HomeMy WebLinkAboutMENDEZ, BRAULIO 1BCity of Santa Ana
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AGREEMENT TERMINATION
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Please complete this form when the attached agreement is no longer in effect. r ~ ~ r ^ ~ F, ~ „~
Return form to the Clerk of the Council Office (M-30).
Call 647-5237 if you have any questions. <• ° -~ ~ ,,
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The agreement with ~~~ - ~~ ~~~ ~ , ~, -
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and final payment has been made.
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Revised 07-23-07
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SECOND AMENDMENT TO
CONSULTANT AGREEMENT
INSURANCE NOl ON f ILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL
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THIS SECOND AMENDMENT TO CONSULTANT AGREEMENT is made and
entered into this 30`x' day of December 2005 by and between the City of Santa Ana, a
charter city and municipal corporation of the State of California ("City") and Braulio
Mendez ("Consultant").
RECITALS:
City and Consultant entered into Agreement N-2004-102, dated August 26,
2004, hereinafter "said Agreement", by which Consultant has instructed
"Introduction to Guitar" classes through the City's leisure class program.
2. In accordance with the terms and conditions of said Agreement, the parties
wish to renew the said Agreement for an additional one-year period.
WHEREFORE, in consideration of the mutual and respective covenants contained in said
Agreement, and subject to all the terms and conditions of said Agreement, City and
Consultant agree as follows:
Section 3, TERM, shall be amended to extend the term of said Agreement
through December 31, 2006.
2. Except as herein amended, all terms and conditions of said Agreement shall
remain in full force and effect.
IN WITNESS WHEREOF, City and Consultant have executed this Second Amendment
to Consultant Agreement on the day and year first set forth above.
APPROVED AS TO FORM:
L - i~ ~" ~ ~lG:~ ' ~E-':
~~ SEPH W. 1`LETC R
City Attorney
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CITY OF SANTA ANA
GERARDO MO(
Executive Directs
Parks, Recreation
Services Agency
Community
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EVANSTON 1NSTIRANCE COMPANY
CERTIFICATE NO.: -
CERTIFICATE OR INSURANCE
EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
YRODUCDR: PUBLIC ENTITY (ADDITIONAL INSURED)
~ City of Santa Ana
Driver Alliant lnsuranee Services in conjunction with 20 Civic Center Plaza, M-28
Apex Insurance Services Santa Ana, CA 92701
P. O. Box 28323
Santa Ana, CA 92799-8323
(949)660-8163
License No: OC 36861
NAMED INSURED (EVENT HOLDER): EVENT INFORMATION:
Braulio Mendez TYPE: Music (Guitar) Classes
2313 S. Rene Drive DATE(S): June -December 2006
Santa Ana, CA 92704 LOCATION: EI Salvador Community Center
', This is to ccfify that the politics of insurance listed below have been issued to the insured named above for the policy period
~,i indicated. Notwithstanding any requirements, terms or conditions Of any contract or other document with respect to which this
ccrti ficatc may be issued or may pertaiq the insurance afforded by the policies described herein is subject to al] the temts,
'I exclusions and conditions of such policies. Limits shown may have been reduced by paid claims.
u INSURANCF. CARRiH:R: F,vanstnn insurance Company
(i MASTER POLJCY NUMRRR- 04SF.PI000OOI
I. MASTER POLICY llA'PES: EFFECTIVE: JANUARY I, 2006 EXPIRATION: JANUARY 1, 2007
COMMERCIAL GEDIERAL LIAPIL['CY OCCORRLTICP FORM UF.000II[3l.!•;: NCNL'
General Aggregate Limit $ 2,000,000
Products & Completed Operations 1,000,000
Personal .~ Advrstising Injury 1,000,000
~ Paeh Occurrence Limit I,OOQOW
Fire Damage (! ,y Oue Firc) 50,000
~~ Medwal Payments (Any Onc Person) 5,000
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The lunits of insurance apply separately to each evaa immrAl by this policy as if a separate policy of insurance has been issued for that event.
"Who is insured" is amended to include, as an insured, the person or organization shown in this schedule, but Duly with mspeet to liability arising nut of the
ownership,maintenance or use ofthe premises usedbythe named insured(eventholder}This insuaucedees notapplyto-Any"occurtenee'which takes place
~~ after the event holder ceases W be a [enaut in that remises.
f OTHER ADDITIONAL INSUREDS
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CANCELLATION: Should the above described policy to cancelled before [hc expiration date thereof, the issuing oompany will mail 30 days wriaen notice m the
certificate holder and additional insureds listed.
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~- AUTHORIZED REPRESENTATIVE: -
DATE ISSUED: Mav 31 2006 _ _ - ~- ~ err SCtL S6aedv
Asvxtent City Attariey