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Home My WebLink AboutCARBONELL, CLAUDIA 1A-2010City of Santa Ana Clerk of the Council I Af11 - AGREEMENT TERMINATION FORM Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Return form to the Clerk of the Council Office (M -30). Call 647 -2520 if you have any questions. The agreement with ( � No. N- 2009 - 134 - 001 ---W was completed on ,, (List all amendments. --Use spaee below if needed.) N -1009 -134 (1) core Revised 07 -22 09 C 20(� Use and final payment has been made. Department: PZ0,5'a Phone /Ext.: 42-410 Signature: Date: } INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES dot -J/- /U CLERK OF COUNCIL DATE; -3 -,2 - -a N- 2009 - 134 -001 FIRST AMENDMENT TO RECREATION SERVICES AGREEMENT AA be 1--)c` THIS AMENDMENT TO RECREATION SERVICES AGREEMENT is entered into this I" day of January, 2010, by and between Claudia Carbonell (hereinafter "Provider "), 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 (hereinafter "City"). RECITALS A. The parties entered into Agreement N- 2009 -134, in November, 2009 (hereinafter the "Agreement ") by which Provider has provided classes through the City's leisure class program. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term. 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 to Recreation Services Agreement, the parties agree as follows: 1. Section 3, TERM shall be amended to extend the term through June 30, 2011. 4. 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 Sixth Amendment to Recreation Services Agreement on the date and year first written above. ATTEST: MARIA. D. HUIZAR J- Clerk of the Council AS TO FORM: w CITY OF SANTA ANA -L' DAVID N. REAM City Manager RECOMMENDED FOR APPROVAL: GERARDO MOUET Executive Director Parks, Recreation and Community Services Agency PROVIDER Tax ID# 551 -87 -7489 EXHIBIT A SCOPE OF SERVICES • Provider shall provide parent/child participation classes. Participants will play with a variety of toys, sing, play with musical instruments, have juice time and participate in craft time. • Provider shall offer two classes, one for 10 months to two year olds (lhour), and another class for children two to four years old (1 hour 15 minutes). • Provider shall conduct the classes, once a week during each five -week session. • A parent must accompany and participate with each child. • Provider will provide musical instruments, toys, props, juice /snack, craft supplies and other appropriate materials and supplies needed to conduct the class. • If Provider allows others to teach classes, those teachers must be over 21, hold a valid instructor rating and be covered by Provider's insurance. Provider shall provide City with documentation of compliance with the foregoing CLASS SIZE • Each class must have a minimum of 8 registered and paid parent /child participants and a maximum of 20. • If the minimum registration has not been reached by the first class, the class may be cancelled by the City, without any compensation owed to Provider. CLASS FEES The class fee is: • $32 per parent/ 10 month — 2 year old child per 5 -week session. • $35 per parent/2 -4 year old child per 5 -week session. • Each parent /child participant shall pay the instructor a $5.00 materials fee. No refunds shall be made to participants after the first week of classes unless the class is cancelled by the Parks, Recreation and Community Services Agency. The City shall collect class fees from each parent/child participant during the registration period. Provider shall not collect fees but shall refer all interested participants to City for registration. City agrees to pay Provider seventy percent (70 %) of the total fees within fifteen (15) working days after completion of the class session. City shall retain thirty percent (30 %) of the fees collected. Provider shall not waive fees. Provider agrees that City representative shall be entitled to audit Provider's records to insure compliance with this Agreement. City shall prepare a class roster. Only registered participants may participate in class. EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2010 -017 CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM 11PRODUCER I PUBLIC ENTITY (ADDITIONAL INSURED) 11 Alliant Insurance Services, Inc. in conjunction with City of Santa Ana Apex Insurance Services 20 Civic Center Plaza P. O. Box 6450 Santa Ana, CA 92701 1{/ - 6e0-(X)�- 13 V -0ol Newport Beach, CA 92658 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Claudia Carbonell TYPE: Modeling /Self Improvement 32416 Outrigger Way DATE(S): February 25, 2010 — December 31, 2010 Laguna Niguel, CA 92677 LOCATION: El Salvador Center *Liquor Liability Yes ❑ No * *Liquor Liability after 12 am ends before 2 am ❑ This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirements, terms or conditions 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. Limits shown may have been reduced by paid claims. INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: 10SEP1000001 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2010 EXPIRATION: JANUARY 1, 2011 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE General Aggregate Limit S2,000,000 Products & Completed Operations 1,000,000 Personal & Advertising Injury 1,000,000 Each Occurrence Limit 1,000,000 Fire Damage (Any One Fire) 50,000 Medical Payments (Any One Person) 5,000 Liquor Liability (If purchased) 1,000,000 The limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event. "Who is insured" is amended to include, as an insured, the person or organization shown in this schedule, but only with respect to liability arising out of the ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any `occurrence" which takes place after the event holder ceases to be a tenant in that premises. OTHER ADDITIONAL INSUREDS CANCELLATION: Should the above described policy be cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the certificate holder and additional insureds listed. AUTHORIZED REPRESENTATIVE: DATE ISSUED: City of :�;__ City Attorney i roved: e: „�