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Home My WebLink AboutO.C. CONSERVATION CORPS 5AAGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any questions. The agreement with OPAW was completed on }� 2 7 i A - 2pp3 - 2S.3 CO m Department: + -A " 2064 ` 1 1U7 Signature: A A - 2o0S-1 -] l Date: f and final payment has been made. City of Santa Ana Revised 8-7-03 Clerk of the Council A-2004-113 WORK MAY NOTYP)G.EU CLERK 8F COl1D1111• AMENDMENT TO AGREEMENT DATE: THIS AMENDMENT, made and entered into this 7th day of June, 2004, by and between the Orange County 60 Conservation Crops ("Contractor") and the City of Santa Ana, a charter city and municipal corporation duly organized LL, yprrb) and existing under the Constitution and laws of the State of California C'City"). RECITALS A. The City and Contractor entered into that certain Agreement dated October 1, 2003, hereinafter referred to as "said Agreement", toprovide career preparation and basic skills services for disadvantaged youth who are out -of - school. B. The parties hereto now desire to amend the "City's Obligations" amount found in Section 2 and the "Time Period of Agreement" term found in Section 3 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: The "City's Obligation" section of said Agreement will be amended to read: "...a sum not to exceed $160,750." 2. The "Time Period of Agreement" section of said Agreement will be amended to read: "...shall have been performed by June 30, 2004." 3. 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. ATTEST: atricia E. Healy Clerk of the Council APPROVED AS TO FORM: &- �. By: Lisa E. Storck Assistant City Attorney C NDED FOR APP Patricia C. Whitaker, Executive Director AtCommunity Development Agency CITY OF SANTA ANAA ti Z,4�z� David N. Ream, City Manager ORANGE COUNTX CON £RVATION CORPS Richard J. Str Director ..fib �. r.•r 7F Fr .r E', s gwe rws u:;^ s'i&Y�FY g.%,r�r 4 ..DATE (EUY9011'Y)... .. ^e, a., -Y 'rnJI oouepl THIS CERTIFICATETE IS RSSUEO AS A MATTER OF INFORMATION RTI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Aadseini & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 300 Esplanade, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDINq COVERAGE Oxnard, CA 93030 (805)981-9585 F:(805)981-0161 COMPANY PHILADELPHIAINDMINITY INS_ CO COMPANY NEIIRFA /I� 1wq -I ROT ORANGE COUNTY CONSERVATION A-Aocot-147 STATE COMPENSATION_ INS•. FUND CORPS FAX NO. 1(714)-956-1944 A-)003-Z3 _..,e..,._-. COMPANY �I 700 N. VALLEY STREET, STE. AB 92801 C �{ II7 �J ANAHEIM CA COMPANY... OMPANY..•^�r 0.? 4I 1T1i8:, D �+.,«s,ti;,'S:: (, a:C'.z.. d p (L aY':'n r A't. ,'.e ETsr:�'. J14b �:}u. .:G.uF.: i<:. �. (:: t' COPE.�{Gl�rn§? p^i .�3;F,�CF' :^,,.�>S R` (.;ye..y�.�1 .•�:i:k?�'s> THIS 15 TO CEHNFY THAT THE POLICIES OF INSURANCE USTtD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTf IER DOCUMENT WITH RESPECT TO WHICH THIS CLHIIFICATE MAY BE ISSUED OR MAY PERTNN, THE INSURANCE AFFORDED BY DIE POLICIES DESCRIBED HEREIN IS SUBRECT 10 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY IIAVE BEEN REDUCED BY PAID CLAIMS. ^.. -.".POLICY FRFCTTYC POLMOY NATION tam TYPE OF INSURANCE POLICY muI TR- I DATE (MI DATE PE DIM" p OrNEAAL LIANFm PHPK8USn 0 7 / 2 0 / 0 4 07 / 2 0 / 0 5 CENERA AOOHEOATE , , . ,, A2400,00D._.— COMMERCIAL OENEPoLLL�MjLITY FRONT n ; CMR!1 ±O� a,Z,BBO,BBD CLAIMS MADE Gil OCCUR PUQCNAL b ADY HA1R'Y EACHOCCURRENCE... —_ OWNM'SbCONTRACTORSPROT 51,000,000._.____ .....-- FIRE DAMASE (Any R'MI NF) a 00,OII0 _—._.__. NEDW Wtl am FaroNN i .r A ALrroMD11RZ LIABARY PHPKOM20 07/20/04 07/20/05 OOMOINCD SINGLE LIMIT 41,0ENI' 0 ANY AUIO .............. —_ a ALL OWNED AUTOS BOOZY INJURY SCNCOULCD AUTOS (Par Prma) HIRLO ALICE BODILY NMTY a NON-OYMFO AUTOS For IwIdua5 �,._....._... PROPERTY DAMAGE a -- UAA0E 14JU1FITY ANY AUTO 1T �(Q To TiP�O Y _EA ACCIDENT OILER THAN ryffD ONLY: S ,,.. - -- uaH ADaDENT a P_ I�= __._ ,... ... � G�( AOOREGATE a EADEFE WEEDY - US ttOrne nt 0W EACH OCCUMMCE 11 AODREdTIE -- E UMRRRLAFDRM nc$1$ta OTM01 THAN UMIIHELLA FORM f B RS COMPENSATION AND WORKERS COMPENSATION ee1OEA7-04 0 07/O1/04 07/O1/05 -SLIM nIN- X A.i 71.000,000'. ._. -._ d EACH ACCIDECIU9NT _--. EL DISEASE - POLICY �N1R . _ THS PHOPHIEIOR/ INCH. a.1,B00.ODD— PA TNERS,EN:CUTNE OFFICERS ARF.: IXCL _... . .. EL DISEASE . CA CMPLOYIE a OTHER A AUTO PHYSICAL PHPKOISM 07/20/04 07/201/05 DEDUCTIBLE 1,000 COMP DAMAGE DEDUCTIBLE 11000 COLL DUC-PTKIN OF ORRArMWLOCATDPUMIIIOLEE MCIM IT= THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED ADDITIONAL INSUREDS PER FORM CG 20 26 11 85, ATTACHED WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED.*EXHIBIT B, ALSO ATTACHED. *10 DAY NOTICE OF CANCELLATION FOR NONPAYMENT OF PREMQIUM SHALL APPLY. Ciit,..... H •O11Rk #Y:W','•.:t^iR`X. ~'nivTPInSi s.:.'i •''e n 3x4'RE.+R" .._.,.� P,'u{%,4°#Y EMERALD ANY OF THE ABOVE INO ROW POMIOIF$ BE CANCaMM'D BEFORE THE SANTA ANA WORKFORCE INVESTMENT HOARD EXPIRATION DATE TrERwP, THE MEANO CERYANY wu)0ft"*KYA MAIL ATTENTION: FRAN JUTZI 530 DAYS WADTFD NONCE TO ME CPRTRCATE HOLLIFR NAMED TO THE LEFT. 1000 E. SANTA ANA BLVD., #200 q6x?FMUCroxfticNwXltaaLaYlEarsEMXWYnMdlol NafoawcYAftlMIKiRV( SANTA ANA CA 92701 OFX)1IDP )10101 )EMMXIh)uL7f71MLM0()ONIf X)AMMiYMN116i1i1( AM FAX: 1/714)565-2602.:WED 10 'd 'ON XVJ Wd 9V:10 03M b00d-H-100 ti. POLICY NUMBER: PHPK088626 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance providod under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or' Organization: THE CITY OF SANTA ANA ITS OFFICERS AGENTS AND EMPLOYEES 1000 E. SANTA ANA BLVD., #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. �7PgpVED Ag TO FO---'.. TORCK LISA E• s Attorney Assistant City �af3 C CG 20 26 11 65 Copyright, Insurance Services Office, Inc., 1984 CO 'd 'ON XH.d Wd Lb:10 OEM VOOE—OE-100 le/10/2084 2205 " 49591944 ,w li:YCX AXT R i Insurance Company 1?hilsdelphia 7xtdennity Insurance Company M endorsement modifies such insurance as is a fbrded by the provlsiotts of Policy # "pHptc 626 relating to the following: 1. The City of Sonta ,Ana, 20 Civic Center Plaza, Santa 'Ana, California 92701; its officers, employees, agents, volunteers and representatives we named as addidorW insurods ("Additional i0suMis") with regard to liability and defense of suits arising from the operations and uses performed by or on behalfof the named insured. PAGE 02 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such iosttrw* as 4 affordcd by this policy is pfunaty and is not additional to or wnttibuticg with any other;nsurance carried by or !br the bentAt of the additional itwreds. Unless ttW city is grossly r4egligenb. 3. This insurance applies separately to each insured against whom claim to made or soft 6brought except with respell to the compAAy s jiaoj,ts of liability. Tha inclusion of any person or organization m an Insured shell not affect any right which such person or organization would have as A claimant ifnot sQ included. 4, With =4Peet to the Additional insureds, Us Insurance shall not bo oonMled or . materially radueed In cove rage or li Oiits except after thirty 00),days writtep notice has beets given to the City of Santa Aaa, 20 Civic Center Plena, Santa Asm, California 92701. (Completion of the fallowing, Including countersigryatWe, is required to make this endorsement olfe ctive) 07/20/04 policy#. Issued to Named this endotsement form at it part of n_. VD Ng To pp>> Cotutterslgttodby"tii� A�Yp,O A'udlott � presents e �ol. StO,,,r e CttY pttorn Y .pss15tant \ V 0/ 0it ZO 'd 'ON Xdd Rd L6:10 09M POE-OZ-100