The URL can be used to link to this page

Home My WebLink AboutORANGE COUNTY CONSERVATION CORPS 3A - 2003 e,:cDf\ ~~ Ç\ý\ li\Sc"ìJ;~'ç:. -~'-~:.. ')~' ~"_:. WORr~ M/J,Y ~~:LL PROCEED CLEF:I( OF COUNCIL DATE: 5$"- ~~-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"). . . AMENDMENT TO AGREEMENT A-2003-118 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 !l:171 1)17 00." 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ATIEST: CITY a?:;!;?; ~ David N. Ream, City Manager ~~~ .J.()I' 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: Jo . Reekstin, Executive Director Community Development Agency ¡ - INSURAtcE /.ÇQR~~ CERTIFICA 1! OF LIABILITY DATE (""1)0."1 n<>I">I,>nn~ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Andreini & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 300 Esplanade, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oxnard, CA 93030 COMPANIES AFFORDING COVERAGE (805)981-9585 F: (805)981-0161 COMPANY A PHILADELPHIA INDEMNITY INS CO INSURED COMPANY ORANGE COUNTY CONSERVATION B S";I'ATE SJ\.T.ION INS FUND CORPS FAX NO. 1(714)-956-1944 COMPANY I ì'i1~ ~~'"" H.o,'" ¡ > 700 N. VALLEY STREET, STE. AB C ,:"",\,]""'-iI"lI'"""-1.:';: -"".~:.;~ ft.:,;,. ANAHEIM CA 92801 -d"- ...,"v"" ---, COMPANY ,."',F Î - ~:i -o:¿..- D ~;m:n ,qQy¡¡Jí~i,$Hl!fi1í[l!iM¡¡Œ1¡ft¡M¡!H;;;tilijj¡MW¡¡!¡¡t1i@¡Wiiîtfm!\l¡Wiin¡¡!Hijj¡¡mill\W¡¡¡:fi!Hif1i1llm&K1mW¡¡Wtif¡11¡¡;;;¡¡¡@!îUlitti11It1í@1\m!tWMitWlîlî!Hm;;¡ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO 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 CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS. CD TYPE Op INSURAHCE POLICY NUMBER POLICY EFFECTM! POLICY EXPIRATIDH UMITS LTR DATE (MIIIDDIYY) DATE (IIIi1>DIYY) A ~ERA1. w.BILITY PHPK055497 07/20/03 07/20/04 OENERAL ACJOREOATE S' """""" ~ OERCIAL CJENERAL LJABjLITY PAOOUCTS - COMP.oP AOO S. """""" Cl.'JMS MACE [i] OCCUR PERSONAl. . AOY IN.1JRY S,"""- L- OWNER~' CONTRACTOR~ PAOT EACH QCCUAAENCE S1 """""" L- FIRE DAMAOE (Any ano "01 . 'M""" MED EXP (My ana ~"",) . . """ A ~TO"BLE UABILITY PHPKO55497 07/20/03 07/20/04 COMBINED SINOLE LIMIT S1,OOO,OOO ex: "" AUTO L- ALL OWNED AUTOS BODLY IN.1J!IY . L- SCHEDULED AUTOS (Po< po"",) L- HIRED AUTOS APPR( ~ D A:t :::>FOBM BODILY IN.1JRY . NON.OWNED AUTOS (Po< "'~"'Q L- --.. ~ L- PAOPERTY DAMAOE . ROADE w.BILITY 0 puty City Att, AUTO ONLY. EA ACCIDENT ANY AUTO may OTHER T>tAN AUTO ONLY, EACH ACCIDENT S AOOREOATE S gESS UABILITY PHUB021098 07/20/03 07/20/04 EACH OCCURRENCE S,"""""" A UMBAEU.A FORM AOOREOATE S,""""'"' I'v OTHER T>tAN UMBAEU.A FORM 1___- _n_- T.M~ ~ B WORKERS COMPENSATION AND 46-012055-03 06/01/03 06/01/04 y I Tv¡g.sr~~ OJ);'- EMPLOYERS' w.BILITY EL EACH ACCIDENT S'-- THE PROPRIETOR! R'NCl EL DISEASE - POLICY LIMIT S'~"- PARTNERSÆXECUTIVE S, 11M 11M OFFICERS ARE. EXCL EL D~EASE - EA EMPLOYEE OTHER A AUTO PHYSICAL PHPKO55497 07/20/03 07/20/04 DEDUCTIBLE 1,000 COMP DAMAGE DEDUCTIBLE 1,000 COLL DESCRIPTION OP OPt!RATIONSII.DCATIONSIVEHICLESISPECIAL ITEMS 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.*10 DAY NOTICE OF CANCEL FOR NON-PAY SHALL APPLY. SHDULO ANY OF THE ABDYE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUIN. COMPANY WILLJœI(I(JaIIXJOXMAIL ATTN:ESTHER AKHAVAN/PARK PLANNING '30 DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 888 W. SANTA ANA BLVD., STE 200 )(j{X)t:~~IIUtK)1I1IÞt~MJ( I4_Jli(XIIOMJO( SANTA ANA CA 92701 XðtX~ )(¡IöIIX)!III!)()t:lIIOk('(1:xm=I~8I«8!'XOfl)(- A:"DR~~I/jTÂnv; ~~'i!!J¡þ'âilj@1¥tf$~¡¡:: \J Vl) ,~ . . AÙ;¡¿ITIONAL 1J'1StJU1).m~.M.mI ~OB- COMMERCIAL OÇìNERAL Llt\Esn-lTY POLICY Insufax1oe Company J2}> i 1 ¡¡tIe-' pl1 i ~ I'll ~"~;.n'a <;:Q~ This endOl'$cmenl thodifics such insurance as is afforded by tne pTo'lwions of Policy 11 P\i¡?M 55 497 tc~atîn¡¡ 10 th~ fulloVlÎng: 1. 1M Ci~y o{Santa A.ne.. 20 Civic Center Plaza, Sant\ Ana, California 92701; il~ officers. tmployees, a¡¡;en\$. volunteers and tepresentati'llE:S art IU\med as additional inSUted~ ("additional insu~") with regard 10 lìability and defens<: of suits ¡Uisjng írQm the operations and uses perfonned by or on bebølf 0:1' the named ins\\red. 2. With respect to claims arising out of the operàtions and useS þl1rforn1ed by Or on behalf of the named insured, such jo.S\lránce as Is afforded by this policy is primary alld is not additional 10 or contributing with MY oth~ insl.1rànce carded by or for the benefit oÎ\hc addiûonal U1sureds. UI"IJ.ess t:hè t:j, ty 15 9'rossly negli9'ent. 3, This i1\surenoe applies separately to each In$1.1l'ed against whom claim is made Dr suit is brought C)lcept Wì1):¡, xe$pect \0 th~ company's limits of HabUlty. The inclusion of any person or organization as an insured shalll1Ot nffect any tight which such person or orga.niz!1tion would b,aVI: as aclaima.tlt ¡fnOi 50 ¡Mluð.~. 4. With re:¡pec;! i<;1 tbe £\dditionalll\$ureds. t}1.!s jl'¡s\l.fance shall not be cÐ.ncolled. Qr màtedally reduced in cl'Jvl!tage OT limits except after thirty (30) days Written notice bas been given to the City of Santa Ana, 20 Civic Ccnter1'l~a, Sania An"" C!llW:Jrni", 9).701. (Completion of the following, including countcTsignature, is requirc:d to m~e lbh endO'î~emem effective,) E:ffective -.:J../..:;.JJ'¡~ . this endo1'Scmen1 form as a part of Policy# P¡¡PKO¡¡å491 1ss~etlto~gc Celoll\t:y Çð¡.t>...~u*tn?€am~uWd" Countersigned by ~~~ Authotlzed Repr entatìve~ èO 'd 'ON X1J:1 ~d èl @ 301. £OOè-¡;O-d3S . . . , POLICY NUMBER:PHPK055497 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under 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 Include as an Insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. CG20261185 Copyright, Insurance §.ervices Office. Inc" 1984 '.. . ,~ ANDREINI &: COMPANY In,u"nce I Ri,k Monogeme", I Employ" aenef/" . 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 Esplanade. Suite 100, O'omd. CA 93030 Liceru;e 0208S25 805/981-9585 FAX 805/9S1-0161 CERTHOLDER COpy STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUN C CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 12-02-2003 GROUP: 000046 POLICY NUMBER: 12055-2003 CERTIFICATE 10: 48 CERTIFICATE EXPIRES: 06-01-2004 06-01-2003/06 -01-2004 .1- ;)003-1&3 //-----~- ",A - (7-003 - ,;253 CITY OF SANTA ANA '\~ ATTN: KIM PF"-T"""-" " \ 20 ClVÍC 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 Ihe policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also 9ive 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 subject to all thelerms, exclusions, and condnions, of suchpölicies. ~ ~~ C. ()£ AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 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. ?~c>'2 , ~'iI. % t' ~GC",," L.LO.- 0,,---,,--<- -\'" ~ 'S T"T<õ' G.I .¡::: b ~ "ì"\C\ EO.-..r- Ie. ,~ ç T~\.- ~ c... ~ ~ -= ~.:....c,-"'-<:'I ~,~ APPROVED AS TO FORM ,-- ~ -6----- Laura S'itt S»lhcl; .\,,15"'nl Cily Allernev IS EMPlOYER ORANGE COUNTY CONSERVATION CORP. CORP. ) 700 N VALLEY ST STE B ANAHEIM CA 92801 (A NON PROFIT SCIF 10262E -pi """"'fiœ" ""y""" ~,""'tw,"~~ th,t,.."" 'OFFICIAl. STATE FUND DOCUMENT' l"'Riili',r/,,12-02-20Œ PAGE 1 0F1