HomeMy WebLinkAboutSKIDMORE, CHERYL KIDS CAN DO GYMNASTICS dba FUN WITH HORSES 2dCity of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION
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Please complete this form when the attached agreement is no longer in a ect. "
Return form to the Clerk of the Council Office (M-30).
Call 647-2520 if you have any questions. ~ ~ ; ~~ "~• F''
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The agreement with Cheryl Skidmore Kids Can Do Gymnastics dba Fun With Horses
No. N-2004-058; N-2004-058-01; N-2004-058-02; N-2004-058-03;
N-2004-058-04
and final payment has been made.
was completed on 12-31-08
Department: PRCSA
Phone/Ext.: 4203
Signature: e ~~~~1~~~
Date: 7-21-09
Revised 05-04-08
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UNTIL iNSl F,~II ., :XPIRES N-2004-QS8-Q4
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'~AR 1 9 2008
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G'\\ h \ 11)('lf;)/) FOURTH AMENDMENT TO CONSULTANT AGREEMENT
THIS FOURTH AMENDMENT TO CONSULTANT AGREEMENT is entered
into this 6th day of November, 2007, by and between Kids Can Do Gymnastics dba Fun
With Horses (hereinafter "Consultant") 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-2004-058, dated May 1,2004, (hereinafter
"said Agreement") by which Consultant has instructed horsemanship camps through
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
Fourth Amendment to Consultant Agreement, the parties agree as follows:
1. Section 2.a., COMPENSATION, shall be amended to increase compensation by
$10,000.00 to pay for services during the extended term from January 1,2008
through December 31,2008.
2. Section 3, TERM shall be amended to extend the term through December 31,2008.
3. Except as hereinabove amended, all terms and conditions of said Agreement shall
remain in full force and effect.
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IN WITNESS WHEREOF, the parties hereto have executed this Amendment to
Consultant Agreement on the date and year first written above.
CITY OF SANTA ANA
ATTEST:
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~PATR1CIA E. EAL y"""
Clerk of the Council
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City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: .>.-'\" . /
Laura Sheedy
Assistant City Attorney
KIDS CAN DO GYMNASTICS
DBA FUN WITH HORSES
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CHERYL IDMORE
President
RECOMMENDED FOR APPROVAL:
GERARDO MOUE
Executive Director
Parks, Recreation a d Community
Services Agency
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ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID RD I DATE (MMlDDIYYYY)
SIaDM 1 03/03/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Cheva1 Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Lic. OC94257 N-2004-058-04 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
P. O. Box 2933 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Fullerton CA 92837
Phone: 714-447-9191 Fax: 714-S25-9191 INSURERS AFFORDING COVERAGE NAlC'
INSURED INSURER A: American Bankers
Cheryl Skidmore INSURER B:
Kids Can Do ~astics INSURERC:
dba Fun With orses
187 B. Wilson St. --~- - - ---_._- --
Costa Mesa CA 92627 INSURER 0:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDING
ANY REQUIREMENT, TERM OR COODmON OF A~ CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED DR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB.ECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POlICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY MJMBER DATE rUWDDRiI- DATE MWOOiVYi'. LIMITS
GENERAL LIABILITY EACH OCCURRENCE .1 000,000
f--
A X ~ COMMERCIAL GENERAL LIABIUTY SLI103177 08/31/01 08/31/08 pliEM_IEa~1 s50,000
:=J CL.AIIIISMAllI! ~ OCCUR H
f-- liED EXP CAnY one penon) s 5,000
PERSONAL & MN INJURY s1 000,000
GENERAL AGGREGATE S 2,000,000
rxlLAGGnE~:r 7lPER PRODUCTS - COMPIOP AGG S 2,000,000
X POLICY JI!CT LOC
AUTOMOBILE LIABILITY CO_ED SINGLE UMIT
f-- .
ANY AUTO NONE (Ea ..,cldellll
f--
~ ALL ~ED AUTOS BOOIL Y INJURY
(Per penon) S
- SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
- .
NON-OWNED AUTOS (Per occident)
-
PROPERTY DAIIAGE .
(Per ICCIdenII
GARAGE LIABILITY AUTO ONLY - EAACClIIENT .
=i MY AUTO NONE OntER THAN EA N::c S
AUTO ONLY: AGO S
EXCESSNMBRELLA LIABILITY EACH OCClIRREHCE S
=:J OCCUR o CLAIMS I\IADE NONE AGGREGATE .
$
=l D~LE .
RETENTION $ S
WORKERS COMPENSATION AND I TORY UIIITS.I IU~'
EMPLOYERS LIABLITY NONE
fW'( PROPRIETORlPARTNERIEXSCUTIVE E.L EACH ACCIDENT S
QFFICERlMEM8ER EXCLUDED? E.L llIllEASE. I!A EMPLOYEE .
~~:SbeIOW E.L DISEASE - POLICY UMIT .
OTHER
NONE
DESCRIPTION OF OPERA l10NS I LOCATIONS I VEHICLES I EXCLUSIONS ADOED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is additional insured as sponsor of recreational. proqram.
but only insofar as insured operations in connection with said insured.
CERTIFICATE HOLDER
CANCELLATION
CITY SA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Community Development Agency NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
M 25 Attn: Deborah IMPOSE NO OBLIGATION OR ~u
i'O Box 1988 LITY OF ANY KIND UPON THE INSURER, ITS AGENTS DR
Santa Ana CA 92702 REPRESENTATIVES, , "
AUTliORIZED REPRESENT /
Cheval. Insur 8rV1ces
ACORD 25 (2001108) ~
'A //~ @ACORD CORPORATION 1988
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This endorsement changes the Commercial
Liability Coverages provided by this policy
- PLEASE READ THIS CAREFUllY -
GL.841
Ed. 1.0
ADDITIONAL INSURED
DESIGNATED PARTY
Iemental Declarations.
Designated party: CTIY OF SANTA ANA PARKS & REC
Designated ActIvity: SPONSOR REC PROGRAM
Designated Interests: KIDS CAN DO GYMNASTICS INe
The Commercial Uability Coverage is amended as follows:
I DEFINITIONS
===:J
activities designated In the Schedule rating to:
The definition of Insured Is amended to Include the
following:
Insured also includes the party designated In the
Schedule but only with respect to liability arising oul of
a. your operations;
b. premises owned by or rented to you, or
c. other designated interests shown in the Schedule.
GL-841 Ed 1.0
Copyright MCMXCl, American Association of Insurance ServIces
AAIS