT ,
ANY AUTO (Ell accident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per perwon) ,
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
I-- ,
NON.QWNED AUTOS (Per accident)
I--
I-- PROPERTY DAMAGE ,
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ,
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE ,
tJ OCCUR D CLAIMS MADE AGGREGATE ,
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I roRy'QMr-is1 IVER'"
EMPLOYERS' LIABILITY
E.L EACH ACCIDENT ,
E.L. DISEASE ~ EA EMPLOYE ,
E.L. DISEASE - POLICY UMIT $
OTHER
A Property Section CPOOll1940 08/04/98 08/04/99
DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Additiona1 Insured:
Ci ty of Ash1and
It's Officers, Emp10yees & Agents.
CERTIFICATE HOLDER I y I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION
CITYOFA SHOULD ANY OF THE ABOVE DesCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City of Ash1and 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn: Kathy Griffin LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
20 East Main Street
Ash1and OR 97520 ANY IIIND UPON THE ~RER, ITS AGENTS OR REPRESENTATIVES.
Sclil ,.
, Russ W. weikert
..
ACORD 25-S (7/97)
ACORD CORPORATION 1988
,
..
-
IMPORTANT
If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the tenns 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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this fonn does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does It
afflnnatlvely or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-5 (7/97)