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Evergreen Baptist Church - RFP No. 2020-08 - Public Service Application for CDBG Food and Nutrition Program FINAL 1 E „:40, OSE - S CITY OF ROSEMEAD REQUEST FOR PROPOSAL NO. 2020-08 PUBLIC SERVICE APPLICATION FOR CDBG-CV FOOD AND NUTRITION PROGRAM SUBMITTED BY EVERGREEN BAPTIST CHURCH OF LOS `ANGELES . JUNE 29, 2020 APPLICATION FOR CDBG-FUNDED PUBLIC SERVICE ACTIVITIES. Agency: Evergreen Baptist Church of Los Angeles Address: 1255 San Gabriel Blvd,Rosemead CA 91770 Telephone: 626-260-5582. E-mail: jcwu@ebcla.org Contact Person/Title: Jonathan Wu/Executive Pastor Federal Tax ID Number: 95-3496533 DUNS Number: 198037210 Program/Project Title: Rosemead Churches Food Distribution Initiative Location of Proposed/Program Project: Three(3)Rosemead church sites Amount of CDBG-CV funds requestedfor this project: $ 100,000 Amount of Total Project Budget: $ 103,500 Total Number of Persons who will directly benefit from this Project: 1600 (per month) Number of unduplicated,LMI,Rosemead persons who will directly benefit from this Project: 1600 (per month) Checklist of required documents that must be attached X Completed Application(All information must be complete on application to be considered for funding including Federal Tax ID # and DUNS Number) X Narrative on Organization/Agency X Narrative on Project X Completed Budget Sheet(Include line item costs associated to CDBG funds requested), Revenue Sheet and Certifications X Qualifications of Program Administrator I Not required but may submit. Please note: these items may be requested at a later date if f selected to receive funding: I - Articles of IncorporationBylaws Current Proof of non-profit determination, 501 (c)(3),unless furthering economic development by way of microenterprises I ; 2 } List of Board of Directors (Please indicate Officers) Organizational chart of the agency Agency financial statement and copy of most recent audit Certificate of Good Standing with the State State and Federal Tax Determination Letters or other Third-Party verification that agency is tax Exempt Authorization from Board to request funds X Certificate of Insurance PROJECT BUDGET SHEET Specific Cost CDBG Other Funds Other Total Item/description Amount Source Funds Amount Requested Amount CDBG& Other Sources $79,200 $79,200 PURCHASE OF FOOD ITEMS STAFF $16,750 $16,750 LOGISTICS $4050 ROSEMEAD $3500 $7550 SUPPLIES KIWANIS (see below) CLUB '� $. -� t'.. $10,OQO �' `y'.` ';'` 3 z a�'y+ k 7 k 'a s � i � .ice", ��, ' '� .5� �'<3 .����,x�r'�� .�� � .�.g �p v: A � * �� ��s$ 03�500 '3'� � a as3, -�:+ tg ,r °h �y w,..v -s. s d � �i�a+'-� � �" �`"$ I`t�,�vy.,5,� '�- ..z ,...�•. e.•,�m.> .�. �. .a,as,�:�r`r'3_,-,.>.,. .�.�,..-��, 3 w.`c ,y'�`'.,�_, �.�,s� .> fv�..,..,,�fr� x .n�i .- .a � �,.•,. � „�.r�?'c „a� BUDGET DETAILS , Beginning July 2020, these are projected expenses: • Purchase of food items (based on$18 per box, 400 boxes for a household of four, 1600 total recipients) - $7200/month(or$79,500 total) • Staff compensation- $1523/month(or$16,753 total) j o Project Coordinator(based on 15 hours/week @$20/hour) 3 o Truck driver(based on 8 hours/month @ $20/hour) o 12%benefits (FICA) • Logistics and Materials - $686/month(or$7546 total) o Transportation(truck rental with insurance) - $186/month(or$2046 total) o Personal protection equipment(based on 100 volunteers) - $100/month(or$1100 total) o Food distribution materials (boxes,bags,packing tape) - $200/month(or$2200 total) o Volunteer refreshments (based on 100 volunteers) - $200/month(or$2200 total) PROGRAM REVENUE List all other program resources that have been secured for the program in which your organization is applying for. FUNDING SOURCE AMOUNT ROSEMEAD KIWANIS CLUB $3500 TOTAL $3500 CERTIFICATIONS I understand that no employee, board member, officer, agent, consultant, Subrecipient which are receiving funds under a CDBG assisted program who have responsibilities with respect to the CDBG activities or who participate in decision making process or have access to inside information with regard to activities cannot obtain a personal or financial interest or benefit from a CDBG assisted activity during their tenure or for one year thereafter(Federal Regulation 24 CFR 570.611). The City cannot reimburse for any payroll for board members of the agency. sk c EXECUTIVE PASTOR 6/29/2020 ignature Position Date 4 ORGANIZATION NARRATIVE EVERGREEN BAPTIST CHURCH OF LOS ANGELES MISSION AND VISION STATEMENT Evergreen Baptist Church of Los Angeles is a multi-Asian,multi-ethnic, intergenerational congregation that seeks to be a"Home for the New Humanity of God". Evergreen is committed and called to love and bless three areas of life: the Church as the Home and household of God;the neighborhoods in which our people live and work; and the common culture we share with all Humanity. We will pursue this by the living out of our core values of hope, humility, and hospitality. HISTORY Evergreen Baptist Church was founded by the Los Angeles Baptist City Mission Society in 1925 as a local mission to Japanese-speaking immigrants in this region. Its early history focused on the burgeoning Japanese American community. Unfortunately,the church was closed in December 1941 due to Executive Order 9044, which placed Americans of Japanese descent into internment camps. The church re-constituted in 1946 and soon assumed its current name. For many years,the church gathered in Boyle Heights but moved to its present facilities in Rosemead in 1985 as many of its members settled in the San Gabriel Valley area. Evergreen called Rev. Jason Ashimoto to become its current senior pastor in 2017. SERVICE TO ROSEMEAD AND THE SAN GABRIEL VALLEY Evergreen has been an active community member of Rosemead and of the San Gabriel Valley for many years. The church is committed to the well-being and flourishing of the City and its residents. For six years, the church partnered with other local churches to host the Rosemead 5 Thanksgiving lunch, which provided a free holiday meal for over one thousand guests. Evergreen also was the lead organizer with five other churches to host the Rosemead Big Day service events, where several hundred volunteers from these churches provided outdoor maintenance and lawn clean-up, simple painting or home repair projects, and other beautification activities. Evergreen pastors have participated in the City of Rosemead Mayor's Prayer Breakfast (sponsored by the Rosemead Kiwanis Club) and other civic events. Evergreen also mobilized volunteers to serve at the Temple Intermediate School Saturday academic program. The church members assisted the classroom instructors, encouraged academic progress, and provided positive adult role models for the students. The highlights for the students were the weekly snacks and special pizza or ice cream socials. Eleven years ago,Evergreen became the catalyst in the formation of Family Promise of the San Gabriel Valley, an ecumenical coalition of houses of worship committed to care for families in need of transitional housing. The church has entered into a lease agreement of one dollar per year with Family Promise SGV to house their HOPE Resource Center on the church • property.Evergreen also provides housing and meals for guest families three weeks each year as a demonstrative expression of hospitality. Many members of thecongregation have provided leadership and expertise through service on their board of directors. Evergreen supports the efforts of emergency preparedness in the Rosemead/South San i Gabriel.The church is a Community Ambassador of the American Red Cross. Evergreen regularly hosts blood drives,First Aid/CPR training classes and preparedness events with other local partners. In addition, the church opens its facilities for the City's Area 9 Watch meetings, which provides local residents the opportunity to interact with the Temple City Sheriff's staff and Public Safety office. 6. I Most recently, on May 30, 2020, Evergreen Baptist Church of Los Angeles and three other churches (Branches, Christian Ministries,Mission Community United Methodist Church, and Open Bible Church) organized a pilot food distribution event at Evergreen. Executive Pastor Jonathan Wu served as the lead organizer. This was self-funded by the churches. As reported in Public Comments at the June 9, 2020 City Council meeting,the churches were pleased to share the community impact of this pilot event. In total, 384 food boxes were distributed to families and seniors, serving approximately one thousand and four hundred individuals. We had 150 vehicles drive through or individuals walk in. Over a hundred self identified themselves as residents of Rosemead with thirty-four families having students in the Garvey and twenty-four families in the Rosemead school districts. Boxes were also distributed to Rosemead neighbors living on Lawrence Avenue,the staff at the Monterey Care Center(1267 San Gabriel Blvd, Rosemead), and twenty-five other families who were not able to come to the church site. The remaining food items were given to Our Savior Center(4368 Santa Anita Avenue, El Monte)for their weekly drive-through program which assists many from Rosemead. The churches were able to mobilize one hundred and thirty volunteers for this pilot event,with over one hundred coming from Evergreen. Future food distribution events would be strongly supported by all four churches. DEMOGRAPHICS Evergreen Baptist Church of Los Angeles currently has 375 members and a weekly Sunday worship service attendance of 275 adults and children and youth program attendance of 75. From our 2018 congregational survey, Evergreen attendees live in forty-eight cities in the greater Los Angeles region and work in seventy-one communities. There are eleven adult small groups and five adult fellowship groups,which provides opportunities for meaningful I relationships, spiritual growth, and community service. Evergreen is also proud to be the chartering organization of Evergreen Cub Scout Pack 362, Boy Scout Troop 361, and Girl Scout Troop 1521, with a collective participation of one hundred boys and girls developing character and life skills, commitment to public service and civic leadership. The staff of Evergreen Baptist Church of Los Angeles comprises of five pastors,three ministry staff, and eight administrative and facilities staff. Rev. Jason Ashimoto leads the staff team as Senior Pastor and Rev. Dr. Jonathan Wu as Executive.Pastor. � t 8 PROJECT NARRATIVE ROSEMEAD CHURCHES FOOD DISTRIBUTION INITIATIVE PROJECT OVERVIEW The impacts of the COVID-19 pandemic are disruptive and devastating. Local businesses and restaurants remained shuttered for three months, only to re-open under tenuous and difficult conditions. Teachers in our Garvey and Rosemead school districts pivoted to virtual instruction to conclude the last academic year, impacting family life and student learning development. Our residents lost jobs and witnessed crippled income streams. As reported for the month of May 2020,the unemployment rate in Los Angeles County leaped to 20.9%, fifteen percent higher than a year ago,no doubt impacting many Rosemead families. There is wariness and weariness about public health, safety, and mental health. Our seniors are home-bound,restricted from social contact and community support. Food insecurities and vulnerability are elevated with food bank resources strained to meet the demand. The outlook remains uncertain. The residents of Rosemead have limited food support resources and capacities. The Garvey Community Center serves 170 seniors through their nutrition program. The Garvey and Rosemead districts provides a free lunch program,but its funding into the summer months is unclear. There is a pressing need for consistent programs to support the nutrition and physical health of the residents of Rosemead. As,demonstrated by the May 30 pilot food drive-through, the churches in Rosemead are uniquely positioned to be strategic partners for the City to address the prevailing food scarcity reality. The Rosemead Churches Food Distribution Initiative is one compelling action. 9 TARGET POPULATION The Rosemead Churches Food Distribution Initiative is directed to provide food assistance to the most vulnerable in our community. We see two demographic groups that we seek to serve. First would be lower-to moderate-income (LMI)families and individuals,who are in desperate need for food assistance. With a poverty rate of twenty percent in a city population of fifty thousand residents,the needs are real and apparent. The May 30 pilot event confirmed this urgency. Second would be the senior residents who are on fixed income and would benefit from additional resources. These individuals and families are the most severely impacted by the COVID-19 pandemic. With our target goal of serving sixteen hundred individuals each month through this initiative, the churches are eager to be a source of care and blessing. ROSEMEAD CHURCHES FOOD DISTRIBUTION INITIATIVE The four churches have agreed to a monthly food distribution event at our respective churches. The scheduled rhythm is the last Saturday of each month. The host locations would be Evergreen Baptist Church of Los Angeles (1255 San Gabriel Boulevard),Mission Community United Methodist Church (9032 Mission Drive), and Open Bible Church(7915 Hellman Avenue). These sites would create ease of access for residents and families in both the Garvey and Rosemead School districts: Evergreen located in the southern portion of the city, Mission Community in the north-eastern sector, and Open Bible in the south-western area. Each month the churches would distribute four hundred food boxes, each of which would serve a household of four. The food items would be purchased through local food wholesale distributors and discount stores, such as Restaurant Depot and Grocery Outlet. As the initiative establishes traction and new partnerships, the resource base may expand to include free food 10 resources such as the LA Regional Food Bank and Food Finders. Due to the overwhelming demand, the Food Bank is not accepting new members to their program at this time. , i PARTNERSHIP OF ROSEMEAD CHURCHES AND COMMUNITY ORGANIZATION This initiative has very strong community support. Branches Christian Ministries was incorporated in 1987. Formerly the English-speaking ministry of the Chinese Mission and Alliance Church of Los Angeles, Branches has been resident in Rosemead since 1989 at its current location on Graves Avenue. They have 50 members in their congregation, offering Sunday worship and Wednesday prayer gatherings. They are a primarily Asian-American, English speaking, family-oriented church with focused commitments and involvement spanning both locally and globally. Daniel Kwok is their senior pastor. The Open Bible Church has been part of Rosemead since 1948. It offers services in five different languages: English, Spanish,Kamahi,Indonesian and Thai. Their senior pastor is Frank Contreras. The diverse congregation comprises of mostly blue-collar and manual laborers with about sixty percent being female and forty percent being male. Seventy-five percent of the congregants would qualify as lower-to moderate-income (LMI)persons. In the past,Open Bible has provided food assistance through a partnership with the Food Bank. Mission Community United Methodist Church is a diverse community of faith welcoming people of all nations and cultures. Started in 1924 as a children's outreach and education program,Mission Community is home to 225 members, with 105 attending Sunday worship. It is a culturally diverse congregation and worship in two languages: English and Vietnamese. It has an active youth program reaching students at Rosemead High School. Since 2013, Mission Community has partnered with the Food Bank in providing food resources to six hundred seniors each month. Rev. Dr. Deborah Oh has been its senior pastor since 2010. 11 Rosemead Kiwanis Club and Rosemead Kiwanis Foundation have been an active contributor to the City of Rosemead for the past ninety-two years. Including affiliated sponsored Leadership Partners (three Builders Clubs and the Rosemead High School Key Club),the _i combined Rosemead K-Family has a membership of one hundred eighty members. Its mission is to advocate and allocate resources for literacy and education, civic leadership, and human and spiritual values. The Foundation contributes financial assistance to twelve local community groups. - The initiative has received outstanding support from our school districts. For the May 30 event, Ms. Jennifer Fang of Rosemead School District and Mr. Bulmaro Magallon of Garvey School District were instrumental in communicating with their respective families with food vulnerabilities. The response was impressive considering the limited notification period. The church anticipates continued cooperation and collaboration with these key community partners. GOALS AND OBJECTIVES The goal is to start an effective and sustainable resource to address the food vulnerability of the residents of Rosemead through a city-church partnership. Through the CARES Act CDBG,the City has the financial resources to launch this program. The four churches have demonstrated the capability to mobilize volunteers and to execute a successful program. The primary objective is to build capacity for nutrition well-being through a monthly food distribution program. As outlined in the Project Budget Sheet,the means to this successful outcome would be the purchase of food items (proposed at$79,200),.staffing ($16,750), and transportation and material costs ($7550). The total budget is projected at$103,500. Evergreen has secured a$3500 grant from the Rosemead Kiwanis Club for this initiative. iI 12 STAFFING The initiative would require two part-time staff persons. For the May 30 pilot event, Rev. Dr. Jonathan Wu dedicated sixty (60) hours to organize the planning team, arrange the food purchases and food box supplies, communicate with the City and our local school districts, and oversee the drive through. To be successful and sustainable, two individuals would need to be hired. First would be a program coordinator(working 15 hours per week). This person would oversee the logistical coordination for the monthly event and develop new partnerships and collaborations. Second would be a driver for the operations of a rental truck(working 8 hours per month). CONCLUSION Evergreen Baptist Church of Los Angeles appreciates the support and cooperation given by the City. Previously,the City communicated the May 30 pilot event through the various city departments. The Public Works department placed temporary"No Parking"placards along San Gabriel Boulevard. The Chief of Police reviewed and commented on the site and traffic flow plans. The Community Development staff were extremely helpful and accessible. Evergreen sees the immediate and critical need of food insecurities and vulnerabilities brought on by the unforeseen consequences of the coronavirus pandemic. We, with our church partners, are prepared to serve the City, love our neighbors, care for the most vulnerable and in need. We are grateful to present this initiative for the City's consideration. 13 Program Administrator Rev. Dr. Jonathan Wu Rev. Dr. Jonathan Wu has served on the staff of Evergreen Baptist Church of Los Angeles since 1994. His first pastoral assignment was to oversee the community outreach activities of the church. He built relationships with other local pastors, including Tim Clark of Neighborhood Church, Frank Contreras of Open Bible Church, Daniel Kwok of Branches Fellowship, Tere Martinez of Rosemead Nazarene Church, and Deborah Oh of Mission Community United Methodist Church. In the past, he organized the annual Rosemead Thanksgiving lunch,planned three Rosemead Big Day service events, and has participated in the civic activities of the City (invocation at city council meetings and other holiday events, such as the City of Rosemead Mayor's Prayer Breakfast). Rev. Wu also served on the board of People for People, a church-sponsored food bank program based in Rosemead. Since 2005, he has assumed the role of Executive Pastor at Evergreen. This role encompasses the oversight of the financial, human resources, and facilities operations of the church. He has developed a rich knowledge base and competencies in these areas. He recently guided the church to eliminate its final loan obligations on the church property. As of January 2020,the Church is debt-free. Also in this capacity, he leads and equips the network of small groups in the church, a vital resource for community engagement and volunteerism. He recently launched an entrepreneurial think tank to explore leveraging the church's various resources and assets for meaningful contributions to the local community. He is an active member in the community. He serves as a Community Ambassador for the American Red Cross. He has been an adult leader of Boy Scouts of America for the past 14 eleven years, currently as Scoutmaster of Boy Scout Troop 111 (Arcadia). He is one of the City Network Leader for Made to Flourish, a network of pastors and congregations engaged in the interaction of faith, work, and economic wisdom for the common good. Resident of Temple City, Rev. Wu is married with four children. 15 EVERBAP-01 CATHYF ACOR® DATE(MM/DDrcyYY) CERTIFICATE OF LIABILITY INSURANCE 6/25/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#860285 CONTACT Carol Bush ChurchWest Insurance Services(ACG) 201 Cajon Street (E NN,Ext):178 bac,N0):(909)307-1245 Redlands,CA 92373 E-MAILADDRESS:carol@churchwest.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Brotherhood Mutual Insurance 13528 INSURED INSURER B: - Evergreen Baptist Church of Los Angeles INSURER C: 1255 San Gabriel Blvd INSURER D: Rosemead,CA 91770 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR ADDL-SUBR POLICY EFF POLICY EXP • LTR TYPE OF INSURANCE -INSD WVD POLICY NUMBER (MM/DD/YYYY) JMM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X 04M5A0390601 4/1/2020 4/1/2021 PREMISESfesoccu ence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X POLICY LOC PRODUCTS-COMP/OP AGG $ 6,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accident) ANY AUTO 04A5A0390644 4/1/2020 4/1/2021 BODILY INJURY(Per person) $ X OWNED SCHEDULED AUTOS ONLY _ AUTOSBODILY Ep BODILY INJURY(Per accident) $ HIREDS ONLY _ AUTOS ONNLY (Peri accidentDAMAGE A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE 04M5A0390601 4/1/2020 4/1/2021 AGGREGATE $ DED RETENTION$ Aggregate $ 5,000,000 WORKERS COMPENSATION PER STATUTE ETH_ AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 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The ACORD name and logo are registered marks of ACORD 04M5A0390601 ki Brotherhood Mutual' Insurance Company This Liability Coverage Endorsement is subject to the terms of the applicable Commercial Liability Coverage Form (GL-100)and the Liability and Medical Coverage Form (BGL-11). Only one liability coverage will apply to an occurrence and any related loss. This endorsement is attached to and made part of the policy. THIS INSURANCE ENDORSEMENT FORMS PART OF YOUR POLICY CONTRACT. PLEASE READ IT CAREFULLY. MINISTRY OPERATIONS COMMERCIAL LIABILITY COVERAGE PROVISION MODIFICATION DESIGNATED ADDITIONAL INSURED(S) AGREEMENT Additional Insured named in an endorsement properly designated in the declarations. We provide the modified coverage described in this endorsement (BGL-150), but only if it is properly 11 Additional Insureds — With respect to any designated in the declarations,and only with respect person or entity shown on any schedule attached to the Additional Insured(s) designated on the to the Commercial Liability Coverage Provision schedule(s)attached to this endorsement. Modification — Designated Additional Insured(s) endorsement (BGL-150), we will provide the PROVISION MODIFICATION Applicable Coverages shown on any applicable schedule to the Additional Insured named in that With respect to the Additional Insured(s) and the particular schedule. Any Applicable Coverages Applicable Coverages designated on any schedule shown on the schedule are provided only to the attached to this endorsement, Condition 7 of extent that any Additional Insured(s) shown on the Conditions section of the Commercial Liability any applicable schedule are legally liable for the Coverage Form (GL-100) and Condition 11 of the acts of you,your leader,your employee or your Conditions section of the Liability and Medical appointed person, as defined in relation to an Coverage Form(BGL-11)are deleted and replaced by Applicable Coverage shown on that particular the following: schedule. Any Applicable Coverages granted to an Additional Insured by this endorsement and 7 Subrogation Rights—Ifwe make payment under attached schedule(s) are strictly subject to the terms of the policy. any liability coverage or any medical coverage, we reserve the right to require from all applicable The limit of coverage provided to any Additional insureds,and from anyone to whom or on whose Insured(s) designated on any schedule attached behalf we pay, an assignment of their right of to this endorsement will be the lesser of: recovery.Upon our request,such person or entity must transfer to us their right of recovery against a the limit shown on the applicable schedule any party responsible for the injury, and must for any designated coverage provided to that assist us in our attempt to recover any amounts Additional Insured; or we have paid under the liability coverage or the medical coverage. We are not liable under any b the amount of coverage required to be liability coverage or any medical coverage if any provided to the Additional Insured under any person has impaired our right to recover. applicable contract or agreement; Waiver of Subrogation Rights — An insured may waive our right to recover against an Copyright 2018,Brotherhood Mutual Insurance Company BGL-150 (4.5) All Rights Reserved Page 1 of 5 04M5A0390601 except that the limit of coverage provided by this c liability arising solely out of the activity of endorsement shall never be greater than the limits any Additional Insured, or arising out of any indicated on the declarations. operations other than your operations. 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Nothing in this endorsement will act to increase any No coverage will be provided to any Additional limits of coverage,or to in any way modify any terms Insured in relation to: of the policy other than the terms specified herein. a any liability incurred by an Additional Insured, other than tort liability; or OTHER PROVISIONS b liability that is incurred prior to the date that we provide an applicable coverage to you, or All other provisions of the applicable Commercial that is incurred after a previously-applicable Liability Coverage Form (GL-100) and the Liability coverage terminates; or and Medical Coverage Form (BGL-11) apply to the Additional Coverages of this endorsement, unless otherwise modified herein. Copyright 2018,Brotherhood Mutual Insurance Company BGL-150 (4.5) All Rights Reserved Page 2 of 5 04M5A0390601 This Schedule is an attachment to the Commercial Liability Coverage Provision Modification—Designated Additional Insured(s) endorsement(BGL-150). This schedule contains identifying and specifying information only, and does not grant, change or modify any coverage of the policy unless attached to the Commercial Liability Coverage Provision Modification—Designated Additional Insured(s)endorsement(BGL-150). This endorsement is attached to and made part of the Commercial Liability Coverage Provision Modification— Designated Additional Insured(s) endorsement(BGL-150). COMMERCIAL LIABILITY COVERAGE PROVISION MODIFICATION DESIGNATED ADDITIONAL INSURED(S) SCHEDULE (The information required below may be shown on a separate schedule and/or supplemental declarations.) Named Insured: EVERGREEN BAPTIST CHURCH OF LOS ANGELES Policy Number: 04M5A0390601 _i Additional Insured: City of Rosemead, its officials, employees and agents 8838 E Valley Blvd Rosemead, CA 91770 Applicable Coverage(s)and Limit(s): COVERAGE L $2,000,000 Coverage Begins: 06/23/2020 Coverage Ends: 04/01/2021 Copyright 2018,Brotherhood Mutual Insurance Company BGL-150 (4.5) All Rights Reserved Page 5 of 5