HomeMy WebLinkAboutMAYNE, VIRGINA G. 6A - 2010 INSUR~iVCE eJiV rIL'~:
woR~ n~av pR~cEE~ N-2009-094-001
Uf~TIL ItiSURANCE EXPIRES
/-o`?v/V
CLERK OF COUf~UIL
DATE: ~ g
~ . C p A / W ar K e erg CZ) FIRST AMENDMENT TO CONSULTANT AGREEMENT
Sylv~iu THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT, made and entered into this 1st
Va~ott day of March, 2010, by and between Virginia G. Mayne (hereinafter "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 (hereinafter "City").
RECITALS
A. The City and Consultant entered into the Consultant Agreement ("said Agreement") dated July 1,
2009 (N-2009-094) for Consultant to provide work readiness and resume writing workshops at
the Santa Ana WORK Center.
B. The parties hereto now desire to amend said Agreement to increase the compensation.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms
and conditions hereinafter set forth, the parties agree to amend said Agreement as follows:
1. Section 2 "Compensation" of said Agreement shall be amended to add additional funds of $3,000.00,
so that the total sum to be expended under said Agreement as amended shall not exceed $11,000.00
during the term of said Agreement.
2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full
force and effect.
11V WITNESS WHEREOF, the parties hereto have executed this First Amendment to said Agreement the
date and year first above written.
ATTEST: CITY OF SANTA ANA
Maria D. Huizar David N. Ream, City Manager
Clerk of the Council
APPROVED AS TO FORM: CONSULTANT
Joseph W. Fletcher, City Attorney
~ ~
r
'
Lisa Storck, Assistant City Attorney Virginia .Mayne
RECOMMENDED FOR APPROVAL:
Cynthia J. Nelso Deputy City Manager
For Development Services
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2009-11
CERTIFICATE OF INSURANCE
EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED)
City of Santa Ana
Alliant Insurance Services, Inc. in conjunction with 20 Civic Center Plaza
Apex Insurance Services Santa Ana, CA 92701
P. O. Box 6450
Newport Beach, CA 92658
(949)660-8135
License No: OC 36861
NAMED INSURED (EVENT HOLDER): EVENT INFORMATION:
Virginia Mayne TYPE: Em~lovment Skills
1601 E. Avalon Ave. DATE(S): Feb. 2 -Dec. 31
Santa Ana, CA 92705 LOCATION: Santa Ana WORK Center
' *Liquor Liability Yes ^ No
**Li uor Liabili after 12 am ends b fore 2 am ^
Ties 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 maybe 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: 04SEP 1000001-5
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2009 EXPIRATION: JANUARY 1, 2010
COMMERCIAL, GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE
General Aggregate Limit $ 2,000,000
Products & Completed Operations 1,000,000
Personal & Advertising injury 1,000,OD0
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 liabilityarising out ofthe
ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes plane
after the event holder ceases to be a tenant in that premises.
OTHER ADDITIONAL INSUREDS ~(~
R~v
App
~ l s~ .. +
,~~,.,.. raYr~e~y
tOt'jey ...
a ~~~
Laur
~tV r~t
'p,,ssigta
CANCELLATION: Should the above described policy to cancelled before the expiration date thereof, the issuing-company will mail 30 days written notice to the
certificate holder and additional insureds listed.
,r~U,o~,
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: 2/02/09 /~„~1 ~t~ (~ ~"(Ge/j~'(,C/.(.~[_