HomeMy WebLinkAboutCatholic Charities; 2020-01-08;City Attorney Approved Version 1/30/13
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AMENDMENT NO. 1 TO EXTEND AND AMEND AGREEMENT FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS CATHOLIC CHARITIES
This Amendment No. 1 is entered into and effective as of the _______ day of ___________________________, 2020, extending and amending the agreement dated January 8, 2020 (the “Agreement”) by and between the City of Carlsbad, a municipal corporation, ("City"),
and Catholic Charities, a California non-profit (“Contractor") (collectively, the “Parties”) for Federal Community Development Block Grant Funds.
RECITALS
A.The Parties desire to alter the Agreement’s scope of work and increase fundingthat will be used to respond to, prepare, and prevent COVID-19 within the FY19 Annual Action Plan; and
B.The Parties desire to extend the Agreement for a period of one (1) year; and
C.The Parties have negotiated and agreed to a supplemental scope of work and feeschedule, which is attached to and incorporated in by this reference as Exhibit “A”, Scope of
Services and Fee.
NOW, THEREFORE, in consideration of these recitals and the mutual covenants
contained herein, City and Contractor agree as follows:
1.That the Agreement, as may have been amended from time to time, is hereby
extended for a period of one (1) year ending on June 30, 2021, and increased funding to add fifty-four thousand eight hundred forty-eight dollars ($54,848).
2.In addition to those services contained in the Agreement, as may have beenamended from time to time, Contractor will provide those services described in Exhibit "A". With this Amendment, the total Agreement amount shall not exceed seventy-four thousand eight hundred forty-eight dollars ($74,848).
3.Contractor will complete all work described in Exhibit “A” by June 30, 2021.
4.All other provisions of the Agreement, as may have been amended from time to
time, will remain in full force and effect.
5.All requisite insurance policies to be maintained by the Contractor pursuant to the
Agreement, as may have been amended from time to time, will include coverage for this Amendment.
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DocuSign Envelope ID: 2171F344-3A3F-488F-8531-EB7D8D952ECC
24thJune
City Attorney Approved Version 1/30/13
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6. The individuals executing this Amendment and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual
authority to bind Contractor to the terms and conditions of this Amendment. CATHOLIC CHARITIES, a California non-
profit
CITY OF CARLSBAD, a municipal
corporation of the State of California
By: By:
(sign here) Scott Chadwick City Manager Vino Pajanor/CEO
(print name/title)
ATTEST:
By:
(sign here) Tammy McMinn for
BARBARA ENGLESON John Pfeiffer/CFO City Clerk
(print name/title)
If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Group B Chairman, President, or Vice-President
Secretary, Assistant Secretary, CFO or Assistant Treasurer
Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation.
APPROVED AS TO FORM:
CELIA A. BREWER, City Attorney
BY: _____________________________ Assistant City Attorney
DocuSign Envelope ID: 2171F344-3A3F-488F-8531-EB7D8D952ECC
City Attorney Approved Version 1/30/13
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EXHIBIT “A”
SCOPE OF SERVICES AND FEE
Operations in response to COVID-19: wages and salaries, utilities, program supplies, food
purchases. Indirect costs.
Fee: $54,848.00 (budget summary worksheet on following page)
DocuSign Envelope ID: 2171F344-3A3F-488F-8531-EB7D8D952ECC
BUDGET SUMMARY WORKSHEET
CDBG May- June 2020 2019-2020 Budget
Budget Category
Requested Funds
a. Salaries and Wages
Program Manager 1 FTE @ $52,800 6,800$ 52,800$
Operation Supervisor 1 FTE @ $40,248 40,248$
Lead Cook .6FTE@$21,039 3,506$ 21,039$
Case Manager 2 FTE @ $58,240 9,706$ 58,240$
Residential Tech 5 FTE @$148,712 148,712$
b. Fringe Benefits .
$20,012X 27.44%5,491$
$321,039 X 27.44%.85,765$
c. Consultant/Contract Services
TOTAL PERSONNEL BUDGET 25,503$ 409,229$
occupancy/insurance 27,655$
Insurance $1,181mo x 12
Trash $283mox 12
Security System $300mo x 12
Maintenance and Repairs $541mo x 12
e. Utilities 40,750$
Gas and Electric $$1,979mo x 12 2,950$
Water and Sewer$1,417 mo. x 12 2,950$
f. Telephone 4,600$
Telephone $383mo x 12
g. Office/Janitorial/Program Supplies 12,444$
Supplies $1,037.50 mo x 12 7,500$
h. Equipment 3,050$
Computers (3) 1 x 3,050 .
I. Mileage 2,200$
340 miles/mo. x 12 mo. x .54
k. Other (client food)17,000$
Food $1,417mo x 12 7,500$
k. Other 3,950$
Audit $2,500 .
IT licensing and support $1,450
k. Other (Indirect/Administrative)8,445$ 42,448$
TOTAL NON-PERSONNEL BUDGET 29,345$ 154,097$
TOTAL PROJECT BUDGET 54,848$ 563,326$
DocuSign Envelope ID: 2171F344-3A3F-488F-8531-EB7D8D952ECC
AGREEMENT BETWEEN THE CITY OF CARLSBAD AND
CATHOLIC CHARITIES FOR
FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS
THIS AGREEMENT ("Agreement") made and entered into as of this ~ day of ~""~ai 20 _lQ_ by and between the CITY OF CARLSBAD ("City") and
CATHOLIC ARITIES, a non-profit corporation ("Subrecipient").
RECITALS
WHEREAS, the City has applied for and received funds from the United States
Government under Title I of the Housing and Community Development Act of 1974, Public Law
93-383 as amended to fund eligible activities which benefit persons of low and moderate income
under Catalog of Federal Domestic Assistance number 14.218; and,
WHEREAS, the City wishes to provide assistance to non-profit public service providers
who offer services for lower income Carlsbad residents; and,
WHEREAS, the Subrecipient can provide these basic services for lower income
households with some assistance from the City; and,
WHEREAS, the City has determined that the services offered by Catholic Charities are
exempt from environmental review under 24 CFR Section 58.34(a)(4); and,
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WHEREAS, the U.S. Department of Housing and Urban Development has approved the
City's Annual Consolidated Plan for Community Development Block Grant funds (hereinafter
referred to as the "Annual Consolidated Plan").
NOW, THEREFORE, in consideration of these recitals and the mutual covenants
contained herein, City and Subrecipient agree as follows:
1. STATEMENT OF WORK
The City has allocated federal community development block grant ("CDBG") funds, in the
amount of twenty thousand dollars ($20,000) to the Subrecipient for provision of services
through their offices located at 2478 Impala Drive Carlsbad, CA for the period beginning July 1,
2019 and ending June 30, 2020. The Subrecipient agrees to use all federal funds provided by the
City to the Subrecipient pursuant to the provisions of this Agreement, the Scope of Work,
attached hereto as Exhibit "A", and in accordance with the terms of the Annual Consolidated
Plan.
Every effort shall be made by the Subrecipient to expend the allocated funds in their entirety by
April 20, 2020. If the Subrecipient will be unable to expend all of the funds allocated to the
project by the noted date, the Subrecipient shall request an extension from the City for continued
use of the funds on the approved project based on progress made by the Subrecipient towards
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completing the subject project. The City may agree to grant the extension or notify the
Subrecipient that, in its sole discretion, the funds must be reallocated to another eligible activity
due to slow project progress.
2. DISBURSEMENT OF FUNDS
The City shall reimburse the Subrecipient with CDBG funds for necessary and reasonable
costs related to the provision of services for eligible residents of Carlsbad for the term of this
Agreement. The reimbursements for costs shall not exceed a total of $20,000. However, no
more than 90 percent of the total agreed upon compensation will be paid during the performance
of this Agreement. The balance due (remaining 10 percent) shall be paid upon final certification
by the City that Subrecipient has administered the services and activities in compliance with all
applicable Federal, state, and local rules and regulations governing these funds, and in a manner
satisfactory to the City.
Payment for eligible expenses shall be made in accordance with budget information provided in
Exhibit "B" and in accordance with performance. Subrecipient represents that the budget
includes only allowable costs and an accurate analysis of costs applicable to the CDBG funds
pursuant to 24 CFR Section 570.502.
Subrecipient shall submit a "Request for Reimbursement" to the City for compensation of eligible
and actual expenses incurred. The City shall not provide any payments/reimbursements in advance
of actual expenditures by the Subrecipient. Subrecipient may request reimbursements anytime
after this Agreement is approved by the City Council and continue until the expiration date, or
amended expiration date, of this Agreement.
Each request for reimbursement shall include documentation to verify expenditure of funds are
consistent with this Agreement, the Statement of Work, the Annual Consolidated Plan, and with
all applicable Federal, state, and local rules and regulations governing these funds. Payroll
records, receipts, paid invoices including an itemized statement of all costs are samples of
appropriate methods of reimbursement documentation.
3. PROGRAM INCOME
The Subrecipient shall report, to the City, any interest, or other income, earned as a direct result
of the use of federal CDBG funds for the program outlined within this Agreement. All reported
program income may be retained by the Subrecipient for costs related to the subject program
activities. However, the program income, retained by the Subrecipient, must be expended before
additional funds are requested from the City. The requirements are set forth in 24 CFR Section
570.504 which is incorporated herein by reference.
4. LABOR, MATERIALS AND SUPPLIES:
The Subrecipient shall furnish all labor, materials and services and bear all expenses necessary to
provide the subject program as outlined in this agreement. Under this Agreement, the City's only
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financial obligation to the Subrecipient is to provide the CDBG funds of $20,000 maximum as
allocated by the City Council for program year 2019-2020.
5. RECORDS AND REPORTS
The Subrecipient shall maintain all records required by the Federal regulations specified in 24 CFR
Section 570.506 that are pertinent to the activities to be funded under this Agreement. Such
records shall include but not be limited to:
a. Records providing a full description of each activity undertaken;
b. Records demonstrating each activity undertaken meets one of the National Objectives
of the CDBG program;
c. Records required to determine the eligibility of activities;
d. Records demonstrating compliance with 24 CFR Section 570.505 regarding change of
use ofreal property acquired or improved with CDBG assistance;
e. Records demonstrating compliance with the requirements in 24 CFR Section 570.606
regarding acquisition, displacement, relocation, and replacement housing;
f. Records documenting compliance with the fair housing and equal opportunity
components of the CDBG program;
g. Documentation of all CDBG funds received from the City, eligible expenses incurred
for administration of each activity, and other financial records as required by 24 CFR
Section 570.502, and 0MB (the United States Office of Management and Budget)
Circular A-110; and,
h. Any other related records as the City shall require to demonstrate compliance with
applicable Federal, state, and local rules and regulations governing these funds.
The Subrecipient shall submit quarterly "Progress Reports" within ten (10) calendar days of the
end of each quarter for the full term of this Agreement. The final progress report is due no later
than June 30, 2020. The report must include sufficient information to assist the City in monitoring
the Subrecipient's performance. The Subrecipient must demonstrate satisfactory performance
prior to reimbursement for expenditures.
At a minimum, the performance reports shall include the following information:
a. Total number of persons/households participating in the program during reported
period;
b. Total number of participants from Carlsbad;
c. Number of low/moderate income Carlsbad persons/households participating in the
program during the reporting period;
d. Age and ethnic background of Carlsbad participants; and,
e. Summary of program(s) provided to Carlsbad participants.
f Quarterly reports must be submitted by the following: October 10, January 10,
April 10, and June 20.
The Subrecipient shall maintain client data demonstrating client eligibility for services provided.
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Such data shall include at the minimum client name, address, ethnicity, income level or other basis
for determining eligibility, and a description of the service provided. This data shall assist the
Subrecipient in completing the required quarterly progress reports to be submitted to the City.
The Subrecipient shall maintain separate accounting records for the federal CDBG funds provided
by the City. The City, Federal Grantor Agency, Comptroller General of the United States, or any
of their duly-authorized representatives shall have access to all books, documents, papers and
records maintained by the Subrecipient which directly pertain to the above project for the purpose
of audit, examination, excerpts and transcriptions.
Unless otherwise notified by the City, the Subrecipient shall retain all financial records, supporting
documents and statistical reports related to the project identified under this Agreement for a
period of five (5) years after the termination of all activities funded under this Agreement. All
records subject to litigation, claims, audit findings, negotiations, or other actions must be retained
for five (5) years from the date such action commenced or until completion of the action and
resolution of all issues by the appropriate officials and verified by official written notice to the
Subrecipient, whichever occurs later.
If the Subrecipient shall receive more than $750,000 in total federal funds in one fiscal year
from the City of Carlsbad and/or any other city or agency, the Subrecipient is required to submit a
Single Audit Report. As required by the Federal Single Audit Act, the Subrecipient shall be
required to submit, to the City, a comprehensive financial audit prepared by an independent,
neutral third-party auditor. The audit shall cover financial operations of the Subrecipient for the
term of this Agreement and is due not later than one year after expiration of the agreement. The
Subrecipient shall also be required to submit a second audit for the following period covered
under the fiscal year beginning July 1, 2018 and ending June 30, 2019 for any funds received in
fiscal year 2018-2019 per this Agreement.
6. PROGRAM REQUIREMENTS
The Subrecipient agrees to comply with the requirements of Title 24 of the Code of Federal
Regulations, Part 570 (the Housing and Urban Development regulations concerning Community
Development Block Grants). The Subrecipient also agrees to adhere to the terms of the City's
CDBG Application and Subrecipient Agreement on file at the Housing and Redevelopment
Department and with assurances and agreements made, by the City to the United States
Department of Housing and Urban Development of which the Subrecipient is given notice.
The Subrecipient shall comply with applicable Uniform Administrative Requirements as described
in 24 CFR Section 570.502, the federal regulations for the CDBG Program; the federal
requirements are set forth, and incorporated by reference herein, as a provision of this Agreement.
The Subrecipient shall carry out all activities in compliance with all Federal laws and regulations
as described in Subpart K of the CDBG Program Regulations, such as affirmatively furthering fair
housing, labor standards (Davis Bacon Act), displacement, relocation and acquisition, and
employment and contracting opportunities, except that:
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a. The Subrecipient will not assume the City's enviromnental responsibilities as
described in 24 CFR Section 570.604; and
b. The Subrecipient will not assume the City's responsibility for initiating the review
process required under the provisions of 24 CFR Section 52.
The provisions of Subpart K, of the CDBG Program Regulations, incorporated herein by
reference, are a condition of this Agreement.
The Subrecipient shall comply with all federal regulations related to the use of CDBG funds by
religious organizations, if applicable to this Agreement and the approved project outlined herein.
7. CHANGES IN USE OF FUNDS
Changes in the use of CDBG funds must be approved by the City Council and the U.S.
Department of HUD. If the Subrecipient desires a change in the use of the CDBG funds
following approval of this Agreement, a written request must be submitted to the City for review
by the City Council. No change in use of the CDBG funds will be permitted without prior written
approval of the City Council.
8. NONDISCRIMINATION CLAUSE
The Subrecipient shall comply with all state and federal laws regarding nondiscrimination in the
provision of services and the equal opportunity employment of personnel.
9. SUSPENSION AND TERMINATION OF AGREEMENT
In accordance with 24 CFR Sections 85.43 and 85.44, this Agreement may be suspended or
terminated if the Subrecipient fails to comply with any term(s) of the award. 24 CFR Sections
85.43 and 85.44 are incorporated herein by reference, as provisions of this Agreement.
10. REVERSION OF ASSETS
Upon expiration of the Agreement, the Subrecipient shall transfer to the City any CDBG funds on
hand at the time of expiration and any accounts receivable attributable to the use of CDBG funds.
The Subrecipient shall be required to use any real property under the Subrecipient's control that
was acquired or improved in whole or in part with CDBG funds in excess of $25,000 to either be:
a) Used to meet one of the national objectives in 24 CFR Section 570.208 of the
federal regulations until five (5) years after expiration of the Agreement; or,
b) Disposed of in a manner that results in the City being reimbursed in the amount of
the current fair market value of the property less any portion of the value
attributable to expenditures of non-CDBG funds for acquisition, or improvement
to, the property. Reimbursement is not required after the period of time specified
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in paragraph (a) of this section.
11. HOLD HARMLESS AGREEMENT
The City, its officers, and employees shall not be liable for any claims, liabilities, penalties, fines,
or any damage to goods, or real or personal property of any person whatsoever, nor for personal
injuries or death caused by, or claimed to have been caused by, or resulting from, any intentional
or negligent acts, errors or omission of Subrecipient or Subrecipient's agents, employees, or
representatives arising directly or indirectly out of performance of the project outlined in this
Agreement.
Subrecipient agrees to defend, indemnify, and hold free and harmless the City, its officers,
employees and agents against any of the foregoing liabilities or claims of any kind and any cost or
expenses incurred by the City including attorneys' fees, on account of any of the foregoing
liabilities, including liabilities or claims arising out of alleged defects in any plans or specifications
for the project or facility.
12. ASSIGNMENT OF AGREEMENT
The Subrecipient shall not assign this Agreement or any monies due thereunder without the prior
written consent of the City Council.
13. SUCCESSORS OR ASSIGNS
Subject to the provisions of this Subrecipient Agreement Paragraph 11, "Hold Harmless
Agreement," all terms, conditions, and provisions hereof shall inure to and shall bind each of the
parties hereto, and each of their respective heirs, executors, administrators, successors, and
assigns.
14. INSURANCE
If the Subrecipient shall receive more than $5,000 from the City in CDBG funds and/or other
funds, the Subrecipient shall obtain and maintain policies of Commercial General Liability
insurance and a combined policy of worker's compensation and employers liability insurance in an
insurable amount of not less than one million dollars ($1,000,000) each, unless a lower amount is
approved by the Risk Manager or the City Manager. The insurance will be obtained from an
insurance carrier admitted and authorized to do business in the State of California. The insurance
carrier is required to have a current Best's Key Rating of not less than "A-:VII" or have a surplus
line insurer which is on the State of California's List of Eligible Surplus Line Insurers with a
current Best's Key Rating of not less than "A:X". The City shall be named as an additional
insured on the Commercial General Liability Policy which shall provide primary coverage to the
City.
This insurance shall be in force during the term of this Agreement and shall not be canceled or
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materially changed without ten (10) days prior written notice to the City sent by certified mail.
The Subrecipient shall furnish certificates of insurance and required endorsements to the Housing
and Neighborhood Services Director before commencement of work.
SUB RECIPIENT:
Catholic Charities Diocese of San Diego
(Name o;f Subrecipient)
By: <!/,. .,,,,.-------,~
(sign~EO)
Dated: ----------
By: ________ _
(sign here, CFO)
Dated: _________ _
CITY OF CARLSBAD:
Dated: _________ _
B ARA ENGLESON
City Clerk
Dated: o\ J ~ I w ...
(Proper notarial acknowledgment of execution by Subrecipient must be attached.
Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant
treasurer must sign for corporations. Otherwise, the corporation must attach a resolution certified
by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to
bind the corporation.)
APPROVED AS TO FORM:
emp, Assistant City A orney
Dated: l )-/ I::, I I ( 'l
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EXHIBIT "A"
CITY OF CARLSBAD
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
SCOPE OF WORK
Contract Tenn: July 1, 2019 to June 30, 2020
Subrecipient Name: Catholic Charities
Address: 2478 Impala Drive, Carlsbad, CA 92010
Project Description: La Posada de Guadalupe Homeless Shelter
Project Goals & Objectives: (Please Attach Additional Sheets As Necessary.)
1. CDBG funds will be used to fund the following activities in compliance with the project
description outlined and in conformance with the Federal regulations for the CDBG program:
(Please specify if CDBG funds will be used to fund costs associated with staffing, rents,
utilities, supplies, etc.)
Funds will be used to cover a portion of the costs for water, electricity, sewer and client food,
including a hot meal for dinner at La Posada.
2. Project objectives to be accomplished during the contract period: (Please describe the
specific services or activities to be provided to low/moderate income Carlsbad residents with
the CDBG funds awarded. If applicable, please provide a target objective for the number of
persons/households to benefit from the Subrecipient's services/project.)
Approximately 68 (residents) adult males will be provided with food, shelter and case
management.
3. Project objectives performance measures:
a. Provide quarterly performance reports to the City of Carlsbad, Housing and
Neighborhood Services Department on the CDBG Quarterly Performance Report form as
provided.
b. Maintain records, invoices, and relevant statistics supporting the quarterly reports.
c. Provide a final performance report, including an evaluation report of the program's
success in meeting established goals, to the City of Carlsbad Housing and Neighborhood
Services Department within 10 days of termination of the contract date on the CDBG
Annual Performance Report form as provided.
d. Provide notification to the City of any audits or investigations including results, :findings,
and/or liens.
CA 8/13/2012
EXHIBIT "B"
CITY OF CARLSBAD
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
BUDGET
Contract Term: July 1, 2019 to April 20, 2020
Subrecipient Name: Catholic Charities
Address: 2478 Impala Drive Carlsbad, CA 92010
Project Description: La Posada de Guadalupe Homeless Shelter
Cost Breakdown: All funds will be used to assist paying for food, utilities and telephone
services for guests related to the operation of the shelter.
Food
Utilities
Telephone
Total
$13,000.00
$ 5,000.00
$ 2,000.00
$20,000.00
CA 8/13/2012
CATHOLIC CHARITIES
Administration
RESOLUTION: 19-01
WHEREAS:
A. Catholic Charities, Diocese of San Diego is a nonprofit corporation; and
B. Catholic Charities is eligible to apply for and receive, during calendar year 2019, public
and private funds:
NOW THEREFORE LET IT BE RESOLVED THAT:
1. The Board of Directors of Catholic Charities and the Chair, hereby authorize
Appaswamy "Vino" Pajanor, the Executive Director, to apply for, negotiate, and
administer the final terms of funding agreements/contracts, revisions, amendments,
extensions and renewals with public and private entities, and to sign them on behalf of
Catholic Charities.
AYES: ABSTENTIONS:
NOES: ABSENT:
Ma~~ci~
Chair
PASSED AND ADOPTED at a regular meeting by the Catholic Charities Board of Directors this
1 7'h day of January, 2019.
,,J'..,.. Catholic l J Charities
Diocese of San Diego
P.O. Box 121831, San Diego, California 92112-1831 • Tel. (619) 231-2828 • Fax (619) 234-2272
Member Agency of United Way • Member Agency of Catholic Charities USA
Certificate of Coverage Date: l l /26/2019
Certificate Holder This Certificate is issued as a matter of information only and The Roman Catholic Bishop of San Diego, confers no rights upon the holder of this certificate. This certificate A Corporation Sole does not amend, extend or alter the coverage afforded below. Pastoral Center
P.O. Box 85728 Company Affording Coverage
San Diego, CA 92186 THE CATHOLIC MUTUAL RELIEF
SOCIETY OF AMERICA
Covered Location 10843 OLD MILL RD
Catholic Charities OMAHA, NE 68154
P.O. Box 121831
San Diego, CA 92112-1831
Coverages
This is to certify that the coverages listed below have been issued to the certificate holder named above for the certificate
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 coverage afforded described herein is subject to all the terms, exclusions and
conditions of such coverage. Limits shown may have been reduced by paid claims.
Type of Coverage Certificate Number Coverage Effective Coverage Expiration Limits Date Date
Property Real & Personal Property
D. General Liability Each Occurrence 2,000,000
General Aggregate 2,000,000 0 Occurrence Products-Comp/OP Agg
8585 7/1/2019 7/1/2020 □ Claims Made Personal & Adv Injury
Fire Damage (Any one fire)
Med Exp (Any one person)
Excess Liability Each Occurrence
Annual Aggregate
Other Each Occurrence
Claims Made
Annual Aggregate
Limit/Coverage
Description ofOperations/LocationsNehicles/Special Items (the following language supersedes any other language in this endorsement or the Certificate in
conflict with this language)
Coverage extends only for claims directly arising out of the Catholic Charities agreement with the City of Carlsbad for CDBG funds to
operate the La Posada de Guadalupe Homeless Shelter, located at 24 78 Impala Drive, Carlsbad, CA 920 I 0, for the period of July I, 2019
through June 30, 2020. The City of Carlsbad is named as additional protected person(s), except as it pertains to their own active
negligence. MRS XS Auto $1,900,000 XS $100,000 Self-Insured Liability. Total Auto Liability is $2,000,000.
Holder of Certificate Cancellation
Add1t10nal Protected Person(s) Should any of the above described coverages be cancelled
before the expiration date thereof, the issuing company will
City of Carlsbad, its officers, employees and agents endeavor to mail 30 days written notice to the holder of
1200 Carlsbad Village Drive certificate named to the left, but failure to mail such notice shall
Carlsbad, CA 92008 impose no obligation or liability of any kind upon the company,
its agents or representati'~es. , .
,, .. ,riud ""-'"¥ 1-j il-/,r' . -Ir I . 0168008435 -
I v I
ENDORSEMENT
(TO BE ATTACHED TO CERTIFICATE)
Effective Date of Endorsement: 7/1/2019
Cancellation Date of Endorsement: 6/30/2020
Certificate Holder: The Roman_ Catholic Bishop of San Diego,
A Corporat10n Sole
Location:
Certificate No.
Pastoral Center
P.O. Box 85728
S:m OiPPO r A ()? 1 R6
Catholic Charities
P.O. Box 121831
San Diego, CA 92112-1831
8585 of The Catholic Mutual Relief Society of America is amended as follows:
SECTION II -ADDITIONAL PROTECTED PERSON(S)
It is understood and agreed that Section II -Liability (only with respect to Coverage D -General
Liability), is amended to include as an Additional Protected Person(s) members of the organizations shown
in the schedule, but only with respect to their liability for the Protected Person(s) activities or
activities they perform on behalf of the Protected Person(s).
It is further understood and agreed that coverage extended under this endorsement is limited to and
applies only with respect to liability assumed by contract or agreement; and this extension of
coverage shall not enlarge the scope of coverage provided under this certificate or increase the limit
of liability thereunder. Unless otherwise agreed by contract or agreement, coverage extended under
this endorsement to the Additional Protected Person(s) will not precede the effective date of this
certificate of coverage endorsement or extend beyond the cancellation date.
Schedule -ADDITIONAL PROTECTED PERSON(S)
City of Carlsbad, its officers, employees and agents
1200 Carlsbad Village Drive
Carlsbad, CA 92008
Remarks (the following language supersedes any other language in this endorsement or the Certificate in
conflict with this language):
Coverage extends only for claims directly arising out of the Catholic Charities agreement with the City of
Carlsbad for CDBG funds to operate the La Posada de Guadalupe Homeless Shelter, located at 2478
Impala Drive, Carlsbad, CA 920 I 0, for the period of July I, 2019 through June 30, 2020. The City of
Carlsbad is named as additional protected person(s), except as it pertains to their own active negligence.
MRS XS Auto $1,900,000 XS $100,000 Self-Insured Liability. Total Auto Liability is $2,000,000.
PKS-122(10-11)