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Home My WebLink AboutBOURDELAIS LAW OFFICE 1A-2012C lAI2Ylf??1T I NSLi?t.?d?ICE N®T ®N FILE N-2012-037-001 WORK M?11? N®T PttQCEED CLERK QF CQUNCIL DATE: JUL ,2 5 2p12 FIRST AMENDMENT TO ON-THE-JOB TRAINING O_ C?/4 / ?? AGREEMENT L7NDER THE WORKFORCE INVESTMENT ACT y1 ??Z THIS FIRST AMENDMENT, made and entered into this 22°d day of June, 2012, by and between Bourdelais Law Office ("Employer") 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 Employer entered into that certain On-The-Job Training Agreement Under the Workforce Investment Act effective March 14, 2012 (Agreement #N-2012-037) hereinafter referred to as "said Agreement" . B. The parties hereto now desire to 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: Section 1, "Term" of said Agreement is amended and extended through June 30, 2012. 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IIV WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ATTEST: Maria D. Huizar Clerk of the Council CITY OF SANTA ANA, a municipal corporation of the State of California "CITY" By: <-`??i??-? b? Paul Walters City Manager APPROVED AS TO FORM: Sonia R. Carvalho City Attorney Lisa E. Storck Assistant City Attorney "EMPLOYER" Bourdelais Law Office By: ?_ Scott Bourdelais, Attorney at Law `?`? ° CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/VYYY) 08/l O/20? 2 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 POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONA INSEDa,ti thA j?olicy(ies) must ba endorsed. If SUBROGATION is WAIVED, subject to the terms and conditions of the policy, certair?(q?ir?n?re a ?n aildorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemerfi?t?Ys`'f- PRODUCER I "r'r (? CONTACT NAME' . , t 1"? AFFINITY INSURANCE SERVICES INC CITY PHONE FAX (r ? 1 1 q (A/C, No, Ex U: (B08) 661-3938 IA/C, No): 1988) 872-9921 . l59 E COUNTY LINE RD ?L?ti _ , ''??gc L E-MAIL HATBO RO, PA "19040 service.centar@vavelars.com (888) 661 -3938 PRODUCER ' 1656C6tOt T M R p- X051 7 700 INSU RERI S) AFFORDING COVERAGE NAIC l/ INSURED INSURER A:TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA SCOTT A BOURDELAI S, d? l? ?t p?y /^1?? /? ? +( ATTORNEY AT LAW ' ?? INSURER B: .. ? JVJ /- /V ?OL? i 2060 N TUSTIN AVE INSURER C: SANTA ANA CA 92705 INSURER D: , INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 51 544880535 7 322 REVISION NUMBER: 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 ANV 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR LTR TYPE OF INSURANCE ADDL INSR SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/VYYY LIMITS A GENERAL LIABIITY X 680-35F63659-1 2 06/01 /20'I 2 06/01 /201 3 EACH OCCURRENCE $ l 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 5 300,000 CLAIMS-MADE ? OCCUR MED EXP (An one arson) S 5,000 x MIREU AUTO X PERSONAL & ADV INJURY $ l ,000,000 NOH OwNLO AUTO ENERAL AGGREGATE 5 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODU T -COMP OP AGG 5 2,000,000 PRO- x POLICY JECT LOC $ AU TOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accitlenU $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per personl $ SCHEDULED AUTOS BODILY INJURY (Per accident) 5 HIRED AUTOS PROPERTY DAMAGE fPer accident) °+ NON-OWNED AUTOS °+ UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE AGGREGATE 5 DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' UABI LITV Y/N N/A WC STATU- OTH TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE FF R M E.L. EACH ACCIDENT ICE / O EMBER EXCLUDED? (Mandatory m NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 5 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD tOl, Additional Remarks Schedule, if mo.e space is required) AS RESPECTS TO GENERAL LIABILITY, CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSURED -VENDORS BROAD FORM, CG T3 30 . a.cr? t Irla.h • c rlvt_vcr? GArVGCLLA 1 IVN CITY OF SANTA ANA, ITS OFFICERS, AGENTS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE AND EMPLOYEES EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE 20 CIVIC CENTER WITH THE POLICY PROVISIONS. SANTA ANA, CA 9270'1 AUTHOflIZED REPRESENTATIVE ? . ?_ T m '1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD TRAVELERSJ- P.O. Box 1564 Elmira, NY 14902-1564 CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES 20 CIVIC CENTER SANTA ANA, CA 92701