HomeMy WebLinkAbout2002-077 Grant - Community Health Center CITY OF ASHLAND
FINANCIAL ASSISTANCE AWARD CONTRACT
CITY: CITY OF ASHLAND GRANTEE: Community Health Center
20 E Main Street Address: 99 Central
Ashland OR 97520 Ashland, OR 97520
(541) 488-5300 Telephone: 541-840-3557
FAX: (541) 488-5311
Date of this agreement: July 1, 2002
¶. Amount of grant: $29,780.00
¶. 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. Living Wage Requirements. If the amount of this contract is $15,345 or more, and if
the Grantee has ten or more employees, then Grantee is required to pay a living wage, as
defined in Ashland Municipal Code Chapter 3.12, to all employees and subcontractors who
spend 50% or more of their time within a month performing work under this contract.
Grantees required to pay a living wage are also required to post the attached notice
predominantly in areas where it will be seen by all employees.
6. 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
Grant Contract 2002-03 Page 1 of 2
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.
7. 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.
8. 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.
9. 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.
10. 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 CITY OF ASHLAND
By40afV4?04wA-. QPH RrJ BY
Financ ector
Its l,r
By
Its Account Number: (for city use only)
Grant Contract 2002-03 Page 2 of 2
ACC"D CERTIFICATE OF LIABILITY INSURANCE
nn
DATE IMWDD[YY)
04/10/2002
PRODUCER (541)482-0831 FAX (541)488-5851
Ashland Insurance, Inc.
585 A Street THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT END, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 880
Ashland, OR 97520
INSURERS AFFORDING COVERAGE
INSURED CQIIIIIIIIIiuinl ty Heat Center Inc INSURER A: Mutual of Enumclaw
19 Myrtle Street INSURER B:
Medford, OR 97504 INSURER C:
INSURER D:
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
D
MW C POLICY EXPIRATION
DATE MMlDD/YY
LIMITS
GENERAL LIABILITY 18143 03/14/2002 03/14/2003 EACH OCCURRENCE $ 1,000,
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $
CLAIMS MADE FKOCCUR MED EXP (Any one person) $ 5.0
A PERSONAL & ADV INJURY $
GENERAL AGGREGATE E 2 , 000,
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
POLICY JECT LOC
AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person) E
HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR FICLAIMS MADE
AGGREGATE _
$
E
DEDUCTIBLE $
RETENTION E $
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I X I ADDITIONAL INSURED: INSURER LETTER: A CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of Ashland BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
20 E. Main St. OF ANY KIND UPON THE COMPANYJIB AGENTS OR REPRESENTATIVES.
Ashland, OR 97520 AUTH ED RESENT TIVE
ACORD 25-S (7/97) WAGURD CORPORATION 19OU
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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.
Jun 27 02 02:19p Rshland Ins. PH# 482-0831 541 488 5851 p.8
Mutual of Enumclaw Insurance Company Enumclaw, Weahington 98M
COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS
Policy Number: NC18143 Effective Date; 03/14/2002
Named lnsured: COMMUNITY HEALTH CENTER INC
19 MYRTLE ST
REDFORD, OR 97504
Premium: Advance Premium for this Coverage Part is $_1.15 1,157
Limits Of Insurance:
EACH OCCURRENCE LIMIT $ 1. 000. 000 _
DAMAGE TO PREMISFR RENTED TO YOU LIMIT (Any One Premises) $
MEDICAL EXPENSE LIMIT (Any One Person) $ 10,000
PERSONAL & ADVERTISING INJURY LIMIT (Any One Parson or Organization) $_1, 1,060,000
GENERAL AGGREGATE LIMIT (Other than Products - Completed Operations) $ 2. 000, 0 0 0
PRODUCTS - COMPI FTED OPERATIONS AGGREGATE LIMIT $ 2, 0 Q 0 , 0 0 0
LocaIllon Of All Premises You Own, Rent or occupy: Hater to Common Policy Schedule of Locations on Page 2
of the Common Policy Declarations DP 00 93.
ClassiticationSchedule: Referto Commercial General Liability Supplemental Declarations DG 00 15
Coverage Forms and Endorsements Applicable to This Coverage Part:
Form Title
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
AMENDMENT OF INSURING AGREEMENT-KNOWN INJURY OR DMG
ADDTTTONAL INSURED-MANACERS OR LESSOR$ OF PR9MI3E$
AMITIONAL INSURED-DtSIGNATED PERSON OR ORGANIZATION
EMPLOYMENT-RELATED PRACTICES EXCLUSION
EXCTUSION-SERVICES PUANISHED BY HEALTH CARE PROVIDERS
COMPREHENSIVE POLLUTION EXCLUSION ENDORSEMENT
SPECIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT
Form Number
CG 00 01
CG 00 57
W LU 11
CG 20 26
CG 21 47
CG 2$ 44
EG 09 29
EG 99 01
IFILEU.
APR 2 3 7002..
AI-11 ANO INS.
DG 0010 06 00
Jun 27 02 02:20p fishland Ins. PH# 482-0831 541 488 5851 p.12
POLICY NUMBER: NC18143 COMMERCIAL GENERAL LIABILITY
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.
Nance of Person or Organization:
CITY OF ASHLAND
20 E MAIN ST
ASHLAND, OR 97520
SCHEDULE
(if no entrryy appears above, information required to complete this endomomont will bo ahown in' he Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section fly is amended to include as an insured the person or organization shown in the
Schedule ax nn insured but only with roopoot to liability arising out of your operations or preml#es owned by or
you.
CG 20 26 11 85 Copyright, Insurance Services Office, Im., 1984 ?