HomeMy WebLinkAboutSkidmore, Cheryl Kids Can Do Gymnastics 2aCity of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION
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7~R !~'? ~ 3 ~"~ 9~ ~ 2
Please complete this form when the attached agreement is no longer in a ect. "
Return form to the Clerk of the Council Office (M-30).
Call 647-2520 if you have any questions. ~ ~ ; ~~ "~• F''
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The agreement with Cheryl Skidmore Kids Can Do Gymnastics dba Fun With Horses
No. N-2004-058; N-2004-058-01; N-2004-058-02; N-2004-058-03;
N-2004-058-04
and final payment has been made.
was completed on 12-31-08
Department: PRCSA
Phone/Ext.: 4203
Signature: e ~~~~1~~~
Date: 7-21-09
Revised 05-04-08
.
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INSIJRANCf UN FILL
WORK (,1\1 PROCEED
UNTIL iHSURANCE EXPIRES
~... ,31--05
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CLEfiK OF COUNCil.
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FIRST AMENDMENT TO
CONSULTANT AGREEMENT
THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into
this ? D' day of ,0rl)lbl\l.~ , 200j,'by and between Kids Can Do
Gymnastics dba Fun ~ ~ultant') 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-2004-058, dated May 1,2004, (hereinafter
"said Agreement") by which Consultant has instructed horsemanship camps and
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:
I. Section I, SCOPE OF SERVICES, shall be deleted in its entirety and replaced with
the following:
"Consultant shall perform those services as set forth in Exhibit A-I, attached to this
First Amendment to Agreement, and incorporated to said Agreement by this
reference. "
2. Section 2.a, COMPENSATION, shall be amended to increase compensation
$5,000.00, to read in full as follows;
"City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement shall not exceed $10,000.00 during the term of this Agreement."
3. Section 3, TERM shall be amended to extend the term through December 31, 2005.
3. Except as hereinabove amended, all terms and conditions of said Agreement shall
remain in full force and effect.
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:
-6Lo
" __ A
PATRICIA E. HEALY
Clerk of the Council
?
~~_/
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By fl&~.~
Laur eedy
Assistant City Attorney
APPROVED AS TO CONTENT:
CONSULTANT
!~y
~
~IDMORE >--,t7
President
Executive Director - Parks, Recreation
And Community Services Agency
EXHIBIT A-I
SCOPE OF SERVICES
CAMP BUCKAROO
. Consultant shall provide interaction with horses classes aimed at children ages 6
to 12 years. The camp shall be conducted over one-week sessions meeting 2 Y:,
hours twice during the week.
. Registration fee is $65.00 per participant per session plus a $10.00 materials fee
paid to Consultant at the first class.
HORSE FUN FOR KIDS
. Consultant shall provide basic horsemanship classes for children ages 3 to 12
years. The class shall be taught over three-week sessions meeting once each week
for 45 minutes.
. Registration fee is $50.00 per participant (3 to 6 Y:,) per session, and $55.00 per
participant (7 to 12) per session. All participants shall pay Consultant a $10.00
materials fee at the first class.
INTRODUCTION TO HORSES
. Consultant shall provide an introduction to horses class for youth ages 13 and
older. The class shall be taught over three-week sessions meeting once each week
for one hour.
. Registration fee is $55.00 per participant per session plus a $10.00 materials fee
paid to Consultant at the first class.
DOWN ON THE FARM
. Consultant shall conduct farm experience classes for children ages 2 to 6 Y:, years.
The class shall be taught three-week sessions meeting one hour each week.
. Registration fee is $50.00 per participant per session, plus a $10.00 materials fee
paid to Consultant.
ALL CLASSES WILL BE HELD AT THE ANAHEIM EZUESTRIAN CENTER
CLASS REGlSTRA nON AND FEES
o Each class must have a minimum of five registered and paid participants and a
maximum of 15. If the minimum registration has not been met by the first class, the
class may be cancelled by mutual agreement of Consultant and City without any
compensation owed Consultant.
.
o No refunds will be made after the first week of classes unless the class is cancelled by
the City.
o City shall collect all registration fees - Consultant shall refer interested participants to
City for registration.
o City shall pay Consultant seventy percent (70%) ofthe total fees collected for her
classes within fifteen (15) working days after completion of the session. City shall
retain thirty percent (30%) of the fees.
o Only registered participants, listed on a roster prepared by City, may participate in
class.
o City shall be entitled to audit Consultant's records and classes to ensure compliance
with this agreement.
No.96Q5
PAGE ell
p. 1
a3{f?1.1~~5 l3:el4
M~r 0 21, 2005
7145714209
9:15AM CHEvAL INSURANCE
PARKS AND RECREATION
,... "
ACORD.. CERtiFICATE OF LIABILITY INSURANCE eM RI) \ p.<\TE I"'~~
,,- SKIOM-l 03/21/05
....ODUCER THtfI CIiRTIIIICAn; IS ISSUED AI A MATTIR OF '''fQ~JI~TION
ChQvai 1nauranc. ServlQ.. ONLY AND CONFER' NO IlIl!lHT~ VPQM TH' ClERnFICATE
Lie. OCi42,S7 HOLDeR. THIS CERllFlCATE DOES NOT ....E~D. ~ND ~.
P. O. Box 2i33 14- TER Tlie CQVIAAGE AFFOR,DEO BY THE POLICIES BI<J.OW,
FUJ.1f!!!rton CA 92837
Phon8i714-447-9191 Fax:?14-S25-91S1 INSURERS AFFORDINQ CDYERAQIi MAle #
iNtU"I!D INfURER ^, Amer~gan Banko.3
INSU~R g.
Cherw-i- SkidmorQ I N31JR&R C:
Fun ]. t:h llo:r588
197 ~. W~~$Qn I~' IN06UR~ [1;
c;;:osta Mesa. CA 2627
I~$UAE~ I:
COVI5RAGES
TloII; POLIClliiS o~ IN5Ul\ANCf Ll5TfO Il~LOW IfAIIE BEEN IssueD TO THE INSURED foWwleo "'lKWE FOR THE; Po~ICY jjE~Ot;lINl)'~TJ:D, N,irWIMT"lI:lr~
/Vf'f ~Q\JlFIIiMliiHT. T6RM OR CONl;lITIOM or N<< corm......~T ~ OTHeR (;IOe.VMl:NT 'f'n'7i N!SI'EC1' TO WWICH T"'I& el~l'lI'ICA,", w.y tlI!. ISsueo OR
bIJo.'o( ~-'iINo THE INSURANCE ...!!~ORQl;D llV 1'14r: POllC11!Q DESCRIBED HEREIN 19 SOQJECT TO ALl THE TaR"!, !XCLU!!IONS AND coNtllT10NS OF SUCll
POLICIIlS. AGG~Tl: L.IMI1'S SHOWN /MY /l.VI! DfISN RIiiOUcel BY "'''10 o.Jl11;l5.
Ii:ii\ ~ T"r"~ 0'" irt$\IrW4~ POuc:Y NUIII8ER IJATe lIIIMlDNY o,;;n~ L.WITl!
uI!MMAL. UAIlIUTY EAo;H ocCUMINC~ 51,000 000
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A X ~ 3~RGIAL GEtlErw. ~lAlIIUTY SL11.0:n ?7 09/31/04 08/3:1./05 ~R~Es Tes o=urence) 530,000
: CLAM M,t,~ [[] QeCt,l" 1.100 EXP {Ally "'" ~l I IS. 000
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- PERSOl'lAL r. Af1tIlNJURY 52.000,000
....... GINeRALAGQREGATE s2,000,OOO
IilL "'I3O.,ee'l~ LIMIT IIPn I'm: PR.ODUCTS ' COI&lJOP AGG S 2 , 000 .000
X flOLICV n ~m LOC
~TD~1i lJABIUTT COM8INED &lNI3l& ULIT f
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ALL OWNIiD -'lJTOS ~DILV IIoLIUIW
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$Cl4itlUlEO AUTOS (PI' poqan)
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Q~1llE L"'lllll'fJ' AUTO ONL V _1iA ACC1DEI\IT S
~. ANY AUTO NONE APPROV f D A.S TO FORM ~~ 'TJiAN EA I\QQ I
AUTI) ONLY: "'GO Ii
~1I~ALIAIl"'!TY ....~O ~ .. . E.'oCH OCCUl:lRG/oICIO. S
OOCUP. D CUiIoAS r.oAOE NONE ..h-'"" -.;;. JJJ>d.l/ 2- AGGREGATe $
- 7' Ll!.U a Stit,~~6d'
$
=1 DEOUCT1l1L~ AI. ssiStll ot City Attot ey $
~IIN"ION S I
WORKERI tOMIleNSATlOtl AMD ITO~ LiMiTs I I"~~
liMl'\,OY....'. UA6I\.11"f NONE ~oJ., ~eH AeODENT $
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6FFlCERIMEMlll!JI{ !llClUllW'l E.L. D1SEAS& - &.-. iMPLOYIii~ I
~I, _~O. UPllIlI' E.L DlSEA8i - POLIcY LIMIT
ww. pclOVl!lOf.I!!l boola.. $
OTHER
NONE I
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DlO~ON OF op~tlg"ll LOCA1101K1 YlH\C\,1I , IIl(CLU~N$ AIlII'!ll .., "'DOASEIlENT I !!PEe....\. PRO\ll8lONll
o8rtific.ta Holde:r iB an addit~on.~ in.~ed ~. :.cility Q~~~.
City of Bant:a Ana
~.rks & R&cr..tion
K 25 Attlu Deborah
PO BO:ll: BI8B
Santa Ana CA 92702
eANCIS~TtON
ClrY SA lIHOlILD IIHY Of Tl1E NW'I1i peKIlIIII:D POJ.ICll:e $! e"'~I!!LLEl) IIUQRE Tilt mclI1ltA.l'l/lN
D"TE THEREO~o 1'HI! I9!lUING IN!lUREIl WILL IlNDiAVOR TO IIIAlL ~ OAYS Wltln.",
NOTice TO Tl1f oamflCAll: HOLDER l't...,.lIIl TO T1iE.LEFr, BUT FM"'''. 'to cO!;() $.......L
IMP0611 1'10 08LIGATION (IR L Of! /UN KlWrl U~jO 'I'6llllN.U"'~, mJ M1E"''l'!1 CIIl
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Ch.val :rnl;ll.1ran
@ACORD COftPOMTlON 199
CE~TlfICAl'E HOLDER
ACORD 15 l20a1/G8l
63/~(J2~e5 13:04 7145714209
Ma r. 21. 2005 9: 1SAM CHEVAL INSuRANCE
PARKS AND RECREATION PAGE 02
No,9605 p. 2
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TO;C~ IN~
NO . c184 P. 1
. .AIl-rlcan Bonk.r!
IIII'R: ~_ ClIIllIllIIlY of Florida
21j 50urA I SA Strtllt, St& 600$
OI'lD1Ja, NH 61101
ENDORSEMENT
AgaO\: THE GARN GR.OuP INC.
219;e, 31ST STREEt
~W YORK. NY 10016
This CIldorseDlm.t effective 6/23J04. forms a.,~ olPolicy No. SLlI03177
Issu~ tQ Cftl!tYt Skidmore !leA Fun With Honea
policy Period - From.: 8131/03 To: i/31/04
The l!Ibave dc.a~ribt4 policy is a.D:u~.o.ded All tollows:
It i!! agreed:
Addidon~l iuSllred added /18 I'olklw.:
Clty m Saata Alla P,m Beac:b U<l Rlll:f'udOD
PO Ba "'!lIUI M2]
Sllllta Ana. CA 9%101
APPRO V 1:.1) AS 'j' () For;'~vi
~ ;? /~
/,r~..____...-,- ....___._
Laura '.1. . ,"', ....J
AssistanL '-'~:J "..Hurney
Hndoneme.nt No.1
l"ielni\HP aw'Se: $2S
Countersign~e Date
c1::6~
gent ~
Revised Annual Pr~~: $ ~lU:cd; 8110/04 By: M.A.
All othertenna and conditioN ofthi$ policyremun unchiUlJed.
ReceivQd Time Aug.il, lO:58AM
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID RD I DATE (UMlDDIYYYY)
SKJ:DM 1 03/03/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION
Cheval Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Lie. OC94257 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. Box 2933 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Fullerton CA 92837
Phone: 714-447-9191 Fax: 714-525-9191 INSURERS AFFORDING COVERAGE NAlC..
INSURED Cheryl Skidmore A1- rRCO<I-o~f/- INSURER A: American Bankers
INSURER B:
Kids Can Do ~astics 03 INSURER c:
dba Fun With orses
187 E. Wilson St. ----.- -.------
Costa Mesa CA 92627 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION 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 CONDmoNS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE U/NDDIYY1 D'k%TIMMlDONV)" LIMITS
GENERAL LIABILITY EACH OCCURRENCE 11.000.000
L-
A X ~ 3MMERCIAL GENERAL LIABILITY SL1103177 08/31/07 08/31/08 I PREMiSES lea occunnc:e) $ 50 .000
f--- ClAIMS MADE ~ OCCUR MED EXP (Any one person) I 5,000
PERSONAL & AI:N INJURY $1.000.000
GENERAL AGGREGATE $2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS.CDM~PAGG $ 2,000.000
Xl POLICY n ~8T n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE UI'IIT
- .
ANY AUTO NONE (b accident)
-
ALL OWNED AUTOS BDOIL Y INJURY
- .
SCHEDULED AUTOS (Per""......,)
-
- HIRED AUTOS BODILY INJURY
.
NON-OWNED AUTOS (Per accident)
--
- PROPERTY DAMAGE .
(Per Kcldlnt'
GARAGE LIABILITY AUTO ONlY. EA ACCIDENT .
R ANY AUTO NONE OTHER THAN EA ACC $
AUTO ONLY: AGG .
EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAlIiIS MADE .
NONE AGGREGATE $
$
R DEDUCTIBLE I
.-
RETENTION $ $
WORKERS COMPENSATION AND I TORY" uMiT's I IO~.
EMPLOYERS LIABILITY NONE
M1Y PROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? EL. DISEASE . I!A EMPLOYEE $
It yes., describe under
SPECIAL PROVISIONS below E.L DISEASE. POUCY UMIT .
OTHER
NONE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is additional insured as sponsor of recreational program
but only insofar as insured operations in connection with said insured.
CERTIFICATE HOLDER
CANCELLATION
CITY SA SMOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Community Development Agency NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
M 25 Attn: Deborah
;po Box 1988 IMPOSE NO OBliGATION DR .1} ILfTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
Santa Ana CA 92702 REPRESENTATIVES.
AUTHORIZED REPRESENT} I~ ~ces
Cheval Insur
ACORD 25 (2001108) 4 ;/2... @ACORD CORPORATION 1988
// /~/--Ci.- \
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y
AAIS
This endorsement changes the Commercial
liability Coverages provided by this policy
-- PLEASE READ THIS CAREFULLY -
GL.B41
Ed. 1.0
ADDITIONAL INSURED
DESIGNATED PARTY
Iemental Declarations.
Designated party: CITY OF SANTA ANA PARKS & REC
Designated Activity: SPONSOR REC PROGRAM
Designated Interests: KIDS CAN DO GYMNASTICS INe
The Commercial Uability Coverage is amended as follows:
I DEFINITIONS
_.~
activities designated in the Schedule rating to:
The definition of Insured is amended to Include the
following:
a. your operations;
b. premises owned by or rented to you, or
c. other designated interests shown in the Schedule.
Insured also includes the party designated In the
Schedule but only with respect to liability arising oul of
GL-B41 Ed 1.0
Copyright MCMXCI, American Association of Insurance Servlces
AAIS