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HomeMy WebLinkAboutMISKULIN, SONIA 1BC~~ City of Santa Ana Clerk of the Council - - AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. ~~ i ~~ ,4 ' b~ ~#~~~ Return form to the Clerk of the Council Office (M-30). r< . ;', . r l ~ _~ ~~~ ~ t- Call 647-2520 if you have any questions. G~~Ri The agreement with ~tcti -~f,l !r1 m~ b'"'r' ~ ""'`"" ~"'"~_ ~ !.)l.,t.'r~ 4' ~ ~.c~vt~.ati-.i ~L vravl ~ ,/~7YL/u-' /~'Ll ~S ~f w ~3 No. ~ ~~~~ ' U~ ~ was completed and final payment has been made. „~. ~ ~~®J , ~ D ~ Department: PRCSA II Phone/Ext. Signature: Date (~ -'~ -0 3 4203 7-22-09 Revised 05-04-08 ~~ANCE NOT ON filE WORK MAY .fiQl PROCEED CLERK OF COUNCIL DATE: 10-0-02. SECOND AMENDMENT TO CONSULTANT AGREEMENT Q '. PRc')A fltJ N_2002-~44 03 . THIS SEC;OND AME~DMENT TO CONSULTANT ~G~E~ENT, is entered mto on _' _ ~ ~1ibej;!.. \ 1 !:l. , 2002, by and between Soma Mlskuhn, ("Consultant") and the City of Santa Ana, a charter city and municipal corporation of the State of Cali fomi a ("City"). Recitals: A. The parties entered into an Agreement #N-2001-027, dated March 6, 2001, (hereinafter "said Agreement") by which Consultant has taught ballet for the City's leisure class schedule. S. Said Agreement was Amended by Agreement #N 2001-119, dated June 19, 2001, to extend the term, increase compensation and amend the Scope of Services. C. In accordance with the terms and conditions of the Agreement, the parties wish to renew the Agreement for an additional one year period. Wherefore, in consideration of the covenants contained in the Agreement, and subject to all the terms and conditions of the Agreement and the Amendment to Agreement, except those amended in this Second Amendment to Consultant Agreement, the parties agree as follows: 1. Section 3, TERM, shall be amended to extend the termination date to June 30, 2003. 2. EXHIBIT A, SCOPE OF SERVICES, shall be replaced with Exhibit A-I, attached hereto. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Consultant Agreement on the date and year first written above. APPROVED AS TO FORM: CITY OF SANTA ANA ~~ M SEPH W. LETC R City Attorney AVIDN. REAM City Manager lA~1 ,IlJ_-./flJ j '--f05P~'::r. Cf'\..pATRlCIA Eo HEALY CLERK OF THE COUNCIL !:ONSULTANT / " '3 ISKULIN Di ector - Academy of International Dance K:\WPDOCS\D013\POOI \00005433.DOC ~ SCOPE OF SERVICES CONSULTANT shall provide children's ballet dance instruction. · CONSULTANT will provide dance instruction for up to twenty (20) children, ages 4 to 12, one hour per week, during each four month session. The classes will commence July 1, 2002 and continue through June 30, 2003. Consultant shall provide a minimum of 32 lessons during each session. · CONSULTANT will offer professional level instruction. Traditional ballet terminology and technique will be utilized. Sequential instruction will be utilized for optimum instruction. · CONSULTANT shall provide and be responsible for equipment, records, personnel and clean up of facilities and material necessary to ensure the effectiveness of said instruction. CLASS SIZE REGISTRA nON I. The minimum number of students is 15 per class, the maximum is 20 students. 2. No registration shall be accepted after the second week of classes. 3. In the event the minimum number of enrollees is not realized by the second week of classes, the class shall be canceled and Consultant will be under no obligation to provide services, nor will she receive compensation. COMPENSATION A. The fee to participants shall be no more than $35.00 per enrollee. No refunds shall be made to participants, unless class is canceled by the Parks, Recreation and Community Services Agency. B. City shall collect said fees from each participant in the class during the registration period. Consultant shall refer participants to City. City shall pay Consultant seventy percent (70%) of the total fees within fifteen (15) working days after completion of class period. City shall retain thirty percent (30%) of fees collected. C. Consultant agrees City is entitled to audit Consultant's records to ensure compliance with this Agreement. EVANSTON INSURANCE COMPANY CERTIFICATE NO.: CERTIFICATE OF INSURANCE SPECIAL EVENT LIABILITY PROGRAM ;J - ZmL- /If'/ PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) City of Santa Ana Driver A1liant Insurance Services 20 Civic Center Plaza, M-28 P. O. Box 28323 Santa Ana, CA 92701 Santa Ana, CA 92799-8323 (949) 660-8163 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: TYPE: Instructional - Ballet Sonia Miskulin DATE(S): January I, 2003 - June 30, 2003 220 E. Fourth Street, Ste. 202 LOCATION: Salgado Center Santa Ana, CA 92701 This is to certifY that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies descnbed herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid c!aims. INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: 02SEPIOOOOOI MASTER POLICY DATES: EFFECTNE: JANUARY I, 2003 EXPIRATION: JANUARY 1,2004 COMMERCIAL GENERAL liABILITY OCCURRENCE FORM DEDUCTIBLE: NONE Genem! Aggregate Limit $ 1.000,000 Products & Completed OpOllltions 1,000,000 Persooal & Advertising Injury 1,000,000 Each Occurrence Limit 1,000,000 Fire Damage (Any One Fire) 50,000 Medical Payments (Any One Person) 5,000 The linUts of insurance apply SCpamtely to each event insured by this policy as if a separate policy of i.nsurauce has been issued for that event. "Who is insured" is amended to include. as an insured, the person or organization showD in this schedule, but only with respect to liability arising out of the ownership, maintenance or use oftbe premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes place after the event holder ceases to be a tenant in that premises. OTHER ADDmONAL INSUREDS CANCELLATION: Should the above described policy to cancelJed before the expiration date thereof, the issuing company will mail 30 days written notice to the certificate holder and additional insureds listed, , Aurnmuzrum"'-""'ATIve ~~ DATE ISSUED: February 6, 2003 AP;~ ::l:ORM Deputy City Attorney CERTIFICATE OF INSURANCE SPECIAL EVENT LIABILITY PROGRAM \0.~ tSV"\ ~~ DIAMOND STATE INSURANCE COMPANY CERTIFICATE NO.: PRODUCER: PUBLIC ENTI1Y (ADDITIONAL INSURED) Robert F. Driver Company, Inc. City of Santa Ana P. O. Box 28323 20 . Ch1c Center Plaza Santa Ana, CA 92799-8323 M-28 (949) 660-8163 Santa Ana, CA 92702-1988 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Sonia Miskulin TYPE: Instructional - Ballet 220 E. Fourth Street, Ste. 202 DATE(S): December 11, 2002 - June 30, Santa Ana, CA 92701 LOCATION: Salgado Center This is to certifY that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirements, tenDS or conditions of any contract or other document with respect to which this certificate may he issued or may pertain, the insurance afforded by the policies described herein is subject to all the tenns, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. INSURANCE CARRIER: Diamond Stale Insurance Company MASTER POLICY NUMBER: CCL0040170 MASTER POLICY DATES: EFFECTIVE: JANUARY I, 2002 EXPIRATION: JANUARY 1,2003 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCI1BLE: NONE GeDeIal Aggregate Limit $ 1,000,000 Products & Completed Operations 1,000,000 Personal & Advertising Injury 1,000,000 Each Occurrence Limit J ,000,000 Fire Damage (Any One Fire) 50,000 Medical Payments (Any One Pe""n) 5,000 The limits of insurance apply sqmrately to each event insured by this policy as if a separate policy of insurance has beeo issued for that event. "Who is insured" is amended to include, as an insured., the person or organization showD in this schedule, but only with respect to liability arising out of the ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes place after the event holder ceases to be a tenant in that premises. OTHER ADDITIONAL INSUREDS ~ ED ~! TO FORM ^ { ~I TINE L.' E SHAW Cltv Alt"tnlllV CANCELLATION: Should the above described policy to cancelled before the expiration date thereof. the issuing company will mail 30 days wriUen notice to the certificate holder and additional insureds listed. 03 AUTHORIZED REPRESENTATIVE: ~nn-eflcJ. DATE ISSUED: nprpmhpr 11, ?OO?