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HomeMy WebLinkAboutHERNANDEZ, FLOR (2)G) AGREEMENT TERMINATION C zo01 s✓ CPT i SA' A Please complete this form when the attached agreement is no longer in effect tj E R In 0 Return form to the Deputy Clerk of the Council (M-30). Call 647-5238 if you have any questions. The agreement with No. N�t��'-I�r was and final payment has been made. rJ a0026--l'vel-®O N Revised 05-22-08 ted on(� \ t ® I Department: Signature:i Date: ! G. City of Santa Ana Clerk of the Council INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES /-/-/Z CLERK OF COUNCIL DATE` JAN 2 2 011 N-2008-139-002- Q P RC S C Z SECOND AMENDMENT TO RECREATION SERVICESAGREEMENT si1,, G THIS AMENDMENT is entered into this 19th day of January, 2011, by between Cf-k evAS Flor Hernandez, an individual (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-2008-139, dated October 10, 2008, (hereinafter "said Agreement") by which Provider has provided Aerobics classes through the City's leisure class program. B. Said Agreement has been amended to extend the term and revise the Scope of Services. C. In accordance with the terms and conditions of said Agreement, the parties wish to renew said Agreement for an additional 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 1, Scope of Services is amended to be as provided in Exhibit A, attached hereto. 2. Section 3, TERM shall be amended to extend the term through December 31, 201 1. 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. ATTEST: C-/Y-?_� _1<2,e��!� r MARIA D. 1-I1_!I,&R Clerk ofthe Council CITY OF SANTA ANA DAVID N. REAM City Manager [Signature Continued on Next Page] APPROVED AS TO FORM: 4fdSEPH W.FLETCHEA City Attorney RECOMMENDED FOR APPROVAL: GERARDO MOUET Executive Director Parks, Recreation and C mmunity Services Agency PROVIDER LOR HERNANDEZ EXHIBIT A SCOPE OF SERVICES Provider will provide beginning aerobics and step aerobics classes for the City's leisure class program. Provider will use accepted safe and healthy Aerobics techniques, warm up exercises and steps as well as cool down. Provider shall provide equipment, records and personnel necessary to ensure the safety and effectiveness of said instruction. Provider shall inform City of the day and time of the classes to be conducted by Consultant. Provider and Parks, Recreation and Community Services staff may change the days, time and/or location ofthe classes to be held during a given monthly session, upon mutual agreement. CLASS SIZE Each class shall have a minimum of 10 paid students and no more than a maximum of 40. If the minimum registration has not been reached by the second class, the class may be cancelled by mutual agreement of Provider and City, with no compensation owed Provider for any cancelled class session. CLASS FEES The beginning aerobics fee is $15.00 per month. Step aerobics class is $20.00 per month. No refunds will be made to participants after the first week of class unless the class is cancelled by the Parks, Recreation and Community Services Agency. The City shall collect the class fees from each participant during the registration period. Provider shall not collect fees, but shall refer interested students to City for registration. City agrees to pay Provider seventy percent (701/o) of total fees collected for the classes within fifteen (15) working days after completion of each class session. City shall retain thirty percent (30%) of the fees collected. Provider agrees that City shall be entitled to audit Consultant's records and classes to ensure compliance with this Agreement. EVANSTON INSURANCE COMPANY CERTIFICATE NO,: 2011-10 CERTIFICATE OF INSURANCE COVERAGE EXCLUDED FOR NOMINEE EVENTS SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM PRODUCER PUBLIC ENTITY (ADDITIONAL INSURED) Alliant Insurance Services, Inc. in conjunction with City of Santa Ana Apex Insurance Services / 20 Civic Center Plaza P. O. Box 6450 N� p� Q Santa Ana, CA 92701 Newport Beach, CA 92658 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Flor Hernandez TYPE: Aerobics 13100 Chapman Ave„ Apt. 3-108 DATE(S): 01/19/11 — 12/31/11 Garden Grove, CA 92840 LOCATION: Jerome, Logan, Santa Ana Centers *Liquor Liability Yes 0 No **Liquor Liability after 12 am ends before 2 am 0 This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy period indicated. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policy listed and it does not constitute a contract between the insurance carrier, authorized representative, producer and certificate holder. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ics). INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER- I ISEP1000001 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2011 EXPIRATION: JANUARY 1, 2012 C'OMMI''RC'IAL GFNF.RAL LIABILITY OCCURRENCE FORM DFMICTIRLF,: NONE General Aggregate Limit $ 2,000,000 Products & Completed Operations 1,000,000 Personal & Advertising Injury 1,000.000 Each Occurrcncc 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 'I he limits of insurance apply separately to each event insured by this policy as ifa separate policy ot—msurance has been issued for that event. "Who is insured" is amended to include, as an msured, the person or organization shown in this schedule, but only with respect to liability arising out ofihe ownership, maintenance or use of the premises used by the named msured (event holder). phis 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 CANCFLLAI ION: Should the above described policy be cancelled before the expiration date thereof, notice will he deliverers in accordance with the policy provisions. Every effort will be made to deliver 30 days written notice to the certificate holder and additional insureds) listed. AUTHORIZED REPRESENTATIVE: DATE ISSUED: January 19 201 1 by Briza Morales ---- .-.tuna S!.tt 'Slto dy