HomeMy WebLinkAboutTRAN, AMANDA (4)INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
gIU1Z0zs
CITY CLERK
N-2024-258-01
DATE: dPR 2 4 2025FIRST AMENDMENT TO COUNCIL AIDE PROFESSIONAL SERVICES AGREEMENT
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CSyt •, �0�''q'�ZI THIS FIRST AMENDMENT to the above -referenced agreement is entered into on April 22, 2025,
by and between Amanda Tran (`Consultant') and the City of Santa Ana, a charter city and
municipal corporation organized and existing under the Constitution and laws of the State of
California (`City").
RECITALS
A. The parties entered into Agreement No. N-2024-258, dated July 15, 2024, by which Consultant
agreed to provide administrative, constituent, and legislative support services for a member of
the Santa Ana City Council (`Agreement").
B. The Agreement is current and in -effect, and expires on June 30, 2025.
C. The parties now wish to amend the Compensation section in the Agreement to increase the
total not -to -exceed amount due under the Agreement. No other changes are contemplated by
this First Amendment.
The Parties therefore agree:
1. Section 2.a., Compensation, is amended to increase the total not -to -exceed amount due under
the Agreement to $20,000.00.
2. Except as modified by this First Amendment, all terms and conditions of the Agreement shall
remain in full force and effect.
Sonia R. Carvalho
City Attorney
By: 15
JONATHAN T. TINEZ
Assistant City Attorney
CITY OATA
ALVARCity Manager
CONSULTANT
By: Amanda Vi Tran
Title: Council Aide
Page 1 of 1
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APPROVED
By Tu Tian Nguyen at 3:01 pm, Mai 06, 2025
CITY OF SANTA ANA
Risk Management a division of Human Resources
Managing Risk through Awareness and Action
AFFIDAVIT OF EXEMPTION FOR WORKERS' COMPENSATION INSURANCE
Amanda Tran
I, ("Representative"), attest that I am an authorized
(Name and Title of Vendor Representative)
Councilmember Thai Viet Phan
representative of ("Company"), and
(Consultant/Company Name)
possess the authority to legally bind Company.
In my capacity as Representative of Company, I represent and confirm the following, as relates to the
agreement between Company and City of Santa Ana, agreement number
N-2024-258
("Agreement") to provide administrative, constituent, and legislative support ("Services"):
(Services to be provided under agroement1contract)
During the course and scope of Company's agreement with the City of Santa Ana, Company will
not employ any person in any manner so as to become subject to the workers' compensation laws
of California, and agree that if Company should become subject to the workers' compensation
provisions of Section 3700 of the Labor Code, Company shall forthwith comply with the
provisions and provide proof of workers' compensation coverage immediately.
If at any time it is found that Company is not adhering to any and/or all of the statements in this
document and does not maintain the minimum professional liability insurance coverage as
required in the Agreement, it will be considered a breach of Agreement rendering the Agreement
null and void and Company will be fully liable for any and all damages.
03/06/2025
Date
Amanda Tran
Title
Name
Contact htformation, i.e., Telephone Number and/or Email Address
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSANT DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
Affidavit of Exemption for Workers Compensation Insurance 11.12.2024