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24-096 Maitri General Fund Human Service Grant Program1
GENERAL FUND HUMAN SERVICE GRANTS PROGRAM
CITY/NON-PROFIT CONTRACT
(Services Only)
This General Fund Human Services Grants Program City/Non-Profit Contract (the
"Contract") is entered into between the CITY OF CUPERTINO, a political subdivision of the
State of California (hereinafter “CITY”), and MAITRI, a non-profit public benefit corporation
(the "CORPORATION"). The allocation of funds pursuant to this Contract will be a grant.
CITY approved the allocation and disbursement of General Fund Human Service Grants
("HSG") funds to CORPORATION on July 1, 2024.
WITNESSETH
WHEREAS, CITY has reserved a portion of its HSG funds to be used on activities that
benefit Cupertino’s residents; and,
WHEREAS, CITY has agreed to the use by CORPORATION of a portion of CITY’S
HSG budget for the Program (as described below) to be operated within CITY for the benefit of
low and very low-income households;
NOW, THEREFORE, the parties agree as follows:
I. Program
CITY agrees to allocate a portion of its current HSG funds to CORPORATION, in the
sum of Twenty Four Thousand Six Hundred Seventy Eight Dollars and Eleven Cents
($24,678.11) (the "Grant") for the purpose of implementing the CORPORATION'S program, as
more particularly described in Exhibits A-E to the Contract (the "Program"), and said Exhibits
set forth below, as they may be amended or modified, are attached to this Contract and
incorporated herein by reference.
Exhibit A: Program Description
Exhibit B: Program Work Plan
Exhibit C: Proposed Implementation Timeline Schedule
Exhibit D: Program Budget
Exhibit E: Basic Insurance and Bond Requirements For Non-Profit Contracts
II. TERM
A. The purpose of this Contract is for the CITY to disburse the Grant for eligible
activities.
B. The initial term of this Contract (the "Term") will begin on July 1, 2024 and will
end on June 30, 2025, unless otherwise amended or terminated earlier pursuant to Section VII or
Section VIII of this Contract. The Term of this Contract may be extended two (2) times, each for
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an additional one (1) year period, for a total Term of up to three (3) years; provided, however,
neither party is obligated to extend the initial Term. If the Term is extended, the subsequent
Term shall commence on 12:00 am on the first day immediately following the last day of the
current Term provided that the CITY and the CORPORATION have entered into a written
amendment to this Contract providing for: (i) such extension of the Term, (ii) the amount of
HSG funds allocated for such extended Term; and (iii) an update to the Project Budget, Program
Work Plan, and Program Description (as applicable), in accordance with Article XVI of this
Contract. Notwithstanding anything to the contrary in this Contract, CORPORATION
acknowledges that CITY has only committed the funding of HSG funds for the initial Term, and
CITY's obligation to enter into an amendment extending the Term or to fund any subsequent
HSG funds to the CORPORATION in any subsequent year is wholly contingent on the
satisfaction of the following condition precedent for each subsequent year: (i) the allocation and
appropriation by the City Council of the CITY for the funding of the Grant in any subsequent
year, in accordance with the CITY's standard process and procedure for approving the annual
budget of the CITY. If such condition precedent is not satisfied for any reason prior to the
expiration of the then existing Term, then this Agreement shall automatically terminate upon the
expiration of the Term. Upon such termination, CITY shall have no further obligation to fund
any portion of the HSG funds, and the CORPORATION releases CITY for any and all claims
related to such termination. In no event shall the failure to enter into any amendment extending
the Term of this Contract, be considered a breach or default by CITY under this Contract. In the
event of any conflict between the terms of this provision and any other provision in this Contract,
the terms of this provision shall control.
III. ADDITIONAL YEAR RENEWAL OPTIONS
In the event the Term of this Contract is amended, in accordance with Article II, above,
the CORPORATION shall submit to CITY current proof of insurance satisfying the
requirements set forth in Exhibit E.
IV. OBLIGATIONS OF CORPORATION
A. Organization of CORPORATION. CORPORATION shall:
1. Provide CITY with copies of the following documents, evidencing filing
with the appropriate governmental agency:
a) Its Articles of Incorporation under the laws of the State of California;
b) A copy of the current Bylaws of CORPORATION;
c) Documentation of its Internal Revenue Service non-profit status;
d) Names and addresses of the current Board of Directors of
CORPORATION; and,
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e) An adopted copy of CORPORATION'S personnel policies and
procedures.
2. During the Contract Term, immediately report any changes, subsequent to
the date of this Contract, in CORPORATION'S Articles of Incorporation, Bylaws, Board of
Directors, personnel policies and procedures, or tax exempt status to CITY.
3. Maintain no member of its Board of Directors as a paid employee, agent,
independent contractor, or subcontractor under this Contract.
4. Open to the public meetings of its Board of Directors, if required by
California's open meeting laws, except meetings, or portions thereof, dealing with personnel or
litigation matters or as otherwise provided by law.
5. Keep minutes of all its regular and special meetings.
6. Comply with all provisions of California and Federal Non-Profit
Corporation Laws.
7. Provide to the CITY a copy of a resolution authorizing the
CORPORATION's execution of this Contract. The CORPORATION hereby warrants to the
CITY that this Contract is a legal, valid, and binding obligation of the CORPORATION
enforceable in accordance with its terms, and that the execution and delivery of this Contract and
the performance of the CORPORATION's obligations have been duly authorized by the
CORPORATION.
B. Program Performance by CORPORATION. CORPORATION shall:
1. Conduct the Program within the City of Cupertino, for the purpose of
benefiting low and very low-income households.
2. File quarterly reports on the type and number of services rendered
through the operation of the Program, and a description of the beneficiaries of these services, and
which reports will evaluate the manner in which the Program is achieving its objectives and
goals according to the standards established by CITY. The progress reports will be due ten (10)
days after the close of each reporting period and must cover the three (3) months immediately
preceding the date on which the report is filed.
3. Coordinate its services with other existing organizations providing similar
services in order to foster community cooperation and to avoid unnecessary duplication of
services.
4. Seek out and apply for other sources of revenue in support of its operation
or services from local, state, federal and private sources and, in the event of receipt of such
award, inform CITY within ten (10) days.
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5. Include an acknowledgement of CITY funding and support on
CORPORATION stationery and on all appropriate program-related publicity and publications
using words to the effect: "funded in whole or in part by the City of Cupertino General Funds."
C. Fiscal Responsibilities of CORPORATION. CORPORATION shall:
1. Appoint and submit the name of a fiscal agent who will be responsible for
the financial and accounting activities of CORPORATION, including the receipt and
disbursement of CORPORATION funds. The CITY must immediately be notified in writing of
the appointment of any new fiscal agent and that agent's name.
2. If the Term of this Contract is extended by an amendment for an
additional fiscal year, submit a satisfactory audit within one hundred fifty (150) days of
CORPORATION's fiscal year encompassed by the current year of this Contract.
3. Document all Program costs by maintaining records in accordance with
Section IV, Paragraph D below.
4. Submit to the CITY, based on an agreed upon schedule, a request for
payment, together with all supporting documentation. Invoices requesting disbursements
submitted after the expiration of the Contract will be honored only for eligible charges incurred
during the Contract Term. All invoices must be submitted by the Contract expiration date or
within such other time period specified by the CITY for this Contract Term. Funds not disbursed
will be returned to the City for future reallocation.
5. Certify current and continuous insurance coverage, subject to CITY
approval and in accordance with requirements as outlined in Exhibit E and provide a current
insurance certificate evidencing such coverage.
6. Deliver to the CITY a copy of the resolution authorizing
CORPORATION's execution of this Contract.
7. Items 4 through 6 above are express conditions precedent to disbursement
of any CITY funding and failure to comply with these conditions will, at discretion of CITY,
result in suspension of funding or termination of this Contract.
8. If CORPORATION does not use the Grant funds in accordance with the
requirements of this Contract, CORPORATION is liable for repayment of all disallowed costs.
Disallowed costs may be identified through audits, monitoring or other sources.
CORPORATION is required to respond to any adverse findings, which may lead to disallowed
costs subject to provisions of OMB Circular A-122, "Cost Principles for Non-Profit
Organizations."
D. Establishment and Maintenance of Records. CORPORATION shall:
1. Maintain complete and accurate records of all its transactions including,
but not limited to, contracts, invoices, time cards, cash receipts, vouchers, canceled checks, bank
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statements, client statistical records, personnel, property and all other pertinent records sufficient
to reflect properly (a) all direct and indirect costs of whatever nature claimed to have been
incurred or anticipated to be incurred to perform this Contract or to operate the Program, and (b)
all other matters covered by this Contract.
2. Maintain client data demonstrating client eligibility for services provided
in connection with the Program. Such data will include, but not be limited to, client name,
address, income level or other basis for determining eligibility, and description of service
provided. Such information will be made available to CITY monitors for review upon request.
E. Preservation of Records. CORPORATION will preserve and make available its
records:
1. Until five (5) years following date of final payment under this Contract, or
2. For such longer period, if any, as is required by applicable law; or
3. If this Contract is completely or partially terminated, the records relating
to the work terminated will be preserved and made available for a period of five (5) years from
the date of termination.
F. Examination of Records and Facilities. At any time during normal business
hours, and as often as may be deemed necessary, CORPORATION agrees that the CITY, and/or
any duly authorized representatives may until expiration of the later of: (a) five (5) years after
final payment under this Contract, (b) five (5) years from the date of termination of this Contract,
or (c) such longer period as may be described by applicable law, have access to and the right to
examine its plants, offices and facilities used in the performance of this Contract or the operation
of the Program, and all its records with respect to the Program and all matters covered by this
Contract. CORPORATION also agrees that CITY or any duly authorized representatives will
have the right to audit, examine, and make excerpts or transactions of and from, such records and
to make audits of all contracts and subcontracts, invoices, payrolls, records of personnel,
conditions of employment, materials and all other data relating to the Program and matters
covered by this Contract. CORPORATION will be notified in advance that an audit will be
conducted. CORPORATION will be required to respond to any audit findings, and have the
responses included in the final audit report. The cost of any such audit will be borne by CITY.
G. Compliance with Law. CORPORATION will become familiar and comply with
and cause all its subcontractors, independent contractors, and employees, if any, to become
familiar and comply with all applicable federal, state and local laws, ordinances, codes,
regulations and decrees.
H. Suspension and Termination. If CORPORATION materially fails to comply with
any term of this Contract, CITY may suspend or terminate the Contract in whole or in part. In no
event shall any payment by CITY hereunder constitute a waiver by CITY of any breach of this
Contract or any default, which may then exist on the part of CORPORATION, nor shall such
payment impair or prejudice any remedy available to CITY with respect to the breach or default.
CITY expressly reserves the right to demand of CORPORATION the repayment to the CITY of
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any funds disbursed to CORPORATION under this Contract, which were not expended in
accordance with the terms of this Contract, and CORPORATION agrees to promptly refund any
such funds upon demand.
Notwithstanding the above, CORPORATION shall not be relieved of liability to CITY for
damages sustained by CITY or others by virtue of any breach of the Contract by
CORPORATION, and CITY may withhold any payments to the CORPORATION for the
purpose of set off until such time as the exact amount of damages due CITY from
CORPORATION is determined.
I. Reversion of Assets. Upon expiration or termination of this Contract, the
CORPORATION will transfer to the CITY any Grant funds on hand at the time of expiration and
any accounts receivable attributable to the use of such funds.
J. Conflict of Interest. In accordance with Government Code Section 1090 and the
Political Reform Act, Government Code Section 87100 et seq., except for approved eligible
administrative or personnel costs, no person who is an employee, agent, consultant, officer, or
any immediate family member of such person, or any elected or appointed official of the CITY
who exercises or has exercised any functions or responsibilities with respect to the activities
funded by this Contract or who is in a position to participate in a decision-making process may
obtain a personal or financial interest or benefit from the activity, or have an interest in any
contract, subcontract, or agreement with respect thereto, or the proceeds thereunder, during, or at
any time after, such person's tenure. CORPORATION shall exercise due diligence to ensure that
the prohibition in this Section is followed.
Further, no person who is a director, officer, partner, trustee or employee or
consultant of CORPORATION, or immediate family member of any of the preceding, shall
make or participate in a decision, made by the CITY or a CITY board, commission or
committee, if it is reasonably foreseeable that the decision will have a material effect on any
source of income, investment or interest in real property of that person or CORPORATION.
Interpretation of this section shall be governed by the definitions and provisions
used in the Political Reform Act, Government Code Section 87100 et seq., its implementing
regulations manual and codes, and Government Code Section 1090.
V. OBLIGATIONS OF CITY
A. Method of Payment. During the Term of this Contract, CITY shall disburse the
HSG Grant funds to CORPORATION on a reimbursement basis unless otherwise provided
herein for all allowable costs and expenses incurred in connection with the Program, not to
exceed the total sum set forth in Article I. CITY may, at any time in its absolute discretion, elect
to suspend or terminate payment to CORPORATION, in whole or in part, pursuant to this
Contract based on CORPORATION'S non-compliance, including, but not limited to, incomplete
documentation of expenses, failure to substantially meet goals and objectives as required in
Exhibit B ("Program Work Plan"), failure to submit adequate progress reports as required herein
or other incidents of non-compliance as described in Section VII, Paragraph B of this Contract or
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based on the refusal by CORPORATION to accept any additional conditions that may be
imposed by City at any time to ensure compliance with the terms of this Contract.
VI. PROGRAM COORDINATION
A. CITY. The CITY has designated the Senior Housing Coordinator for CITY who
will render overall supervision of the progress and performance of this Contract by CITY.
B. CORPORATION. As of the date hereof, CORPORATION has designated Rama
Dharmarajan to serve as EXECUTIVE DIRECTOR and to assume overall responsibility for the
progress and execution of this Contract. The CITY will be immediately notified in writing of the
appointment of a new EXECUTIVE DIRECTOR.
C. NOTICES. All notices or other correspondence required or contemplated by this
Contract shall be sent to the parties at the following addresses:
CITY: Attention: Senior Housing Coordinator
Community Development Department
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
CORPORATION: PO Box 697
Santa Clara, CA 95052
All notices will either be hand delivered or sent by United States mail, registered or certified,
postage prepaid. Notices given in such a manner will be deemed received when hand delivered
or seventy-two (72) hours after deposit in the United States mail. Any party may change his or
her address for the purpose of this section by giving five days written notice of such change to
the other party in the manner provided in this section.
VII. CONTRACT COMPLIANCE
A. Monitoring and Evaluation of Services. Evaluation and monitoring of the
Program performance is the mutual responsibility of both CITY and CORPORATION.
CORPORATION must furnish all data, statements, records, information and reports necessary
for DIRECTOR to monitor, review and evaluate the performance of the Program and its
components. CITY will have the right to request the services of an outside agent to assist in any
such evaluation. Such services shall be paid for by CITY.
B. Contract Noncompliance. If CORPORATION fails to comply with any provision
of this Contract; CITY will have the right to require corrective action to enforce compliance with
such provision as well as the right to suspend or terminate this Contract. Examples of
noncompliance include, but are not limited to:
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1. If CORPORATION (with or without knowledge) has made any material
misrepresentation of any nature with respect to any information or data furnished to CITY in
connection with the Program.
2. If there is pending litigation with respect to the performance by
CORPORATION if any of its duties or obligations under this Contract, which may materially
jeopardize or adversely affect the undertaking of or the carrying out of the Program.
3. If CORPORATION has taken any action pertaining to the Program, which
action required CITY approval, and such approval was not obtained.
4. If CORPORATION is in default under any provision of this Contract.
5. If CORPORATION makes illegal use of CITY funds.
6. If CORPORATION submits to CITY any report which is incorrect or
incomplete in any material respect.
7. If CORPORATION fails to meet the stated objectives in the Program
Work Plan attached as Exhibit B.
C. Corrective Action Procedure. CITY, in its absolute discretion and in lieu of
immediately terminating this Contract upon occurrence or discovery of noncompliance by
CORPORATION pursuant to this Contract, will have the right to give CORPORATION notice
of CITY'S intention to consider corrective action to enforce compliance. Such notice must
indicate the nature of the non-compliance and the procedure whereby CORPORATION will
have the opportunity to participate in formulating any corrective action recommendation. CITY
will have the right to require the presence of CORPORATION'S officer(s) and EXECUTIVE
DIRECTOR at any hearing or meeting called for the purpose of considering corrective action.
In the event that CORPORATION does not implement the corrective action
recommendations in accordance with the corrective action timetable, CITY may suspend
payments hereunder or terminate this Contract as set forth in Section VIII below.
VIII. TERMINATION
A. Termination for Cause. CITY may terminate this Contract by providing written
notice to CORPORATION, for any of the following reasons: uncorrected Contract non-
compliance as defined in Section VII, Paragraph B; CORPORATION is insolvent or in
bankruptcy or receivership; a member of the CORPORATION'S Board of Directors or the
executive director is found to have committed fraud or; there is reliable evidence that
CORPORATION is unable to complete the Program as described in the attached Exhibits. The
date of termination will be as specified in the notice.
B. Termination for Convenience. In addition to the CITY'S right to terminate for
cause set forth in Section VII, either CITY or CORPORATION may suspend or terminate this
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Contract for any reason by giving thirty (30) days prior written notice to the other party. Upon
receipt of such notice, performance of the services hereunder will be immediately discontinued,
and CITY shall have no further obligation to fund any portion of the HSG funds, other than any
amount incurred by CORPORATION, in accordance with this Contract, prior to such written
notice. Upon such termination, CITY shall have no further obligation to fund any portion of the
HSG funds (other than for costs incurred by the CORPORATION prior to such notice), and the
CORPORATION releases CITY for any and all claims related to such termination. In no event
shall CITY's early termination of this Contract, be considered a breach or default by CITY under
this Contract. In the event of any conflict between the terms of this provision and any other
provision in this Contract, the terms of this provision shall control.
C. Return of Funds. In the event that this Contract is terminated, CORPORATON
may be required to return funds to the CITY.
D. Access to Records. Upon termination of this Contract, CORPORATION must
immediately provide CITY access to all documents, records, payroll, minutes of meetings,
correspondence and all other data pertaining to Grant made to CORPORATION pursuant to this
Contract.
IX. PROGRAM INCOME
Income generated by the Program, is considered Program Income. CORPORATION will
annually report all program income generated by activities carried out with Grant funds made
available under this Contract. By way of further limitations, CORPORATION may use such
income during the Contract period for activities permitted under this Contract and shall reduce
requests for additional funds by the amount of any such program income balance on hand. All
unused program income shall be returned to the CITY at the end of the Contract period.
X. INDEPENDENT CONTRACTOR
This is a Contract by and between independent contractors and is not intended and will not be
construed to create the relationship of agent, servant, employee, partnership, joint venture or
association between CORPORATION and CITY. CORPORATION, including its officers,
employees, agents or independent contractors or subcontractors, shall not have any claim under
this Contract or otherwise against CITY for any Social Security, Worker's Compensation, or
employee benefits extended to employees of CITY.
XI. ASSIGNABILITY
CITY is entering into this Contract based on the experience, skill, and ability to perform of the
CORPORATION. The CORPORATION recognizes that its qualifications and identify are of
particular concern to the CITY in view of the CITY's interest in providing services to lower
income persons and the CITY's reliance on the unique qualifications of the CORPORATION.
Consequently, this Contract may not be assigned to another CORPORATION, person,
partnership or any other entity without the prior written approval of CITY. None of the work or
services to be performed hereunder may be assigned, delegated or subcontracted to third parties
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without the prior written approval of CITY, which the CITY may withhold in its sole discretion.
Copies of all third party contracts shall be submitted to CITY at least ten (10) days prior to the
proposed effective date. In the event CITY approves of any such assignment, delegation or
subcontract, CORPORATION shall remain fully liable for all obligations and requirements
under this Contract including the performance and any liabilities attaching to the assignees’
actions or omissions.
XII. DISCLOSURE OF CONFIDENTIAL CLIENT INFORMATION
CITY and CORPORATION agree to maintain the confidentiality of any information regarding
applicants for services offered by the Program pursuant to this Contract or their immediate
families which may be obtained through application forms, interviews, tests, reports from public
agencies or counselors, or any other source. Without the written permission of the applicant,
such information will be divulged only as necessary for purposes related to the performance or
evaluation of the services and work to be provided pursuant to this Contract, and then only to
persons having responsibilities under this Contract, including those furnishing services under the
Program through approved subcontracts.
XIII. HOLD HARMLESS
In addition to the indemnity obligations set forth in Exhibit E, "Basic Insurance and Bond
Requirements for Non-Profit Contracts", CORPORATION will indemnify and hold harmless the
CITY, its employees, agents, and officials, members of boards and commissions, from any and
all claims, actions, suits, charges and judgments whatsoever, with respect to any damages,
including attorney's fees and court costs, arising out of the failure of the CORPORATION's
Program to comply with applicable laws, ordinances, codes, regulations and decrees.
XIV. WAIVER OF RIGHTS AND REMEDIES
In no event will any payment by CITY constitute or be construed to be a waiver by CITY of any
breach of the covenants or conditions of this Contract or any default which may then exist on the
part of CORPORATION, and the making of any such payment while any such breach or default
will in no way impair or prejudice any right or remedy available to CITY with respect to such
breach or default. In no event will payment to CORPORATION by CITY in any way constitute
a waiver by CITY of its rights to recover from CORPORATION the amount of money paid to
CORPORATION on any item, which is not eligible for payment under the Program or this
Contract.
XV. NON-DISCRIMINATION
CORPORATION will comply with all applicable Federal, State and local laws and regulations
including the City of Cupertino's policies concerning nondiscrimination and equal opportunity in
contracting. Such laws include but are not limited to the following: Title VII of the Civil Rights
Act of 1964 as amended; Americans with Disabilities Act of 1990; The Rehabilitation Act of
1973 (Sections 503 and 504); California Fair Employment and Housing Act (Government Code
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sections 12900 et seq.); and California Labor Code sections 1101 and 1102. CORPORATION
will not discriminate against any subcontractor, employee, or applicant for employment because
of age, race, color, national origin, ancestry, religion, sex/gender, sexual orientation, mental
disability, physical disability, medical condition, political beliefs, organizational affiliations, or
marital status in the recruitment, selection for training including apprenticeship, hiring,
employment, utilization, promotion, layoff, rates of pay or other forms of compensation. Nor
shall CORPORATION discriminate in provision of services provided in this Contract because of
age, race, color, national origin, ancestry, religion, sex/gender, sexual orientation, mental
disability, physical disability, medical condition, political beliefs, organizational affiliations, or
marital status.
This non-discrimination provision must be included in CORPORATION's contracts with sub-
contractors and vendors when utilizing the Grant funds disbursed for this program.
XVI. AMENDMENTS
Other than the amendment related to a second year renewal option as stated in Section III. above,
amendments to the terms or conditions of this Contract must be requested in writing by a duly
authorized representative of the party desiring such amendments, and any such amendment shall
be effective only upon the mutual agreement in writing of the parties hereto. Amendments will
not invalidate this Contract, nor relieve or release the CITY or the CORPORATION from its
obligations under this Contract.
XVII. INTEGRATED DOCUMENT
This Contract contains the entire agreement between CITY and CORPORATION with respect to
the subject matter hereof. No written or oral agreements with any officer, agent or employee of
CITY prior to execution of this Contract shall affect or modify any of the terms of obligations
contained in any documents comprising this Contract.
XVIII. MISCELLANEOUS
A. Captions. The captions and section headings used in this Contract are for
convenience of reference only, and the words contained herein will, in no way, be held to
explain, modify, amplify or aid in the interpretation, construction or meaning of the provisions of
this Contract.
B. Discretion Retained By CITY. CITY's execution of this Contract in no way limits
the discretion of the CITY in the permit and approval process in connection with the Program.
C. Exhibits. All Exhibits attached hereto and referred to in this Contract are
incorporated herein by this reference as if set forth fully herein. Exhibits are as follows: Exhibit
A (Program Description), Exhibit B (Program Work Plan), Exhibit C (Proposed Implementation
Time Schedule), Exhibit D (Program Budget), Exhibit E (Basic Insurance and Bond
Requirements for Non-Profit Contracts).
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D. Interpretation. Each party to this Contract has had an opportunity to review the
Contract, confer with legal counsel regarding the meaning of the Contract, and negotiate
revisions to the Contract. This Contract shall not be construed as if it had been prepared by one
of the parties, but rather as if both parties had prepared it. The parties have read and reviewed
this Contract and agree that any rule of construction to the effect that ambiguities are to be
resolved against the drafting party (including but not limited to Civil Code Section 1654 as may
be amended from time to time, or any other state law, or common law principle) shall not apply
to the interpretation of this Contract.
E. Third-Party Beneficiary. There shall be no third party beneficiaries to this
Contract.
F. Choice of Law and Venue. This Contract shall be governed by and construed in
accordance with California law. Venue shall be Santa Clara County.
G. Parties Bound. Except as otherwise limited herein, the provisions of this Contract
shall be binding upon and inure to the benefit of the parties and their heirs, executors,
administrators, legal representatives, successors, and assigns.
H. Attorneys' Fees. If any lawsuit is commenced to enforce any of the terms of this
Contract, the prevailing party will have the right to recover its reasonable attorneys' fees and
costs of suit from the other party.
I. Severability. If any Term of this Contract is held by a court of competent
jurisdiction to be invalid, void or unenforceable, the remainder of the provisions shall continue in
full force and effect unless the rights and obligations of the parties have been materially altered
or abridged by such invalidation, voiding or unenforceability.
J. Authorization. The persons signing below are duly authorized to execute this
Contract.
K. Multiple Originals; Counterpart. This Agreement may be executed in multiple
originals, each of which is deemed to be an original, and may be signed in counterparts.
[Signatures on following page.]
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IN WITNESS WHEREOF, the parties have executed this Contract the day and year above
written.
CORPORATION: CITY:
MAITRI, a California CITY OF CUPERTINO, a municipal
nonprofit public corporation benefit corporation
___________________________________ __________________________________
Rama Dharmarajan Date Benjamin Fu Date
Chief Executive Officer Director of Community Development
APPROVED AS TO FORM AND ATTEST:
LEGALITY:
___________________________________ _________________________________
Christopher Jensen Date Kirsten Squarcia Date
City Attorney City Clerk
Aug 5, 2024
Christopher D. Jensen Aug 5, 2024
Aug 5, 2024
Aug 5, 2024
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EXHIBIT A
PROGRAM DESCRIPTION
FY 2024/2025
Agency Name:
Maitri
DUNS:
Not Applicable (Only for CDBG)
Chief Executive Officer:
Rama Dharmarajan
Program Manager:
Rama Dharmarajan
Program # (For Office Use Only)
100-72-712 600-623
Street Address:
P.O. Box 697
City:
Santa Clara
State:
CA
Zip Code:
95052
Telephone number:
(408) 956-6081
Fax Number:
Manager E-mail
rama@maitri.org
Name of Program:
MTH-Direct Client Services
Program Location:
P.O. Box 697, Santa Clara, CA 95052
Program Description:
Maitri seeks the support of the city of Cupertino in the amount of $25,000 to supp ort 10 women and children
impacted by domestic violence (DV) who are residing at Maitri's Anjali Transitional House (TH) in a secure
location in Santa Clara County. Maitri's TH provides safe and confidential housing, and trauma-informed supportive
services to women and children who for the most part were previously homeless. These services will help Maitri TH
clients achieve self-sufficiency, permanent housing, and employment, as well as help them overcome barriers that
resulted from DV.
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EXHIBIT B
PROGRAM WORK PLAN
FY 2024/2025
AGENCY NAME: Maitri
PROGRAM NAME: MTH-Direct Client Services
Objectives Benchmarks for Each Quarter
1st 2nd 3rd 4th TOTAL
Provide self-sufficiency sessions to 8 Cupertino residents 2 2 2 2 8
Total 2 2 2 2 8
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EXHIBIT C
PROPOSED IMPLEMENTATION TIMELINE SCHEDULE
FY 2024/2025
AGENCY NAME: Maitri
PROGRAM NAME: MTH-Direct Client Services
Activity Number & Description:
Activity
# Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
1.
2.
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EXHIBIT D
PROGRAM BUDGET
FY 2024/2025
AGENCY NAME: Maitri
PROGRAM NAME: MTH-Direct Client Services
Proposed Program Expenses FY 24-25
Salaries/Benefits/Payroll/Taxes $22,743.80
Office Supplies $0.00
Communication $280.00
Publications/Printing/Advertising $0.00
Travel $0.00
Rent/Lease/Mortgage $260.00
Utilities $200.20
Insurance $294.00
Equipment Rental/Maintenance $0.00
Audit/Legal/Professional Services (for CDBG portion only) $400.11
Direct Services (Funding for specific service such as a meal, ride) $0.00
Contracted Services $500.00
Other $0.00
Total Expenses $24,678.11
18
EXHIBIT E
BASIC INSURANCE AND BOND REQUIREMENTS FOR
NON-PROFIT CONTRACTS
Definition of Contractor: The "Contractor" as the word is used in this Exhibit E is the party
contracting with the City of Cupertino for the direct distribution of HSG funds.
Indemnity
The Contractor shall indemnify, defend, and hold harmless the City of Cupertino (hereinafter
"City"), its officers, agents and employees from any loss, liability, claim, injury or damage
arising out of, or in connection with performance of this Contract by Contractor and/or its agents,
employees or subcontractors, excepting only loss, injury or damage caused solely by the acts or
omissions of personnel employed by the City. It is the intent of the parties to this Contract to
provide the broadest possible coverage for the City. The Contractor shall reimburse the City for
all costs, attorneys' fees, expenses and liabilities incurred with respect to any litigation in which
the Contractor is obligated to indemnify, defend and hold harmless the City under this Contract.
Insurance
Without limiting the Contractor's indemnification of the City, the Contractor shall provide and
maintain at its own expense, during the term of this Contract, or as may be further required
herein, the following insurance coverages and provisions:
A. Evidence of Coverage
Prior to commencement of this Contract, the Contractor shall provide on the City's own form or a
form approved by the City's Insurance Manager an original plus one copy of a Certificate of
Insurance certifying that coverage as required herein has been obtained and remains in force for
the period required by this Contract. The contract number and program name must be stated
on the Certificate of Insurance. The City's Special Endorsement form shall accompany the
certificate. Individual endorsements executed by the insurance carrier may be substituted for the
City's Special Endorsement form if they provide the coverage as required. In addition, a certified
copy of the policy or policies shall be provided by the Contractor upon request.
This verification of coverage shall be sent to the address as shown on the City's Certificate of
Insurance form and to the Community Development Department at the address set forth in this
Contract at Section VI. PROGRAM COORDINATION, Paragraph C., NOTICES. The
Contractor shall not issue a Notice to Proceed with the work under this Contract until it has
obtained all insurance required and such insurance has been approved by the City. This approval
of insurance shall neither relieve nor decrease the liability of the Contractor.
B. Notice of Cancellation of Reduction of Coverage
All policies shall contain a special provision for thirty (30) days prior written notice of any
cancellation or reduction in coverage to be sent to the Community Development Department,
10300 Torre Avenue, Cupertino, CA 95014.
C. Qualifying Insurers
19
All policies shall be issued by companies which hold a current policy holder's alphabetic and
financial size category rating of not less than A VIII, according to the current Best's Key Rating
Guide, unless otherwise approved by the City's Insurance Manager.
D. Insurance Required
1. Comprehensive General Liability Insurance - for bodily injury (including death) and
property damage which provides limits of not less than one million dollars ($1,000,000)
combined single limit (CSL) per occurrence.
OR
2. Commercial General Liability Insurance - for bodily injury (including death) and
property damage which provides limits as follows:
a. General limit per occurrence - $1,000,000
b. General limit aggregate - $2,000,000
c. Products/Completed Operations- $1,000,000 aggregate
d. Personal Injury limit - $1,000,000
If coverage is provided under a Commercial General Liability Insurance form, the carrier shall
provide the City Insurance Manager with a quarterly report of the amount of aggregate limits
expended to that date. If over 50% of the aggregate limits have been paid or reserved, the City
may require additional coverage to be purchased by the Contractor to restore the required limits.
3. For either type of insurance, coverage shall include:
a. Premises and Operations
b. Products/Completed Operations with limits of one million dollars ($1,000,000)
per occurrence/ aggregate to be maintained for two (2) years following acceptance
of the work by the City.
c. Contractual Liability expressly including liability assumed under this Contract.
d. Personal Injury liability.
e. Independent Contractors' (Protective) liability.
f. Severability of Interest clause providing that the coverage applies separately to
each insured except with respect to the limits of liability.
20
4. For either type of insurance, coverage shall include the following endorsements, copies of
which shall be provided to the City:
a. Additional Insured Endorsement:
Such insurance as is afforded by this policy shall also apply to the City of Cupertino, and
members of the City Council, and the officers, agents and employees of the City of
Cupertino, individually and collectively, as additional insureds.
b. Primary Insurance Endorsement:
Such insurance as is afforded by the additional insured endorsement shall apply as primary
insurance, and other insurance maintained by the City of Cupertino, its officers, agents,
and employees shall be excess only and not contributing with insurance provided under
this policy.
c. Notice of Cancellation or Change of Coverage Endorsement:
This policy may not be cancelled nor the coverage reduced by the Company without 30
days prior written notice of such cancellation or reduction in coverage to the City of
Cupertino at the address shown on the Certificate of Insurance.
d. Contractual Liability Endorsement:
This policy shall apply to liability assumed by the insured under written contract with the
City of Cupertino.
e. Personal Injury Endorsement:
The provisions of this policy shall provide Personal Injury coverage.
f. Severability of Interest Endorsement:
The insurance afforded by this policy shall apply separately to each insured that is
seeking coverage or against whom a claim is made or a suit is brought, except with
respect to the Company's limit of liability.
5. Comprehensive Automobile Liability Insurance for bodily injury (including death) and
property damage which provides total limits of not less than one million dollars
($1,000,000) combined single limit per occurrence applicable to all owned, non-owned
and hired vehicles.
6. Worker's Compensation and Employer's Liability Insurance for:
a. Statutory California Workers' Compensation coverage including a broad form all-
states endorsement.
21
b. Employer's Liability coverage for not less than one million dollars ($1,000,000)
per occurrence for all employees engaged in services or operations under this
Contract.
c. Inclusion of the City and its governing board(s), officers, representatives, agents,
and employees as additional insureds, or a waiver of subrogation.
7. Professional Errors and Omissions Liability Insurance
This type of insurance should be provided by persons/entities you contract with to provide you
with professional services.
a. Limits of not less than one million dollars ($1,000,000).
b. If this policy contains a self retention limit, it shall not be greater than ten
thousand dollars ($10,000) per occurrence/event.
c. This coverage shall be maintained for a minimum of two (2) years following
termination of this Contract.
The City must first approve any exceptions to the above requirements.
8. Bond Requirements
Fidelity Bond - Before receiving compensation under this Contract, Contractor will furnish City
with evidence that all officials, employees, and agents handling or having access to funds
received or disbursed under this Contract, or authorized to sign or countersign checks, are
covered by a BLANKET FIDELITY BOND in an amount of AT LEAST fifteen percent (15%)
of the maximum financial obligation of the City cited herein. If such bond is cancelled or
reduced, Contractor will notify City immediately, and City may withhold further payment to
Contractor until proper coverage has been obtained. Failure to give such notice may be cause for
termination of this Contract, at the option of the City.
9. Special Provisions
The following provisions shall apply to this Contract:
a. The foregoing requirements as to the types and limits of insurance coverage to be
maintained by the Contractor and any approval of said insurance by the City or its
insurance consultant(s) are not intended to and shall not in any manner limit or
qualify the liabilities and obligations otherwise assumed by the Contractor
pursuant to this Contract, including but not limited to the provisions concerning
indemnification.
b. The City acknowledges that some insurance requirements contained in this
Contract may be fulfilled by self-insurance on the part of the Contractor.
22
However, this shall not in any way limit liabilities assumed by the Contractor
under this Contract. The City shall approve any self-insurance in writing.
c. The City reserves the right to withhold payments to the Contractor in the event of
material noncompliance with the insurance requirements outlined above.
d. If the Contractor fails to maintain such insurance as is called for herein, the City
must order the Contractor to immediately suspend work at Contractor's expense
until a new policy of insurance is in effect.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
6/12/2024
CalNonprofits Insurance Services
1500 41st Avenue
Suite 228
Capitola CA 95010
Ken Chong
831-824-5010 831-824-5037
Ken@cal-insurance.org
Nonprofits Insurance Alliance of California 10023
MAITCHA-01 Travelers Casualty and Surety Company of America 19038MaitriCharitableTrust
4677 Old Ironsides Drive
Suite 450
Santa Clara CA 95054
Hartford Casualty Insurance Company 29424
2049733128
A X 1,000,000
X 500,000
20,000
1,000,000
3,000,000
X
Y Y 2023-52790 9/5/2023 9/5/2024
3,000,000
A 1,000,000
X X
2023-52790 9/5/2023 9/5/2024
A X X 1,000,0002023-52790-UMB 9/5/2023 9/5/2024
C XY57WECAT4T3P9/1/2023 9/1/2024
1,000,000
1,000,000
1,000,000
B
A
Crime/Fidelity
Social Service Professional 107111389
2023-52790
7/1/2024
9/5/2023
7/1/2025
9/5/2024
Limit
Each Event/Aggregate
$5,000
$1M Occ/$3M Agg
The City of Cupertino,its officers,officials,employees,and volunteers are included as Additional Insured with respect to General Liability as required by written
contract per Endorsement Form(s)CG 20 26 and CG 20 11 attached.Blanket Waiver of Subrogation applies,per form NIAC-E26 attached.Waiver of
Subrogation applies to Worker's Compensation,per form WC 04 03 attached.30 Day Notice of Cancellation applies.
City of Cupertino
10300 Torre Avenue
Cupertino CA 95014
POLICY NUMBER:COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED – DESIGNATED
PERSON OR ORGANIZATION
CG 20 26 12 19
2023-52790
Named Insured: Maitri Charitable Trust
Any person or organization that you are required to add as an additional insured on this policy, under a written
contract or agreement currently in effect, or becoming effective during the term of this policy. The additional
insured status will not be afforded with respect to liability arising out of or related to your activities as a real
estate manager for that person or organization.
Name Of Additional Insured Person(s) Or Organization(s):
SCHEDULE
COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the following:
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by your acts or
omissions or the acts or omissions of those acting
on your behalf:
1. In the performance of your ongoing operations;
or
2. In connection with your premises owned by or
rented to you.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
A.B.With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
© Insurance Services Office, Inc., 2012 Page 1 of 1CG 20 26 12 19
Maitri Charitable TrustNAMED INSURED:
FORM: NIAC-E26 11 17 POLICY NUMBER: 2023-52790
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS (WAIVER OF SUBROGATION)
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SOCIAL SERVICE PROFESSIONAL LIABILITY COVERAGE FORM
This endorsement modifies insurance provided under the following:
Name of Person or Organization:
SCHEDULE
Where you are so required in a written contract or agreement currently in effect or becoming effective during the
term of this policy, we waive any right of recovery we may have against that person or organization, who may be
named in the schedule above, because of payments we make for injury or damage.
Page 1 of 1NIAC-E26 11 17
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
Countersigned by
Authorized Representative
Form WC 04 03 06 (1) Printed in U.S.A.
Process Date:07/23/23 Policy Expiration Date:09/01/24
WAIVER OF OUR RIGHT TO RECOVER FROM
OTHERS ENDORSEMENT - CALIFORNIA
Policy Number:57 WEC AT4T3P Endorsement Number:
Effective Date:09/01/23 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address:Maitri Charitable Trust
PO Box 697
SANTA CLARA CA 95052
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 the person or organization named in the Schedule.(This agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 2 %of the California workers'compensation premium otherwise due
on such remuneration.
SCHEDULE
Person or Organization Job Description
Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from
us
CRIME
DECLARATIONS
Travelers Casualty and Surety Company of America
POLICY NO.107111389
Hartford, Connecticut
(A Stock Insurance Company, herein called the Company)
ITEM 1 NAMED INSURED:
MAITRI INC.
D/B/A:
Principal Address:
PO BOX 697
SANTA CLARA, CA 95052
Inception Date:July 1, 2024 Expiration Date:July 1, 2025
ITEM 2 POLICY PERIOD:
12:01 A.M. standard time both dates at the Principal Address stated in ITEM 1.
ITEM 3 ALL NOTICES OF CLAIM OR LOSS MUST BE SENT TO THE COMPANY BY EMAIL, FACSIMILE, OR
MAIL AS SET FORTH BELOW:
BSIclaims@travelers.com
ITEM 4 COVERAGE INCLUDED AS OF THE INCEPTION DATE IN ITEM 2:
Crime
CRI-2001 Ed. 01-09 Printed in U.S.A. Page 1 of 4
©2009 The Travelers Companies, Inc. All Rights Reserved
1-888-460-6622
Travelers Bond & Specialty Insurance Claim
P.O. Box 2989
Hartford, CT 06104-2989
Travelers Bond & Specialty Insurance Claim
One Tower Square, MN06
Hartford, CT 06183
Mail:
Overnight Mail:
For questions related to claim reporting or handling, please call 1-800-842-8496.
Email:
Fax:
CRI-2001 Ed. 01-09 Printed in U.S.A. Page 2 of 4
©2009 The Travelers Companies, Inc. All Rights Reserved
ITEM 5 CRIME
Single Loss
Limit of Insurance
Single Loss
Retention Insuring Agreement
A. Fidelity
B. Forgery or Alteration
C. On Premises
D. In Transit
E. Money Orders and Counterfeit Money
F. Computer Crime
1. Computer Fraud
2. Computer Program and Electronic
Data Restoration Expense
G. Funds Transfer Fraud
H. Personal Accounts Protection
1. Personal Accounts Forgery or
Alteration
2. Identity Fraud Expense
Reimbursement
I. Claim Expense
$5,000
$5,000
Not Covered
$5,000 $0
$0
$0
$5,000
$5,000
$5,000
$5,000
Not Covered
$0
$5,000
Not Covered
Not Covered
$5,000
$0
$0
$0
$0
$0
1. Employee Theft
2. ERISA Fidelity
3. Employee Theft of Client Property
ITEM 5.
(Cont’d) If “Not Covered” is inserted above opposite any specified Insuring Agreement, or if no amount is included in
the Limit of Insurance, such Insuring Agreement and any other reference thereto is deemed to be deleted
from this Crime Policy.
Policy Aggregate Limit of Insurance:
If a Policy Aggregate Limit of Insurance is applicable, then the Policy Aggregate Limit of Insurance for each
Policy Period for Insuring Agreements A through H, inclusive, is: Not Applicable
If a Policy Aggregate Limit of Insurance is not included, then this Crime Policy is not subject to a Policy
Aggregate Limit of Insurance as set forth in Section V. CONDITIONS B. PROVISIONS AFFECTING LOSS
ADJUSTMENT AND SETTLEMENT 1. Limit of Insurance a. Policy Aggregate Limit of Insurance.
Cancellation of Prior Insurance:
By acceptance of this Crime Policy, the Insured gives the Company notice canceling prior policies or
bonds issued by the Company that are designated by policy or bond numbers ,Not Applicable
such cancellation to be effective at the time this Crime Policy becomes effective.
INSURED’S PREMISES COVERED:
All Premises of the Insured in the United States of America, its territories and possessions, Canada, or any
other country throughout the world, except:
Not Applicable
ITEM 6
ITEM 7 FORMS AND ENDORSEMENTS ATTACHED AT ISSUANCE:
PREMIUM FOR THE POLICY PERIOD:
$67.00 Policy Premium
N/A
ACF-7006-0511; CRI-3001-0109; CRI-19060-0713; CRI-19072-0315; CRI-19101-1117;
CRI-19115-0519; CRI-19085-0919; CRI-19122-1120; CRI-5005-0810
Applicable Not Applicable
Annual Installment Premium
CRI-2001 Ed. 01-09 Printed in U.S.A. Page 3 of 4
©2009 The Travelers Companies, Inc. All Rights Reserved
CRI-2001 Ed. 01-09 Printed in U.S.A. Page 4 of 4
©2009 The Travelers Companies, Inc. All Rights Reserved
THE DECLARATIONS, THE APPLICATION, THE CRIME TERMS AND CONDITIONS, ANY PURCHASED INSURING
AGREEMENTS, AND ANY ENDORSEMENTS ATTACHED THERETO, CONSTITUTE THE ENTIRE AGREEMENT
BETWEEN THE COMPANY AND THE NAMED INSURED.
_____________________________
Countersigned By
IN WITNESS WHEREOF, the Company has caused this policy to be signed by its authorized officers.
President Corporate Secretary
MTH - Direct Client Services
Final Audit Report 2024-08-05
Created:2024-08-04
By:Webmaster Admin (webmaster@cupertino.org)
Status:Signed
Transaction ID:CBJCHBCAABAAAKgcfsqIhZvTi0mwYGrnFjrm9O8XZtRF
"MTH - Direct Client Services" History
Document created by Webmaster Admin (webmaster@cupertino.org)
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Agreement completed.
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