HomeMy WebLinkAboutTEMPLO CALVARIO 3A - 2006
INSURANCE NUl UN rlLf
WORK MAY NOT PRoem'
CLERK OF COUNCIL
DATE: 3 - t7-ol.P
A-2006-040
FIRST AMENDMENT TO AGREEMENT
U cJtI 0) THIS FIRST AMENDMENT TO AGREEMENT is entered into on March 6, 2006 by
U6 s~~and between Templo Calvario ("Consultant") and the City of Santa Ana ("City"), collectively
"the Parties".
Recitals:
A. The Parties entered into Agreement A-2005-254, dated July 1, 2005, (hereinafter "said
Agreement") by which Consultant agreed to provide a variety of pre-employability
skills to Santa Ana residents, and work collaboratively with the Santa Ana WORK
Center to facilitate working partnerships with additional local grassroots Faith-Based
Organizations.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
increase the compensation available to Consultant for additional services provided by
Consultant.
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 hereby agree as follows:
1. Section 2.a., COMPENSATION, shall be amended to increase the
compensation by $122,500, for a total amount not to exceed $350,000 during
the term of said Agreement.
2. Except as hereinabove modified, the terms and conditions of the Agreement
remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Agreement on the date and year first written above.
ATTEST:
~. .'tL(-
-e, .- ~ I
Patricia E. Healy .
Clerk of the Council
CITY~7a.
David N. Ream
City Manager
APPROVED AS TO FORM
Joseph W. Fletcher,
City Attorney
Templo Calvario:
~%.L ~
Lisa Storck
Assistant City Attorney
Mar 21 06 04:40p
Templa Calvaria C D C
714 543 2399
p.2
'AbO~D
d '. .tal
PRODU~ER
. .' SchVi.~I.cken8<SomRllIlY
. .rsP-~c:8t\YQii )l:olid .
. :.iiYine'.
:.,'..:..'.....,.
:".:,:0A:1i:\''-''''':;
.:Q3aJ/2QP6
Jfil(ll\,!;~.J$"M. liED..1AS.'. ..:J\.MJt.T;r;ER.:OF. ItolFO.llMi\T.IOll. ....
. .::;el:llilF,,~li..liI!:I':l'!I!$HTSJJ~ '..J'!jE<CERTlFolCArt...:
';';rHlli.'~WIFI~,!;E:DO!l!.;t<<lT:'A1o\E!lIt4~TE.ND.::0R;:.:'
~:CO~.7~~;:AFJ;.ORD"D::BY:'fH7Fbue'ES;BELOW' '.
';N$P~~RSt,~FO!U:lJ.t<<;.c.6VERAGE . .
......;;i~f~t~~~~~~~~~~~ ....~~~,:Nbri.rOfib'insUrancc.Al iance
". ........ . .~:&;:
'" >.' ',":,::."'-,',;.
CA
'INSURED
":,'.;-,:::-
.......
'.".",'
.-'.',,'.
:ii!\,.I;QNiove~jJ,lEPODQyi'E~IQDJNDloiltl;Q.!iQml'(~$TA\iriiNG':.:
. E~nVITH ;lle~pe~'TO .WHICH .THI~ ".eIlJJPIQ.l\.",.IMIYB.eJ~ll\lEC:oll"
,..::~H~~~~'! -TP:;~br':~,~:TE~~/:~(:l_L~~I~:~.-~:90N~I.T;K?,~~;~f~~~?~.:,'-,
-".,"'..:.<'.",-'"'' '-'0-'-.,',.- _',,' _', _ _"." n. "., "., ,.., ,. _".
. nON "".'UM!TS ":,'-
A
'i~, ': , _' .~' .
~!'l~8~'LIAB~lrr'
:A#.'~-,_ "
~-~.E_n.--e'lfr~
~q,~~oi)i!.E~,Au:ro8:'" '
:~'I~~.~ar ',., "
~~~D:A(nOS .
:~.~.\lABl1.lri
.ANVA\:I1Q
iXC~":~tl"""
'.:~c~;~~ . D_-'c~i~~-,~E':
,::-,'<-:'-,',--,':.:",-,.
.l?_~p.':l9~IB~.E,". '.
; RrtENlf ''',.,
,~j{~RSi~'fiN~n_~~~~~!>
'_~_~O~'_l:'WIiq1V":.' ", ::._ ,:;
OTHeR
aeH" ,;
FiR' .'"
M-" P
',' .'
PERS -l i.'~ilH:iuR.Y . s
Ge~fRJu.'~~TE . S
p~bD~i::TS. CcNpiO~AGG' $. .
MOlI;OQo
'loo'OlIO
1'0000
Moo'OliO :
2;000;006 .
.1'.000' 00.0 .
.-'" '.
eQcijLYIN:.JlJRY_.
~":.~..e~1) .'
.:CDMBI'~DsiN~LE_uMrr'.'
(~,-8~~,,"I). .
. BoDI. y '!".!mY
(P,.,._~n)
',,";":'-":''-',''-'
PROPERTY: DAMAGE',
~FI'iw.~}' - "
AUTO-ONLY. EAAC j' N-"
Oi:li~:l:HAN
A!J]:opN!-Y:
MACe: :
""
AGGREGATE
'NC STArO~_ . -: Q;rH~
.... .' ",.,..
e:L..'~~~ ~~ID~~_T ,',,'
e.L.-DlsEAse':'EA"EMPL'
.p
DESCRlPlTON OF'OPERA110NSIloCAll0N!W&f:lICLESl~uslb~AoDe~ ilY'EN_D.ORS_~'~_~J~.r_~~ P!toyzsr:o~s _, _ , " ,"_, _ _' _', :__'
The City of Santa Ana,: its' offi_ci!lls, 'c~J'lpY~l.8b,~:~TcsontlJtive~i~ate ,~ereb)':n:amed as addi1:ional iflsuredS as respoctS iempjo
CalYario.Commun.ity,Development~~ora~on" -: ". ,.. . .
n'_' '_', ,_"__
',., ,',..'-"
"',:'; -..
:":,.;.'......
:Cjt_Y:OfSim_~:~!.I~_
..1 00'0 E;;Siinta__Ana_Biyd.
'suiieio'O'..
SaiitaAiUl. .
. ,CANCE\:LATJoJil'
;,::$_AdLLJi_'~-o~'tIcE\\~,~~+~~ts_:BECANC'ELI,EiJ'$eFoR~~:b~RAiJ_0i4
;:'~\f;~~_F~,::,~,~:,:~'~~~l~'.u_R~_~a;~ ~ND~~..:T~_:~': ,,-,J_O::io.'~';~,.
:"N~',~'J.H:~:~~rE::HOL~E_~N~~ TO~-L~.wT-~~_IW_~ 1u:,DO'~S,~,~
'IAi~te;~,:O.D~l.~~~:o~-4ABlUlV' 6':,ANY IOND ,uPoN ~E ~~ 11'S:~EN11.-:~"
ACORf;l~.(71ll7)
it- 'CU 't;P".i-
.lC> ACORDCORPQRA nON '1998
Mar 21 06 04:40p
Templa Calvaria C D C
714 543 2399
p.3
..:....
-C'..:
. . c'
(COmpletion otth~.iol/pWlng,
:~n~~~~t,ne~~~~ilte,')' .. . '.'
. "......
. ..'~.:.>~>~:'~:? ...., ,,", :.. ---:':.,
~.
"" "'\
. . SC\O,zJ' ,,'
,\c..{\ t.. f"':\.G;'-"
" \, J Cl\'i ."
, \3\1\
r .:-,sr7~
Mal" 21 06 04.42p
Templa Calvaria C D C
714 543 2399
;..Jon profits'
~WN
'JonpTn!-;I'; ]CC;ULH1CP
\[Jj,ll1<.1' "f L.diflwni,l
NONPROFITS' INSURANCE ALLIANCE OF CALIFORNIA
P.O. Box 8507, Santa Cruz, CA 95061
P: (800) 359-6422
F: (831) 459-0853
NONPROFITS OWN
COMMERCIAL LINES COMMON POLICY DECLARATIONS
PRODUCER:
Schweickert & Company
15 Peters Canyon Road
Irvine, CA 92606
NAME OF INSURED AND MAILING ADDRESS:
Templo Calvario Community Development Corporation
2511 W. 5th Streel
Sanla Ana. CA 92703
p.4
6J
Nonprofits' Insurance
Alliance of California
A lEAD FClIINSWHC:! ...J. NWTFOINONPIOIIII
POLICY NUMBER: 2006-17088. NPO
RENEWAL OF NUMBER: 2005-17088- NPO
POLICY PERIOD:
FROM 0210812006 TO 0210812007
AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE
BUSINESS DESCRIPTION: Job Resources and Educational Services for Low Income Families
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS
POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY.
THIS POLICY CONSISTS OF THE FOl.LOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT.
PREMIUM
$4,176
$150
Not Covered
COMMERCIAL GENERAL LIABILITY COVERAGE PART. OCCURRENCE ..................
COMMERCIAL AUTO LIABILITY COVERAGE PART ..................................................
COMMERCIAL AUTO PHYSICAL DAMAGE COVERAGE'PART ....................................
IMPROPER SEXUAL CONDUCT COVERAGE PART ..........................
COMMERCIAL LIQUOR LIABILITY COVERAGE PART ...................................................
TERRORISM COVERAGE (Certified Acts) .......................................................................
TOTAL:
FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT TIME OF ISSUE:'
NlAC-Gl~PO NIAc-L.L-NPO NIAC-SC-NPO NIAC-AL-NPO SCHEDULE Go
NIAG-E27J9.98. CG OC 01107 98, NIAC-Xf/08 02, NIAC-E3J1-99. NIAC-E4J1-91,
NlAC-E1117-92, NtAC-E121~92, N1AC-E1S'3-94, NIAC-E22f8..95, N1AC-E2811.99,
NIAC-E32J9-01, N1AC-E33I1-02, CG 00 33101 96, CG 20 11-NP0ID1 96, CG 20 121(J7 98,
CG2Q26J0704, CG 2034107 04, CG2171/1202, 002271111-85, CG2407l11-85,
IL 00 17/11 98, IL 02 70107 02, IL 09 DW05 04,
SCHEDULE L,
NIAC-E5I3-91,
NIA.C-E29/1-99,
CG2018/11.as,
002504111-85,
$2,700
INCLUDED
$52
$7 ,078
SCHEDULE SA.,
NIA.C-E7/10 04,
N1AC-E30/4-00,
CG202OJ11-85,
C07194104 93,
.OMrrs APPLICABLE FORMS AND ENDORSEMENTS IF SHOWN IN
SPECFlC COVERAGE PART f COVERAGE FORM DECLARATIONS.
COUNTERSIGNED: 0211312006 BY
p~ r!. &..
(AUTHORIZED REPRESENTATIVE)
THESE DECLARATIONS AND THE COIIWON POUCY DEClARATIONS, F APPUCABLE, TOGETHER WIT1t THE COMMON POLICY CONDITIONS, COVERAGE FORM(S)
AND FORMS AND ENDORSEMENTS, . AHV, ISSUI!D TO FORM A flART THEREOF, COMPlETE THE ABOVE NUMBERED POUCY.
NIAC-CO .NPO (01844-00)
Mar- 21 06 04:42p
Templo Calvar-io C D C
714 543 2399
l\:onprofits'
~WN
NONPROFITS' INSURANCE ALLIANCE OF CALIFORNIA
P.O. Box 8507, Santa Cruz, CA 95061
P: (800) 359-6422
F: (831) 459-0853
'nnprpfih I"'>lIt,ll1ft'
\l1i,ll1c'I' ()f CJliiollli.:!
p.5
~
Nonprofits' Insurance
Alliance of California
AIE.MlI'OllINSWfCE ...A IDI'TfClNONPlOmI
COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS
PRODUCER:
Schweickert & Company
15 Peters Canyon Road
Irvine, CA 92606
NAME OF INSURED AND MAILING ADDRESS:
Templo Calvaria Community Development Corporation
2511 W. 5th Street
Santa Ana, CA 92703
POLICY NUMBER: 2006-17088 -NPO
RENEWAL OF NUMBER: 2005-17088 -NPO
POLICY PERIOD:
FROM 02/0812006 TO 02/0812007
AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE
BUSINESS DESCRIPTION: Job Resources and Educational Services for Low Income Families
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS
POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY.
LIMITS OF COVERAGE:
GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED OPERATIONS)
PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT .............................
PERSONAL AND ADVERTISING INJURY LIMIT ....................................................
EACH OCCURRENCE LIMIT ...................................................................................
DAMAGE TO PREMISES RENTED TO YOU .........................................................
MEDICAL EXPENSE LIMIT ..............................................,.......................................
ADDITIONAL COVERAGES:
SOCIAL SERVICE PROFESSIONAL LIABILITY
AGGREGATE LIMIT ........................................... ........................,....................
EACH OCCURRENCE LIMIT ............................................................................
CLASSIFICATION(S)
$2,000,000
$1,000,000
$1,000,000
$1,000,000
$100.000 anyone premiseS
10,000 anyone ..",on
$1,000,000
$1,000,000
SEE ATTACHED SUPPLEMENTAL DECLARATIONS SCHEDULE G
PREMIUM
$4,176
FORMS AND ENDORSEMENTS APPLICABLE TO THIS POLlCV ARE INCLUDED IN COMMERCIAL LINES COMMMON POLICY DECLARATIONS
COUNTERSIGNED: 02/1312006
~ ~ ,,(2.
BY
(AUTHORIZED REPRESENTATIVE)
THESE DECLARAl10NS AND 'ffiE COIIIION POLICY DEClARAnoNS. IF APPUCABLE. TOGETHER WITH THE COMMON POUCY CONDITIONS, COVERAGE FORM(S)
AND (lll'QRMS AND ENDORSE_NTI, IF MY, ISSUED TO FORM A. PART THEREOF, COMPLETE THE ABOve NUMBI!RED POLICY.
NIAC . GL. NPO (01844)