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HomeMy WebLinkAboutCC Resolution 13403 (Hire Climate Corps Fellow)RESOLUTION NO. 13403
A RESOLUTION APPROVING A CONTRACT WITH BAY AREA COMMUNITY
RESOURCES TO EMPLOY TWO CLIMATE CORPS BAY AREA
AMERICORPS INTERNS FOR SUSTAINABILITY PROGRAMS
WHEREAS, on April 6, 2009, the City Council of the City of San Rafael
adopted the San Rafael Climate Change Action Plan ("CCAP"), which
incorporates programs to achieve reductions in community greenhouse gas
emissions, including Programs LF1 1 adopting a Zero Waste Goal and Strategic
Plan, Program LF13 encouraging the creation of programs to convert organic
waste to energy, and Program CO2 to work with community organizations to
promote sustainability efforts to residents and businesses; and
WHEREAS, the City of San Rafael is the recipient of annual grant funds by
the Marin County Household Hazardous and Solid Waste Joint Powers Authority
("Marin County HHW JPA"), including $62,567.64 in Fiscal Year 2012 to enact
Zero Waste programs such as described in the City's CCAP; and
WHEREAS, the City of San Rafael currently works with Sustainable Marin on
the Resilient Neighborhoods residential sustainability program and wishes to
expand the program to more residents; and
WHEREAS, the City of San Rafael currently works with its refuse hauler,
Marin Sanitary Service, on outreach to local businesses about Zero Waste
programs, and wishes to work with them to conduct outreach specific to
participation in the upcoming Food Waste to Energy program; and
WHEREAS, Bay Area Community Resources provides highly skilled
AmeriCorps interns with college degrees in sustainability -related fields through
the Climate Corps Bay Area ("CCBA") program, has a proven track record of
providing valuable interns for similar work in other cities in the Bay Area for
several years, and wishes to place two CCBA interns with the City of San Rafael
between September 2012 and July 2013; and
WHEREAS, the City of San Rafael wishes to employ the services of two
CCBA interns in the Resilient Neighborhoods and Food Waste to Energy
programs to help with public outreach, volunteer coordination, and greenhouse
gas emissions tracking and reporting; and
WHEREAS, intern stipends of $17,500 plus $500 travel expenses per intern
will be paid through the Marin County HHW JPA Grant Program and
reimbursement by Marin Sanitary Service.
NOW, THEREFORE, BE IT RESOLVED that the City Council hereby
approves the contract with Bay Area Community Resources in the amount of
$36,000 to engage two CCBA interns in our Sustainability Programs, and
authorizes the City Manager to execute the contract and any documents related
to the CCBA internship program in a form approved by the City Attorney.
1, ESTHER BEIRNE, City Clerk of the City of San Rafael, hereby certify that the
foregoing resolution was duly and regularly introduced and adopted at a regular
meeting of the City Council held on Tuesday, September 4, 2012, by the
following vote, to wit:
AYES: COUNCILMEMBERS: Connolly, Heller, McCullough & Vice -Mayor Levine
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Mayor Phillips
11 7
Esther Beirne, City Clerk
AGREEMENT FOR CLIMATE CHANGE BAY AREA INTERNSHIP PROGRAM
This Agreement is made and entered into this d day of Attu_, 2012, by and
between the CITY OF SAN RAFAEL (hereinafter "CITY"), and Bay Area Community Resources,
a California nonprofit corporation (hereinafter "CONTRACTOR" or "BACK",).
RECITALS
WHEREAS, the City of San Rafael's General Plan Program SU -10b calls for
implementation of a Resilient Neighborhoods program to encourage household and lifestyle
changes to reduce carbon emissions through effective education and peer group support; and
WHEREAS, the CITY is the recipient of a grant from the Marin County Hazardous and
Solid Waste JPA for implementation of the Resilient Neighborhoods Program and the Food Waste
to Energy program; and
WHEREAS. CONTRACTOR collaborates with public and nonprofit organizations in
the San Francisco Bay Area to recruit, train, and place AmeriCorps Members at public and
nonprofit organizations. where they will assist in implementing greenhouse gas reduction
programs.
WHEREAS, the CITY desires to employ the services of an intern to solicit participation in
and track progress of the Resilient Neighborhoods Program and Food Waste to Energy Program and
CONTRACTOR has a proven track record of providing valuable interns for similar work to other
cities in the Bay Area for several years;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
PROJECT COORDINATION.
A. CITY, The City Manager shall be the representative of the CITY for all purposes
under this Agreement. 'The CITY's Sustainability Coordinator is hereby designated the PROJECT
MANAGER for the CITY, and said PROJECT MANAGER shall supervise all aspects of the
progress and execution of this Agreement.
B. CONTRACTOR. CONTRACTOR shall assign a single PROJEC I I)IRE.0 TOR
to llaNe oxerall responsibility for the progress and execution of this Agreement for
CONTRACTOR. 'darty %Veiristein is hereby designated as the PROJF,C I DIRECTOR for
CONTRACTOR. Should circumstances or conditions subsequent to the execution of this
Agreement require a substitute PROJECT DIRECTOR for any reason, the CONTRACTOR shall
notify the CITY within thirty (30) business da\ s of the substitution.
Version 2-15-1 1
2. DUTIES OF CONTRACTOR.
CONTRACTOR shall perform the duties as outlined in Exhibit A, Scope of Work
Proposal, attached hereto and incorporated herein by reference.
3. DUTIES OF CITY.
CITY shall pay the compensation as provided in Paragraph 4, and perform the duties as
outlined in Exhibit A, Scope of Work Proposal, attached hereto and incorporated herein by
reference.
4. COMPENSATION.
For the full performance of the services described herein by CONTRACTOR, CITY shall
pay CONTRACTOR a total amount not to exceed $36,000, which consists of $17,500 per intern
program match and $500 travel stipend per intern.
Payment will be made upon receipt by PROJECT MANAGER of invoices submitted by
CONTRACTOR twice per year, on or about October 1, 2012 and February 1, 2013.
5. TERM OF AGREEMENT.
The term of this Agreement shall be for one year commencing September 4, 2012 and
ending on August 31, 2013.
6. TERNIINATION.
A. Discretionary. Either party may terminate this Agreement without cause upon
thirty (30) days written notice mailed or personally delivered to the other party. If this Agreement
is terminated prior to May 1. 2013, CONTRACTOR shall reimburse CITY's match funds
remaining unused at the date of termination.
B. Cause. Either party may terminate this Agreement for cause upon fifteen (15) days
written notice mailed or personally delivered to the other party, and the notified party's failure to
cure or correct the cause of the termination, to the reasonable satisfaction of the party giving such
notice, within such fifteen (15) day time period.
C. Effect of Termination. t.;pon receipt of notice of termination, neither parte shall
incur additional obligations under any provision of this Agreement without the prior written consent
of the other.
D. Return of Documents. I;pon termination. any and all CITY documents or
materials prox ided to CONTRACTOR and an, and all of CONTRACTOR's documents and
materials prepared for or relating to the performance of its duties under this Agreement, shall be
deliN Bred to CITY as soon as possible. but not later than thirty (30} da\ s atter termination.
7. OWNERSHIP OF DOCUMENTS.
The written documents and materials prepared by the CONTRACTOR in connection with
the performance of its duties under this Agreement shall be the sole property of CITY. CITY may
use said property for any purpose. including projects not contemplated by this Agreement.
8. INSPECTION AND AUDIT.
Upon reasonable notice, CONTRACTOR shall make available to CITY, or its agent, for
inspection and audit, all documents and materials maintained by CONTRACTOR in connection
with its performance of its duties under this Agreement. CONTRACTOR shall fully cooperate
with CITY or its agent in any such audit or inspection.
9. ASSIGNABILITY.
The parties agree that they shall not assign or transfer any interest in this Agreement nor the
perforinance of any of their respective obligations hereunder, without the prior written consent of
the other party, and any attempt to so assign this Agreement or any rights, duties or obligations
arising hereunder shall be void and of no effect.
10. INSURANCE,.
A. During the term of this Agreement, CONTRACTOR shall maintain, at no expense
to (ATV, the following insurance policies:
1. A commercial general liability insurance policy in the minimum amount of
one million (5I..000,000) dollars per occurrence for death, bodily injury, personal injury, or property
damage.
'? An automobile liability (owned, non -owned, and hired vehicles) insurance
policy in the minimum amount of one million ($1.000,000) dollars per occurrence.
3. If any licensed professional performs any of the services required to be
performed Linder this Agreement, a professional liability insurance policy in the minimum amount
of one million $1,000.000) dollars to cover any claims arising out of the CONTRACTOR's
performance of services Linder this Agreement.
B. The insurance coverage required of the CONTRACTOR by section 10. A.. shall
also meet the follm,6rig requirements:
1. The insurance shall be primary \wh respect to am insurance or coNcra',
�_e
maintained b\ CITY and shall not call upon CITY's insurance or co% erage for an\ contribution.
I. Except for professional liability insurance, the insurance policies shall be
endorsed t'( -)r contractual 1:.abilit\ and personal in.jur\ .
f J-
3. Except for professional liability insurance, the insurance policies shall be
specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as
additionally named insureds under the policies.
4. CONTRACTOR shall provide to City's Risk Manager, (a) Certificates of
Insurance evidencing the insurance coverage required herein, and (b) specific endorsements naming
CITY, its officers, agents, employees, and volunteers, as additional named insureds under the
policies.
5. The insurance policies shall provide that the insurance carrier shall not
cancel, terminate or otherwise modify the terms and conditions of said insurance policies except
upon ten (10) days written notice to City's Risk Manager.
6. If the insurance is written on a Claims Made Form, then, following
terinination of this Agreement, said insurance coverage shall survive for a period of not less than
five years.
7. The insurance policies shall provide for a retroactive date of placement
coinciding with the effective date of this Agreement.
8. The insurance shall be approved as to form and sufficiency by PROJECT
MANAGER and the City Attorney.
C. If it employs any person, CONTRACTOR shall maintain worker's compensation
and employer's liability insurance, as required by the State Labor Code and other applicable laws
and regulations, and as necessary to protect both CONTRACTOR and CITY against all liability
for injuries to CONTRACTOR's officers and employees.
D. Any deductibles or self-insured retentions in CONTRACTOR's insurance policies
must be declared to and approved by the City's Risk Manager and the City Attorney. At CITY's
option, the deductibles or self-insured retentions with respect to CITY shall be reduced or
eliminated to CITY's satisfaction, or CONTRACTOR shall procure a bond guaranteeing payment
of losses and related investigations, claims administration, attorney's fees and defense expenses.
11. INDEMNIFICATION.
A. Except as provided in Subparagraph B., CONTRACTOR shall indemnify.
release, defend and hold harmless CITY, its officers, and employees. against any claim. demand,
suit, judgment. loss. liability or expense of any kind, including attorne}'s fees. arising out of or
resulting in any way. in whole or in part, from any acts or omissions, intentional or negligent, of
CONTRACTOR or CONTRACTOR's officers. agents and employees in the performance of
their duties and obligations under this Aareement.
B. 'here the services to be pros ided by CONTRACTOR under this Agreement are
design professional serN ices to be performed by a design professional as that term is defined
under Civil Code Section ? 182.8. CONTRACTOR shall, to the fullest extent permitted by laNN.
indemnify, release, defend and hold harmless CITY, its officers, and employees, against any,
claim, demand, suit, judgment, loss, liability or expense of any kind, including attorney's fees,
that arises out of, pertains to, or relates to the negligence, recklessness, or willful misconduct of
CONTRACTOR in the performance of its duties and obligations under this Agreement.
12. NONDISCRIMINATION.
CONTRACTOR shall not discriminate, in any way, against any person on the basis of age,
sex, race, color, religion, ancestry, national origin or disability in connection with or related to the
performance of its duties and obligations under this Agreement.
13. COMPLIANCE WITH ALI. LAWS.
CONTRACTOR shall observe and comply with all applicable federal, state and local laws,
ordinances, codes and regulations, in the performance of its duties and obligations under this
Agreement. CONTRACTOR shall perform all services tinder this Agreement in accordance with
these laws, ordinances, codes and regulations. CONTRACTOR shall release, defend, indemnify
and hold han-nless CITY, its officers, agents and employees from any and all damages, liabilities,
penalties, fines and all other consequences from any noncompliance or violation of any laws,
ordinances, codes or regulations.
14. NO THIRD PARTY BENEFICIARIES.
CITY and CONTRACTOR do not intend, by any provision of this Agreement, to create in
any third party, any benefit or right owed by one party, under the ten -ns and conditions of this
Agreement, to the other party.
15. NOTICES.
All notices and other communications required or permitted to be given Linder this
Agreement. including any, notice of change of address. shall be in writing and given by personal
delivery, or deposited with the United States Postal Service, postage prepaid, addressed to the
parties intended to be notified. Notice shall be deemed given as of the date of personal delixery, or
if mailed, upon the date of deposit with the United States Postal Ser -vice, Notice shall be given as
follows:
TO CITY: Cory ByIof
Project N.4anager
Citti of Rafael
1400 Fifth A\ e, (P.O. Box 151560 )
San Rafael. CA 94915-1560
TO CONTRACTOR: NlartN Weinstein
Project Director
Bay Area Community Resources
171 Carlos DriN e
San Rafael, CA 94903
16. INDEPENDENT CONTRACTOR.
For the purposes, and for the duration, of this Agreement, CONTRACTOR, its officers,
agents and employees shall act in the capacity of an Independent Contractor, and not as employees
of the CITY. CONTRACTOR and CITY expressly intend and agree that the status of
CONTRACTOR, its officers, agents and employees be that of an Independent Contractor and not
that of an employee of CITY.
17. ENTIRE AGREEMENT -- AMENDMENTS.
A. The terms and conditions of this Agreement, all exhibits attached, and all documents
expressly incorporated by reference, represent the entire Agreement of the parties with respect to the
subject matter of this Agreement.
B. This written Agreement shall supersede any and all prior agreements, oral or written,
regarding the subject matter between the CONTRACTOR and the CITY.
C. No other agreement, promise or statement, written or oral, relating to the subject
matter of this Agreement, shall be valid or binding, except by way of a written amendment to this
Agreement.
D. The terms and conditions of this Agreement shall not be altered or modified except
by a written amendment to this Agreement signed by the CONTRACTOR and the CITY.
E. If any conflicts arise between the terms and conditions of this Agreement, and the
terms and conditions of the attached exhibits or the documents expressly incorporated by reference,
the terms and conditions of this Agreement shall control.
18. SET-OFF AGAINST DEBTS.
CONTRACTOR agrees that CITY may deduct from any payment due to
CONTRACTOR under this Agreement, any monies which CONTRACTOR owes CITY under
any ordinance, agreement, contract or resolution for any- unpaid taxes, fees, licenses. assessments,
unpaid checks or other amounts.
19. 'WAIVERS.
The t\ aiN er by either part} of an% breach or N iolation of am term, covenant or condition of
this \greement, or of any ordinance. law or regulation. shall not be deemed to be a wai\er of any
other term. coN enant. condition. ordinance. law or regulation. or of any subsequent breach or
violation of the same or other term. co,, errant. condition. ordinance. law or regulation. The
subsequent acceptance by either party of any fee. performance. or other consideration which ma\
become due or ow inL, under this Agreement. shall not be deemed to be a \\ aiyer of an% preceding
6
3.,
breach or violation by the other party of any term, condition, covenant of this Agreement or any
applicable law, ordinance or regulation.
20. COSTS AND ATTORNEY'S FEES.
The prevailing party in any action brought to enforce the terms and conditions of this
Agreement, or arising out of the performance of this Agreement, may recover its reasonable costs
(including claims administration) and attorney's fees expended in connection with such action.
21. CITY BUSINESS LICENSE / OTHER TAXES.
CONTRACTOR shall obtain and maintain during the duration of this Agreement, a CITY
business license as required by the San Rafael Municipal Code. CONTRACTOR shall pay any
and all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for
any work performed under this Agreement, until CONTRACTOR has provided CITY with a
completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and
Certification).
22. APPLICABLE LAW.
The laws of the State of California shall govern this Agreement.
IN `'FITNESS WHEREOF, the parties have executed this Agreement as of the day, month and
--ear first above written.
CITY OF SAN RAFAEL
NANCY MACKE, City Manager
ATTEST:
E�"TIIER C. BFIRNE. City Clerk
APPROVED AS TO FOR1v1:
ROBERT F. EPSTEji. Cid% WtorneN
CONTRACTOR
Name
Title:
EXHIBIT A
Scope of Work Proposal for City of San Rafael ("CITY)
Bay Area Community Resources ("BACR")
Climate Corps Bay Area ("CCBA") Internship Program
I. Bay Area Community Resources ("BACR") Background and Objectives
BACR is collaborating with public and nonprofit organizations in the San Francisco Bay Area to
recruit, train, and place AmeriCorps Members ("Members") at public and nonprofit organizations
(generically referred to as "Host Agencies"), where they will assist in implementing greenhouse gas
reduction programs. The Members' term of service is from Sept. 4, 2012 to July 26th, 2013. While
working for the Host Agency, Members will complete 1700 hours to receive an education award of
$5,500. During their term of service, members will implement programs that save energy, reduce
greenhouse gas (GHG) emissions, and raise community engagement within environmental awareness
activities. Members will devote an average of 32 hours per week to training for and directly working
on emissions reduction projects, and an average of 8 hours per week to recruiting and supporting
volunteers. If a member is unable to complete their full 1700 hours by July 26th due to any unforeseen
circumstances during their term they may, at the discretion of BACR and the agency, be allowed time
to complete their hours at the agency, or at another approved agency where there are service
opportunities available. The last day members are eligible to earn hours for the 2012-2013 program
year will be August 23rd 2013.
The objectives of the program are as follows:
Host Agency will be able to report measurable GHG reductions their work is responsible for
throughout the placement.
Members will be able to develop a practical skill set and expertise in the realm of climate
change management at the community level.
Host Agency communities will be able to increase community participation towards further
GHG reductions through volunteer opportunities that are created and,`or increased through the
participation of the Member.
Through this Agreement, the CITY will work in partnership with BACR to promote the foregoing
objectives, and their benefits to the CITY and community at large.
II. Responsibilities of BACR
A. Recruit and select two AmeriCorps Members ("Member") for a commitment of 1700 hours each
over a period of 11 months to the City of San Rafael ("CITY") as Host Agency.
B. Train and support Members with a comprehensive training program that includes a training
manual, a seven-day orientation led by an array- of experts, monthly trainings, a mid -year 2 -day
retreat, and two perforniance reviews.
Exhibit A
1
C. Work with the CITY to develop one or more specific Scope of Service plans for Members ("Scope
of Service") that align with the Greenhouse Gas (GHG) reduction initiatives provided by CITY.
D. Provide assistance in defining and developing metrics for the Members to measure and track the
progress of Greenhouse Gas reduction throughout the placement.
E. Provide monthly follow-ups to review progress with Project Manager and Members.
F. Define and implement any corrections to Members' plans determined to be necessary based on
feedback collected from Member and CITY.
G. Establish an Advisory Committee of at least 5 experienced staff from Host Agencies to help ensure
and improve the quality of the program through monthly meetings.
H. Use best efforts to enforce each Members' compliance with requirements of the Climate Corps Bay
Area ("CCBA") Member Handbook 2012-2013, which Handbook is incorporated herein by
reference.
III. Responsibilities of CITY
A. Take part in the recruitment and interview process to identify the AmeriCorps Members best fitted
for the CITY's specific projects needs.
B. Provide one to three specific GHG reduction initiatives ("CITY's Initiatives") that each Member
can work on during his or her term of service.
i. CITY's Initiatives must be well-defined, approved for implementation and include
specific GHG reduction targets, or have the capacity to define specific reduction targets.
ii. CITY will work with BACR to finalize one or more mutually agreed-upon Scope of
Service plans prior to the start of the service year, and defined metrics no later than 1 month
after the Members begin work.
C. Ensure that Members do not work directly on policy development or policy advocacy efforts.
D. Assign a Site Supervisor or supervisors who will be available to devote no fewer than ten (10)
hours per month of one-on-one time, in-kind hours (as defined in the CCBA Community Partner
Supervisor Manual), with each Member.
E. Complete monthly reporting to BACR indicating whether progress is being made on the CITY's
Initiatives.
F. Provide feedback on program's effectiveness: two times a year, fill out and submit an Individual
Development Plan (as defined in the CCBA Community Partner Supervisor Manual) to provide
feedback on each Member's activities and offer data on specific GHG reduction metrics.
G. .=attend or send a representative to BACR Partner Orientation.
H, If hiringa Member outside of the Scope of Service, only hire Member to work part-time in a
program or service area unrelated to BACR community service programs: CITY may not hire a
Member for like projects until and unless that Member completes his. her entire program year of
service.
I. Refrain from using either Member for displacement of a CITY employee:
a. Members will not be placed in positions that were recently occupied by paid CITY staff.
Exhibit A
N
b. No Member will be placed into a position for which a recently resigned or discharged CITY
employee has recall rights as a result of a collective bargaining agreement, from which a
recently resigned or discharged employee was removed as a result of a reduction in force,
or from which a recently resigned/discharged employee is on leave or strike.
J. Allow Members to complete only CCBA-awarded and allowable activities, as defined by
CaliforniaVolunteers (see Addendum 1)
c. In the case that it is found that CITY's site is participating in unallowable activities multiple
times, Member's hours will be disallowed and the CITY site shall be warned and assisted in
removing the unallowable activities.
d. If unallowable activity continues to occur after CCBA has disallowed it, CITY'S site will
jeopardize their eligibility to have a Member in the future and may lose their current
Member or Members with no refund of match paid.
J. Allow BACR to share results from this program through grant reporting and other means as BACR
deems appropriate.
K. Support and encourage the promotion of National Service through the following
a. Posting AmeriCorps and National Service information at all CITY service sites
b. Ensuring Members wear an appropriate uniform as required by BACR.
c. Allowing each Member to leave the CITY's program site to participate in pre -arranged
National Service identity activities.
L. Provide program -wide support through either
a. Delivery of at least 1 all -day training event for each Member or
b. Member participation in an advisory committee that meets once a month for at least 1 hour
for 8 months.
N. Use best efforts to comply with the goals and requirements set forth in the current edition of the
CCBA Community Partner Supervisor Manual, which Manual is incorporated herein by reference.
Exhibit A
3
ADDENDUM 1
Scope of Work Proposal for City of San Rafael ("CITY)
AmeriCorps Members Prohibited Activities
(a) While charging time to the AmeriCorps program, accumulating service or training
hours, or otherwise performing activities supported by the AmeriCorps program or the
Corporation, staff and members may not engage in the following activities:
(1) Attempting to influence legislation;
(2) Organizing or engaging in protests, petitions, boycotts, or strikes;
(3) Assisting, promoting, or deterring union organizing;
(4) Impairing existing contracts for services or collective bargaining agreements;
(5) Engaging in partisan political activities, or other activities designed to influence the
outcome of an election to any public office;
(6) Participating in, or endorsing, events or activities that are likely to include advocacy
for or against political parties, political platforms, political candidates, proposed
legislation, or elected officials;
(7) Engaging in religious instruction, conducting worship services, providing instruction
as part of a program that includes mandatory religious instruction or worship,
constructing or operating facilities devoted to religious instruction or worship,
maintaining facilities primarily or inherently devoted to religious instruction or worship,
or engaging in any form of religious proselytization;
(8) Providing a direct benefit to
(i) A business organized for profit;
(ii) A labor union;
(iii) A partisan political organization;
(iv) A nonprofit organization that fails to comply with the restrictions contained in
section 501(c)(3) of the Internal Revenue Code of 1986 except that nothing in this
section shall be construed to prevent participants from engaging in advocacy
activities undertaken at their own initiative; and
(v) An organization engaged in the religious activities described in paragraph (g)
of this section, unless Corporation assistance is not used to support those religious
activities;
(9) Conducting a voter registration drive or using Corporation funds to conduct a voter
registration drive;
(10) Providing abortion services or referrals for receipt of such services; and
(11) Such other activities as the Corporation may prohibit.
(b) Individuals may exercise their rights as private citizens and may participate in the
activities listed above on their initiative, on non-AmeriCorps time, and using non -
Corporation funds. Individuals should not wear the AmeriCorps logo while doing so.
Addendum 1 1
BACR National Service Policy Regarding Un -Allowable and Un -Awarded Activities
The BACR National Service Policy is that Corps Members are not allowed to perfonn
activities that are not specifically awarded in the approved performance measure. In
addition, Corps Members are not allowed to perform clerical tasks or other un -allowable
activities. By signing the CCBA MOU, Partner Agencies agree to following the
guidelines regarding unallowable and un -awarded activities. Partner Agencies that are
found allowing Members to engage in these prohibited activities will jeopardize their
eligibility to have CCBA Members in future service years.
Addendum 1 2
BAYAR-3 OP ID: SG
acca�rc' CERTIFICATE OF LIABILITY INSURANCE DAT10/05DtYYYY)
( 10/05/12
TF1iS 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(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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).
PRODUCER CONTACT
PRODFaralUoneCER
Pacific Insurance 415-493-2500 NAME: Sindy Graham
Services, License # OF84441 415-493-2505�tAH,°NN Ext1' 415-493-2166 FAX No): 415-493-2505
859 Diablo Avenue AE-MAIL
sgraham f Ins.COm
Novato, CA 94947 @ p
I
Peter C. Schmale, ext 121 INSURER(S) AFFORDING COVERAGE NAIC #
INSURED Bay Area Community Resources,
Inc.
171 Carlos Drive
San Rafael, CA 94903-2005
INSURER A: Philadelphia Indemnity Ins Co.
INSURER B: New York Marine and General
INSURER C:
INSURER D:
INSURER E:
INSURER F :
32760 --
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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 ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE GENERAL LIABILITY )NSR WVD POLICY NUMBER {MMiDD/YYYY1 fMM/DD/YYYYI LIMITS
EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY PHPK886325 07/01/12 I 07/01/13 DAMAGES ( RENTED
PREMISES (Ea occurrence) $ 1,000,000
CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 20,000
Abuse SUblimit PERSONAL &ADV INJURY $ 1,000,000
X 1,000,000
GENT AGGREGATE LIMIT APPLIES PER
_-
l PRO -
�X
POLICY I LOC
AUTOMOBILE LIABILITY
A ANY AUTO
PHPK886325
ALL OWNED I X SCHEDULED
(
AUTOS AUTOS
NON -OWNED
X HIRED AUTOS
j AUTOS
i
UMBRELLA LIAR V
��j OCCUR
_—J
A X EXCESS LIAR ( I CLAIMS -MADE
PHUB387667
DED I X I RETENTION $ 10,000
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
B ANY PROPRIETOR/PARTNER/EXECUTIVE
WC201200001937
OFFICER/MEMBER EXCLUDED? N / A
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
A Professional
PHPK886325
Liability
07/01/12 07/01/13
GENERAL AGGREGATE $
PRODUCTS - COMP/OPAGG $
COMBINED SINGLE LIMIT
(Ea accident) $
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
(Per accident)
EACH OCCURRENCE $
07/01/12 07/01/13 (AGGREGATE $
07/01/12 07/01/13
07/01/12 07/01/13
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
City of San Rafael is named as an Additional Insured, per the attached
endorsement
CERTIFICATE HOLDER
City of San Rafael
P.O. Box #151560
San Rafael, CA 94915-1560
CANCELLATION
X 1 WC STATU-( OTH-
TORY LIMITS , ER
E L EACH ACCIDENT $
E L. DISEASE - EA EMPLOYEE $
E L DISEASE - POLICY LIMIT $
Each
Aggregate
2,000,000
2,000,000
1,000,000
5,000,000
1,000,000
1,000,000
1,000,000
1,000,000
2,000,000
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 REPRESENTATIVE
An,e,� �kk,
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: *PHPK886325 Bay Area Community Resources
EFFECTIVE: *July 1, 2012 - 2013
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 Person or Organization:
City of San Rafael,
It's Officers, Agents, Employees and Volunteers
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
WHO IS AN INSURE[) (Section II) is amended to include as an insured the person or organization shown in
the Schedule as an insured but only with respect to liability arising out of your operations or premises
owned by or rented to you.
CG 20 26 11 85 Copyright, Insurance Services Office, Inc,, 1984 ❑
POLICY CHANGE DOCUMENT
POLICY NO.: PHPK886325
Philadelphia Indemnity Insurance CompanyJ20470 Farallone Pacific Insurance Services LLC
NAMED INSURED Bay Area Community Resources, Inc,
MAILING ADDRESS 171Carlos Dr
San Rafael, CA 94903-2005
POLICY PERIOD- FROM 07/01/2012 TO 07/01/2013 at
120&MStandard Time at your mailing address shown above.
CHANGE EFFECTIVE 10/22/3012 CHANGE# z
DESCRIPTION
lnconsideration of the premium reflected, the policy iaamended asindicated below:
Added:
Additional Insured
City of San Rafael
It's Officers, Agents, Employees and Volunteers
PQBox 15156O
San Rafael, CA 94915-1560
With respect to ' required by contract
Added:
ManuschpLEndorsernent- P[-ES'A[PNC-Additional Insured -Des ignateU Person
orOrganization applies
Per attached schedule
Path ID 6612562
-ota/A-naai
�«d,tcra`9c,^=��rer.,xS
O�1-jO
%T3 CHANGE
COUNTERS.GNED BY
`Date)
-o�;Poete
NO[H4QGE
Philadelphia Indemnity Insurance Company
Additional Insured Schedule
Policy Number: PHPK886325
Additional Insured
Oce Financial Services,
and its assignors and assignees
c/o American Lease Insurance
654Amherst RdSte 32O
Sunderland, MAO1375-9420
CG2028- CA- Luc #6- 334 (BLDG/PREM5-OFFICE-NOC-NFP)
RE:23SPPM 8-VVMFP-Copier
Additional Insured
The City and County of San Francisco
D[YF-Department ufChildren, Youth and
their Families
139OMarket 6tSte 9UO
San Francisco, CA941OZ'5]23
Crime
RE: funding about 10 - 12 programs with BACR
Additional Insured
City of San Rafael
It's Officers, Agents, Employees and
Volunteers
POBox 15156O
San Rafael, [A94915 -156O
CA-Luc#ALL'MAMUSCRIPTENDORSEMENT
RE/ required by contract
p:i,le 1 of 1
c 0
• 1 Mmummalmus
1010
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
PI-ES-AIPNC Additional Insured -Designated Person or Organization
Tn 4 ,- r_t - f r. t r— d', t - -s - T c�. "! !:_', 1 .7- _d_J rn-_!e _- tIlk. fc I , _"; . n :
0'�NERAL TAEj- ' -Y
-H'El:tll
L E
Narie of Per -s --n or
_'Lty .)f ,an P,:fl-e_
1.ff-,7orq, Agents, Emplc_ vo-_t, <inci
fif nc; entry appear_, ;nfc-lyl.iticn re jui_,,_l to c,_,mp1.E-t '�h_s
en,loi,semr.-nt wall be shown in th Ca la at r.s as ApylicaLle to tl_,_--
=ndorsemt�nt . )
VIH,D 1;' AN INSURED (,",ecticn Ili is am,.-nclod tt- is an the
pe.,3cn or nrqani:.ation shown in tLe 17ch,,d,ile as _m ln,,urc-cl but only w-.tl-i
fe:-,PCCt to 1_abLl.lty ari,-,.nj Dut of yc),.it opeidtions or Fr�rrases cw.,-.,--d by ,,r
tented to you.
TH.',-' IN.,URANCE 1.; PFIMARY AND N,)T C1__1NfR.ILU'11NG WITH ANY THEE--. !N,;IIRAN'E OR
A,1 :t"er terms a ,J ccrdl,crs -,f tr,,s P, -!..-y -era i jrc." viged
page 11 of I
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