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AGREEMENT TERMINATION
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questions.
The agreement with. k(12-0 1 ` No. Al 0000 O i
was completed on ( V (V�, and final payment has been made.
Department:
Signature:
Date: to ILA
City of Santa Ana
Revised 8 -7 -03 Clerk of the Council
City of Santa Ana
Clerk of the Council
'21 AGREEMENT TERMINATION 7r JUL 22
CITY i }.
Please complete this form when the attached agreement is no longer ()Leff ; V
Return form to the Clerk of the Council Office (M -30).
Call 647 -2520 if you have any questions.
The agreement with ---,L� E)O,�L, t=No.' YV\ It
and final payment has been made.
Revised 05 -04 -08
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Signature:
Date:
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
CLERK OF COUNCIL
DATE: f 7- 0
N- 2004 -089
THIRD AMENDMENT TO
CONSULTANT AGREEMENT
THIS THIRD AMENDMENT TO CONSULTANT AGREEMENT is entered
into on the 15"0-day of Zda , 2004 by and between Ron Israel ( "Consultant ")
and the City of Santa Ana, a charter city and municipal corporation, organized and
existing under the Constitution and laws of the State of California ( "City ").
Recitals:
A. City and Consultant entered into Consultant Agreement N2000 -115, dated July 18,
2000, (hereinafter "said Agreement ") by which Consultant has provided counseling
and instructional services to inmates housed at the Santa Ana City Jail.
B. Said Agreement has been amended to, amend the Scope of Services, increase
compensation and extend the term by Amendments N- 2002 -113, dated July 1, 2002,
and N- 2003 -066, dated July 1, 2003 (hereinafter "Amendments ").
C. In accordance with the terms and conditions of said Agreement, the parties wish to
amend said Agreement to again extend the term and increase compensation to pay for
services during the extended term.
Wherefore, in consideration of the covenants contained in said Agreement and
Amendments, and subject to all the terms and conditions of said Agreement and
Amendments, except those amended in this Third Amendment to Consultant Agreement,
the parties agree as follows:
1. Section 2, COMPENSATION, shall be amended to read as follows:
"City agrees to pay, and Consultant agrees to accept as total payment for his services, an
hourly rate of thirty -seven dollars ($37.00) for all scheduled instructional and counseling
services. The total sum to be expended pursuant to said Agreement and Amendments,
shall not exceed $10,000.00, annually, during the term of said Agreement."
2. Section 3, TERM, shall be amended to read as follows:
"This Agreement shall commence on the July 18, 2000 and terminate on June 30, 2005,
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."
IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to
Consultant Agreement on the date and year first written above.
ATTEST:
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
La 'a Sheedy
Assistant City Attorney
APPROVED AS TO CONTENT:
PAUL M. WALTERS
Chief of Police
CITY OF SANTA ANA
C
D /AVID N. REAM
City Manager
CONSULTANT
RON ISRAEL
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 Insurance Services
City of Santa Ana
P. O. Box 28323
20 Civic Center Plaza, M -28
Santa Arta, CA 92799 -8323
P.O. Box 1988
(949) 660 -8163
Santa Ana, CA 92702
License No: OC 36861
NAMED INSURED (EVENT BOLDER):
EVENT INFORMATION:
etf - - 1/ j
TYPE: Self Improvement
Ron Israel 3
DATES: 1/14/04 - 12/31ZQ4
' 3 C (4(
LOCATION: _ -..As_" t
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 04SEPI000001
MASTER POLICY DATES: EFFECTIVE: JANUARY I, 2004 EXPIRATION: JANUARY 1, 2005
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTBIE: NONE
G6cral Aggregate Urnit $ 2,000,000
Products & Completed Operations 11000x000
Personal & Advertising Injury ] ✓000,000
Each Occurrence limit 1,000.000
Fire Damage (Any One Fire) 50,000
Medical Payn eats (Any One Person) 5,000
The limits of insurance apply separately to each event insured by this policy as if a separate policy of ingn"ce has been issued for that event.
"Who is iostured" is sounded to include, as an irttiured, the person or or$anbatioo shown in this schedule, but only with rrxpect to liability arising out of the
ownership, maintenance or use of the premises used by the named insured (event holder). This insure = does not apply to: Any "occurrence" which takes place
after the event holder Ct13CS to be a tenant in tlWt premises.
OTHER ADDITIONAL INSUREDS
CANCF,LAA119N Should the above described policy to cancelled before the expiration date ahueof, the issuing company wil t mail 30 days written notice to the
certificate holder and additional insureds listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: January 14, 2004 _ _
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 ENTrfY (ADDITIONAL INSURED)
Driver Alliant Insurance Services
City ob Santa Ana
P. O. Box 28323
20 Civic CenteA Ptaza, M -28
Santa Ana, CA 92799 -8323
Santa Ana, CA 92701
(949) 660 -8163
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORTTIpN:
Inatlu�cti,onae -Sett Impn.ovement
!�
Ron Ib2aet
TYPE-
DATE(S): -
�"
LOCATION: S.A. Jatt
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 petfain, 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 05SEP100000I
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2005 EXPIRATION: JANUARY 1, 2006
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTIBLE: NONE
General Aggregate Limit S 2,000,000
Products & Completed Operations 1.000.000
.
Personal & Advertising Injury 11000,000
Each Occurrence Limit 11000,000
Fire Damage (Any One Fire) 50,000
Medical Payments (Any One Person) SAM
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 organization shown in this schedule, but only with respect to liability arising out of the
ownership, maintenance or use of the prendses used by the named insured (event holder} This insurance does not apply to: Any "oceorrrarce' which takes place
after the event holder roses to be a tenant in that penises.
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above desmbed policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the
certificate holder and additional insureds listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: Janua'y 6, 2005