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Home My WebLink AboutBALLET FOLKLORICO RENACIMIENTO (FRANK ALANIZ) 1A - 200602009 AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Return form tf,- y to the Deputy Clerk of the Council (M-30). Call 647 -523 6t'%IiaVe ahj�s "tions. The agreement with No. /j/ -oQQQ( 0/0 3 - 0/ was completed on 13bloV and final payment has been made. N zu0b 03 Department: Signature: �jLCi, 1��PQdun Date:I City of Santa Ana Revised 08 -28 -06 Clerk of the Council INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES /0 -/,?-07 CLERK OF COUNCIL DATE: 6 -x /-67 FIRST o: PRC3 Cf� (c. ThomPKl)115) AMENDMENT TO LEISURE CLASS AGREEMENT THIS FIRST AMENDMENT TO AGREEMENT is entered into on April 19, 2007, by and between FRANK ALANIZ, and individual dba Ballet Folklorico (hereinafter "Instructor ") and the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City "). RECITALS: N- 2006 - 063 -01 A. The parties entered into Agreement #N- 2006 -063, dated April 3, 2006, (hereinafter "said Agreement ") by which Consultant has provided dance instruction for the City's Leisure Class program. B. In accordance with the terms and conditions of said Agreement, the parties wish to renew said Agreement for an additional one year period. 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 First Amendment Agreement, the parties agree as follows: Section 3, TERM, shall be amended to extend the termination date to June 30, 2008. 2. Except as hereinabove amended, all terms and conditions of said Agreement shall 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. APPROVED AS TO FORM: SEPH W.FL TCHER City Attorney RK OF THE COUNCAL' CITY OF SANTA ANA GE MO T Executive Direct ACORD CERTIFICATE OF LIABILITY INSURANCE TM. ` °AT12ils4r2006 ) PRODUCER Plane: (800)395-8075 Fw (855)5190912 FITNESS AND WELLNESS INSURANCE AGENCY 380 STEVENS AVENUE, SUITE 206 SOLANA BEACH CA 92075 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE POLICY NUMBER rDLaYrmcTVe DATE PoLarE9I1MaN mm, INSURERS AFFORDING COVERAGE NAIC t INSURED INSURER A: ZuddR American Insurance Convany UABRJTY COMMERCIAL GENERAL LIABIL CLAIMS MAD OCCUR FRANK ALANIZ 2234 SOUTH TOMER ST Al- DYO06 - Or, 3 SANTA ANA CA 92707 N. oZO06 - (X 3 - p/ INSURER B: 10119107 INSURER C: Is 1,000, INSURER D: E 100,000 INSURER E: $ 2,500 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ua TYPE OF INSURANCE POLICY NUMBER rDLaYrmcTVe DATE PoLarE9I1MaN mm, LIMITS 20 Civic Center Plaza (M -25) INSURER, ITS AGENTS OR REPRESENTATIVES, GENERAL X UABRJTY COMMERCIAL GENERAL LIABIL CLAIMS MAD OCCUR EOL9012327 -02 10/19/08 10119107 EACH OCCURRENCE Is 1,000, wMnoer m..�u7 PPE YSEe E 100,000 MED. EXP (Any ane person) $ 2,500 PERSONAL &ADV INJURY E 1,000,000 A GENERAL AGGREGATE E 3,000,000 GEML AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS- COMP/OP AGG. E 3,000,000 AUTOMOBILE UA131 T' ANY AUTO COMBINED SINGLE LIMIT (Ea acads V) $ — BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Perpa ) S HIRED AUTOS NONOWNEDAUTOS (FoaYINJDRY (For aeadent) E PROPERTYoAMAGE accMax E GARAGE LIABILITY AUTO ONLY - EAACCIDENT E ANY AUTO OTHER THAN EAACC E AUTO ONLY AGG E EXCESS I UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE E AGGREGATE E E DEDUCTIBLE E RETENTIONS _ "� yF_JAyz $ WORKERS COMPENSATION AND EMPLOYERS' LIABILnY ua PaDPBET ER "CWDED? CUTNE oP'TeSaNeea rxcwpeoo "-' ' � - ' ,OPY .4 .� _ . _ + _/ . f � "- we ST—A— LXAns DTHSA E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ evc �Prtovmxa 'J//}- E.L. DISEASE - POLICY LIMIT E wlw _ ry IL,. .. t,y .cV OTHER: DESCRIPTION OF OPERATIONSI LOCATIONSWMCLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL—PROVISIONS- SEE SUPPLEMENTAL CERTIFICATE INFORMATION ACORU 25 t200LU01 Cennlcate u 50924 RECEIVED DEC 26 flolORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 Community Redevelopment Agency DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT of the City of Santa Ana FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 20 Civic Center Plaza (M -25) INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Z� Santa Ana CA 92701 Attention: Jeffrey E. Frick, CEO ACORU 25 t200LU01 Cennlcate u 50924 RECEIVED DEC 26 flolORD CORPORATION 1988 'SUPPLEMENT TO CERTIFICATE OF LIABILITY INS #50924 DEC DATE DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLESISPECIAL ITEMS The City of Santa Ana, and the City of Santa Ana, located at 20 Civic Center Plaza, Santa Ana, California 92701; and their respective on employees, agents, volunteers and representatives are named as additional insureds ( "additional insureds ") with regard to liability and of suits arising from the operations and uses performed by or on behalf of the named insured. Additional Insured Endorsement is Effective: 12114106 r' Certificate # 50924 CG 20 10 1185 DATE: DEC 14 06 POLICY NUMBER: EOL9012327 -02 INSURED NAME: FRANK ALANIZ 2234 SOUTH TOW NER ST SANTA ANA CA 92707 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Job/Project: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work' for that insured by or for you. Primary Insurance it is agreed that such insurance as is afforded by flits policy for the benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory, but only as respects any claim, loss or liability arising out of the operations of the named insured(s) or its subcontractors, and only if such claim, loss or liability is determined to be solely the negligence or responsibility of the named insured. Notice of Cancellation or Non - renewal it is agreed that the company will provide the additional insured shown below with 30 days notice of cancellation of this policy in the event of cancellation due to company election only. WAIVER OF SUBROGATION It is agreed that we waive any right of recovery we may have against the person or organization shown in the schedule because of payment we make for injury or damage arising out of "yourwork" done under a contract with that person or organization. The waiver applies only to the person or organization shown in the schedule. SCHEDULE NAME OF4kMON- G"RGANIZATION The City of Santa Ana, Its Respective Officers, Employees, Agents, Volunteers and Representatives 20 Civic Center Plaza (M -25) Santa Ana CA 92701 i ACORN CERTIFICATE OF LIABILITY INSURANCE DATlim YYY, TM. PRODUCER (8W)3I'J•IW5 Fw: (I5s)51sOtl2 THIS CERTMATE 18 ISSUED AS A MATTER OF WORMATION FITNESS AND WELLNE33 ONLY AND CONFERS NO RIGHTS UPON THE CERTWICATE 380 STEVENS AVENUE, SUITE 206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 50LANA sEACH CA 92615 N- a O O6 -3(03 -01 INSURERS AFFORDING COVERAGE NAIL 9 INSURED RRANK ALANIZ 11WAMR8. ZZU SOUT14 TOVMNER ST INSURER C: SANTA ANA CA 02707 LISTED eel BEEN M9UEO TO THIE NUMD WANED ABOVE ANY REWIREMENT, T).RM OR CONDIroj OF ANY CONTRACT OR OTHER DOCl1hEMY WITH RESPECT TO WHICH TINS CERTFI('.ATE MAYBE NXIED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREN 8 SUSIECT TO ALL THE TERMS. ExCLUSIONS AND CONDITIONS Of SUCH POLICES. A00REOATELSNITS $ IOW* MAY HAVE BEEN RWVCEO BY PAD CLAW LTA am YVPE OF IMURANGE POLICY NUMBER �MrIrRCrwe �� ampo w" LIMIrs aENERAL 1 NAe %.rM�rrl s 100A00 X GDMMERcmtENERALUAI BE MED. EXP ogw*PU.wl) f 2 500 CLAIMS MADIgj OCCUR PERT,O{AL I AIN INJURY i 1.000'm A 09MERALAOOREOATE s 3,000 000 GEM. AGGREGATE LsaT APPLIES PEI PROOUCTSCOMP(OP AGO. f 5,000 000 [—Xl POLICY f I PRd LOC AUTOIIMO U"LITY ANY AUTO C USIMBO SINGLE LIMIT (E. A700YA f BODILY INJURY (PurPsm-) f ALL OWNED AUTOS SC46OULEDAUTOB BODILY INJURY (Peraeewf) f HIRED AUTOS W#<ft EOAU705 PROPERTY DAMAGE f DARABE LL ftm f OTHER THAN f ANY AUTO AUTO ONLY: AOC EXcm / uaBRl'LLA LJABLr" EACH OCCURRENCE i AGGREGATE i OCCUR 0 CLANS MADE f DEDUCTIBLE f f RETEMIONS W)RxM! COMPOWTOM AMD wO.t pt.Ew 1OA• U"N iJ.. FACH ACCIDENT f EMPLOYEW LIABILITY ITY awn WAMOMMOK041415 raw .►rael+ea.Me. aACwwvr E.L. DISEASE -EA EMPLOYEE f E.L. DKGAiEPOLICY LIST i rw• w••'� �+ r[cw rworaar `+.. O R: DESCRIPTroN of opEmTK *imoCAmONSNEHICLESIEXCLLISKM ADDED BY E DOMMI NT/ SPECIAL PROWL41OW it is wldars100d old agmed MA the following entity is eddod as on addMIMM kWNW IVA only as raspsCtslha OParN"-s Of file rmnod Insured eaoW that BabNky ns(rMdnp balm the addMonsi Inwreds sole aep8yance. Add "ond ku—*d Erdonm w d is EffaNxiveaaia07 'Excq$10 days for Non- PaymaOt Of Premium SEE ATTACHED ADDITIONAL INSURED ENDORSEMENT WA 201011 05 nvLur-m City of Santa Ann Parks, Recraeflon i CDnreunNy Sorvloes Agency flat W. Santa Ann Blvd., SURE 200 Santa Ma, CA 92702 Amen loe: Donna Schultz Wax 0711.571-4235) SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED KFORETHE WIRAT10N DATE THEREOF. THE IssLMG INIURER WILL MAE 'A CLAYS WRITTEN NOTICE TO THE CERTFICATE HOLDER MAMBO TO THE LEFT. 7� ck. CEO CORPORATION 1988 CG 2010 1185 DATE: NOV 27 07 POLICY NUMBER: PHPK216316 INSURED NAME: FRANK ALMAZ 2234 SOUTH TOW NER ST SANTA ANA CA 92707 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM 0) This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santo Ma, its officers, agents, employees, repressnMlves, and volunteers 20 Civic Center Ping Santa Ma, CA 92701 JoblProjsct: (If no entry appear$ above, information regrind to complete this endorsement will be shown in the Declaraoorn as applicable to this endorsement.) WHO IS AN INSURED (Section 11) is wonded to inckhde as an Insured the person or organization shown in the Schedule. bee only with respect to liability arising out of 'your work' for that insured by or for you. Primary Insurance It is agreed that such insurance as is afforded by this policy for the bonefil of the addidwi&I insured shown shah be primary 6snsance, and any other Insurance maintained by the addilionel insured(s) $hat be excess and noncontrbutory, but only as respects any deim, bas or lability arising out of the *pardons of the named ineured(s) or do subcontractors, and only if such claim, loss or liability is determined to be solely the negligence or responsibW of the named Insured. Notice of Camol[stion or Nonrrenswal it Is agreed that the company will provide the additional Insured shown below with 30 days notice of cancellation of this policy In the event of cancellation due to company election only. wAivER OF sueROGATION It is agreed final we waive arty right of recovery we may have against the person or organization shown in the schedule because of payment we make for irr ury of damage prking out of 'yourwoW done under a contract with that person or organization. The waiver applies only to the person or oNanizsllon shown in the schedule. ACORD DATE(MWDDIYYYY) M CERTIFICATE OF LIABILITY INSURANCE 10/1512009 PRODUCER Phone (800)995 -6375 Fax 18581519-0822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FITNESS AND WELLNESS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 380 STEVENS AVENUE, SUITE 2D6 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SOLANA BEACH CA 92075 1 6LIJE THE COVERAGE AFFORDED BY THE POLI �j — 0La ✓ I INSURERS AFFORDING COVERAGE NAIC # INSURED 1Yp"1 °" FRANK ALANIZ wSURER B. 2234 SOUTH TOWNER ST INSURER C. SANTA ANA CA 92707 --- INSURER D: POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING THE TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTTICATE MAY BE ISSUED OR ANY REQUIREMENT, MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Ita ADD'L TYPE OF INSURANCE POLICY NUMBER POLM;Y EFFECTIVE POLICY FJ[PMTgN ! UNITS LTR'.INS DATE IM4L DATE UIX DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. IT'S AGENTS OR REPRESENTATIVES. GENERALLIAIIIIm I PHPK284105 10/19108 10/19/09 EACH OCCURRENCE $ 1,000,000 OMHGE TD RENTED PREMISES Eaeavercsl $ 100,000 X COMMERCIAL GENERAL LIABIL.TV MED EXP(My one person) Is 2,500 CLAIMS MADE X OCCUR PERSONAL) ADV INJURY I$ 1,000,000 A r GENERAL AGGREGATE S 3,000,000 PRODUCTSGOMPIOP AGG. S 3,000,000 _ GEN'LAG GREGATE LIMIT APPLIES PER PRO N X ' POLICY I JECT LCC AUTOMOBILE LIABILITY COMBINED SINGLELIMIT$ ANY AUTO (Ea acadenl) BODILY INJURY ALL OWNED AUTOS' (Pet person) $ SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per acddenp NON OWNED AUTOS PROPERTY DAMAGE S Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $__ - -� JANY AUTO S AUTOONLY. AGG EKCESS I UMBRELLA MBREA LIABILITY `'9 / % -� / EACH OCCURRENCE S AGGREGATE _ S OCCUR CLAIMS MADE L" L _ S DEDUCTIBLE $ RETENTIONS WC5TLALL OTXER TORY LIMITS WORKERS COMPENSATION AND E. L. EACH ACCIDENT $ EMPLOYERS' UABWTY ARYpRM PARTMJUEYECIItM ' E L. DISEASE EA EMPLOYEE E OFFILEwu[uaFA F%aLVO[m E.N. E. L. DISEASE - POLICY LIMIT S rm tlnclnP Under SPECMLPRDVMgNSMM 'OTHER: I DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS It is understood and agreed that the following entity Is added as an additional insured but only as respects the operations of the named Insured except that liability resulting from the additional Insureds sole negligence. CANCELLATION ACORD 25 (2001108) Certificate# 82246 w AL,URLI CVRrVRAIIVR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. IT'S AGENTS OR REPRESENTATIVES. SANTA ANA CA 92701 AUTHORRED REPRESENTATIVE Attention: J� Frick, CEO ACORD 25 (2001108) Certificate# 82246 w AL,URLI CVRrVRAIIVR ADDITIONAL INSURED ENDORSEMENT Insurance Company T ritiade,(phta -Dbwk- -n anLL6 This endorsement modifies such insurance as is afforded by the provisions of Policy # f)+PK a 3 4 +o s relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and volunteers are named as additional insureds ( "additional insureds ") with regard to liability and defense of suits arising from the operations and 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 to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be canceled, or materially reduced in coverage or limits except after thirty (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 109/. — 16/61/9169 this endorsement form as a part of Policy# Pi�P1Ga�� l�s Issued to Named Insured Countersigned by a ' `�S I Amici, Sandra From: Thompkins, Carla Sent: Thursday, December 04, 2008 3:32 PM To: Amici, Sandra Cc: Valadez, John; Cervantes, Jesus; Schultze, Donna Subject: FW: Alaniz Attachments: Alaniz.pdf Attached for your files is the approved insurance renewal for Frank Alaniz dba Ballet Folklorico (Agreement No. N -2006- 063 -02). Carla Mack - Thompkins Management Aide City of Santa Ana Parks, Recreation & Community Services Agency 888 W. Santa Ana Blvd., #200 Santa Ana CA 92701 Tel: (714) 571 -4222 * Fax: (714) 571 -4209 E -mail: cthompkins(dsanta- ana.org 1