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Home My WebLink AboutTORRES, MARTIN 5bCity of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Return form to the Clerk of the Council Office (M-30). Call 647-6520 if you have any questions. The agreement with COTC Office Use Only No. N-2002-079 was completed on 6/30/03 and final payment has been made. (List all amendments. Use space below if needed.) V, Department: PRCSA N- foal -MCI Phone/Ext.: 5254 Signature: eS�}�1�.�,� ��POV0 Date: Revised 08-23-10 N-2002-079 03 INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES //I n / 2_ CLERK OF COUNCIL DATE: AMENDMENT TO CONSULTANT AGREEMENT THIS AMENDMENT TO CONSULTANT AGREEMENT, is entered into on �," I t± , 2002, by and between Martin Torres, a sole proprietor ("Consul t") 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 2001-109, (hereinafter "said Agreement') by which Consultant has instructed students in Karate. B. In accordance with the terms and conditions of said Agreement, the parties wish to amend said Agreement for an additional one year term and to increase the compensation to cover services during the extended term. 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 Amendment to Consultant Agreement, the parties agree as follows: Scope of Services. Consultant shall perform those services as set forth in Exhibit A to this Amendment to Agreement. 2. Section 2 a. Compensation, shall be amended to read 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 Amendment to Agreement shall not exceed $10,000 during the extended term of said Agreement." 3. The term of said Agreement shall be extended to June 30, 2003. 4. Except as hereby amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to Consultant Agreement on the date and year first written above. ATTEST: PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: Laufa Sheedy Assistant City Attorney APPROVED AS TO CONTENT: JON' IP" RIBBLE Executive Director of the Parks, Recreation and Community Services Agency CITY OF SANTA ANA AVID N. REAM City Manager CONSULTANT EMO, 20 ir. Exhibit A Scope of Services A. Consultant will prepare and instruct students in the techniques of Karate, teaching classes periodically as follows: City and Consultant shall agree on a class schedule and location. No classes will be held on Labor Day, Thanksgiving weekend, the week of Christmas and New Years, Martin Luther King, Jr. Day, Presidents Day or Memorial Day. B. Consultant will provide and be responsible for equipment, records, personnel and clean up of the facilities and materials necessary to insure the effectiveness of said instructions. Class Size Registration A. The minimum number of participants is 10 per class. The maximum number is 65. B. No registration shall be accepted after the second week of classes. C. 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, and City will be under no obligation to pay Consultant compensation. Fees A. The fee to participants shall be $15.00 per month per participant. 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 during the registration period. Consultant shall not collect fees but shall refer participants to the City registration office. City agrees to pay Consultant seventy percent (70%) of the total fees collected within fifteen (15) working days after completion of the class. City and Consultant agree that City shall retain thirty percent (30%) of the fees collected. C. Consultant agrees that City representatives shall be entitled to audit Consultant's records to insure compliance with said Agreement. �Hor'02 03 12:19p PRCSR 5714211 P•5 FROM : FAX NO. :8585190822 Mar. 28 2003 01:54PM P2 nara f1111ReANYY1 ACOBD CERTIFICATE OF LIABILITY INSURANCE 03 ms U AS 1 PRDMIDlR ONLY AND CONFERS NO RIGHTS Fitness s wellneas Insurance HOLDER. Tws CERTIFICATE DOE: 3ageonscto~m Ave., rirat doer ALTER THE COVERAGE AFFORDS Belana Beach CA 82075 Vhene:000-395-9075 Pax:850-519-0822 INSURERS AFFORDING COVERAGE ~I rano 03761262/20/03 iKarats Do Kiwi 1f2162 Ranchero Way darden orove CA 02813 FR NSUPA' Steadfast 11 I MAIC A COVERAGES THF POLICIES OF liSURANOE LIST BELOW NAVE BEEN ISSUED TO TME INSURED NAMED ABOVE FOR TMC POLICY TO THIS PERIOD INDICATED. NOTYMMSTANDtV6 CERTIFICATE MAY BE ISSUED OR ANY REOUIREMENT� TERM ON CONDMNJ OF ANY CONTRACT OR OTHER OOCUMENTYe7HRESPECT ALL THE TERMS, EJNCLUSM:NS TERM AND CONDfiTDNS OF SUCH MAY PERTAIN. TME INSURANCE AFFORDED BY TME POLICIES DESCRIBED HEREIN IS SUBJECT TO POLICIES. ADOREOATE LIMITS SMO"NIAV NAVE SEEN REDUCED BY PAID MAI IS. ._ LIMPS MY+ lydy. Y�lf DAT! IACNOCCURAFAICE t 1,000 000 LT A !OF 3 PoUCY NUMSER °�` `a°°� X COMMERCIAL GENERAL WUILRY FAL5291391-00 D2/2D/03 02/20/01 _ _ ppFMIaSS +mnwmw)� s 100 000 J .� MEDEAPWW^n___t"Ifty A X MAIMSMAO! UOCCUR � PEAIERAL LAADVtNJIeY 51,000 711000,000 A X Mise. Prolaseional _... ._.... O,_Ooo 3...... sSStt n6vERALADOREMTE FRGGUCTS-MWMIAAG XNCLODE GTNLAOGDA7EOASTAPPIESPFR POL AUTOMnBIUTY COMADSWOLE MMT AWAUTO -..O ALLOYMEDAUT03 BODttY MAY ACNCDUUNDAUTOP .._ -.._ .__.O MIREDAUTO BODILY 1/UURV rY3 )) NONOWEDAUTOS PROPERTY OAMADE lPx M1UTODHY-EAACGCCM _. GARAGE LIABILITY t SAACC AWAVTO OTM6RTHAN AUTORYAUG _ i EACHOCCURRENCE S - !NDlbL1AARRRLLA LMM°oY OCCUR n CLAIMS MADE --' --- -f FORM t ' Y D AS DEOIICTMALE APPRO a RETENTION f T WOIIRGACDMFENMTIOR AND lNPLGYlRC 41ASILRY E EACH ACCIDENT— 7 _....._ ANY ppOpRIF,TOTUPAgT,IgifEIiECLRNF: aU a She dy EL DIMASE.FAEMPI.OI S _.. — RORFyFA�IL�ERAIk7AAFl1ERCI.UOFDT DCj1Ul`j C•ty Attorney - --- FLU SFASE PoUCY I,IMR S =IALLMOV13104SbM+R a Orm" sexual Abuse LRL529139/-00 i I ODD. 100,000 30D 000 ppSCI11FTIDX OF OPEpA71DN71 LOCAIIOWIMTNWLlS IlSCLVSItSNO AODEO eY DIDOIIeIa IRlC1ALPAGNxGMt representatives City of Santa Ana, It`s officers, owpoloyeea, agents and n&nsd as additional insured per the attached forla 002010 11/05 _ nwurrCN N ATlnu CITfBAA e10ULRANY DF THE AaGYanlSCRIBED POLIDIES DECANGlLLER eEFDes THE lWMTID DATE THEREOF, THE MUING BI3URG WILL AUNMOMMISkIL 30 DAYOWRITTEN ROTIOE TO THE CEIITIFICATEHOLDER HAMED TD THE LEPTL The City or Santa Ana 20 Civic Center Placa Santa Ana CA 92701 .Rpr'02-03 12:20p PRCSR 5714211 p•6 FROM.:,.,, , . Ogv l i a s * r+" n74 -*"b FAX N0. :856��22AUT0 REGISTR kip tapr. 01 2003 10:44AM P3 PAGE 04 6,1 v trr�r t;^1 ..> e. 2*aurau09 This endomment modifies such inantsi a as is afforded by the provisions of Policy N Pet+=�y�M-°� , sylulioit (o the followlay C.Wifo 270 1; k. Tho City of SlAs Ana. 20 Civic Canterg named;; additional 9u:ueda u el6eeYs. urYPbyoea. atgems. Voltmseac sad vepresentat (^add uanat ins or+Ueso beg f oi> ilitIlls n y inns ed of stBu anefo6 6om the aPasnens and uses parformed by 2. With aspect to Glob" Nis* out of the operations and ues pettotsnt d by rn on behalf ithRnY+ot eeius�ma srried dby OWS �tthet+eaefito cy it lwimar`$ this mit rddnitpaat to or contributing additional (tstnwte. 3. This is:amsanea applies separately 10 each insw+d against whom claim i s made or amit is brought except walk aspect to site companys tlinits of liability. The inclusion of any gexson or oraaelaeNon as en insured shell not at"em any right whirl such prison Oa orinizaAon would have as a etaknsos If not so incho ! 4. With respect to the. additomai ittmcda, this Imstrance shall not be caneeilod, or ntataWly teducad in cuvmSe or limits ett"O after shiny 00) days wrinm notlee has been given to the Chy of Sants Ana, 20 Civic Ceuta Plans, Santa Arw. l alifomia 92?01 - (Completion of rite fallowing, indisding w mtersi Pum, is requimi to mate this andorsd mDftt oflbctive.) &1'ktive t- p_ this cadoraentrat farm s * Part of Polky!_Gsiraz ILLNv%4 - -- famed to ..^.�►� a.a �., ►�� Costntasigaedby,��—eel APPROVED AS TO FORA LauraSheedy 1"P tv city Attorney ;Iipr'02 03 12:20p PRCSR 5714211 p.7 FROM FAX NO. :8585190822 Mar. 28 2003 01:54PM P3 This Endorsement changes the Commercial Liability Policy. PLEASE read it cardwly. This endorsement, effective an 02/20/03 at Standard time shown in the Policy Declarations, forme a part of policy Number EOL5281394-00 issued to 0376126 Karate Do Kiai by Zurich Insurance FWIA. Fndorscment Number 001 This endorsement mollifies insuramtce provided for under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ADDITIONAL INSURED - BLANKET FORM WHO IS AN INSURED (Section Il) is amended to include as an insured the petson(s) or organization(s) shown in the Schedule as an insured but only with respcct to liability arising out of your operations or premises owned by or mated to you. Name of Person or Organizatina APPROVBll AS TO FORM City or Santa Ana 20 Civic Center, Santa Ann CA 92701 City, State zip La ra Sheedy T)cpuly City AttorncX All certificates of insurance holders you have agreed to include as an insured prior to an "occurrence" or offense. (8-97)