The URL can be used to link to this page

Home My WebLink AboutORANGE COUNTY CONSERVATION CORPS 1A - 2003 ~:Cj)'" ~~ Ç\V\ Ii\SJRJ;~'C:: X~:::.. ~~' ë".: WORr; M¡W t~:Œ PI;OCEED CLEE( OF COUIlif~IL DATE: ~- ~;J..-O3 THIS AMENDMENT, made and entered into this 16th day of June, 2003, by and between the Orange County Conservation Corps ("Contractor") and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California ("City"). A-2003-118 AMENDMENT TO AGREEMENT RECIIALS A. The City and Contractor entered into that certain Agreement dated June 3, 2002, hereinafter referred to as "said Agreement", to provide career preparation and basic skills services for disadvantaged youth who are in-school. B. The parties hereto now desire to amend the "City's Obligations" monetary amount found in Section 2 of said Agreement. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do hereby agree as follows: 1. The "City's Obligation" section of said Agreement will be amended to read: "...a sum not to exceed $17,91700." 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WIlNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ATTEST: CITY O?¡¡?; a-- David N. Ream, City Manager ~~~ lO" Patricia E. Healy D Clerk of the Council APPROVED AS TO FORM: Richard J. SIT Executive Director ~'- C ~ By: Lisa E. Storck Assistant City Attorney RECOMMENDED FOR APPROVAL: IJ,COQD. CERTIFICATE OF LIABILITY_J~SURANCE -_.. o~~~'~jD~~~L THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. COMPANIES AFFORDING COVERAGE PRDD"C" Andreini « Company 300 Esplanade, Suite 100 Oxnard, CA 93030 (805) 981-9585 F: (805) 981-0161 COMPANY A PHILADELPHIA INDEMNITY INS CO INSURED ORANGE COUNTY CONSERVATION CORPS FAX NO. 1(714)-956-1944 700 N. VALLEY STREET, STE. AB ANAHEIM CA 92801 COMPANY B S FUND COMPANY C COMPANY D 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 REOUIREMENT. 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. co Lm TYPE DF INSURANCE POUCY NUMBER POUCY EFfEC11VE POUCY EXPIRATION DA'" (IIMIDDIVY) DA'" (MMJDDIVY) UMITS A AUTOMOBILE u.BIUTY ANY AUTO AlL OWNED AUTOS SCHEDUlED AUTOS H~ED AUTOS NON-OWNED AUTOS PHPK055497 07/20/03 07/20/04 DENEHALAGGREGATE PRODUCTS. COMP/OP AGG PERSONAL . ADV IN..URY EACH OCCURRENCE FIRE DAMAGE (Any,... "'I MED EXP (Any,... P6'.m) COMMERC"'- GENERAL LIABLITY CLAJMS MADE [i] OCCUR OWNER~ . CONmACTOR'S PROT PHPKO55497 07/20/03 07/20/04 CQMBINEDSINGLELIMIT '1,000,000 BODILY INJURY (Po< p6""") FORM BODILY INJURY (Po< "c~"'Q PROPERTY DAMAGE A EXCESB u.BIUTY UMBRELLA FORM DTHER THAN UMBRELLA FORM B WORKERS COMPENSATION AND EMPLOYERS' u.BIUTY PHUB021098 07/20/03 07/20/04 AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY, EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE 46-012055-03 06/01/03 06/01/04 W STAT)'- EL EACH ACCIDENT EL DISEASE. POLICY LIMIT EL DISEASE - EA EMPLOYEE THE PROPRIETOR! PARTNERSÆXECUTlVE OFFICERS ARE, OTHER INCL EXCL A AUTO PHYSICAL DAMAGE PHPK055497 07/20/03 07/20/04 DEDUCTIBLE DEDUCTIBLE 1,000 COMP 1,000 COll DESCRIPTION OF OPERATIONI/LOCAl1ONS/VÐtICLES!8PECIAL ITEMB RE: GENERAL LIABILITY COVERAGE-THE CERT HOLDER ITS OFFICERS, EMPLOYEES AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. ADDITIONAL INSURED ENDORSEMENT,ATTCHED.*lO DAY NOTICE OF CANCEL FOR NON-PAY SHALL APPLY. SHOULD ANY OF THE ABOVE DESCRIBED POUC'" BE CANCELLED BEFORE THE CITY OF SANTA ANA ATTN:ESTHER AKHAVAN/PARK PLANNING 888 W. SANTA ANA BLVD., STE 200 SANTA ANA CA 92701 llAaaø¡!\ AJJùITIONAL INSU'fŒ'Q_~~1'!ŒNT FOR COMMERCIAL GENERAL LlAIsILITY ¡>OLICY InsuraI'lcc CompB!Y P}> i 1 (1,1... 1 pI-. i.. I'1 :>,"r;al\~ This endorsement modifies such insurance: as i5 afforded by the prov¡~ions of Polioy # Plll'KOS5497 re1atÎng ~o thè foltowin¡¡: ¡. The City of Santa An.e., 20 Civic Cenler Plaza, San!à Ana, California 92701; its officers. employees, a¡¡;ent$, volunteers and iepre~cntatiVèS are named as additional insureds ("additional insl.\redJ¡") with regard 10 liabiUty and defen~ ofsuîts I1lÌsing ÎrQtn the oper~tions and uses pmonned by or on behalf of the named ins\1red. 2, With respect to claims arising out of the overutions u.nd uses pl:rforn1cd by Or on behalf oftbe named i\1.Sured, such ¡nsùrance as Is afforded by this policy is primary and is not additional to or contdbUtirtg With any other insurance c~ried by or for the benefit of the additiona!insurcds. Utllass thè c,i, ty 110 c,;t'ossly neqlic,;ent. 3, This insurance applies separately to each in$Ufed against whom claim is made or suh is brought cxcept with.respeL1 to the company's limits ofliabilhy. The inclusion of any person or organization as an insured shall not affect any right which such person or orga.nization would have as & cla.imw1t ¡men 50 indud~d- 4, With respect to the additional ins\.\reds. tbis ínswance shall not be èl1llcclled. !;If matedally reduced in ccrl'erage Or limits except after thi¡ty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Pl¡¡za, S8¡¡ta Ana. Calif"rni" 92701. (Completion ofme following, includmg eountersignBtlJre, Is requiT~d to rno.ke Ihb endorsement effective,) Effective -.:!./.:J.fJ/.1J.3. ' this endorsement form as a part of Policy # PIJPKO fj 5 497 Iss1.ledto~..c COI;I!.t} e ~' . ó¡.¡...~ u t~€à rii~1Md" Countersigned by ~~ W-1l Authorizect Repr ent~- ¡;O 'd 'ON XV.:! ¡'¡d ¡;¡ :¡;O 301 £OO¡;-¡;0-d3S , . I POLICY NUMBER:PHPKO55497 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided LInder the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF SANTA ANA ATTN: ESTHER AKHAVAN/PARK PLANNING 888 W. SANTA ANA BLVD., STE 200 SANTA ANA, CA 92701 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to inclLide as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of yoLir operations or premises owned by or rented to you. CG20261185 Copyright, InsLirance ~ervices Office, Inc., 1984 .' ',. ,'~ ANDREINI &: COMPANY In'o,""" I Ri,k M'n,,'m"" I Employee Ben,n" ACORD FORM 25-S - CONTINUED... IT IS AGREED THAT ANY INSURANCE MAINTAINED BY THE CITY OF SANTA ANA SHAll APPLY IN EXCESS OF, AND NOT CONTRIBUTE WITH, INSURANCE PROVIDED BY THIS POLICY EXCEPT IN THE CASE OF SOLE NEGLIGENCE OR WillFUL MISCONDUCT BY THE CITY OF SANTA ANA. 300 E'planad" Sui" 100. Oxnocd, CA 93030 lice"", 0208825 805/981-9585 FAX 805/981-0161 CERTHOlOER COpy STATE P.O. BOX420807,SAN FRANCISCO, CA94142-O807 COMPENSATION INSURANCE FUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE, 12-02-2D03 GROUP: 000046 POLICY NUMBER: 12055-2003 CERTIFICATE 10: 48 CERTIFICATE EXPIRES: 06-01-20D4 06 -01- 2003 / 06 - 01- 2004 ,1- ),,003-1&3 --------- "'A - ð-.oo3 - ,;253 i~~, O~I~~;~T~~ 20 CIV'fë CENTER PLAZA SANTA ANA CA 92701 JOB, ALL OPERATIONS This is to certify that we have issued a valid Worke"s Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy iB not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is sUbjèct to all the terms, exclusiOns, and conditions, of suchpoliciès. ~ ,&~ c. &L AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS, $1, ODD, 000 PER OCCURRENCE. ENDORSEMENT #1586 - VOLUNTEER COVERED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 06-01-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ¿"~D"2 I +="iI. % 1" ~GC",," L-c>- oC-C-<- -\'" ~ STOT"" c.S ~ b ~ ~E:"""" iL,~ '>,\ \- - c.. ~~" ~ ~.:....c,-""<-<'I ~c~ APPROVED AS TO FORM ,s EMPLOYER ORANGE COUNTY CONSERVATION CORP. CORP. ) 700 N VALLEY ST STE B ANAHEIM CA 92BD1 (A NON PROFIT SC'F 1O262E -~"';, œotif='" "'" . YO' ~ 0"""_,""""", ""'reo', "OFFICiAl STA'" FUND OOCUMENT" ~1f;in12-C2-20œ PAGE 1 OF'