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HomeMy WebLinkAboutFIESTA DE CARNIVAL 4ACity of Santa Ana Clerk of the Council AGREEMENT TERMINATION "Zglq AUG 21 PN 4' US Please complete this form when the attached agreement is no longer in effect. 4F SANTA ASA Return form to the Clerk of the Council Office (M-30). (; Ti tz, ` Call 647-6520 if you have any questions. CLERK' OF C,00"T „t ------------------------------------------------------------------------------------------ NOTE: PLEASE INCLUDE ALL AMENDMENTS IF ANY. THANK YOU. The agreement with &p 0 rr v't''`JrLQ No. -k o -m01- c e) COIN, was completed on and final payment has been made. �Y / Department: Phone/Ext.: C5- f Signature:L� Date:_ �� 1M77 so W'E Nd1 ON FILE IiPROGEED A-2009-016-001 WORKMAYooD CIL � _ CLERK a� )O , � nnTE. /FIRST AMENDMENT TO NON-EXCLUSIVE AGREEMENT TO PROVIDE CARNIVALS AT CITY PARKS THIS AMENDMENT is entered into this 1 st day of March, 2010, by between Fiesta De Carnival (hereinafter "Operator"), 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 A_2009-16, (the "Agreement") by which Operator has conducted carnivals in City parks. B. In accordance with the terms and conditions of the Agreement, the parties wish to renew the Agreement for a one-year period and to revise the Scope of Services. 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 Second Amendment to Recreation Services Agreement, the parties agree as follows: 1. Section 3. FEES/DEPOSITS/PERMITS/LICENSES is amended to set forth the dates and fees for the 2010 carnivals as follows: 2. Section 5, TERM shall be amended to extend the term through December 31, 2010. 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 Recreation Services Agreement on the date and year first written above. [Signature Continued on Next Page] Park Date Revenue 1 Cesar Chavez/Cam esino Aril 16-18 $4,500 2 Madison May 28-31 $8,750 3 Rosita June 11-13 $4,500 4 Delhi Jul 2-5 $4,500 5 El Salvador August 20-22 $4,500 6 Madison September 3-6 $7,000 7 Cesar Chavez/Cam esino October 8-10 $4,500 8 Rosita October 22-24 $4,500 Total City Fees $42,750 2. Section 5, TERM shall be amended to extend the term through December 31, 2010. 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 Recreation Services Agreement on the date and year first written above. [Signature Continued on Next Page] ATTEST: MARIA D. HUIZER J Clerk of the Council APPRO S TO FORM: CITY OF SANTA ANA DAVID N. REAM City Manager RECOMMENDED FOR APPROVAL- -RJ SEP FLETC l GERARDO M�UET tv Corney Executive Dire for Parks, Recreation and Community Services Agency PROVIDER TED HOLCOMB Owner Tax ID No. 2 Client#: 158 PAULMAUR ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE Y) MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 3/23/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Haas & Wilkerson Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4300 Shawnee Mission Parkway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fairway, KS 66205 A 913 432-4400 INSURERS AFFORDING COVERAGE NAIC # INSURED Paul Maurer dba Paul Maurer INSURER A: ACE American Insurance Co 22667 04/01/11 Shows, Paul Maurer Shows LLC PO Box 3211 INSURER B: INSURER C: INSURER D: HuntingtonBeach, CA 92605 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 CONDITION 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE (MM/DDIYYI LIMITS A GENERAL LIABILITY G20496496 04/01/10 04/01/11 EACH OCCURRENCE $1,000,000 MERCIAL GENERAL LIABILITY DAMAGE TO RCE.ENTEDREMISES $100,000 MED EXP (Any one person) $Excluded NCOM CLAIMS MADE 7 OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY PRO- JECT X LOC A AUTOMOBILE LIABILITY ANY AUTO H08133268 02/05/10 02/05/11 COMBINED SINGLE LIMIT (Ea accident) $1 x000,000 BODILY INJURY $ (Per person) X ALL OWNED AUTOS SCHEDULED AUTOS X X HIRED AUTOS NON -OWNED AUTOS APP OV AS FORM BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO JOSEPH W. F TOR CHER FY OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR FICLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATULIMIT- OTH- I ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Additional Insured: City of Santa Ana, it's officers, agents and employees Event Dates: April 16-18, 2010, May 28-31, 2010, June 11-13, 2010, October 8-10, 2010 and October 22-24, 2010 -0 ,_ O Q SEE ATTACHED GENERAL ENDORSEMENT �C> CERTIFICATE HOLDER CANCELLATION City of Santa Ana, Parks, Recreation & Community Services Agency PO Box 1988 M-23 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLRWDAMjtjtgt MAIL -10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,)pjlxRAlkpHQAWQ(9E)RCx AUTHORIZED REPRESENTATIVE ACURD 25 (2007/08) 1 of 2 #S463471M40627 SALAK © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGUKU Z* -5 (ZUU1/US) 2 of 2 #S46347/M40627 OCK G20496496 19 ENDORSEMENT ACE American Insurance Company Named Insured llzaial Mal..irer dba Pai-I Ma.,-lrer Effective Date: 04-01-111) 12:01 A.M., Standard Time Agent Name HAAS & WILKERSON INC Agent No. 24310,5 GENERAL ENDORSEMENT .THE CITY OF SA ITA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORTIIA 92.7(11, -'�FFTCF-TRS, FM7)L'-,,YEES, A.GET,.,TS AND REPRESFNTATT VE.S ARE NAMED AS 7, 11 -0 'N 1':i REGARD TZ Lhk-RIL-'TY AND DEFENSE OF `..,IUIT,.) ARTSNG FROM THE OPE-RATION,", AlD USES PE-PFORMED BY 01%] F, ,ate: OF THE WTTH RESPECT Ti; Cl.,AIMS ARISTNG OUT OF THE OPERATIONS AND USES PERFORMED BY ON BEHALF CF THE NPMED INSURED, SUCH INSURANCE AS IS BY TIHIJLS POLICY --S PRIMARY AND IS NOT CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL INSURED. THIS INSURANCE APPLIES SEPARATELY TO EACH INSURED AGAINST' WHOM CLAIM IS MADE OR SUIT IS BROUGHT EXCEPT WITH RESPECT TO THE COMPANY'S LIMITS OF LIABILITY. THE INCLUSION OF ANY PERSON OR ORGANIZATION AS AN INSURED SHALL NOT AFFECT ANY RIGHT WHICH SUCH PERSON OR QRGANTZA=()N WOULD HAVE AS A. CLATMANT IF NOT SO -NICLUDED. Tt'--� THE ADD-7TICNAL INS-,-'REJ-.-), THIS INSURANCE S,i-IALL NL^,T BE ",,R MATERIALLY REDUCED IN COVERACGE OR, LIMITS EX,,.'L0PT AFTER ']PH-7��!'Y-3(', F)AYS WRTTTFN NOTICE HAS GIVEN Tt-) C: T' OF SANTA ANA, 7.11-21 PLAZA, (.-.:.ANTA ANA, CAL.-FORNIA 9210-1. EFFECTIVE, APRIL " 2010 -.--HIS ENDORSEMENT FORM AS PART OF POLICY NUMBER 620496496 !SSUED TO PAUL MAURER D13A PAUL MAURER SHOWS, PAUL MAURER SHOWS, LLC COUNTERSIGNED BY ob & it As 0-11rho T_TL_.., X- o0OVAMMOGS-4- !NS'J.P-AN7CF C:0'LllPANl;' HAAS & WILKERSON INSURANCE MAN -GL OV 02) APP i-LETC�-- NOP . FHER 0-11y ATTORNEY Insured Copy