HomeMy WebLinkAboutMAYNE, VIRGINA G. 6B - 2010 INSURANCE ON FILE
WORK MAY PROCEED N-2009-094-003
UNTIL INSURANCE EXPIRES
CLERK OF C~OjU~N;CIL _ THIRD AMENDMENT TO CONSULTANT AGREEMENT
Q AT~C E>A ~~1 Z K .
S ~Jv1G THIS THIRD AMENDMENT TO CONSULTANT AGREEMENT, made and entered into this 29`h
LZ~ Vaulur day of August, 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 amended said Agreement in March 2010 and on June 30, 2010, to add additional
funds and extend said Agreement (First and Second Amendments).
C. The parties hereto now desire to amend said Agreement again to add additional funds and to
extend the term of said Agreement.
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 $250, so
that the total sum to be expended under said Agreement as amended shall not exceed $12,350.00
during the term of said Agreement.
2. Section 3 "Term" of said Agreement shall be amended to extend the term to September 30, 2010.
3. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full
force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Third 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 ofthe Council
APPROVED AS TO FORM: CONSULTANT
Joseph- W. Fletcher, City Attorney
By:
Lisa Storck, Assistant City Attorney Virginia . Mayne
RECOMMENDED FOR APPROVAL:
Cynthia J. Nelson, De uty City Manager
For Development Services
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2010-002
CERTIFICATE OF 1NSURANCE
EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER PUBLIC ENTITY (ADDITIONAL 1SURED)
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
Newport Beach, CA 92658
License No: OC 36861
NAMED INSURED (EVENT HOLDER): EVENT INFORMATION:
Virgina Mayne TYPE: Self Improvement
1601 E. Avalon Ave. DATE(S): 1/7/10-12/18/10
Santa Ana, CA 92705 LOCATION: Santa Ana WORK Center
*Liquor Liability Yes EJ No
-Liquor Liability after 12 am ends efore 2 am Q
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: IOSF-Pl000001
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2010 EXPIRATION: JANUARY 1, 2011
COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE
General Ag~gregate Limit S2,000,000
Products o Completed Operations 1,000,000
Personal Advertising Injury 1,000,000
Each Occurrence Limit 1,000,000
Fire Damage (Any.Ona 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 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 place
after the event holder ceases to be a tenant in thatpremises.
OTHER ADDITIONAL INSUREDS D j3y$
L 1SA E. gTORCK
Assistant City Attorney
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: ci
DATE ISSUED: January 7 .2010 by Briza Moraleusyi n