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SERVICE AGREEMENT NO. 161
'yCORPORoto
Y852 Community Youth Development Program Services -Parental
Involvement, Academic Support and Recreational Services
THIS Community Youth Development Program Services - Parental
Involvement, Academic Support : and Recreational Services Agreement
("Agreement") is entered into by and between the City of Corpus Christi, a Texas
home-rule municipal corporation ("City") and Boys and Girls Club of the Coastal
Bend ("Contractor"), effective upon execution .by. the City Manageror the City
Manager's designee ("City Manager").
WHEREAS, Contractor: has bid to. provide Community Youth Development
Program Services - Parental Involvement, Academic Support and Recreational
Services in response to Request for Bid/Proposal No.. 161 ("RFB/RFP"), which
RFB/RFP includes the required scope of work and all specifications and which
RFB/RFP and the Contractor's bid or proposal response, as applicable, are
incorporated by reference in this Agreement as Exhibits 1 and 2, respectively, as
if each were fully set out here in its entirety..
NOW, THEREFORE, City and Contractor agree as follows:
1. Scope. Contractor will provide Community Youth Development Program
Services - •Parental Involvement, Academic, Support and Recreational
Services ("Services") in accordance with the attached Scope of Work, as
shown in Attachment A, the content of which is incorporated by reference
into this Agreement as if fully set out here in its entirety, and in accordance
with Exhibit 2.
2. Term. This Agreement is for 12 months, with performance commencing
upon the date of issuance of a 'notice to proceed from the Contract
Administrator or Purchasing Division. This Agreement includes an option to
extend the term for up to four additional 12-month periods ("Option
Period"), provided, the parties do so prior to expiration of the original term
or the then-current Option Period. The decision to exercise the option to
extend the term of this Agreement is, at all times, within the sole discretion
of the City and is conditioned upon the prior written agreement of the
Contractor and the City Manager.
3. Compensation and Payment. The total value of this Agreement is not to
exceed $90,495.57, subject to approved extensions and changes.
City of Corpus Christi Page 1 of 8
2017-176
5/23/17
Ord. 031154
Boys and Girls Club
INF ED
Payment will be made for Services completed and accepted by the City
within 30 days of acceptance, subject to receipt of an acceptable invoice.
All pricing must be in accordance with the attached Bid/Pricing Schedule,
as shown in Attachment B, the content of which is incorporated by
reference into this Agreement as if fully set out here in its entirety.
4. Contract Administrator. The Contract Administrator designated by the City
is responsible for approval of all phases of performance and operations
under this Agreement, including deductions for non-performance and
authorizations for payment. The City's Contract Administrator for this
Agreement is as follows:
Name: Matthew Delgado
Department: Park & Recreation
Phone: (361) 826-4028
Email: MatthewDe@cctexas.com
5. Insurance; Bonds.
(A) Before performance can begin under this Agreement, the Contractor
must deliver a certificate of insurance ("COI"), as proof of the required
insurance coverages, to the City's Risk Manager and the Contract
Administrator. Additionally, the COI must state that the City will be given at
least 30 days' advance written notice of cancellation, material change in
coverage, or intent not to renew any of the policies. The City must be
named as an additional insured. The City Attorney must be given copies of
all insurance policies within 10 days of the City Manager's written request.
Insurance requirements are as stated in Attachment C, the content of
which is incorporated by reference into this Agreement as if fully set out
here in its entirety.
(B) In the event a payment bond, a performance bond, or both, are
required of the Contractor to be provided to the City under this Agreement
before performance can commence, the terms, conditions, and amounts
required in the bonds and appropriate surety information are as included in
the RFB/RFP or as may be added to Attachment C, and such content is
incorporated here in this Agreement by reference as if each bond's terms,
conditions, and amounts were fully set out here in its entirety.
6. Purchase Release Order. For multiple-release purchases of Services to be
provided by the Contractor over a period of time, the City will exercise its
right to specify time, place and quantity of Services to be delivered in the
following manner: any City department or division may send to Contractor
City of Corpus Christi Page 2 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
a purchase release order signed by an authorized agent of the department
or division. The purchase release order must refer to this Agreement, and
Services will not be rendered until the Contractor receives the signed
purchase release order.
7. Inspection and Acceptance. Any Services that are provided but not
accepted by the City must be corrected or re-worked immediately at no
charge to the City. If immediate correction or re-working at no charge
cannot be made by the Contractor, a replacement service may be
procured by the City on the open market and any costs incurred, including
additional costs over the item's bid/proposal price, must be paid by the
Contractor within 30 days of receipt of City's invoice.
8. Warranty. The Contractor warrants that all products supplied under this
Agreement are new, quality items that are free from defects, fit for their
intended purpose, and of good material and workmanship. The Contractor
warrants that it has clear title to the products and that the products are free
of liens or encumbrances. In addition, the products purchased under this
Agreement shall be warranted by the Contractor or, if indicated in
Attachment D by the manufacturer, for the period stated in Attachment D.
Attachment D is attached to this Agreement and is incorporated by
reference into this Agreement as if fully set out here in its entirety.
9. Quality/Quantity Adjustments. Any Service quantities indicated on the
Bid/Pricing Schedule are estimates only and do not obligate the City to
order or accept more than the City's actual requirements nor do the
estimates restrict the City from ordering less than its actual needs during the
term of the Agreement and including any Option Period. Substitutions and
deviations from the City's product requirements or specifications are
prohibited without the prior written approval of the Contract Administrator.
10. Non-Appropriation. The continuation of this Agreement after the close of
any fiscal year of the City, which fiscal year ends on September 30th
annually, is subject to appropriations and budget approval specifically
covering this Agreement as an expenditure in said budget, and it is within
the sole discretion of the City's City Council to determine whether or not to
fund this Agreement. The City does not represent that this budget item will
be adopted, as said determination is within the City Council's sole discretion
when adopting each budget.
11. Independent Contractor. Contractor will perform the work required by this
Agreement as an independent contractor and will furnish such Services in
its own manner and method, and under no circumstances or conditions will
City of Corpus Christi Page 3 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
any agent, servant or employee of the Contractor be considered an
employee of the City.
12. Subcontractors. Contractor may use subcontractors in connection with the
work performed under this Agreement. When using subcontractors,
however, the Contractor must obtain prior written approval from the
Contract Administrator if the subcontractors were not named at the time of
bid or proposal, as applicable. In using subcontractors, the Contractor is
responsible for all their acts and omissions to the same extent as if the
subcontractor and its employees were employees of the Contractor. All
requirements set forth as part of this Agreement, including the necessity of
providing a COI in advance to the City, are applicable to all
subcontractors and their employees to the same extent as if the Contractor
and its employees had performed the work.
13. Amendments. This Agreement may be amended or modified only by
written change order signed by both parties. Change orders may be used
to modify quantities as deemed necessary by the City.
14. Waiver. No waiver by either party of any breach of any term or condition of
this Agreement waives any subsequent breach of the same.
15. Taxes. The Contractor covenants to pay payroll taxes, Medicare taxes,
FICA taxes, unemployment taxes and all other related taxes. Upon request,
the City Manager shall be provided proof of payment of these taxes within
15 days of such request.
16. Notice. Any notice required under this Agreementmust be given by fax,
hand delivery, or certified mail, postage prepaid, and is deemed received
on the day faxed or hand-delivered or on the third day after postmark if
sent by certified mail. Notice must be sent as follows:
IF TO CITY:
City of Corpus Christi
Attn: Matthew Delgado
Title: Program Manager
Address: 615 Leopard St. Suite 105, Corpus Christi, TX 78401
Fax: (361) 826-4028
IF TO CONTRACTOR:
Boys & Girls Clubs of the Coastal Bend
Attn: Valerie Burciaga
Title: Community Relations Coordinator
City of Corpus Christi Page 4 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
3902 Greenwood Drive, Corpus Christi, TX 78416
Fax: (361) 387-1523
17. CONTRACTOR AGREES TO INDEMNIFY, HOLD HARMLESS AND
DEFEND THE CITY OF CORPUS CHRISTI AND ITS OFFICERS,
EMPLOYEES AND AGENTS ("INDEMNITEES") FROM AND AGAINST
ANY AND ALL LIABILITY, LOSS, CLAIMS, DEMANDS, SUITS AND
CAUSES OF ACTION OF ANY NATURE WHATSOEVER ON ACCOUNT
OF PERSONAL INJURIES (INCLUDING DEATH AND WORKERS'
COMPENSATION CLAIMS), PROPERTY LOSS OR DAMAGE,. OR ANY
OTHER KIND OF INJURY, LOSS, OR DAMAGE, INCLUDING ALL
EXPENSES OF LITIGATION, COURT COSTS, ATTORNEYS' FEES AND
EXPERT WITNESS FEES WHICH ARISE OR ARE CLAIMED TO ARISE OUT
OF OR IN CONNECTION WITH THIS AGREEEMENT OR THE
PERFORMANCE OF THIS AGREEMENT, REGARDLESS OF WHETHER
THE INJURIES, DEATH OR DAMAGES ARE CAUSED OR ARE CLAIMED
TO BE CAUSED BY THE CONCURRENT OR CONTRIBUTORY
NEGLIGENCE OF INDEMNITEES, BUT NOT IF BY THE SOLE
NEGLIGENCE OF INDEMNITEES UNMIXED WITH THE FAULT OF ANY
OTHER PERSON. CONTRACTOR MUST, AT ITS OWN EXPENSE,
INVESTIGATE ALL CLAIMS AND DEMANDS, ATTEND TO THEIR
SETTLEMENT OR OTHER DISPOSITION, DEFEND ALL ACTIONS BASED
THEREON WITH COUNSEL SATISFACTORY TO THE CITY ATTORNEY,
AND PAY ALL CHARGES OF ATTORNEYS AND ALL OTHER COSTS
AND EXPENSES OF ANY KIND ARISING FROM ANY SAID LIABILITY,
DAMAGE, LOSS, CLAIMS, DEMANDS, SUITS, OR ACTIONS. THE
INDEMNIFICATION OBLIGATIONS OF CONTRACTOR UNDER THIS
SECTION SHALL SURVIVE THE EXPIRATION OR EARLIER
TERMINATION OF THIS AGREEMENT.
18. Termination.
(A) The City Manager may terminate this Agreement for Contractor's
failure to perform the work specified in this Agreement or to keep any
required insurance policies in force during the entire term of this
Agreement. The Contract Administrator must give the Contractor written
notice of the breach and set out a reasonable opportunity to cure. If the
City of Corpus Christi Page 5 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
Contractor has not cured within the cure period, the City Manager may
terminate this Agreement immediately thereafter.
(B) Alternatively, the City Manager may terminate this Agreement for
convenience upon 30 days advance written notice to the Contractor. The
City Manager may also terminate this Agreement upon 24 hours written
notice to the Contractor for failure to pay or provide proof of payment of
taxes as set out in this Agreement.
19. Assignment. No assignment of this Agreement by the Contractor, or of any
right or interest contained herein, is effective unless the City Manager first
gives written consent to such assignment. The performance of this
Agreement by the Contractor is of the essence of this Agreement, and the
City Manager's right to withhold consent to such assignment is within the
sole discretion of the City Manager on any ground whatsoever.
20. Severability. Each provision of this Agreement is considered to be
severable and, if, for any reason, any provision or part of this Agreement is
determined to be invalid and contrary to applicable law, such invalidity
shall not impair the operation of nor affect those portions of this Agreement
that are valid, but this Agreement shall be construed and enforced in all
respects as if the invalid or unenforceable provision or part had been
omitted.
21. Order of Precedence. In the event of any conflicts or inconsistencies
between this Agreement, its attachments, and exhibits, such conflicts and
inconsistencies will be resolved by reference to the documents in the
following order of priority:
A. this Agreement and its attachments
B. the bid solicitation document, including addenda (Exhibit 1)
C. the Contractor's bid response (Exhibit 2)
22. Certificate of Interested Parties. Contractor agrees to comply with Texas
Government Code Section 2252.908, as it may be amended, and to
complete Form 1295 "Certificate of Interested Parties" as part of this
Agreement.
23. Governing Law. This Agreement is subject to all federal, State, and local
laws, rules, and regulations. The applicable law for any legal disputes
arising out of this Agreement is the law of the State of Texas, and such form
and venue for such disputes is the appropriate district, county, or justice
court in and for Nueces County, Texas.
City of Corpus Christi Page 6 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
24. Entire Agreement. This Agreement constitutes the entire agreement
between the parties concerning the subject matter of this Agreement and
supersedes all prior negotiations, arrangements, agreements and
understandings, either oral or written, between the parties.
(SIGNATURE PAGE FOLLOWS)
City of Corpus Christi Page 7 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
CONTRACTOR
Signature: +tY7) IV Q.J . a_tr too
Printed Name: Kim Barrientos
Title: CEO
Date: 5/5/2017
CITY OF CORPUS CHRISTI
Signature: Q „. �Q- ,--
Printed Name: Og-Y' c--
Title: r 0 e r•c\_ '2-3Vy -meq en_
Date: -S /0`/ 1 )
ATTEST: C- (" f'� l...“,17" c
REB HUERTA
CITY SECRETARY
Attached and Incorporated by Reference:
Attachment A: Scope of Work
Attachment B: Bid/Pricing Schedule
Attachment C: Insurance/Bond Requirements
Attachment D: Warranty Requirements
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Incorporated by Reference Only: �� t-I
iY 'COUNCIL ...._L.��..I
Exhibit 1: RFB/RFP No. 161
Exhibit 2: Contractor's Bid/Proposal Response _.....� RF(`RFTARY
City of Corpus Christi Page 8 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
Attachment A: Scope of Work
1. Background
A. The CYD program was established in 1995 with funds authorized by the 74th
Legislature for the purpose of reducing juvenile crime in areas of Texas with
a high incidence of juvenile crime.
B. The selected ZIP codes were identified by a methodology developed by an
interagency workgroup that defined guidelines for the CYD program. The
methodology involved identifying Texas counties with the highest number of
juvenile arrests for violent offenses and then selecting ZIP codes with the
highest number of juvenile probation referrals within each of those counties.
The same methodology was used each year that the CYD program
expanded.
2. Eligibility
A. CYD programs serve youth ages 6 - 17 who live in and/or attend eligible
schools in the 78415 ZIP code. Verification of addresses for registering youth
is left up to the subcontractor, but must be done in good faith.
B. Eligible public CYD Schools
High Schools Mary Carroll High School, 5301 Weber
Foy H. Moody High School, 1818 Trojan Drive
Middle Schools Tom Browne Middle School, 4301 Schanen Blvd.
Baker Middle School, 3445 Pecan Street
South Park Middle School, 3001 McArdle Road
Hamlin Middle School, 3900 Hamlin Drive
Elementary Berlanga Elementary, 4120 Carroll Ln
Early Childhood Development Center, 6300 Ocean Drive
Fannin Elementary, 2730 Gollihar
Galvan Elementary, 3126 Masterson Drive
Hicks Elementary, 3602 McArdle Road
Houston Elementary, 363 Norton Street
Kostoryz Elementary, 3602 Panama Drive
Sanders Elementary, 4102 Republic Drive
Travis Elementary, 3210 Churchill Drive
C. The target emphasis is 10 to 17 years of age. Youth 9 and under may be
served but cannot exceed 30% for the entire fiscal year. Family members of
eligible participants are eligible for services if the service involves the family,
including the eligible youth participant, with the goal of preventing
delinquency of the eligible youth. Family members eligible for such services
are limited to those individuals who are related to and residing in the same
Page 1 of 5
household as the eligible youth, including fictive kin and a non-custodial
parent. Subcontractors must be conscious of youth that are over or under
the age limits. Registration forms for each youth will be collected and
reviewed for accuracy.
D. As a prevention program, CYD is intended to serve youths who have not
already been involved in the juvenile justice system, but who are at-risk of
becoming involved. Youth whose cases are pre-adjudicated, informally
adjudicated, or whose adjudication has been deferred are eligible for CYD
services. Providers are not required to verify lack of involvement in the
juvenile justice system but are required to complete risk factors for each
youth. Identified Risk Factors Include:
• Poor expressive language
• Lack of self-control
• A high degree of impulsiveness and hyperactivity
• Aggressive temperament
• Antisocial behavior
• Friends who engage in "problem behavior"
• Low school attendance
• Parent/guardian(s) exhibit low school attainment and/or was a teen
parent(s)
• Poor parental/guardian supervision and harsh and erratic discipline
• Parental conflict and/or single parent families
• Parent/guardian with mental illness
• Family history of problem behaviors such as parental drug use, domestic
violence or criminal activity
• History of maltreatment
E. Local providers are not limited to serving only youth who are eligible for CYD
services. It is necessary to note however, that only services provided to
eligible youth, as defined above, can be reimbursed through CYD.
Contractors must track and document services provided to eligible and
non-eligible participants to support amounts billed to CYD and to determine
CYD performance measures.
3. Scope of Services
A. The CYD program will fund prevention services that are directly linked to
juvenile delinquency prevention. Intervention services, including diversion
programs, are not appropriate under the CYD model. To the greatest extent
possible, services should be designed to appeal to those youth most
vulnerable to juvenile delinquency. The Fiscal Agent (City) is responsible for
ensuring an appropriate balance between intensive programs that serve a
limited number of youth and less intensive programs that can serve greater
numbers of youth. One-time events or services that only accrue a limited
number of contact hours (e.g. only two hours per month) are not eligible for
funding. If one-time activities are planned as a service, they should be an
Page 2 of 5
added value for youth already participating and cannot be a stand-alone
service. In determining which services will be funded, the Fiscal Agent with
the help of the Review Committee will consider the overall potential impact
on the ZIP code based on the number of youth to be served, the hours of
intensity with the youth, the need in the community and other factors.
B. A diverse array of services can be provided through the CYD program.
Historically, the following types of services have been funded through CYD:
youth leadership development, life skills development, character
education, conflict resolution, cultural exploration, rites of passage
programs, after-school enrichment and education, career exploration,
structured recreational programs, youth sports, mentoring and programs
that promote family support and involvement. Any activities related to
boxing cannot be funded through the CYD program. Supplanting of funds .
is unallowable. For any service to be provided, the Fiscal Agent must ensure
that services do not duplicate those already provided in the community
through other funding sources, but do fill gaps in service and enhance or
compliment other services.
C. Program services must be easily accessible to youth, or the provider of the
service must address transportation needs for any youth for whom lack of
transportation would prevent full participation in CYD program activities.
• Program services must be focused on enhancement of at least one of
the following protective factors associated with juvenile delinquency
prevention, including but not limited to:
• Involvement with positive peer group activities and norms
• Social competencies such as decision making skills, assertiveness and
interpersonal skills
• Caring adults other than parent
• Strong bond between children and parents
• Emotional support and absence of severe criticism
• Clear rules and expectations
• Involvement with school/community
• Friendship network
• Positive perception of self and others
• Places high values on helping others
• Sense of purpose
D. Direct service staff of the Subcontractor must be at least 18 years of age,
have a High School Diploma or GED, and 1 year of experience in the health
and human-services field to include work with youth.
E. Mandated/Core Services for the 78415 Zip Code as required by DFPS: Each
Fiscal Agent (City) is required to provide four mandatory services; Youth
Advisory Committee (YAC), Youth Leadership Development (YLD),
Mentoring, and Parental Involvement either directly or indirectly through
Page 3 of 5
subcontract in addition to other services. The core service will take
precedence over other programs when funding is considered. The Core
Service is as follows:
1. Parental Involvement Requirements
• Family engagement is associated with improved program outcomes.
Parental involvement increases youth participation in after-school
programs, influences constructive parent involvement in the home,
increases protective factors and may address risk factors that may lead
to juvenile delinquency. Further, father-figure involvement is linked to
decreased drug use, and decreased delinquent behavior.
• Contractor must demonstrate a commitment to the meaningful
involvement of parents. There are several options available to engage
parents. Which strategy works best will depend on the dynamics of the
community served. These strategies may include parent
training/parenting classes, parent leadership programs, counseling,
service-based learning, and many other strategies.
o The awarded Contractor must develop and implement a parent
involvement component as one of their goals in the Collaborative
Community Committee.
o During the first 90 days of the contract, the Contractor will work with
DFPS to develop a Parent Involvement component suited to the
Contractor's service area and the community's needs.
F. Optional CYD Program Services:
• Recreational Services: Rewarding, challenging, and age-appropriate
activities provided in a safe, structured, and positive environment, with
the intent of reducing delinquency by way of a socializing effect through
which youth develop positive qualities. Examples may include organized
sports, hobbies, music, arts and crafts and cultural activities. Boxing is not
allowed.
• Academic Support Services: Designed to increase student engagement
in the learning process and hence academic performance and bonding
to the school (e.g., cooperative learning techniques," experiential
learning" strategies, tutoring and basic skill building). Note: This must not
include preparation assistance for any standardized testing.
G. MANAGEMENT OF CONTRACT
The Contractor must keep in mind the performance measures that must be
met along with paperwork and administration requirements that must be
completed in performing the CYD contract. Requirements include but are
not limited to:
• Comply with all DFPS contract requirements that apply to subcontracts
and follow the Contractor's policies and procedures as well as OMB and
Page 4 of 5
TAC guidelines when managing the fiscal, administrative and program
aspects of CYD;
• Have policies and procedures in place for ongoing management of the
CYD Program including planning and oversight of the overall program;
• Administrative management to include but not limited to personnel
requirements, records maintenance, and DFPS Background Check
requirements;
• Program management to include quality assurance processes to ensure
appropriate service delivery and progress towards contract
performance measures;
• Collection and submission of program forms and monthly participant
data from youth, including but not limited to Registration Forms, Risk
Factor Surveys, Pre & Post Tests, and Satisfaction Surveys;
• Support and at a minimum monthly supervision of all staff that provide
direct services to clients, including volunteers. This supervision must
provide the direct staff and volunteers an opportunity to gain
professional development, support, and advice about their work with the
clients;
• Attendance at quarterly meetings and submission of quarterly reports;
• Participation with CYD events and provider information meetings;
• Collaboration with all CYD providers including participating in marketing
of the program to the community;
• Oversight to ensure that budget is appropriately managed to prevent
any lapse in contract funds and ensuring that costs are reasonable,
necessary, allowable and allocable under the contract and governing
regulations (OMB circulars and the Texas Administrative Code).
Page 5 of 5
Attachment B: Bid/Pricing Schedule
Summary Contractor Boys & Girls Clubs of the Coastal Bend
Contract No.
click here for instructions Contract Period 9/1/2017 - 8/31/2018
Cost Category A B C
Grand Total Reimbursable Other (Match)
(1A) Personnel- Salaries $ 88,710.48 0 0
(1B) Personnel- Fringe Benefits $ 6,738.00 0 0
Subtotal $ 95,448.48 0 0
(2) Travel $ - 0 0
(3) Materials, Supplies, and Controlled Assets $ 10,200.00 0 5750
(4) Equipment(Rent/Lease/Purchase) $ 60,000.00 0 0
Subtotal $ 70,200.00 0 5750
(5) Other Costs (list below) 0 0 0
Subtotal 0 0 0
Foster or Day Care Total
(per DFPS unit rate below)
Total Direct Costs
Total Indirect Costs
(if applicable)
Grand Totall $ 165,648.48 ( 0J 5750
Unit Rate Contracts Amounts
(a) Projected service units (days, etc.) x
(b) Cost per unit of service
(i.e., unit rates)x
(c) Projected clients to be served
Foster or Day Care Total 0
Certified by: Valerie Burciaga
Name: Valerie Burciaga
Title: Community Relations Director
Date: 9/15/2016
***The Boys and Girls Club of the Coastal Bend proposed to provide multiple
services for the Community Youth Development Programs; they are being
recommended for three programs at a do-not-exceed amount of $90,495.57.
Attachment C: Insurance/Bond Requirements
INSURANCE REQUIREMENTS
CONTRACTOR'S LIABILITY INSURANCE
A. Contractor must not commence work under this contract until all insurance required has been
obtained and such insurance has been approved by the City. Contractor must not allow any
subcontractor, to commence work until all similar insurance required of any subcontractor has
been obtained.
B. Contractor must furnish to the City's Risk Manager and Park& Recreation Director one (1) copy
of Certificates of Insurance with applicable policy endorsements showing the following
minimum coverage by an insurance company(s) acceptable to the City's Risk Manager. The
City must be listed as an additional insured on the General liability and Auto Liability policies by
endorsement, and a waiver of subrogation endorsement is required on GL, AL and WC if
applicable. Endorsements must be provided with Certificate of Insurance. Project name and/or
number must be listed in Description Box of Certificate of Insurance.
TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE
30-day advance written notice of Bodily Injury and Property Damage
cancellation, non-renewal, material Per occurrence- aggregate
change or termination required on all
certificates and policies.
COMMERCIAL GENERAL LIABILITY $1,000,000 Per Occurrence
including: $2,000,000 Aggregate
1. Commercial Broad Form
2. Premises-Operations
3. Products/Completed Operations
4. Contractual Liability
5. Independent Contractors
6. Personal Injury- Advertising Injury
AUTO LIABILITY (including) $1,000,000 Combined Single Limit
1. Owned
2. Hired and Non-Owned
3. Rented/Leased
WORKERS'S COMPENSATION Statutory and complies with Part II of
(All States Endorsement if Company is not this insurance document.
domiciled in Texas)
Employers Liability $500,000/$500,000/$500,000
C. In the event of accidents of any kind related to this contract, Contractor must furnish the Risk
Manager with copies of all reports of any accidents within 10 days of the accident.
II. ADDITIONAL REQUIREMENTS
A. Applicable for paid employees, Contractor must obtain workers' compensation coverage
through a licensed insurance company. The coverage must be written on a policy and
endorsements approved by the Texas Department of Insurance. The workers' compensation
coverage provided must be in statutory amounts according to the Texas Department of
Insurance, Division of Workers' Compensation. An All States Endorsement shall be required if
Contractor is not domiciled in the State of Texas.
B. Contractor shall obtain and maintain in full force and effect for the duration of this Contract,
and any extension hereof, at Contractor's sole expense, insurance coverage written on an
occurrence basis by companies authorized and.admitted to do business in the State of Texas
and with an A.M. Best's rating of no less than A- VII.
C. Contractor shall be required to submit renewal certificates of insurance throughout the term of
this contract and any extensions within 10 days of the policy expiration dates. All notices under
this Exhibit shall be given to City at the following address:
City of Corpus Christi
Attn: Risk Manager
P.O. Box 9277
Corpus Christi, TX 78469-9277
D. Contractor agrees that,with respect to the above required insurance, all insurance policies are
to contain or be endorsed to contain the following required provisions:
• List the City and its officers, officials, employees, and volunteers, as additional insureds by
endorsement with regard to operations, completed operations, and activities of or on behalf of
the named insured performed under contract with the City, with the exception of the workers'
compensation policy;
• Provide for an endorsement that: the "other insurance" clause shall not apply to the City of
Corpus Christi where the City is an additional insured shown on the policy;
• Workers' compensation and employers' liability policies will provide a waiver of subrogation in
favor of the City; and
• Provide thirty (30) calendar days advance written notice directly to City of any, cancellation,
non-renewal, material change or termination in coverage and not less than ten (10) calendar
days advance written notice for nonpayment of premium.
E. Within five (5) calendar days of a cancellation, non-renewal, material change or termination of
coverage, Contractor shall provide a replacement Certificate of Insurance and applicable
endorsements to City. City shall have the option to suspend Contractor's performance should
there be a lapse in coverage at any time during this contract. Failure to provide and to maintain
the required insurance shall constitute a material breach of this contract.
F. In addition to any other remedies the City may have upon Contractor's failure to provide and
maintain any insurance or policy endorsements to the extent and within the time herein
required, the City shall have the right to order Contractor to stop work hereunder, and/or
withhold any payment(s) which become due to Contractor hereunder until Contractor
demonstrates compliance with the requirements hereof.
G. Nothing herein contained shall be construed as limiting in any way the extent to which
Contractor may be held responsible for payments of damages to persons or property resulting
from Contractor's or its subcontractor's performance of the work covered under this contract.
H. It is agreed that Contractor's insurance shall be deemed primary and non-contributory with
respect to any insurance or self insurance carried by the City of Corpus Christi for liability arising
out of operations under this contract.
It is understood and agreed that the insurance required is in addition to and separate from any
other obligation contained in this contract.
2016 Insurance Requirements
Park & Recreation
CYD Program
08/16/2016 my Risk Management
Attachment D: Warranty Requirements
Warranty is not required for the service agreement, item 8. Warranty of this
agreement is null.
CERTIFICATE.OF INTERESTED PARTIES
FORM 1295
1 of 1
Complete Nos.1-4 and 6 if there,are interested parties... OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place. Certificate Number:
of business. . .
2017-203128
Boys&Girls Clubsof the Coastal Bend
Corpus Christi,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 05/05/2017
being filed.
Corpus Christi,_TX. Date Acknno edged:
Z J n
3 Provide the identification number used by the governmental entity or state agency to track or identify the cohtract,and provide a
description of the services,goods,or other property to be provided under the contract.
111
Community Youth Development
4 Nature of interest
Name of Interested Party Ci tyState Country(place of business) (check applicable)
Controlling I Intermediary
Board of Directors Corpus Christi,TX United States X
5 Check only if there is NO Interested Party. 0
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct
V PV: SIDNEY L.CAVO. E
Notary Public f _
3,y * STATE OF TEXAS
toy Comm:Exp.1110312020
•: 100130889029 Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me,by the said \ct` 1/04 l) eXIrrL ()'tO ,this the S " day of
20 I ,to certify which,witness my hand and seal of office. r 0
' UUU
�dr1P L . Ccs C .ft n
Signature of.f i.er administering oath ' Printed name of o cer administering oath 'Title of officer administering oath
Forms provided by Texas Ethics Commission ,www.ethics.state.tx.us Version V1.0.883