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HomeMy WebLinkAboutApprove memorandum of understanding (MOU) between the City a Lt C, . Council/Agency Meeting Held: -406 Deferred/Continued to: *Ap oved ❑ Conditionally Approved ❑ Denied �� City I rk's ignatu Council Meeting Date: May 1, 2006 Department I Number: CS06-005 CITY OF HUNTINGTON BEACH REQUEST FOR ACTION SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS SUBMITTED BY: P NELO CULBRETH- RAF , City Administrator PREPARED BY JIM B. ENGLE, Director of Community Servi e SUBJECT: APPROVE MEMORANDUM OF UNDERSTANDI BETWEEN THE CITY AND THE HUNTINGTON BEACH COUNCIL ON AGING Statement of Issue,Funding Source,Recommended Action,Alternative Action(s),Analysis,Environmental Status,Attachments) Statement of Issue: The Huntington Beach Council On Aging (COA) has been an advocate for city seniors, and has worked with city staff and volunteers to enhance the dignity and quality of life through comprehensive services, education and advocacy. City staff together with COA board members have drafted a Memorandum of Understanding (MOU) between the city and COA for Council approval. Funding Source: N/A. Recommended Action: Approve the Memorandum of Understanding between the City of Huntington Beach and the Huntington Beach Council On Aging, and authorize the Mayor and City Clerk to sign the Memorandum of Understanding. Alternative Action(s): Do not approve the Memorandum of Understanding with the Huntington Beach Council On Aging; or recommend changes in terms and direct staff to take back to the COA. Analysis: On September 17, 1973, the Huntington Beach City Council voted unanimously to "sanction and officially recognize" the Council On Aging to implement programs to benefit the community's senior citizens. The mission of the COA is "to work with city staff and volunteers to enhance the dignity and quality of life of city seniors through comprehensive services, education and advocacy, aimed to empower and meet the needs of a diverse population." 3 e Cl- 06-01 pprove MOU with COA 3/20/2006 1:27 PM REQUEST FOR ACTION MEETING DATE: May 1, 2006 DEPARTMENT ID NUMBER: CS06-005 In recent years, city staff and COA officials have defined the roles of each party. The city provides the recreation and social services programs to the community. The COA is an advocate and fundraiser for senior citizens. Both organizations recognize the importance of formalizing this relationship through the MOU process. The main points of the MOU (Attachment 1) include the city's obligation to provide the COA with access to the Seniors' Center to conduct business, including use of a city computer, office space, and meeting rooms. The city will also provide staff support and building space to produce the "Bright Outlook" newsletter, and for COA board meetings and events such as Senior Saturday. In addition, city staff will assist with processing COA memberships and donations. Under the conditions of the MOU, the COA, a 501(c)(3) non-profit charitable organization will act in concert with city to support county, state, and federal efforts on behalf of senior citizens of Huntington Beach, and to secure the aid afforded by public agencies. The COA shall provide financial support to the city's seniors' center operation and programming. In addition to producing the Bright Outlook newsletter, the COA will be responsible for collecting the rider donations from the Senior Transportation Program and depositing them into a city donation account. The COA will also provide volunteer support on correspondence and on all processing of COA membership. The MOU has a five-year term with the option of an additional five years by mutual consent. City staff recommends Council approval of the MOU with the Council On Aging. Environmental Status: N/A AttachmentU: City Clerk's Page Number No. Description 1. Memorandum of Understanding RCA Author: 06-012 Approve MOU with COA -2- 3/20/2006 1:27 PM ATTACHMENT #1 MEMORANDUM OF UNDERSTANDING BETWEEN THE CITY OF HUNTINGTON BEACH AND THE HUNTINGTON BEACH COUNCIL ON AGING THIS MEMORANDUM OF UNDERSTANDING("MOU") is made and entered into on Z�JA V / , 2006, by and between the CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California (hereinafter referred to as "CITY"), and THE HUNTINGTON BEACH COUNCIL ON AGING, an unincorporated association (hereinafter referred to as "COA"). WHEREAS,the CITY of Huntington Beach City Council (hereinafter referred to as "CITY COUNCIL"), at their September 17, 1973 meeting, voted unanimously to "sanction and officially recognize"the COA, so as to implement programs to benefit the community's senior citizens; and On November 5, 1973, CITY COUNCIL voted to adopt the COA bylaws and to appoint a council delegate to the organization; and CITY is committed to the COA Mission, "To work with CITY staff and volunteers to enhance the dignity and quality of life of City seniors through comprehensive services, education, and advocacy, aimed to empower and meet the needs of a diverse population," and shall provide staff through the Community Services Department/Senior Services to assist the COA. NOW, THEREFORE, for and in consideration of the promises and covenants hereinafter contained and intending to be legally bound, the parties covenant and agree as follows: SECTION 1. TERM This MOU will become effective on the date it is approved by CITY COUNCIL and shall terminate five (5) years thereafter, except with respect to any obligations hereunder which are to be performed thereafter. Upon mutual written consent of the parties, this Agreement may be extended for additional five (5) year terms. 06agree/council on aging/3/1/06 1 SECTION 2. OBLIGATIONS OF CITY The obligations of CITY pursuant to this Agreement shall be as follows: 1. CITY shall provide the use of an office area in the Seniors' Center for COA to maintain its records and correspondence and conduct official COA business and activities. 2. CITY shall provide COA the use of a city computer for the purpose of maintaining records of the COA Treasurer's financial transactions. 3. CITY shall,with approval of the Center Supervisor, provide COA use of conference/meeting rooms within the Seniors' Center for holding support and committee meetings in which to conduct routine business for COA. 4. CITY shall, with approval of the Center Supervisor,provide COA use of community halls within the Seniors' Center for the purpose of holding corporate meetings, tournaments, senior dances, and other approved events as they occur. 5. CITY shall provide staff support for the generation and distribution of minutes and agendas for the monthly COA Board Meetings. COA's Recording Secretary shall take and prepare meeting minutes. 6. CITY shall provide staff support for any donations made to COA through the "Outreach Program," including logging and recording donations. 7. CITY shall provide staff support for the monthly COA dance by providing custodial support for the room set-up and opening and closing the building. 8. CITY shall provide staff support to process all COA memberships, including processing monies received and dispensing membership cards. 9. CITY shall provide staff support, based on staff availability, for COA fundraising events, including Senior Saturday, the COA Golf Tournament, and other approved events. 06agree/council on aging/2/6/06 2 10. CITY shall work in concert with COA to produce the monthly Bright Outlook newsletter. CITY staff shall edit all written material, sell all advertisements, and print the publication. The newsletter will advise CITY seniors of events and opportunities provided by COA and by CITY at the Seniors' Center and through the Senior Outreach program. 11. CITY shall provide supervisory staff support, based on staff availability,to work closely with the COA Executive Board on broad issues, such as event planning, Board development and organizational structure of COA. SECTION 3. OBLIGATIONS OF COA The obligations of COA pursuant to this Agreement shall be as follows: 1. COA, as a 501(c)3 Charitable Organization, shall provide its services as an organization accepting public and private donations intended for CITY use in the furthering of senior activities within existing or future CITY programs, wherein the donor wishes to use the benefits of a charitable organization in lieu of a direct gift to CITY. 2. COA shall, from time to time,provide financial support to CITY's Community Services Department for its senior programs, within the scope of the COA Charter and as negotiated with CITY. This scope shall include,but is not limited to,payment of salaries or partial salaries for CITY personnel through direct gifts to CITY and/or funds to hire personnel through outside agencies. 3. Personnel hired by CITY, through the use of COA donated funds, shall be the sole responsibility of CITY. COA shall have no liability as to the actions of CITY or its employees. 4. COA shall act in concert with city, county, state, and federal agencies to ensure the senior citizens of Huntington Beach are treated with respect and dignity and are provided 06agree/council on aging/2/6/06 3 the aid afforded by public agencies such as,but not limited to, congregate meals and transportation. 5. The COA Board shall work in concert with CITY's staff to produce a monthly newsletter,the Bret Outlook,advising CITY seniors of events and opportunities at the Seniors' Center and the Senior Outreach Center. Copies of this newsletter shall be distributed to COA members and delivered to select facilities in the city for distribution. 6. COA shall be responsible for collecting rider donations from the Senior Transportation Program. These funds will be deposited into a CITY donation account on a quarterly basis,to be used by CITY for senior transportation enhancements. 7. COA shall provide volunteer support to generate correspondence including,but not limited to, "Thank You"notes from COA to various citizens. 8. COA shall provide volunteer support for the processing and tracking of COA membership revenues and maintaining the membership database. SECTION 4. ACCESS TO CITY MARKS AND LOGOS COA shall have the right to use the official Huntington Beach City logo, surfboard logo, and CITY's "Surf City Huntington Beach"trademark with the prior written approval of CITY's Director of Community Services before using any of these logos or trademark, which approval shall be at the sole discretion of the Director. Note: The surfboard logo is not the property of CITY. COA will use neither logo for commercial purposes. SECTION 5. HOLD HARMLESS COA shall protect, defend, indemnify and hold harmless CITY, its officers, officials, employees, and agents from and against any and all liability, loss, damage, expenses, costs (including without limitation, costs and fees of litigation of every nature) arising out of or in connection with performance of this MOU or its failure to comply with any of its obligations 06agree/council on aging/2/6/06 4 contained in this MOU except such loss or damage which was caused by the sole negligence or willful misconduct of CITY. SECTION 6. WORKERS' COMPENSATION INSURANCE Pursuant to California Labor Code Section 1861, COA acknowledges awareness of Section 3700 et seq. of said Code, which requires every employer to be insured against liability for workers' compensation; COA covenants that it will comply with such provisions prior to commencing performance of the work hereunder. COA shall maintain workers' compensation insurance in an amount of not less than One Hundred Thousand Dollars ($100,000) bodily injury by accident, each occurrence, One Hundred Thousand Dollars ($100,000)bodily injury by disease, each employee, Two Hundred Fifty Thousand Dollars ($250,000)bodily injury by disease,policy limit. COA shall require all subcontractors to provide such workers' compensation insurance for all of the subcontractors' employees. COA shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation insurance and COA shall similarly require all subcontractors to waive subrogation. SECTION 7. GENERAL LIABILITY INSURANCE In addition to the workers' compensation insurance and COA's covenant to indemnify CITY, COA shall obtain and furnish to CITY,a policy of general public liability insurance, including motor vehicle coverage. Said policy shall indemnify COA, its officers, agents and employees, while acting within the scope of their duties, against any and all claims arising out of or in connection with this Agreement, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of$1,000,000 per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must 06agree/council on aging/2/6/06 5 be no less than $1,000,000. Said policy shall name CITY, its agents, its officers,employees and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable shall be deemed excess coverage and that COA's insurance shall be primary. Under no circumstances shall the above-mentioned insurance contain a self-insured retention, or a"deductible,"or any other similar form of limitation on the required coverage. SECTION 8. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS Prior to commencement of this Agreement, COA shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverage as required by this Agreement; these certificates shall: (a) provide the name and policy number of each carrier and policy; (b) state that the policy is currently in force; and (c) promise to provide that such policies shall not be canceled or modified without thirty (30) days' prior written notice of CITY; however, ten (10) days' prior written notice in the event of cancellation for nonpayment of premium. COA shall maintain the foregoing insurance coverage in force during the entire term of the Agreement or any renewals or extensions thereof or during any holdover period. The requirement for carrying the foregoing insurance coverage shall not derogate from COA's defense, hold harmless and indemnification obligations as set forth in this Agreement. CITY or its representatives shall at all times have the right to demand the original or a copy of any or all the policies of insurance. COA shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. 06agree/council on aging/2/6/06 6 SECTION 9. ASSIGNING AS BREACH Neither party shall encumber, assign, or otherwise transfer this MOU, or any right or interest in this MOU, without the express written consent of the other party. A consent by a party to one assignment or transfer to another person shall not be deemed to be a consent to any subsequent assignment or transfer to another person. Any encumbrance, assignment or transfer, without the prior written consent of the other party, whether it is voluntary or involuntary, by operation of law or otherwise, is void and shall, at the option of the other party, terminate this MOU. SECTION 10. TERMS BINDING ON SUCCESSORS All the terms, covenants and conditions of this MOU shall inure to the benefit of and be binding upon the parties and their successors and assigns. The provisions of this Section shall not be deemed as a waiver of any of the conditions against assignment hereinbefore set forth. SECTION 11. CONFLICT OF INTEREST COA shall employ no CITY official or any regular CITY employee in the work performed pursuant to this MOU. No officer or employee of CITY shall have any financial interest in this MOU in violation of the applicable provisions of the California Government Code. SECTION 12. PHOTOGRAPHY CITY may grant permits to persons engaged in the production of still and motion pictures, television programs, advertising and related activities, to take photographs and/or motion pictures of COA activities. However, consistent with good safety practices, CITY will endeavor to give 24- hour advance notification of such activities to COA. In addition, if CITY receives compensation from such persons for such production, CITY will grant 50% of such compensation to COA for support of COA's activities as set forth under this MOU. 06agree/council on aging/2/6/06 7 SECTION 13. NONDISCLOSURES/PRESS RELEASES COA shall consult with CITY prior to issuing any press releases or otherwise making any public statements with respect to this MOU,the transactions contemplated herein, or matters arising herefrom. SECTION 14. CUMULATIVE REMEDIES The remedies given to the parties in this MOU shall not be exclusive but shall be cumulative and in addition to all remedies now or hereafter allowed by law or elsewhere provided in this MOU. SECTION 15. WAIVER OF BREACH The waiver by CITY of any breach by COA of any of the provisions of this MOU, irrespective of the length of time for which such failure continues, shall not constitute a waiver of such breach or a waiver of any subsequent breach by COA, either of the same or another provision of this MOU. SECTION 16. FORCE MAJEURE - UNAVOIDABLE DELAYS Should the performance of any act required by this MOU to be performed by either CITY or COA be prevented or delayed by reason of an act of God, strike, lockout, labor troubles, inability to secure materials, restrictive governmental laws or regulations, or any other cause (except financial inability)not the fault of the party required to perform the act, the time for performance of the act will be extended for a period equivalent to the period of delay and performance of the act during the period of delay will be excused. SECTION 17. NOTICE Any written notice, given under the terms of this MOU, shall be either delivered personally or mailed, certified mail, postage prepaid, addressed to the party concerned, as follows: 06agree/council on aging/2/6/06 8 CITY COA Director of Community Services Huntington Beach Council on Aging City of Huntington Beach Attn: President 2000 Main Street, P.O. Box 190 �7 /A �.A-u�4�z-�fu Huntington Beach, CA 92648 Huntington Beach, CA r9� l� - �16/(, Phone: (714) 536-5291 Phone (714) - If a party desires to change the address for notices set forth herein, said party shall provide 30 days advance written notice to the other party of any such change. SECTION 18. ATTORNEY'S FEES In the event suit is brought by either party to enforce the terms and provisions of this MOU or to secure the performance hereof, each party shall bear its own attorney's fees. The prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. SECTION 19. CONTROLLING LAW AND VENUE The rights and liabilities of the parties, and the interpretation and construction of this MOU, shall be determined in accordance with the laws of the State of California. Any controversy arising out of or under this MOU, if litigated, shall be adjudicated in a court of competent jurisdiction in Orange County, California. SECTION 20. SECTION TITLES The section titles in this MOU are inserted only as a matter of convenience and for reference, and in no way define, limit or describe the scope of intent of this MOU or in any way affect this MOU. SECTION 21. TIME OF ESSENCE Time is of the essence with respect to all provisions of this MOU in which a definite time for performance is specified including, but not limited to, the expiration of this MOU. 06agree/council on aging/2/6/06 9 SECTION 22. SURVIVAL OF INDEMNITIES Termination of this MOU shall not affect the right of CITY to enforce any and all indemnities given or made by COA under this MOU,nor shall it affect any provision of this MOU that expressly states that the provision shall survive termination thereof. SECTION 23. NONLIABILITY OF CITY OFFICIAL,EMPLOYEES OR AGENTS No elective or appointed CITY or CITY affiliated board, commission or member thereof, or officer, official, employee or agent of CITY shall be personally liable to COA, its successors and assigns, of any default or breach by CITY under this MOU or for any amount which may become due to COA, its successors and assigns, under this MOU or for any obligation of CITY under this MOU. SECTION 24. TERMINATION This MOU may be terminated by either party with or without cause upon sixty (60) days notice in writing. SECTION 25. MODIFICATIONS IN WRITING This MOU contains and embraces the entire agreement between the parties hereto and neither it nor any part of it may be changed, altered,modified, limited or extended orally or by any other agreement between the parties unless such agreement be expressed in writing, signed and acknowledged by CITY and COA, or their successors in interest. SECTION 26. PARTIAL INVALIDITY Should any provision of this MOU be held by a court of competent jurisdiction to be either invalid, void, or unenforceable, the remaining provisions of this MOU shall remain in full force and their effect unimpaired by the holding, so long as the reasonable expectations of the parties hereto are not materially impaired. 06agree/council on aging/2/6/06 10 SECTION 27. MOU IN COUNTERPARTS This MOU may be executed in counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one and the same document. SECTION 28. NO TITLE INTEREST No title interest of any kind is hereby given and COA shall never assert any claim or title to the Seniors' Center or any other public property. Use of the Seniors' Center by COA is non-exclusive, and the Seniors' Center shall at all times duringits operating hours remain open for use b the public. p g p Y SECTION 29. ENTIRETY The foregoing sets forth the entire agreement between the parties. IN WITNESS WHEREOF,the parties hereto have caused this MOU to be executed by and through their authorized officers the day, month and year first above written. HUNTINGTON BEACH COUNCIL ON AGING, CITY OF HUNTINGTON BEACH, a an unincorporated associaf n: municipal corporation of the State of California By: Mayor print name APPROVED AS TO FORM: title City Attorney 2 .to'Lite Z.g.oc, ATTEST: ` .14.0L INITIATED AND APPROVED: ity Clerk lad ;_ � F) - ?"� D' ector of Community ices REVIEWED AND APPROVED Cfty Administrator 06agree/council on aging/2/6/06 I I INSURANCE AND INDEMNIFICATION WAIVER MODIFICATION REQUEST 1. Requested by: Christi Mendoza, Risk Management 2. Date: April 4, 2006 3. Name of contractor/permittee: Huntington Beach Council on Aging 4. Description of work to be performed: Ongoing functions/events at city facilities (i.e., dances, board and membership meetings, etc.) 5. Value and length of contract: Non-profit; throughout the year on an as-needed basis 6. Waiver/modification request: $1,000 deductible/general liability insurance 7. Reason for request and why it should be granted: Unable to comply with the city's zero deductible insurance requirement 8. Identify the risks to the City in approving this waiver/modification: None. D partment Rea ignature Date: APPROVALS Approvals must be obtained in the order listed on this form. Two approvals are required for a request to be granted. Approval from the City Administrator's Office is only required if Risk Management and the C' omey's Office disagree. 1. Risk anagement 'ErApproved ❑ Denied Signature at 2. City Attorney's Office o proved ❑ Denie q�lignafture U Date 3. City Administrator's Office 'Approved ❑ Denied f 0,JZ-,,tN 6,,,,h p 6 Signaltdre Date If approved,the completed waiver/modification request is to be submitted to the City Attomey's Office along with the contract for approval. Once the contract has been approved, this form is to be filed with the Risk Management Division of Administrative Services Mar-12-06 10:10an FrwDRIVER ALLIANT INS, C 949T562T13 T-021 P.01/03 F-17T driver.alliant INSURANCE SERVICES FAX PAGES NOT W-WAD PLYASE TPLEPHONE IMMUAIATKY. PHONE#(949)75"271 NUMBER OF PAGES: 3 FAX#(949)251-1663 Including this cover page DATE: March 22,2006 ATTENTION: Christi Mendoza AT: City of Huntington Beach FAX: (714)536-5212 FROM: Ruby Johnson ORIGINAL SENT: Yes RE. Huntington Beach Council on Aging CC: RE: Certificate of Insurance for MOU with the City of Huntington Beach Hi Christi, Attached are the certificate and additional insured endorsement. We would like to request a Waiver of the zero deductible requirement as the policy has a$1,000 minimum deductible,and the Carrier will not provide$0 deductible. Insured holds fundraisers to provide funding for senior programs for the City. They do not provide services. Also,insured does not have any employees therefore there is no Workers'Comp policy. Thank you very much. Should you have any questions or require changes,please contact me at (949)660-8139 or at riohnson(u?driveraltiant.com. Sincerely, DRivER ALLIANT INSURANCE S>ERVICPSt INC. Ruby Johnson for Mary Ellen Ewert Unit Manager 1301 Dove St., Ste.200,Newport Beech CA 92660-2511 ♦949-756-02710 Lic#OC36861 Mar-21-06 10:11aB From-DRIVER ALLIANT INS, C 9497662T13 T-021 P.02/03 F-17T 15bvE DATE vaumYYT M22"} Pt €R TKS CERTIFICATE IS NMED AS A MATTER OF INFOR"T"ONLY AND DTiaeE.A11i2nt insurance Services.Inc. COWERS NO NIGHFS UPON THE CERTIFICATE HOLDEIL 711"CERTIFICATE © 1307 X 25w DOES MOT Af OME EXTEND OR ALTER THE COVERAGE AFfOROW BY THE 3anla 11na.CA 92799 POLHMM BELOW. MM 6214M Ext.190•Fax(940)7S6-2713 COMPANIM AFFOFtDMG COVERAGE Lk*rde Na 86i .�._ $PECft LMlWTv 0"VINIPA : COMPANY A EYAN.STON tN$IrftA�tCE COMPANY BEACH COLM 01L ON AGING LMLR 1706 ORANGE AV9NUE COWANY � HMINGTON MACH,CA 92 LffffER Lorm COMPANY COMPANY T DC*wAx �. t IiTT Y E MTOCETMnTHATVM QFWSUR NCEUOMDSftMttKtl WM Tp THE WORPOR ANSWOVEPNMM 1KRZYMMONI CATS M'ATiRAiIKTAMONlG A1PI iiFlri.T'�M OML Cr6NdlTlON�ANYCOKTR/iCT�I.t3TiM1T d6p�tTYfMTM R�PEt7 F¢-YWpf�f 7lIBt CtlFT1F�M7'E IwIY�Rlillt#f QR M+►Y FEATAIN,TiM uAxcE Ai�dRD�A{'Tt1€Ft1ffGfE9 IEfMNC�OAT TTl Ott TtB=TEIgMS,�Ai1D COFWRIOt1E OF BUpIFOI.iCI�- SIIGMIRr 1MMY BEEN REOUr�O 61r FAtIi _..«.. co PE c TYOF N�tiRAN0E Fa tT to EXplitfa 1/ Lamm f3ATE smn A GENERAL LNW0.RY SL 3Et00-0S O9I2SW OW29M , GENERAL AGGREWAn _NIA'_ X COM MEA MIL GHUEPIAL PROOUcT340OMPMPImelffy AGO. �1.00Or00Q OCCUR PERtM}frAt 6 Ate/.MUUAY $1.0w.000 S&CON 10 S 1. 1 ;1,000,000 X GL DEOV.ONO PME oAMOAS(My aw Mr.1 $1.Od0,00© M EM EWENSE- M*W WA A AUTOMOMELMUNLrry SLP30WW 09l29Aw $10101000 AWAUTO ALL OWNED AUTO$ BOOILY IMJJRY SCHSOULED AUTOS (Pw w"n) X Hq M AUTOS BO¢ILY Ht.uFtY )( HON-44vNEDAUTOs (PerSaaaeM1cl GARAGE UPANLITY PROPERTY DAMAGE AUfE)CEt?: tt.oBQ .��PQ� EACH OCCrA1REMCE W�RELLAFORM R GRA AddRE"re dTF�t TAM UMBRELLA FORM R X STA CgiY S Mk1RNER'3CtiNpmNsi{T" EACH ACC4DEW ' AND DISFASE4OUCY LIMIT EMPLCVI"LlAmbTY OfS9-;AW-EACff OVEE A ANtfOFFICE tiRRECToRe SUP3 09raw 0&raft if,W0,W0 PEROu�aG � � rM0 AS AWE=TO MEMORANDUM OF UNDeRSTANDMKi BETWEEN THE NAMED WSURED AND THE CITY OF HUNTINGTON REACH THE CrrY.ITS AGENTS.OFFICERS AND EMIPEOYEES SHALL BE NAMED AS AD ffK* tL OMWEIX NAMED INSURED HAS NO EMPLOYEES. AMMONAL MOLMD ENOORSEWNT ATTACHED. SUBJECT TO POLICY TERra.S.CONDITIONS AND EXCLUSIONS. SUMO"MY OF THE:AEIOYE DESCRIBED POLICIES BE CANCE14"BEFORE THE EXPIRATION BATE THERE00.ThE ISSUINO COMPANY WILL MAL CITY OF MUfMNGTON BEACH DAYS WRffM NOYICE TO THE CET TFWATEi HOLDER NAMED TO THE LEFT, ATTN:CtIRISTT MIIEN OZA 2000 MAIN STREET HUNTINGTON BEACH,CA 92G48 `IE.XCE.tsB 1D DAYS fL1R2 Mw A. waWM.pr w.wrrwrwwA=r Mar-22-06 10:11an from-DRIVER ALLIANT INS, C 949TS62713 T-021 P_03/03 f-177 Endmemm No.3 ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION IT IS AGREED THAT THE FOLLOWING ARE ADDED AS ADDITIONAL INSURED (S)HTIMUNDER BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED, AND FURTHER PROVIDED THAT THE INCLUSION OF SUCH ADDITIONAL INSURED SHALL NOT SERVE TO INCREASE THE COMPANY'S LIMIT OF LIABILITY AS SPECIFIED IN THE DECLARATIONS OF THE POLICY. SCHEDULE NAMED INSURED: IiuNTINGTON BEACH COUNCIL ON AGING 1706 ORANGE AVENUE HUNTINGTON BEACH,CA 92648 NAME OF PERSON OR ORGANIZATION/CER�ATE HOLDER: CITY OF HUNTINGTON BEACH AM:CHRIST!MENDOZA 2000 MAIN STREET HUNTINGTON BEACH,CA 92648 THE CITY OF HUNI'INGTON BEACH,ITS OFFICERS,AGENTS,EMPLOYEES. PER CERTIFICATES OF INSURANCE APPROVED BY THE COMPANY,AND ON FILE WITH THE COMPANY EFFECTIVE DATE OF THIS ENDORSEMENT: 09/29/05 ATTACHED TO AND FORMING A PART OF POLICY NO.: SLIP3000-05 All other terms and conditions remain unchanged. Insurer: EVANSTON INSURANCE COMPANY Special Liability Insurance Program(SLIP) Effective September 29,2005 to September 29,2006 DATE ISSUED: 3122/06 74404,MwrnwtirM -- -M.. r. ai APR-04-2006 07:38 AM S CITY OF HUNTINGTON BEACH 2000 Main Street, Huntington Beach, CA 92648 Declaration of Non-Employer Status In order to comply with the City Council Resolution No. 6277, you are required to provide proof of Workers' Compensation Insurance. If you have no employees, this form must be signed and returned to: City of Huntington Beach Risk Management Division 2000 Main Street Huntington Beach, CA 92648 1 certify that in the performance of the activity or work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to California Workers' Compensation Insurance requirements. I authorize the City of Huntington Beach to immediately and retroactively revoke the license or permit issued under this declaration if I hire any employee(s) or become subject to the provision of the laws requiring Workers' Compensation Insurance. Applicant/Company Name: .3, � r,� f,0; Address: 5� Applicant's Signature: -C Title: > .z�i1iU'i Location Signed: 1�e:9e� Q .0,6ts75 ell Telephone Number: .1 �m RCA ROUTING SHEET INITIATING DEPARTMENT: Community Services SUBJECT: Approve Memorandum of Understanding between the City and Huntington Beach Council on Aging COUNCIL MEETING DATE: May 1 , 2006 RCA ATTACHMENTS STATUS Ordinance (w/exhibits & legislative draft if applicable) Not Applicable Resolution (w/exhibits & legislative draft if applicable) Not Applicable Tract Map, Location Map and/or other Exhibits Not Applicable Contract/Agreement (w/exhibits if applicable) (Signed in full by the City Attorney) Attached Subleases, Third Party Agreements, etc. (Approved as to form by City Attorney) Not Applicable Certificates of Insurance (Approved by the City Attorney) Attached Financial Impact Statement (Unbudget, over$5,000) Not Applicable Bonds (If applicable) Not Applicable Staff Report (If applicable) Not Applicable Commission, Board or Committee Report (If applicable) Not Applicable Findings/Conditions for Approval and/or Denial Not Applicable EXPLANATION FOR MISSING ATTACHMENTS REVIEWED RETURNED FORWARDED Administrative Staff Assistant City Administrator Initial [Cit Administrator Initial Cit Clerk EXPLANATION FOR RETURN OF ITEM: Space . Only) RCA Author: i, CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK May 9, 2006 Huntington Beach Council on Aging Attn: President 6812 Laurelhurst Dr. Huntington Beach, CA 92647-4016 To Whom It May Concern: Enclosed for your records is a copy of the Memorandum of Understanding between City of Huntington Beach and The Huntington Beach Council on Aging. Sincerely, oan L. Flynn City Clerk JF:pe Enclosure: copy/MOU G:followup:agrmtitr (Telephone:714-536-5227)