HomeMy WebLinkAboutTaller San Jose 4a_ City of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION FORM oa,
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COTC Office. Use Only
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please complete this form when the attached agreement and all CLE- {
amendments (if any) are no longer in effect.
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Return form to the Clerk of the Council Office (M-30). j
Call 647 -6520 if you have any questions.
The agreement with
No. was completed on I/ and final payment has been made.
(List all amendments. Use space below if needed.)
Department:
Phone /Ext.: _
Signature: 7RI
-1
Date: ca-
Revised 0&2310
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AMENDMENT TO AGREEMENT
A- 2004 -114
THIS AMENDMENT, made and entered into this 7th day of June, 2004, by and between Taller San Jose
( "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 ").
RECITALS
A. The City and Contractor entered into that certain Agreement dated October 1, 2003, hereinafter referred to as
"said Agreement ", to provide 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:
1. The "City's Obligation" section of said Agreement will be amended to read:
"...a sum not to exceed 16,L32."
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.
Attorney
ZEFOR APPROV L:
C. Whitaker, Executive Director
pity Development Agency
CITY OF SANTA ANA
avid N. Ream, City Manager
TALLER SAN
j�JOSE
Sister Eileen Mc Nemey
Director
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPI
CLERK OF COUNCIL'`
DATE:' S-- I,t704 :
INSURANCE
EXHIBIT I
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9/11/2003 7:28 PAGE 213 RightFax
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THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION
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ENDORSEMENT
*POLICY NUMBER: UNI- CGL-03-01 -018 (1- 14601 -00-03)
*INSURED COMPANY NAME: American Unity Group
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: St. Joseph Health System
City of Santa Ana and its Officers, Agents, Employees and
Volunteers are named as additional insured as respects their
interest in connection with the named insured.
(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 liability arising out of your
operations or premises owned by or rented to you.
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.
Agent's Signature:
CG 2010 1 185
(218)C SAMPLE— Additional Insur d with Primary /Non-Contributing Language Added
APPROVED AS TO FUitf,.:
L¢ ru Shcedy
Deputy City Attorncy