HomeMy WebLinkAboutTaller San Jose 3bGz`�S
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AGREEMENT TERMINATION
Please complete this form when the attached agreement is no Ionger 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 "—V &Yl- e _ No. A- a0o5 -17�
was completed on — O �� and final payment has been matte.
AO�k3
Revised 8 -7 -03
Department: G
Signature:
Date: C;2
City of Santa Ana
Clerk of the Council
. I . . A- 2005 -179
C: SECOND AMENDMENT TO AGREEMENT
THIS SECOND AMENDMENT, made and entered into this 19" day of July, 2005, 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 mentoring and paid work experience for disadvantaged youth who are in- school. Said
Agreement was previously amended on or around July 19, 2004.
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 $123,973.00."
2. The "Time Period of Agreement" section of said Agreement will be amended to read:
"...shall have been performed by S�entemher 3Q, 7005"
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 Second Amendment to said Agreement the date
and year first above written.
ATTEST:
L
Patricia E. Healy
Clerk of the Council
APPROVED AS TO FORM:
By: Lisa E. Storck
Assistant City Attorney
RECO ENDED FOR AP ROVAL:
1"_/
PatricM C. Whitaker, Executive Director
Community Development Agency
CITY OF SANT A
David N. Ream, City Manager
TALLER SAN JOSE
By: Sister Eileen McNerney
Title: Executive Director
INSURAN11.. N01 'Jfl ':LE
WORK NIA, ott ;LIED
CLERK CI ;ANCiL.
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CIO
YOUTH BUDGET NARRATIVE
Attachment C
Budget Planning Form Through 9/30/05
* See Budget Narrative — separate sheet following detailing these costs
Administrative
Program
Total WIA
Match/in
Kind
Personnel Ex" enses
Salaries*
$0
$208,533
$67,112
$141,421
Benefits
$0
$32,124
$5,402
$26,722
Other — StudentApprentices*
$0
$57,500
$21,500
$36,000
Total Personnel
$0
$298,157
$94,014
$204,143
Operating Expenses
Rent or User Fee
-
$75,894
$29,959
$45,935
Utilities
-
-
Telecommunications
-
Parking Fees
Security
Maintenance
Insurance
Equipment
Rental Fees
Purchase
Vehicle Lease Charges
Office Expenses
(consumables
Accounting Services
Legal Services
Auditing Services
Indirect Costs
Staff Training
Staff Travel/Mileage
Customer Training
Su port Services*
Profit for profits only)
-
-
Other —
Uniforms &
Instructional Materials*
$0
$13,500
$0
$13,500
Tota0 eratin Ex enses
l
$0
$89,394
$61
$59,435
GRAND TOTAL
$0
$387,551
$123,973
$263,578
* See Budget Narrative — separate sheet following detailing these costs
YOUTH BUDGET NARRATIVE
Attachment C
Budget Planning Form Through 9/30105
Personnel Expenses
Staff Salaries
Dan Suarez, Construction Training Coordinator (.50)
Pedro Sarinana, Instructor (1.0)
Staff Benefits
Youth Stipends
9 youth @ $7.50/hour (400 hours average) + FICA (1.0765)
Total Personnel:
Operating Expenses
Rent or User Fee
Other — Uniforms & Instructional Materials
Includes 2 shirts, 2 pants and work boots — 9 youth @ $625
Includes project materials, tool belt, hand tools, safety gear,
book and workbook — 9 youth @ $875
Total Operating:
TOTAL EXPENSES:
Request
$33,213
$33,899
$5,402
$21,500
$94,014
$29,959
In -Kind
In -Kind
$29,959
$123,973
MISSION
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Certificate Holder added an Additional lnsurad by endorsament to policy Subject to the terms Sat
forth in the endorsement. BBJO dba Taller Ban Jose, Block grant, BID N. Poineetta, Santa Ana, CA
92701
City of Santa Ins, its ofrioare, agents
and 1 a Ooamweity Development Agency
20 Cic Canter Plana
NO. M23 - P.O. Sea 1980
Atcal Lucy ►loree
Santa Ana, CA 92702
INOULOANYOPTN4ABOVIONICR tWDPOUCH! WCANCBLLIDNBPORPTNBBIPIItATION
DAT/ TNIRIOP, THE IIBUINC INIURIR WILL VAW�rMAL 30 DAYS WRIITBN
WOMB TO THI CBIITIPICATI NOLORR MAMBO TO TH9 LIFT+
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CERTIFICATE OF LIABILITY INSURANCE;*js 2-of 2
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THIS CERTIFICATE 16 ISSUED AS A MATTER OF INFORMATION
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HOLDER. THIS CERTIFICATE DOES NOT AMEND, EMEND OR
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INSURERS AFFORDING COVERAGE
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and 6gloy.. Community Develol.eant Ago"y
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ADDITIONAL INSURED ENDORSEMENT
Insurance Company: American Unity Group, Ltd.
This endorsement modifies such insurance as Is afforded by the provisions of Policy
# UNI - CGL -05 -01 -020 (1 -14601 -00 -05 ) relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92702; its officers, employees, agents and volunteers are named as additional insureds
( "additional Insureds ") with regard to liability and defense of suits arising from the
operations and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by
or on behalf of the named Insured, such Insurance as Is afforded by this policy is
primary and is not additional to or contributing with any other insurance carried by or for
the benefit of the additional Insureds.
3. This insurance applies separately to each Insured against whom claim is
made or suit is brought except with respect to the company's limits of liability. The
inclusion of any person or organization as an Insured shall not affect any right which
such person or organization would have as a claimant if not so Included.
4. With respect to the additional insureds, this insurance shall not be
canceled, or materially reduced in coverage or limits except after thirty (30) days written
notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana,
California 92702.
(Completion of the following; Including countersignature, is required to make this
endorsement effective.)
Effective 06/30/05 to 06/3010 this endorsement form as a part of
Policy# UNI- CGL- 05 -01- 020(1- 14601 -00 -05)
Issued to St. Joseph Health System