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Home My WebLink AboutC.B. GLEN TILE CO. 2A -2003 ¡J - ~cD3 - I~¿'--LJI INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES J .. ,)..3 -05 CLERK OF COUNCIL DATE: I Ù -/,;L-Ol J FIRST AMENDMENT TO CONSULTANT AGREEMENT G :êt>A Lt.~ll~\ THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into on July 1, 2004, by and between C.B. Glenn Tile Co., a sole proprietor ("Consultant") and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). Recitals: A. The parties entered into Agreement #N-2003-126, dated July 1,2003, (hereinafter "said Agreement") by which Consultant has provided tile repair services. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term for an additional one-year period and to increase compensation to pay for services during the extended term. 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. Section 2.a., COMPENSATION, shall be deleted in its entirety and replaced with the following: "City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit "A" attached hereto. The total sum to be expended under this Agreement shall not exceed $10,000.00 during the City's 2004- 2005 fiscal year." 2. Section 3, TERM, shall be amended to extend the term from June 30, 2004 to June 30, 2005. 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. II II II II II IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Consultant Agreement on the date and year first written above. CITY OF SANTA ANA ATTEST: -.. ~~ City Manager ATRICIAE. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney By: ¿AA4-udy- LatMí Sheedy Assistant City Attorney APPROVED AS TO CONTENT: Qi: Cwht A\~FATRICIA C. WHITAKER v \ "txecutive Director of the Community Development Agency CONSULTANT ~~~ CLOVIS GLENN Owner I bJ ~ ~ 15 . Rue; "03 04 04: 0410 Tllag:l 10.2 . Free Estimates . Shower . Tub C.R. Glenn Tile Co. Pullman. Drainboards . Entry Ways. 1<130 A ~õug¡s~.- ~.41.'¡' :-ve, (;~ '.~~J.~.2Ø3 California Llc. No. 269317 Residential/Remodel/Commercial - Since 1970- :2 :67 Jacaranda, Santa An"" CA. 92ï05 Billing Statement From~ C.B, Glenn Tile 2617 Jacaranda, Santa Ana, CA. 92705 Customer's Name: Santa Ana Depot 1000 E. Santa Ana Blvd. Suite 108. Date: 6/24/03 Description Depot Santa Ana Tile repair at several sites on the Depot property. ~abor and Materials Labor costs: $400 Materiai costs: $550 T ota! Cost: $950 cß~ flfHIB¡T A ~Ru~¡03 04 04:0510 Tllag:l 10.4 ~ Prudential Prudential RB Allen Commercial Real Estate Services 695 Town Center Drive. Suite 110. Costa Mesa CA 92626-1924 Bus 714 966-9494 Fax 714 966-9491 .. C.B. Glenn Tile Co. 2617 Jacaranda, Santa Ana, CA. 92705 phone (ì14) 538-7694 California Lie. No 269317 From: C.B. Glenn Tile 2617 Jacaranda, Santa Ana, CA. 92705 To: Santa Ana Regional Transportation Center 1000 E. Santa Ana Blvd, Santa Ana, CA. 92701 For iabor and services on the Santa Ana Regional Transportation Center. For the removal preparation and replacement of loose raised 12 by 12 pavers. For the regrouting of missing grout areas around the rest of the complex. The work to be preformed at the rate of $75.00 per hour per worker. C.B. Glenn Tile Co. Lie. No. 269317 cß~ .ffug ''''1'S 04 02: 1510 T 11 ac¡; 1 p. 1 ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYY¡ AUG 10 04 , - TM. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BACCARJ:LLA INSURANCE SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6864 INDIANA AVE. # 201 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXT;~~ OR RIVERSIDE CA 92506 ALTFR'I'UI:!:tv TIoIF ~. PHONE: 877-587-4999 FAX: 866-307-6352 INSURERS AFFORDING COVERAGE NAlC# .- .-' .- INSURED INSURER A: LINCOLN GENERAL INSURANCE COMPANY C.B. GLENN TILE COMPANY, INC. INSURER B: 8571 CODY AVE INSURER C: WESTMINSTER CA 92683 INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW t1AVE BEEN ISSUEO TO THE INSURED NAMED ABO\Æ FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUREMENT. TERM OR CONDITION OF f>loIY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDFO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAIlE BEEN REDUCED BY PAID CLANS 'NS l TYPE OF INSURANCE GENERAL LIABILITY POLICY NUMBER 25370074601 LIMITS JAN 23 05 EACH OCCURRENCE S 10,000 DAMAGE TO REN'ŒD $ _100,000 P MISES t'E9 occureI'1ce\ MED. EXP (Any Ol1e Person) $ 5.000. .- PERSONAL & MJV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 I'RODUCTS-COMP/OP AGG. $ INCLUDED COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per pensu,,) $ BODL Y INJURY S (Per accident) PROPERTY DAMAGE $ X COMMERCIAL GENERAL LIABLITY CLAIMS MADE I~ OCCUR A GEN'L AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREO AUTOS NON-QWNED AUTOS EXCESS I UMBERElLA LIASILITY OCCUR 0 CLAIMS MADE /4 AUTO ONLY. EA ACCÐENT $ OTHER THf>loI EAACC $ AUTO ONLY, ÞI $ EACH OCCURRENCE S AGGREGATE $ $ $ $ GARAGE LIABILITY ANY AUTO -'- DEDUCTIBLE RETENTION s onlER WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY pltOPRlETOlllPARTNERJEXECUnVE OFI'ICEflJMoMBER EXCLUDED? H yes. desCflbe under SPECIAL PROVISIONS below E.L EACH ACCIDENT $ . EL DISEASE-EA EMPLOYEE $ E.L DISEASE-POLICY lIMIT $ OTHER: DESCRIPTION Of OPERATlONS/LOCATlONNEHICLESJEXCLlJSIONS ADDED ENDORSEMENTI SPECIAL PROVISIONS "10 DAY NOTICE FOR NON PAYMENT OR NON REPORTING OF PAYROLL" RE: INSTALUNG TlLE@ 1000 E. SANTA ANA BLVD #108, SANTA ANA, CA92701 CERTlfICATI: HOLDER AND THE CITY OF SANTA ANA, ITS OFFERlCERS, AUTHORIZED AGENTS & EMPLOYEES ARE TO BE NAMED AS ADDITIONAL INSURED ONLY AS THEIR INTERESTS MAY APPEAR PER FORM ATIACHED. ADDITIONAL INSURED; I..SURER LETTER: c :nON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING CQMPf>loIY WIlU;:tl¡¡¡;"'9R TO MAIL 30' DAYS WRrnEN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE lEFT.- rMl,Jdll[ T8 i¡)Q se GI1.~L 1041788(;: t18 8Bb.I~I@r! 9RLIA.ÐIL~Y9r "LJ¥I~ItH~ b!rø~! "RŒ II86b1RER,1T 8. 8EIJT8 8R RC:P'rxu~:(;j¡;:tt;rATr.~. AUTHORIZED REPRF.SENTATIVE ç¡.¿ ~lULd~ . Attention: KRISTA (714)379-047.4 ---.,-,,,.-.-- ,-,c . "t!fI. . Lincoln General Insurance Company -_._.~-~ .--....-.- POLICY NUMBER: 25370074601 COMMERCIAL GENERAL LIABILITY CLC 25/00 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: The Depot at Sente Ana, The City of Sante Ane, it's Officers, Authorized Agents, and Eployees 1000E Santa Ana Blvd. #108 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, but only with respect to liabilily i;lrising out of your ongoing operations performed for that insured. .- u. --.- '_.' n,_. -.. THE COMPANY FURTHER AGREES THAT THIS ENDORSEMENT IS SUBJECT TO THE FOLLOWING CONDITION: Tne Insurance afforded by this policy for Ltlt;: !.x;:1It:ri! ur lilt;: Auuilianal In:;ured ðhall be primary insurance as re- spects any claim, loss of liability arising out of work of the named insured at the location described above. Any other insurance in which the additional ínsured is the primary named insured shall be excess and non" contributory with the Insurance provided hereunder when both insurances are applicable to a loss. ~t "</2- CLC 25/00 Contains Copyrighted Material of the Insurance Services Office, Inc, Copyright Insurance Services Office, Inc., 1996 Page 1 of 1 0 G"d 1~Eq1.1 dS1:20 ÞO 91 ~n~ Ftug: ,'().3 04 04: 0410 T11ae;1 10.3 Dale: ? /dQ/4'Y£ I, affirm under penalty, the following declaration: I certify that during the tenn of this contract with the City of Santa Ana, I will not employ any person in any maImer so as to become subject to worker's compensation laws of the Sate of California. And agree that ifI should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith so comply with those provisions. Signed: ce~ Jì~ Clovis Glenn C.B. Glenn Tile Company .r: 1/~ Lv r 11 ( (;-Iel\f\' t.ß. ')lP -?.."- I 'ÎOO J N'I' ~