HomeMy WebLinkAboutSilva, Luis F. 1a
AGREEMENT 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Please complete this form when the attached agreement is no longer in effect.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). Ca11647-5238 if you have any
questions.
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-------------'No.------------
The agreement with ll/-aDOM-O~f -O1
was completed on '~ /7~[~j ,and final payment has been made.
Department: ~ C '~"
Signature: ~~(~-
Date: ~I~ n rj
City of Santa Ana
Revised 8-7-03 Clerk of the Council
N ~;;I.DOt..f-0'I-3-o1
INSURANCE UN fill
WORK MI\ Y PROCEED
UNTIL INSURANCE EXPIRES
3 -II-OS
CLERK OF COUNCIl.
DATEi ('--&0-0<.\0
G~ fJr<.t.f:.
(j).~
FIRST AMENDMENT TO
CONSULTANT AGREEMENT
THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into
this ~ day of ~-e.wJJ€.V' ,2004, by and between Luis F. Silva
("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-2004-043, dated May 4, 2004, (hereinafter
"said Agreement") by which Consultant has provided yoga classes through the City's
leisure class program.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
renew said Agreement for an additional one-year period.
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 3, TERM shall be amended to extend the term through December 31,2005.
2. Except as hereinabove amended, all terms and conditions of said Agreement shall
remain in full force and effect.
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
APPROVED AS TO FORM:
~JgO~
JOSEPH W. FLETCH
City Attorney
~lf2~
GERARDO MO
Executive Direct r - Parks, Recreation and
Community Serv ces Agency
Ma~ 06 04 01:41p
0~/0&/2004 11:15 B5B51~~922
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F1TNES5 OND WELLNESS
PAGE 62/03
ACORD
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CERTIFICATE OF LIABIUTY INSURANCE
DATE (MMiIllJ1l'YYY)
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THIS ~fC:"'TE 13 tsslJED AS A tlAmR 0# INPlIltrMTION
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COVl'8AGE uroR ..., POLfetl:~ a.
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FmlUS "ND WI LLNESS INSURANCE AG~CY
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SOL.AtU BEACH ::A i1201!5
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1I1"'"ER$ ".""'C1NG COVERAOE
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LUIS F. S""
102 N. NEW lOPE ST.
SANT.. NIl CA t1703
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Att,ntion;
"CORD 2.\:lO 0110'1
Cortir"".. . 100a
Ma~ 06 04 01'42p
B~/"o/2Be4 11:15 858519"822
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FITNESS AND wELLNESS
PI\GE 03/03
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Me. 04 0 07'54..
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ADOlTlONi\L INSUll.ED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILlT'{ POLICY
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b,surance CompllllY _" _... ...
This ~ors.menl modifi., .ll<. insol1\flce.. i$ alTorded by the provistons of !'olicy
~ i:OLQPll,l.3;;l;'7-00rclalinglo Ihe following:
~f'\~","'O..: 04II1D'a
I TW'CIty'1l1'S!M,i?lffi:llr{;1'ii~ C!I\llII'1'1tn."S'lftUl NIl, '{;,;lillilMimm: \_
QlTic..s. employee.. 'gents. volunrc:ers and r01lrescnralives are named as addition"1 insureds
("addilionalI1lWro:\s") with regard 10 hobility a/,d defcnscof ,oiLS arising from the operillions
3l1d uses perfOrmed by or l)(I he!t;.lf ol'lh. namcd in....<d.
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2. With respecl to tlailm ."sing 001 of,he operations and uses p!:l'fonned by or on
bch.lfoftllc named insuroo, such ins\lfllllce a. is alTolded by Ih" policy IS pllm:ll'Y and is nol
.ddillonnllo or contributing \lIith any other insur.lllce carried lIy or for Ihe bCJ10fil nf Ih~
additional insureds.
3 ThIS lnsUl'iIJ\(e ~ppliec cepiU'.tcly to each Insured ,~in!t whom claIm IS made or
$\lit is brought except with rcspecl 10 lhe company'.limilS ofhability. The inelUsiOf or any
pcrson or orgalllzation a. an insured sholl no' affoet any nghl which such person oro,""niz,';on
would \la.e ... a claimsnt ifll". so included.
~. With re5lW<\ 10 the additional in.ureds. Ihls Insurance shall nol be cancen.d. or
materially reduteel in coverase or limits .XCqll aft.r thirty (30) d,y' wlitten notice has been
given to the City DfSanta Ana, 20 Civic Cenl.. Plua. Santa An.. Califortlia 91101
(Complellon of II", following, including coantcnignature. i, reqUired 10 m'~e IhiHnd(lnement
effective.)
fli. '3/ [/ loor - '2.JII JOB
E cell'e . IhlS end<merncnt fonn as a part of
Policy # e1>I- "I01!l~;,;r., CElU" it> '04-1~
Issued to ~'2:. F. $1L....p..
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CQuntersigned
Authorized Represelllative
?fJfKc~ "17 2/2