HomeMy WebLinkAboutALDAZ, GIL 1-2000
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AMENDMENT TO AGREEMENT . ~
N-2001-095
THIS AMENDMENT, made and entered into this 19th day of June 2001, by and between Gil Aldaz
("Consultant") 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"), collecGl~'\~.Wnf!lt\"te to herein
as "the Parties". IN,." '.;; ,';' .. ',' " en
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A. The Parties entered into that certain agreement entitled "Consultant Agreement" dated November
30,2000, hereinafter referred to as "said Agreement", for providing karate classes at Jerome Center.
B. The Parties hereto now desire to amend the Compensation, Term and Scope of Service of said
Agreement in order to in order to provide continuous uninterrupted service under the 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. Section 1, of said agreement, pertaining to Scope of Services of said agreement is hereby amended
to provide no classes held on the following dates: July 4, 2001; September 3, 2001; November 12,
2001; November 22-23, 2001; December 24, 2001- January 4,2002; January 21,2002; February
18,2002; May 27,2002.
2. Section 2, of said agreement, pertaining to "Compensation" term of said Agreement is hereby
amended to reflect an increase in compensation of an amount not to exceed $8,000.00 due to an
unexpected increase in the City's need for the Consultant's services under said Agreement.
3. Section 3, of said Agreement, pertaining to Term of said Agreement is hereby amended to change
the termination date of June 30, 2001, to June 30 2002, in order to provide necessary continuous
uninterrupted service to the Agency.
4. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged
and in full force and effect.
IN WITNESS \\'HEREOF, the parties hereto have executed this Amendment to said Agreement the
date and year first above written.
ATTEST: ~
~.
PATRICIA ~AL y
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By:JJ~. Ltktk
Michael Vigliotta ,
Deputy City Attorney
(signatures continued on next page)
.L. '},
pjt... Cle Williams
Executive Director of the Parks,
Recreation and Community Services Agency
CONTn~ '
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Tax ID# to 1'1 -cJ<l3 0 G\
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Fitness L Wellness
858-519-0822
sant8 ana prc~.
7145714235
EXHIBIT B
ADDITIONAL INSL;RED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company Specialty National Insurance
This endorsement modifies such insurance as is afforded by the provisions of Policy
# 3xzI26451-01 relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers. employees, agents, volunteers and representalives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
ami 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 10 or contributing with allY other insurance carried by or for the benelit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
sLlit is brought except with respect 10 the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect allY right which such person or organization
would have as a claimant if not so included.
4. With respecllO the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits excepl after tbirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective 02/09/02-02/09/03
Policy # 3XZ126451-01
Issued to V<:>r~t-" no K;:Ii H2
. this endorsement form as a part of
1/38595 I
Named Insured
Countersigned by .Jeffrey E. Frick
Authorized Representative
Ah'lWVElJ AS TO FORM
IO~
<;t
Laura heedy .
--, t~"tv City Attorney
p.3
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Feb 11 02 06:25p
Fitness & Wellness
858-519-0822
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. , CERTIFrCATE OF LIABILITY INSURANC~'M~1 I DATE (MMIODIYY)
ACORD. . 02/12/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
FitDesB~ Wellness :Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Agency HOlDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
380 Stevens Ave., First Floor AL TEft THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Solana Beach CA 92Q75 INSURERS AFFORDING COVERAGE
Phone. 800-395-8075 Fax.85B-519-0B22
-~-----
UlSLJREO INSURER A: Specialty National Inaurance
INSURER s:
Karate Do Xiai #2 '0385951 ...--
Gi1 A1daz Eff:Oi{09 02 INSURERC:
421 E. Lyon St 0 INSURER 0: ---
Santa Ana CA 92701
: INSURERE:
COVERAGES
THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE fNSUAEO NAMED ABOVE FOR THE POUCV PERfOD INDICATED. NOTWiTHSTANDING
ANY REQUIREMENT. TERM OR CONDITION Of ANY CONTAACT OR OlllER OOCUMENT WITH RESPECT TO WHICH THSCERTIFICATE MAY BE ISsueD OR
WAY I1EATAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXClUSIONS AND CONDITIONS OF SUCH
POliCIES, AGGREGATE UMlTS SHOWH MAY HAile BEEN REDUCED BY PAID CLAIMS.
l~~ TYPE OF INSURANCE . POLICY NUMBER ~\f~b E I ~",MMlDDlYYON lIMllS
GENERAL UABIL1TY 02/09/02 i EACH OCCIJ1'RENCE . 1, 000, OOO_~_
-
A X COMMERCIAL GENERAlI.lABIlITY 3XZ126451-01 02/09/03 FIRE DAMAGE (MV O~ ire) .100,000
!.~ CLAIMS MADE xl OCCUR MEO EXP lAny 0I'\e pe"llOll) 12.,500
'_____0------' _
, PERSONAL & MN W,JURV 11..,000.000
1.- [GENERAL AGGREGATE
A 1'_ Hisc Professioz:1_~~ S 3.000,000
~L t'I~Ep~~ APPnSIPER: ; PRODl./CTS.COMPIOPAGG f S 1. 000. 000
: POLICY JEeT laC
AUTOMOBILE LIABWTY COMBDED SINGLE LIMIT
.
ANY AUTO lEa aa:k:Il1lt1l)
~.
L.____ ALL OWNED AuTOS F 800lt Y INJURY
.
SCHEDUlED AUTOS , ,(Pe<fperSCll't)
--
, HlREO AUTOS BODu.. Y INJURY i
a :::WNEO:VTOS (Perao;:i(knl) "
------ PROI"ERTY DAMAGE ,
i I (Peracc:ider.\)
~E UABIUlY AUTO ONLY. EA ACCIDENT ,
! All'( AUTO ontER THAN EA ACe . ~-
--.
i AUTO ONLY: AGG .
~ESS UABIUTY '--. APPROVED AS Tv EACtI OCCURRENCE .
~ OCCUR ~ CtAlUSMADE Lr, .?/"" 0 AGGREGATE .
.,nal~A .
f=i DEDUCTIBlE - .
RETENTION , , Laura Sheedy .
WORKERS COMPENSATION AND Deputy City AttorneY I TORY LIMITSl l' ER'
EMPLOYERS' LlABIUTY
E.L. EACH ACCIDENT .
I E.L DISEASE. EA EMPLOveE S
i ! E.L. OI$E.\SE. POUCY LIMlT I s
: OTHER
A sexual Abuse ! 100,000
300,000
DescA1P'I1ON OF OIERATlQNStLOCATIONSNEHlCLESlEXCLUSIDNS ADDED BY ENDOASEMENTISPECIAL PAOVlSlON5
It is understood ,,,,d agreed that the following entity is added as an
additional insured, but only eo respects the operations of the named insured
except that liability resulting frmn. the additional insureds 801e negligence
CERTIFICATE HOLDER I YI ADOInoNAL INSUfl!.D; fNSIJIItER I.E.nER: CANCELLATION
COSANTA SHOULD ANY DFTHE ABOVE DESCRIBED POUCIUo BE CANCELLED BEfORf. THI! UPlRATIOI
DATE THeREOF, THE ISSUING INSURER W1U ENDEAVOR TO MAlt. 1L DAYS WRlTlEN
city of Santa Ana NOTICE TO 1"tre CeR1lFICATE HOLDER NAMED TO THE LEFT, BUT l~t_..l!:. 18 18 && &.11.1,.1..
aecreation and Community 1Mre'U~"'n.--' B. ,~UftUADI"".ur'......,..............-........~IIUl~..-..,,! ..tFIl[ 9A
service Agency
B8B West San t.a Ana B1vd. m:...l!!nFl"'.lll(ES.
Santa Ana CA 92702 A.4.. c'?fu-l
,
" ' CACORD CORPORATION 1988
ACORD 25-5 (7/97)
Jan 29 02 03:10p
santa ana press
7145714235
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ACORD. CERTifiCATE OF LIABILITY INSURANCttIM~l I DATE (MMlDDIYYI
01/U/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Fitness & Nellness Insurance OIlL Y AIID CONFERS NO RIGHTS UPON THE CERTIFICATE
Agency , HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
380 Stevens Ave" First Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Solana Beach CA 92075
Phone, 800-395-8075 Fax.858-519-0823 INSURERS AFFORDING COVERAGE
INSURED INSIJRERA: S"ecia1tv National :tnsurance
Krrate Do Kiai #2 #0385951 II'tSURERS:
G 1 Aldaz
IDEA effective 02/09/01 INSURER C:
P.O. :Box 831 ItrtSURER D;
Santa Ana CA 92703
INSURER E:
COVERAGES
THE POLICES OF INSURANCE LISTED BELOW HAVE BCEN ISSUED TO THe INSURED NAMED A8OI/E FOR TtlE POLICY PERIOD INDICATED. NOTWIimiTANDlNG
ANY REQUIREMENT, TERM OR CONDITION OF AN( CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHlCH THJS CERTFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All TliE TERMS, EXClUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LlMrTS 8HOYJN MAY HAVE BEEN REDUCED BY PAlO CLAJMS. r~ilf~~
'rf:i TYPE OF INSURANCE POUCY NUNBER LIMITS
~NI!RAL UABILlTY , 02/09/01 02/09/02 EACH OCCURRENCE S 1,000,000
A ~ OMMERCIAL GENERAL LIABILITY 3XZ-126451-00 FIRE OAMAGE (Any one "reI 1100,000
- CLAIMS MADE [!] OCCUR MED EXP (Any (lIle [lElr3Cl1) .2,500
A~ Mise Professional PERSONAL &ADY INJURY '1,000,000
,_ GENERAL AGGREGAlE .3,000,000
~'lAOO~En ~~ APf~!~tIPER' PRODUCTS - COMPJOP AGG .1,000,000
POtlCY JECT LOC
~OMO.'LEUABILI1Y COMBINED SINGLE UMIT
~YAIJTO (EDacc:icent} :s 1,000,000
l-- ALL OWNED AUTOS BODILY INJURY .
SCHEDULED AUTOS (Perpel'IWIJ
L-
>-- HIRED AtrrOS BODilY INJURY
.
A ~ NON-OWNED AUTOS (per aCCIdent)
I-- PROPERTY DAMAGE .
(PeraccfdentJ
RRAGE LIASIlI1Y AUTO ONLY - EA ACCIDENT .
ANYAU:U OTHER THAN EA"'-C .
AUTO ONLY: AGO .
EXCESS UABlUlY ~ OCCURRENCE .
S'OCCUR 0 ClAlMSMADE. I AGGREGATE .
$
R IlEDUCTI.L. APPROVED P S TO FOil M $
RETENTION . $
WORKERS COMPENSATION AND d;.lA- p( ..n I TORY UMrTs I IOr.-
EMPLOYERS' UA81UTY ~ EL EACH ACCIDENT $
/ 7
q:::auTa Sheedy . -; E.L DISEASE. EA. EMPLOYEE $
",... AUn' no" E.t. OfSEASE - POLICY LIMIT .
OTHER I
A SllltUAI. A:Bl1SlI 100,000
300,000
DESCRIPTION Of OPERAnoNSlLCCA,TlONSNEHICLESJEXCLUSlONl ADDED BY ENDORSEMENT/SPECIAL PROVlSIQt.lS
It is understood and a~reed that the following entity is added as an
additional insured, but only .5 respeot. the operations of ~he named insured
except that liability resulting from the additional insureds sole ne~ligenee
CERTIFICATE HOLDER I y j ADOITICNAL INSURED; INSURER LETTER; CANCELLAnON
COSAllTA SHOULD ANV OF THE AIOVE DI!SCR1BED POUCtES BE CANCELLED BEFORE THE EXPlRATlOI
DATE THWOF, THE ISSUING INSUReR WILL I!NDI!AYOR m MAlL 30 DAYS WRITTEN
City of Santa Ana NOnCE TO THE CER11F\CATE KOLOER HAMID TO THI. LUT, 8tfI" r~I..l.JJ\I 'F8 B8 Ie 811AL1.
Recreation and Community IM"12lUiau<lo"'IiIII1!"T'In~ ....RIMi!IL" I ~, ..Wi."IUNIil Wf'liiInTIIElltSd~ 1l00RUcNl:rvR
Service Agency Attn. C. Shaw
888 "'est Santa Ana Blvd. R!fIAURR'."FI'rES..
Santa Ana CA 93702
, Jeffrev ll. Frick
ACORD 25-5 (7197)
CACORD CORPORATION 19811