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HomeMy WebLinkAboutGEORGE, MARIE DBA ACT ONE ACADEMY OF DANCE (LITTLE STEPS DANCE SCHOOL) 2C,,;~,+(CEE ON PILE ,_ ,;~ ,,,-., PROCEED N-2006-060-03 :,.,, ,,,,~n„~~CE EXPIRES (v-:~3-G~l ,~, 6~.ERK oP COUNCIL u.~i t! 3_l q_~1 THIRD AMENDMENT TO CONSULTAN'T' AGREEMENT P rks R R~~- ~ C~~ ~~-t1~~u~. /nun ti,~ev THIS TH[RD AMENDMENT TO CONSULTANT AGREEMENT is entered mto this 12~ day of February, 2009, by and between Marie George, an individual dba Act One Academy of Dance (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-2006-060, dated April 3, 2006 (hereinafter "said Agreement's by which Consultant has provided dance classes through the City's leisure class program. B. Consultant has incorporated her business under the name "Act One Academy of Dance, Inc.". The parties desire that the Agreement reflect the new name of the studio. C In accordance with the terms and conditions of said Agreement, the parties wish to renew said Agreemant for an additional one-year. 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: 1. Consultant's business name shall be changed to Act One Academy of Dance, Inc. Payments will be made and taxes charged to the corporation. 2. Section 3, TERM shall be amended to extend the term through Jwte 30, 20 ] 0. 3. 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 Amendment to Consultant Agreement on the date and year first written above. ATTEST: PATRICIA E. HEAL Clerk of the Council CITY OF SANTA ANA V L`~ DAVID N. AM City Manager Act One 3`d Amendment 2.12'09 APPROVED AS TO FORM: ACT ONE ACADEMY OF DANCE, INC. JOSEPH W.FLETCHER city Ario4ney By~~~ La ' heedy ~\~ ` ~~ Assistant City Attorney MARIE GEORGE President Tax ID #! 94-345733] RECOMMENDED FOR APP,$.OVAL: `u fib, GERARDO MOT Executive Direct r-PRCSA Act One 3`d Amendment 2.1209 rr.n ..r. CNARCENE NATAKEYAMA, Agin! Llcansa N0771272 7841 va6ay vlrrr Sena! 4 P+Nna, CA 80623 ir~uure! (/14)527.8687 far; (714)527-8898 a-meil:charlana.hal+ksYama.wrdOalatalrrm.cam AUGUST 15, 2008 Fire Policy Status 8 Ph. {7I4y625-9356 GEORGE, MARIE GENL Policy: 92-GA-8133-6 G Yr issd: 2002 ]BA ACT ONE ACADEMY OF DANCE xref: 1186 N TUSTIN AvE GRANGE CR. 92867-6006 Location: 1186 N TUSTIN AVE ORANGE CA 92867 Term: CONT type: BUSINESS - MISC Renew date: JUN-23-09' ~ovezage information Premium: 1,209.00 Written date: SEP-06-02 3-BUSH PROP 10000 .-LOSS INC ACT LOSS -BUSN LIAB 1000000 BEN AGGREGT 2000000 ?CO AGGREGT 7.000000 9-MED/PERSN 5000 Amount due: SFPP Date due: SFPP Sill to: SFPP Prev preen: 1,255 ?rev risk: 5,800 SFPP acct:0404-0556-23 )eductibles applied: 500 ALL PER OTHER DED MAY APPLX fessages Year built: 1951 Constr: FRAME Zone: 59 Sub zone: O1 ~ y~r.cvc.~ nv G-~3 -D8/ ,a~~6 a s -0 9 c-. ,/r1c,c~ End act 06/23/08 ~~(~0 - o~ Policy Number 92-GA-8133-8 DECLARATIONS PAGE AMENDED JUN 23 2007 -s 900 OLDERIVER RD, BAKERSFIE RD CA 939 ~1 6000 A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS h'- Z voles - coo- o~ Named Insured antl Mailing Adtlress 23-8821-F790 S GEORGE, MARIE DBA ACT ONE ACADEMY OF DANCE 1186 N TUSTIN AVE ORANGE CA 92867-6006 BUSINESS POLICY -SPECIAL FORM 3 Cov A -Inflation Coveragge Index: NIA Cov B -Consumer Pricelndex: 203.9 AUTOMATIC RENEWAL - If the POLICY PERIOD is shown as 12 MONTHS, this policyy will be renewed automatically subject to the premiums, rul¢¢s and forms in effect for each succeedingg policy period. if Phis icy Is terminated, we will give you and the Mortgagee/Llenholder Written notice in compliance with the policy provisions or as required by law- Policy Period: 12 Months The policy period begins and ends at 12:01 am standard time at the Effective Date: JUN 23 2007 premises location. Expiration Date: JUN 23 2008 Location of Covered Premises: 1186 N TUSTIN AVE ORANGE CA 92867-6006 Coverages & Property Limits of Insurance Section I A Buildings Exc 1 uded B Business Personal Property $ 5 800 C Loss of Income - 12 Months $ Actual doss Section II L Business Liability 1 000 000 M Medical Payments 5'000 Products-Completetl Operations 2,000;000 (PCO) Aggregate General Aggregate (Other $ 2,000,000 Than PC ) Forms, Options, and Endorsements 'Section II AddAional Insured Amendatory Endorsement Debris Removal Endorsement Policy Endorsement Business Policy Endorsement Glass Deductible -Section I ' New Form Attached liontinUeO On R2VefSe Side Of Page FP-6143 FE-6609 FE-6205 FE-6451 FE-6506.2 FE-6464 FE-6538.1 Your policy is amentled JUN 23 2007 ADDL INSURED NAME & ADDRESS ADDED ENDORSEMENT FE-6609 ADDED Deductibles -Section 1 $ 500 Basic In case of loss under this policy. the deductible will be applied to each occurrence and well be deducted from the amount of the loss. Other deductibles may apply -refer to nnllnv Endorsement Premium Increase 120.00 RlenewaSYea~ied:APE R~",%ir" ~,~; f't> Years in Business ~ `~`l Claim Record -~i~ ~~~ ~ -- ~~~-;: 1 ~ -- i ~~~ .- ~s :_ ,. Prepared OTHER LIMITS AND EXCLUSIONS MAY APPLY -REFER TO YOUR POLICY lUL 06 2007 Counte signed )6/ 993 .2C A3TN gy lour policy consists of this page, any endorsements CHARLENE HATAKEYAMA end the policy form. PLEASE KEEP THESE TOGETHER. (714) 527-see? ~O1 (a1f2172b) 07/28/2009 16:31 7145278898 STATE FARM PAGE 02 Poifoy Number DECI-ARATIQNS PAGE COVERAGE SUMMARY 82-t~A 8133-8 - JUL 213 2009 I~Vp $00 QA D RIVER RD BAK€RSF E LD CA 9S31n1 6000 A STOCK COMPANY W11'H HOME OFFICES iN BLOOMINGTONt ILLINOIS Nan'ted Insured end MAiling Address 23-8321-F790 S QEORQE, MARIE D8A ACT ONE ACADEMY QF DANCE 1196 N TUSTIN AVt: ORANGE C:A 9286?-8008 BU911dESS POLICY -SPECIAL FORMS Cov A -Inflation Covers a Index; I~I/A . Cov B - Consumer price~ndex~ ?,2f).0 AUTQMATiC REiVEWAL _ If the POLICY PER OD is sho as t2 MbN~S, th s p0 I wlfi b0 ren wed automatical#y s b ect to the ~psremmturns, ruled and farms # e~e~ for eac +~s edlng~ poffay per~nd. I~,ts all ~ i to we wit' g~v~ you and tfle Ntortgagee~/t.lenhotder wniten notice In comp~~ance wltti the policy provis#onspor a r etirre Palley Period: 12 Months The oilc ~ ~~~iy~aw. p y period begins and ends at 1 z:01 am standard time at file Effective Date: .JUN 23 z0o9 premises location, Expiration Cate; JUN 23 2010 Location of Covered Premises: 1186 N TUSTiN AVE ORANGE GA 92887.6006 coverages & Property Section I A Buildings C GLOSS Of nCOme n ~f2 rMOp n}djy~ Section 11 t_ Buslne8s Liab11i1y M Medical Payments Products-Completed Oper$tlans (PCO) Aggregate Cameral gggregate (Other Than PCO) corms Options, and Endor: Sp®cie~ Form 3 Amendatory Endorsement Debris Removal Endorsement POi1Cy Er1dOrSem6nt BusMess Policy Endorsement Glass Deductible - S9ctfon f Terrorism Insurance Cov Notice Continued on Reverse Slde of Page Limits of Insuranoe Excluded Actual0~oss $ 2,000,000 FP-6143 FE-6205 FE-6451 FE-8508,2 r=~-6as4 FE-86313. i FE-8999.1 Prepared OTHER LIMIT'S AtdD 1;x JUL p203g0p2008 0~8993'2C CUTQ slid the po cu y to~~nt~ptr~ASB Kt:EP THE E TOOE~TNER, F3equested t3y Additlonel Insured Deductibles - Seotsan r $ 600 Basic in case of loss under flits policy the deductible will be a~ir-pou~nt of tfa olI asp. Otiierdeduotibies maeda~ td f re er to no(Ic:v_ Y Pp Y - Policy Premium Discounts Applied: Renewal Year Years In Business Cfatnt Reoord CLU810N8 MAY APPLY- REi=ER Count stgrred B , CHARLENE f~lA7AKEYAII (714) 527-8897 ,oso. POLICY - ~ .fed fi' nt (o SIR 17P.bi 07/28/2099 16:31 7145278898 STATE FARM PAGE 93 CoRO poltcy No„ 92-GA 8133-8 eaflo FE- SECTION II ADDITIONAL iNSURED ENDORSEMENT ,,,~...w Policy No.: 92-QA 8133-8 Named Insured: DEORC3E, MARIE DBA: ACT ONE ACAD!~MY OF DANCE Additional insured include address}: CITY OF SANTA ANA THEIR OF~'iCERS & EMPLOYEES 886 W SANTA ANA BLVD StE 20Q SANTA ANA CA 92709-4587 WWO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the Additional fnsurad shown above, but only to the extent that liability is Imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above, Any insurance provided to the Additional Insured shall only apply v~ith respect to a claim made or a suit brought for damages for which you are provided ooverage. The Primary lnsura~nee coverag® below applies oniy when there i8 an "X" In the box, Primary Insurance. The Insurance provided to the Additions( Insured shown above shall be Primary insurance. Any insurance Carried by the Additional Insured shall be noncontributory with respect t0 Coverage provided to you. Ali other poltcy provisions apply, FE~60R Pdnled In Ef,S.A,