HomeMy WebLinkAboutPERFORMANCE EXCELLENCE PARTNERS, INC. 4A - 2011INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
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CLERK OF COUNCIL 6 2011
DATE: JJ?J `?
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N-2011-043-001
FIRST AMENDMENT TO AGREEMENT
UNDER THE WORKFORCE INVESTMENT ACT
THIS FIRST AMENDMENT TO AGREEMENT, made and entered into this 1st day of June, 201 1, by
and between Performance Excellence Partners, Inc. ("Contractor") and the City of Santa Ana, a charter
city and municipal corporation duly organized and existing under the Constitution and laws of the State of
California ("City").
RECITALS
A. The City and Contractor entered into that certain Agreement Under the Workforce Investment Act
effective January 20, 201 1 (Agreement N# 201 1-043), hereinafter referred to as "said Agreement".
B. The parties hereto now desire to amend and extend the Term of said Agreement.
WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter
contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended,
the parties hereto do hereby agree as follows:
1. Section III. "Time Period of Agreement" is hereby extended through December 31, 201 1. As
set forth in Section III. of said Agreement, "The term of this Agreement may be extended by a writing
executed by the Deputy City Manager for Development Services and the City Attorney."
2. 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 Amendment to Agreement the date
and year first above written.
APPROVED AS TO FORM:
_ ---._.
Lisa E. torck
Assistant City Attorney
ATTEST.
CITY OF SANTA ANA
COMMUNITY DEVELOPMENT AGENCY
Nancy T. Edwar Interim Executive Director
Community Deve pment Agency
IV?ARIA D. HU@ZAR
CLERK OF THE COUN?
'?°R° CERTIFICATE OF LIABILITY INSURANCE OP ID EC DATE(MMIDDIYYYYI
10/18/10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
^.ERTIFICATE DDES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E)<TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
.FLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
IiEP RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
fhe cart ante o Er Is an AL U , t e po ey es must a en ores IS I , su )act to
the terms and con ditlons o1 the pollay, eenteln poll ciDS may require an endorse msnt. A siaiement on this eertlflcate does not confer rlgMS to the
certl£cate holder In Ileu of such an dorsement(s).
IOOUCER
NAME:
S awyar Cook Insurance Nb Es!1__-_ ___.-...._..-____. _ ............. __--_. ..lA?--1+?2? _.
1200 California 9t. Sta 260 ADD ER as: -?? -
adlands CA 92374 sTn? M? E?lo. pERFO 7
Phone: 909-435-0230 Fax: 909-798-7971 - --.'--- -- -- -?-?
-- -_-_ INSURER(S) AAOROMp COVCRADE NAIC p
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INSURER A: Hartford Ina uranc® Compares 22357
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Huntington Haach CA 92646 INBURER D:
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s,YC accrv IsautO TD THE INS VRED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTW RHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W HIGH THIS
CERTIFICATE MAY BE ISSVED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE0.M5
,
EXGLUSIDNS ANp CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REO UCEO BY PAID CLAIMS
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Lip TYPE OF INSURANCE NSR WV ' POLIO NUMSER M D M11. /bbMWY LIMITS
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DESC
Ci t RIPTION OF OP@RATIONS l LOCATIONS / V CNICLES (Atbcll
v o£ sar, t•_sa a., >. a ..emea .? -. .. gCORD lei`Aeeltlbntl Remmb SchbE(Ila
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City of Santa Ana
Community Development Agency
Chris Dalton
20 Civic CGa tar Plaza, M-25
Santa Ana CA 92702
I
SHOULD ANV OF THE ABOVE OE SCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
® -2008 ACORD C
ACORD 25 (2009/08) Tfie ACORD name and logo are reglBTe red marks of ACORD
POLICY NUMBER: 72 saA soaz29
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR
CITY O F SANTA ANA
SANTA ANA CA 9 2 7 0 2
CITY O F LONG I3 EACH , WORKFORCE DEV . BUREAU
3447 ATLANTIC AVE, 3RD FLOOR
LONG BEACH
CA 90807
TO FORM
pp4RO?D p,8
gT ORCK
L\SA ECitY Attorney
assistant
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Form IH 12 00 11 85 T SEp. NO. 002 printed in U.S.A. Page 001
Process Date: 10/20/10 Explratlon Date: 09/27/11
UW COPY
ADDITIONAL INSURED ENDORSEMENT
Insurance Company -5-?????it y? COL4 ?,n,\hA rl, >,?tj,,?C?2, e-O .
This endorsement modifies such Insurance as is afforded by the provisions of Policy
# -]2SSA?D4?C G relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92702; its ofFcers, employees, agents and volunteers are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the
operations and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by
or on behalf of the named insured, such insurance as is afforded by this policy is
primary and is not additional to or contributing with any other insurance carried by or for
the benefit of the additional insureds.
3. 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 organization would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be
canceled, or materially reduced in coverage or limits except after thirty (30) days written
notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana,
California 92702.
(Completion of the following, including countersignature, is required to make this
endorsement effective.)
Effective \ ? ? 1?iC ? ?-.O \O ,this endorsement form as a part of
Policy # -1 ?C3??F'c?CSc?s! ? -z of
Issued to ?p?C`?c'?KTY?U.`?1<'.2^ tX o \1Pr?'e ? ?"( K2?'
Named Insured
Countersigned by ??2'?,V?-?'?lo .
Authorized Representative
A?PR/O??VED AS TO FORM
Assistant City Attorney
3 /-?