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Interfaith Community Services Inc; 2023-05-15; PSA23-2164ENV
PSA23-2164ENV City Attorney Approved Version 12/28/2022 1 AGREEMENT BETWEEN THE CITY OF CARLSBAD AND INTERFAITH COMMUNITY SERVICES, INC. FOR EDIBLE FOOD RECOVERY SERVICES – OPERATIONS This Agreement is made and entered into as of the ______________ day of __________________, 2023, by and between the City of Carlsbad, California, a municipal corporation (“City”) and Interfaith Community Services, Inc., a California non-profit corporation (“Contractor”). RECITALS City has received grant funding through the CalRecycle SB 1383 Local Assistance Grant Program (OWR1)- FY2021-2022 (“Grant”); and To fully utilize the Grant funds, City requires the services of an edible food recovery program provider to increase edible food recovery in the City; and Contractor has the necessary experience in providing these services, has submitted a proposal to City and has affirmed its willingness and ability to perform such work; and NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those Services (the “Services”) that are defined in Exhibit “A,” attached and incorporated by this reference in accordance with the terms and conditions set forth in this Agreement. 2. TERM Unless otherwise terminated in accordance with the terms of this Agreement, this Agreement will be effective upon the Effective Date written above until April 15, 2024 (the “Agreement Term”). The City Manager may amend the Agreement to extend it for two (2) additional one- year periods, or parts thereof. Extensions will be based upon a satisfactory review of Contractor’s performance, City needs, and appropriation of funds by the City Council. The parties will prepare a written amendment indicating the effective date and length of the extended Agreement. 3. COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term shall not exceed twenty thousand dollars ($20,000). City shall pay Contractor for the performance of all Services rendered in accordance with the Rate Sheet attached and incorporated herein as Exhibit “B.” No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. If the City elects to extend the Agreement, the amount shall not exceed twenty-thousand dollars ($20,000) per Agreement year. The City reserves the right to withhold a ten percent (10%) retention until City has accepted the work and/or Services specified in Exhibit "A". DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 15th May PSA23-2164ENV City Attorney Approved Version 12/28/2022 2 4. STATUS OF CONTRACTOR Contractor will perform the Services as an independent contractor and in pursuit of Contractor’s independent calling, and not as an employee of City. Contractor will be under the control of City only as to the results to be accomplished. 5. INDEMNIFICATION Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including attorneys fees arising out of the performance of the work described herein caused by any negligence, recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The parties expressly agree that any payment, attorney’s fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City’s self-administered workers’ compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 6. INSURANCE Contractor will obtain and maintain policies of commercial general liability insurance, automobile liability insurance, a combined policy of workers' compensation, employers liability insurance, and professional liability insurance from an insurance company authorized to transact the business of insurance in the State of California which has a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non- admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report, in an amount of not less than one million dollars ($1,000,000) each, unless otherwise authorized and approved by the Risk Manager or the City Manager. Contractor will obtain per occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. Workers' Compensation limits shall be as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. The insurance will be in force during the life of this Agreement and will not be canceled without thirty (30) days prior written notice to the City by certified mail. City will be named as an additional insured on General Liability which shall provide primary coverage to the City. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. Contractor will furnish certificates of insurance to the Contract Department, with endorsements to City prior to City’s execution of this Agreement. /// /// /// /// /// /// DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 PSA23-2164ENV City Attorney Approved Version 12/28/2022 3 7. NOTICES The name of the persons who are authorized to give written notice or to receive written notice on behalf of City and on behalf of Contractor under this Agreement. For City (Agreement Administrator) For Contractor Name Avecita Jones Name Amber Rizkalla Title Senior Program Manager Title Director of Employment and Economic Development Department Environmental Sustainability Address 5731 Palmer Way, Ste. A City of Carlsbad Carlsbad, CA 92010 Address 1635 Faraday Avenue, Phone No. 760-708-6830 Carlsbad, CA 92008 Email arizkalla@interfaithservices.org Phone No. 442-339-2646 Email. FoodRecovery@carlsbadca.gov Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 8. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. The Contractor shall report investments or interests in all categories. Yes No 9. COMPLIANCE WITH LAWS Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment and will obtain and maintain a City of Carlsbad Business License for the term of this Agreement. Contractor shall comply with all applicable provisions of the Grant Procedures and Requirements, which are attached and incorporated herein as Exhibit “C,” including submission of a Reliable Contractor Declaration. Contractor shall also comply with all requests from City for documents or information necessary for City to comply with the Grant terms. 10. TERMINATION City may terminate this Agreement for any reason by tendering thirty (30) days written notice to Contractor. In the event Contractor intends to discontinue business or the Program, Contractor may cancel the Agreement by providing the City with a written 30-day notice of termination of the Agreement. In the event of termination, Contractor will assemble the work product and put it in order for proper filing and closing and deliver it to City. Contractor will be paid for work performed to the termination date; however, the total will not exceed the lump sum fee payable under this Agreement. City will DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 □ PSA23-2164ENV City Attorney Approved Version 12/28/2022 4 make the final determination as to the portions of tasks completed and the compensation to be made. 11. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees it may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. Contractor further acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to terminate this Agreement. 12. JURISDICTIONS AND VENUE Contractor agrees and stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this Agreement is the State Superior Court, San Diego County, California. 13. ASSIGNMENT Contractor may assign neither this Agreement nor any part of it, nor any monies due or to become due under it, without the prior written consent of City. 14. AMENDMENTS This Agreement may be amended by mutual consent of City and Contractor. Any amendment will be in writing, signed by both parties, with a statement of estimated changes in charges or time schedule. /// /// /// /// /// /// /// /// /// /// /// /// /// /// DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 PSA23-2164ENV City Attorney Approved Version 12/28/2022 5 15. AUTHORITY The individuals executing this Agreement 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 Agreement. CONTRACTOR INTERFAITH COMMUNITY SERVICES, INC., a California non-profit corporation CITY OF CARLSBAD, a municipal corporation of the State of California By: By: (sign here) Paz Gomez, Deputy City Manager, Public Works, as authorized by the City Manager Dr. Kadri Webb, Chairman (print name/title) By: (sign here) Lisa Brinig, Secretary (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, Secretary, President, or Assistant Secretary, Vice-President 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: CINDIE K. McMAHON, City Attorney BY: _____________________________ City Attorney DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 PSA23-2164ENV 6 EXHIBIT “A” SCOPE OF SERVICES Background and Purpose: The City of Carlsbad (City) and Interfaith Community Services (Contractor), a non-profit organization, are proposing to expand food rescue from local commercial edible food generators through the implementation of the CalRecycle SB 1383 Local Assistance Grant Program (OWR1) FY2021-2022 (Grant) the City received. Based on the Eligible Costs and Metrics in Table 1 below, Contractor estimates that this Agreement will result in [total monthly pounds from Table 1] pounds per month of surplus edible food being recovered in Carlsbad and redistributed to the San Diego region’s food insecure population. Complete Table 1 below by filling in proposed additional edible food recovery per month in pounds (lbs) next to each eligible activity being provided. The Grand Total is the total monthly pounds recovered (sum of proposed food recovery per month and the baseline monthly food recovery in Carlsbad) multiplied by the number active agreement months. As described herein, Contractor will provide the Services as described in this Exhibit “A” to expand Grantee's food donation capacity in Carlsbad, increasing the number of donations they can accept, and in turn provide healthy food to the community. This will better position the Grantee to receive, store, process, and distribute the new influx of recovered food. Contractor responsibilities include: Contractor shall submit monthly invoices with accompanying timesheets to City by the 15th of each month, for prior month’s reimbursable activities. Timesheets should indicate the title and hourly billing rates from approved rate schedule as shown in Exhibit “B” for each approved team member recovering edible food. Pricing shall remain firm for the term of the Agreement. Please note that the Agreement will not allow for annual adjustments to the rate schedule. Contractor will prioritize operations activities to increase food rescue or distribution of surplus edible food from commercial edible food generators within the City of Carlsbad. Activities may include collection, receiving, storage, processing, portioning and repackaging, preparing meals, and distribution of meals and rescued food items. Contractor will continue to operate its food rescue and distribution operations, located at 5731 Palmer Way, Ste A, Carlsbad CA 92010. Contractor will recover edible food in Carlsbad, at minimum, the pounds identified in the Grand Total in the Eligible Metrics Exhibit “A,” Table 1. Contractor will weigh all donation items per donation site in Carlsbad and provide each one of them with the information in pounds recovered, including an inventory by category of items. Contractor will utilize its staff and collection vehicles to conduct food donation collection in this program. DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 PSA23-2164ENV 7 Contractor shall maintain compliance with all federal, state, and local land use, regulatory, and permit requirements. Contractor will be required to obtain and maintain a valid business license with the City of Carlsbad during the service agreement. Contractor will work with edible food generators servicing the City to determine the best food donation collection system, including location, days, times to pick up the donation, and containers to store and transport the food being donated. Contractor will monitor and report the additional food donated and distribution activities through the Grant Term using the Progress Report format provided by the City, using the following report schedule: *If Service Agreement is extended, additional progress reports will be due. Contractor will communicate with City if there are organizational changes or if organization will be moving or closing within the Agreement Term. City responsibilities include: City will submit the invoice to CalRecycle for reimbursement by the Grant. City will review, process, and pay monthly invoices submitted by the Contractor based on the rate schedule in Exhibit “B.” No mileage or materials will be reimbursed. City will evaluate Contractor's progress reports and provide necessary feedback to make sure it is meeting Grant goals and reporting requirements. City will schedule regular check-in meetings between Contractor and City. Progress Report #* Covering Agreement Activities from: Due Date to City Staff: #1 Agreement Effective Date through June 30, 2023 7/15/2023 #2 July 1, 2023, through Dec. 31, 2023 1/15/2024 #3 Jan. 1, 2024, through March 31, 2024 4/15/2024 DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 PSA23-2164ENV 8 EXHIBIT “B” RATE SCHEDULE OPERATIONS FUNDING PROGRAM RATE SCHEDULE RATE SCHEDULE – Interfaith Community Services Carlsbad Service Center Rate schedule should indicate the title and hourly billing rates for each team member recovering edible food. No subcontractors allowed. Pricing shall remain firm for the term of the Agreement. Please note that the Agreement will not allow for annual adjustments to the rate schedule. Mileage and materials reimbursement are not allowable. Monthly invoices and timesheets with description of tasks performed for approved project team members will be required for reimbursement by the City. While staff may change throughout the agreement, only the billing titles and associated hourly rates listed will be eligible for funding. APPLICANT NAME: Staff Name Staff Title Hourly Rate Vannessa Marshall Program Manager $31.17 Elizabeth Hernandez Lead Case Manager $25.00 Miranda Quintero Intake Specialist $18.00 Jonathan Baca Nava Case Manager $22.00 Lindsey Cordada Case Manager $22.00 DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 PSA23-2164ENV 9 EXHIBIT “C” CALRECYCLE GRANT TERMS DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 Table 1. Budget Examples Budciet Cateciorv Name Examples (This is not an all-inclusive list) Indirect' Costs associated with operating and maintaining facilities, utilities, backgroun d checks and certification fees, permitting fees, all types of insurance, travel and mileage for personal vehicles used for food recovery or prevention activities, indirect supervision/management and consultant fees, etc. Construction Electrica l, plumbing, engineering costs, site preparation, installation, kitchen design and construction/improvement, etc. Education and Outreach' Materials such as fl iers, brochures, signs, etc. Note : Salaries covering personnel to conduct education and outreach activities should be listed under Personnel. EquipmentJ Equipment includes the following subcategories: • Food preparation and kitchenware • Materials (packaging, crates/bins for food storage, gloves, boxes, liners, GPS, PPE, etc.) • Refrigeration, freezers, refrigeration systems, etc . • Software such as food waste online exchange/log istics and source reduction platforms, etc. • Vehicles and vehicle wraps or identification Maintenance Service or repair of grant-funded equipment and vehicles, vehicle modification for storage and shelving, fuel and/or ri,ileage [at State rate for travel reimbursements (https://www.calhr.ca.gov/employees/Pages/travel- reimbursements.aspx0] for grant -funded vehicles, etc. Personnel4 Salaries including: staff conducting outreach and education efforts, technical assistance for software support 1 Indirect costs are capped at 10 percent of total requested grant amount, see Indirect Costs section under Grant Cycle Overvi ew. 2 Public education and outreach may not exceed 10 percent of the applica nt's requested grant amount. 3 Software (food waste online exchange/logistic and source reduction platforms) may not exceed 25 percent of the applicant's requested grant amount, and it may not exceed $50,000. 4 Salaries may not exceed 65 percent of the applicant's requested grant amount. Grant- funded jobs must be related to the proposed project and may not exceed $75 per hour. Applications Guidelines and Instructions Edible Food Recovery Grant Program, EFR1 (FY 2021-22 and FY 2022-23) 16 PSA23-2164ENV 10 DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 Budget Category Name Examples (This is not an all-inclusive list) or program development, food rescue drivers, warehouse workers, kitchen staff, etc. Transportation Services Food recovery transportation servi ces provided by third- party providers (invoices must be submitted). Eligible Costs Grantees may incur eligible costs only during the Grant Term, which starts when the grantee receives a Notice to Proceed from CalRe cycle and ends on Apri l 3, 2024. See "Grant Term" for additional information. All grant expenditures must be for activities. products, and costs specifically included in the approved Work Plan and approved Budget. To be eligible for reimbursement, costs must be incurred and fully paid (payments must be cleared), and all grant-funded items must be rece ived by the grantee, after receiving a Notice to Proceed and before the end of the Grant Term. All services must be provided and goods received during this period in order to be eligible costs. Invoices for goods and services must be paid by the grantee prior to the incl usion of those goods or services on a payment request. Eligible costs include, but are not limited to the following : • Refrigerators, freezers, and refrigeration systems. • Vehicles such as refrigerated trucks . • Transportation such as third party food transportation services. • Storage and collection infrastructure such as food crates and bins . • Materials and equipment related to health and safety such as Personal Protective Equipment (masks, gloves, sanitation, etc.). • Food preparation and cooking items such as ovens. ranges , etc. • Salaries up to 65 percent of the applica nt's requested grant amount (all grant- funded jobs must relate to the proposed project and hourly wages shall not exceed $75 per hour fo r direct personnel costs). • Public education and outreach costs up to ten percent of the applicant's requested grant amount. • Activities or equipment to modernize production and handling practices, and/or ordering practices, which result in the measurable prevention of food waste. • Softw are (food recovery online exchange platforms) up to 25 percent of the appli cant's requested grant amount, not to exceed $50,000 . PSA23-2164ENV 11 DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 Ineligible Costs Any costs not specifically included in the approved Budget and not directly related to food recovery or food waste prevention and the approved grant project are ineligible for reimbursement. The gra ntee should contact the Grant Manager if clarification is needed. Ineligible costs include, but are not limited to: • Costs incurred prior to the date that CalRecycle sends the Notice to Proceed ema il or after April 3, 2024. • Indirect Costs exceeding ten percent of the applicant's total requested amount. • Food waste dehydrators (https://www.calrecycle.ca.gov/organics/food/commercial/dehydrators) and Ii q uefiers (https://www. cal recycle. ca .gov /organics/food/commercial/I iq uefi ers ). • Activities or equipment already funded by other agencies using California Climate Investments funds. • Environmental review for project permitting, including the preparation of Environmental Impact Reports or re lated documents. • Purchase, rent, or lease of land or buildings. • Compost bins and composting equipment. • Cardboard balers. Indirect Costs Ind irect costs can be claimed by the grantee. The following guidelines must be used when claiming these costs. • Total indirect costs shall not exceed ten percent of the applicant's total requested amount. o These costs are expenditures not capable of being assigned or not read ily itemized to a particu lar project or activity, but considered necessary for the operation of the organization and the performance of the program. o Examples of indirect costs include, but are not limited to: the costs of operating and maintaining facilities, accounting services, admi nistrative sa laries (management not directly working on the grant project), all types of insurance, roadside assistance, utilities, background checks, safe food handling certification, and travel expenses are examples of indirect costs. • All indirect costs charged to the grant must be associated with grant activities as shown in the approved Budget. • Personnel costs associated w ith supervision performed by managers and supervisors is an indirect cost. However, if a manager or supervisor performs an activity that is directly related to the execution of the grant (not supervising staff working on the project), costs associated with th is activity may be included as a direct charge. Such activity must be clearly supported by appropriate documentation and shall not be charged to the grant as an ind irect cost. • The grantee must maintain organized and accurate records that follow generally accepted accounting principles and leave an audit trail. The grantee must provide access to all documents related to the grant program and fiscal operation of the grant program as deemed necessary by Cal Recycle. PSA23-2164ENV 12 DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 • Tax preparation. • Food. o This grant will not reimburse for the pu rchase of food of any kind. • Costs deemed unreasonable or not related to the grant project by the Grant Manager. ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTRINSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. THIS 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 have ADDITIONAL INSURED provisions or 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 1/11/2023 License # 0C32169 (619) 937-0164 (619) 937-0168 18058 Interfaith Community Services, Inc. 550 W Washington Ave B Escondido, CA 92025 13269 A 1,000,000 X X PHPK2446847 8/1/2022 8/1/2023 100,000 5,000 1,000,000 3,000,000 3,000,000 1,000,000A PHPK2446847 8/1/2022 8/1/2023 10,000,000A PHUB826564 8/1/2022 8/1/2023 10,000,000 10,000 B X M1302802 7/1/2022 7/1/2023 1,000,000 1,000,000 1,000,000 A Professional Liab.PHPK2446847 8/1/2022 Agg $3M, Occ $1M Ded 0 A Abuse & Molestation PHPK2446847 8/1/2022 8/1/2023 Agg $2M, Occ $1M Ded 0 RE: OPERATIONS OF THE NAMED INSURED AS CERTIFICATE HOLDERS INTEREST MAY APPEAR. THE CITY OF CARLSBAD, HOUSING SERVICES DIVISION, ITS OFFICIALS, EMPLOYEES AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED WITH REGARDS TO THE GENERAL LIABILITY PER ATTACHED FORMS. PRIMARY AND NON-CONTRIBUTORY WORDING APPLIES WITH REGARDS TO THE GENERAL LIABILITY PER THE ATTACHED FORMS. 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LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 PRIMARY AND NONCONTRIBUTORY –OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1)The additional insured is a Named Insuredunder such other insurance; and (2)You have agreed in writing in a contract oragreement that this insurance would beprimary and would not seek contributionfrom any other insurance available to theadditional insured. POLICY NUMBER: PHPK2446847 DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 ,/ ,/ &RS\ULJKW,QVXUDQFH6HUYLFHV2IILFH,QF 3DJHRI &2002132/,&<&21',7,216 $OO&RYHUDJH3DUWVLQFOXGHGLQWKLVSROLF\DUHVXEMHFWWRWKHIROORZLQJFRQGLWLRQV $ &DQFHOODWLRQ 7KHILUVW1DPHG,QVXUHGVKRZQLQWKH'HFODUD WLRQVPD\FDQFHOWKLVSROLF\E\PDLOLQJRUGH OLYHULQJWRXVDGYDQFHZULWWHQQRWLFHRIFDQFHO ODWLRQ :HPD\FDQFHOWKLVSROLF\E\PDLOLQJRUGHOLY HULQJWRWKHILUVW1DPHG,QVXUHGZULWWHQQRWLFH RIFDQFHOODWLRQDWOHDVW DGD\VEHIRUHWKHHIIHFWLYHGDWHRIFDQFHO ODWLRQLIZHFDQFHOIRUQRQSD\PHQWRISUH PLXP RU EGD\VEHIRUHWKHHIIHFWLYHGDWHRIFDQFHO ODWLRQLIZHFDQFHOIRUDQ\RWKHUUHDVRQ :HZLOOPDLORUGHOLYHURXUQRWLFHWRWKHILUVW 1DPHG,QVXUHG VODVWPDLOLQJDGGUHVVNQRZQWR XV 1RWLFH RI FDQFHOODWLRQ ZLOO VWDWH WKH HIIHFWLYH GDWHRIFDQFHOODWLRQ7KHSROLF\SHULRGZLOOHQG RQWKDWGDWH ,IWKLVSROLF\LVFDQFHOOHGZHZLOOVHQGWKHILUVW 1DPHG,QVXUHGDQ\SUHPLXPUHIXQGGXH,IZH FDQFHOWKHUHIXQGZLOOEHSURUDWD,IWKHILUVW 1DPHG ,QVXUHG FDQFHOV WKH UHIXQG PD\ EH OHVVWKDQSURUDWD7KHFDQFHOODWLRQZLOOEHHI IHFWLYHHYHQLIZHKDYHQRWPDGHRURIIHUHGD UHIXQG ,IQRWLFHLVPDLOHGSURRIRIPDLOLQJZLOOEHVXI ILFLHQWSURRIRIQRWLFH % &KDQJHV 7KLVSROLF\FRQWDLQVDOOWKHDJUHHPHQWVEHWZHHQ \RX DQG XV FRQFHUQLQJ WKH LQVXUDQFH DIIRUGHG 7KH ILUVW 1DPHG ,QVXUHG VKRZQ LQ WKH 'HFODUD WLRQVLVDXWKRUL]HGWRPDNHFKDQJHVLQWKHWHUPV RIWKLVSROLF\ZLWKRXUFRQVHQW7KLVSROLF\ VWHUPV FDQEHDPHQGHGRUZDLYHGRQO\E\HQGRUVHPHQW LVVXHGE\XVDQGPDGHDSDUWRIWKLVSROLF\ & ([DPLQDWLRQ2I<RXU%RRNV$QG5HFRUGV :HPD\H[DPLQHDQGDXGLW\RXUERRNVDQGUHF RUGVDVWKH\UHODWHWRWKLVSROLF\DWDQ\WLPHGXULQJ WKHSROLF\SHULRGDQGXSWRWKUHH\HDUVDIWHUZDUG ' ,QVSHFWLRQV$QG6XUYH\V :HKDYHWKHULJKWWR D0DNHLQVSHFWLRQVDQGVXUYH\VDWDQ\WLPH E*LYH\RXUHSRUWVRQWKHFRQGLWLRQVZHILQG DQG F5HFRPPHQGFKDQJHV :HDUHQRWREOLJDWHGWRPDNHDQ\LQVSHFWLRQV VXUYH\VUHSRUWVRUUHFRPPHQGDWLRQVDQGDQ\ VXFKDFWLRQVZHGRXQGHUWDNHUHODWHRQO\WRLQ VXUDELOLW\DQGWKHSUHPLXPVWREHFKDUJHG:H GRQRWPDNHVDIHW\LQVSHFWLRQV:HGRQRWXQ GHUWDNHWRSHUIRUPWKHGXW\RIDQ\SHUVRQRU RUJDQL]DWLRQWRSURYLGHIRUWKHKHDOWKRUVDIHW\ RIZRUNHUVRUWKHSXEOLF$QGZHGRQRWZDUUDQW WKDWFRQGLWLRQV D$UHVDIHRUKHDOWKIXO RU E&RPSO\ ZLWK ODZV UHJXODWLRQV FRGHV RU VWDQGDUGV 3DUDJUDSKV DQG RI WKLV FRQGLWLRQ DSSO\ QRWRQO\WRXVEXWDOVRWRDQ\UDWLQJDGYLVRU\ UDWH VHUYLFH RU VLPLODU RUJDQL]DWLRQ ZKLFK PDNHVLQVXUDQFHLQVSHFWLRQVVXUYH\VUHSRUWV RUUHFRPPHQGDWLRQV 3DUDJUDSKRIWKLVFRQGLWLRQGRHVQRWDSSO\ WRDQ\LQVSHFWLRQVVXUYH\VUHSRUWVRUUHFRP PHQGDWLRQVZHPD\PDNHUHODWLYHWRFHUWLILFD WLRQ XQGHU VWDWH RU PXQLFLSDO VWDWXWHV RUGL QDQFHVRUUHJXODWLRQVRIERLOHUVSUHVVXUHYHV VHOVRUHOHYDWRUV ( 3UHPLXPV 7KH ILUVW 1DPHG ,QVXUHG VKRZQ LQ WKH 'HFODUD WLRQV ,VUHVSRQVLEOHIRUWKHSD\PHQWRIDOOSUHPLXPV DQG :LOOEHWKHSD\HHIRUDQ\UHWXUQSUHPLXPVZH SD\ ) 7UDQVIHU2I<RXU5LJKWV$QG'XWLHV8QGHU 7KLV3ROLF\ <RXUULJKWVDQGGXWLHVXQGHUWKLVSROLF\PD\QRW EHWUDQVIHUUHGZLWKRXWRXUZULWWHQFRQVHQWH[FHSW LQ WKH FDVH RI GHDWK RI DQ LQGLYLGXDO QDPHG LQ VXUHG ,I \RX GLH \RXU ULJKWV DQG GXWLHV ZLOO EH WUDQV IHUUHGWR\RXUOHJDOUHSUHVHQWDWLYHEXWRQO\ZKLOH DFWLQJZLWKLQWKHVFRSHRIGXWLHVDV\RXUOHJDOUHS UHVHQWDWLYH8QWLO\RXUOHJDOUHSUHVHQWDWLYHLVDS SRLQWHGDQ\RQHKDYLQJSURSHUWHPSRUDU\FXVWRG\ RI\RXUSURSHUW\ZLOOKDYH\RXUULJKWVDQGGXWLHV EXWRQO\ZLWKUHVSHFWWRWKDWSURSHUW\ POLICY NUMBER: PHPK2446847 DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us. The additional premium for this endorsement shall be 2.00% of the California workers compensation premium otherwise due. Minimum Premium: $0 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07/01/2022 Insured INTERFAITH COMMUNITY SERVICES Policy No. M1302802 CA Policy Period 07/01/2022 To 07/01/2023 Issued On 06/23/2021 WC-99-04-258 (Ed. 10-07) ZENITH INSURANCE COMPANY - 13145 At San Diego, CA Endorsement No. 16 DocuSign Envelope ID: 3DE023D7-123F-4951-91C2-B8EFE9F24867