HomeMy WebLinkAboutCARMONA, LIDIA 1ACity of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no lon irPAfe%? AM 9. 28
Return form to the Clerk of the Council Office (M -30).
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Date:
Revised 05 -04 -08
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AGREEMENT TERMINATION
7F MAR 27 AN 9-0
Please complete this form when the attached agreement is no longer in effect.
UTY Or IA APIA
Return form to the Deputy Clerk of the Council (M -30). Call ¢47OL-TAIff 9.01WMIL
questions.
The agreement with l Q J l OVlGt JICS -.2 3 __
was completed on
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Revised 4 -16 -87
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Department:
Signature:
Date: 9410 ( � q
City of Santa Ana
Clerk of the Council
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INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
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CLER OF COUNCIL
DATE, 9_f -0 2„
FIRST AMENDMENT TO
CONSULTANT AGREEMENT
N_2002 -i 15
03
THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT, is entered
into on July 1, 2002, by and between Lidia Carmona (hereinafter "Consultant ") and the
City of Santa Ana (hereinafter "City ").
Recitals:
A. The parties entered into an Agreement dated October 23, 2001, (hereinafter "said
Agreement ") by which Consultant has provided counseling to inmates housed in the
Santa Ana Jail.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
renew said Agreement for an additional one year period, to increase the hourly rate of
compensation for services provided, and increase the total amount of the contract.
Wherefore, in consideration of the covenants contained in said Agreement, and subject
to all the terms and conditions of said Agreement, except those amended in this First
Amendment to Consultant Agreement, the parties agree as follows:
1. Paragraph 2.a. COMPENSATION, shall be amended to read as follows:
"City agrees to pay, and Consultant agrees to accept as total payment for its services,
an hourly rate of twenty -two dollars ($22.00) for all scheduled counseling sessions.
Compensation shall be increased $10,000 to pay for services provided during the
extended term of this Agreement. The total sum to be expended under this
Agreement, shall not exceed $15,000.00 during the term of this Agreement."
2. Paragraph 3, TERM, shall be amended to read as follows:
"This Agreement shall commence on October 23, 2001 and terminate on June 30,
2003, unless terminated earlier in accordance with Section 12, below. The term of
this Agreement may be extended upon a writing executed by the Chief of Police and
the City Attorney."
3. Except as hereinabove amended, all terms and conditions of said Agreement shall
remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Consultant Agreement on the date and year first written above.
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
By:
Cristine . Shaw
Assistant City Attorney
APPROVED AS TO CONTENT:
PAUL M. WALTERS
Chief of Police
K:\WPDOCS\DOI 8 \P001 \00005179.DOC
CONSULTANT
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EVANSTON INSURANCE COMPANY
CERTIFICATE NO.:
CERTIFICATE OF INSURANCE
EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER:
PUBLIC ENTITY (ADDITIONAL INSURED)
Driver Alliant hnsurance Services
City of Santa Ana
P. O. Box 28323
20 Civic Center Plaza, M -28
Santa Ana, CA 92799 -8323
P.O. Box 1988
(949) 660 -8163
Santa Ana, CA 92702
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
A) -.9GG 1 - 1 CC 3
TYPE: Self Improvement
Lydia Carmona iU - -
DATE(S): 1/14/04 - 12/31/04
lJ 3 -O
LOCATION: S.A. Jail
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 requirements, terms or conditions 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.
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: 04SEP1000001
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2004 EXPIRATION: JANUARY 1, 2005
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTBLE: NONE
General Aggregate Limit S 2,000,000
Products & Completed Operations 1,000,000
Personal & Advertising Injury 1,000,000
Each Occurrence Limit 1,000,000
Fire Damage (Any One Fire) 50,000
Medical Payments (Any One Person) 5,000
The limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event.
-Who is insured" is amended to include, as an insured, the person or organintion shown inti is schedule, but only with respect to liability arising out of the
ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence' which takes piece
after the event holder ceases to be a tenant in ant premises.
OTHER ADDITIONAL INSUREDS
CANCELLATION. Should the above described policy to cancelled before the enpiratim date thereof, the issuing company will mail 30 days written notice to J
certificate holder and additional insureds listed.
AUTHORIZED REPRESENTATIVE:
DATEISSUED: January 14, 2004