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Home My WebLink AboutSEHUAME, RUDY R. 1gc a oob AGREEMENT TERMINATION 2011' . UIN 18 Pas 1� VII Please complete this form when the attached agreement is no longer in effect. Return form to the Sr. Deputy Clerk of the Council (M -30). Call 647 =1138 if you haveany questions. The agreement with � 1 r No. was completed on and final payment has been made. N _a- oou -MA- a - fv - a- O0 (t - a2.9 -03 v co Department: T �-� 4 Signature: Q—k Revised 3-2-07 Date: U 1 1 31 i -ci City of Santa Ana Clerk of the Council J `@ i IL?. ti'. ;.Xt int.s i>F i 1: sp 18 2Gi N- 2006 - 029-07 O: PRCS (� ) SEVENTH AMENDMENT TO AGREEMENT ' Silvia Cue`"S SEVENTH AMENDMENT TO RECREATION SERVICES AGREEMENT is made and entered into this 14`" day of August, 2012 by and between Rudy R. Sehuame, (hereinafter "Provider "), and the City of Santa Ana, (hereinafter "City "). RECITALS: The parties entered into Agreement N- 2006 -029, as amended from time to time, (hereinafter the "Agreement ") by which Provider has provided martial arts instruction in the City's leisure program. In accordance with the terms and conditions of said Agreement, the parties wish to amend the amount of compensation and extend the term for an additional one -year period. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement and previous Amendments, except those amended in this Seventh Amendment to Recreation Services Agreement, the parties agree as follows: 1. Section I, SCOPE OF SERVICES, shall be amended by substitution of a new Exhibit A, attached hereto. 2. Section 2, COMPENSATION, shall be amended to increase compensation to pay for additional services. The total compensation shall not exceed $25,000. 3. Section 3, TERM, shall be amended to extend the termination date to June 30, 2013. 4. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Seventh Amendment to Recreation Services Agreement on the day and year first set forth above. AT —1 ST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: Lau Shee Assistant City Attorney APPROVED AS TO CONTENT: GERARDO MOUET Executive Director Parks, Recreation and Community Services CITY OF SANTA ANA PAUL M. WALTERS City Manager PR )D me: Title: EXHIBIT A SCOPE OF SERVICES 1. Provider will prepare and instruct students, ages 4 -18, in martial arts techniques, with an emphasis on Karate (Sehuame Bu- Jyutsu). 2. Class will meet at the location and time as agreed between Provider and City. The City reserves the right to preempt any class as City deems necessary. Thirty (30) day notice of such change will be provided, if possible. Provider may reschedule any class which has been preempted. 3. Provider will provide and be responsible for equipment, records, personnel and clean up of the facilities and materials necessary to ensure the safety and effectiveness of said instruction. 4. If Provider allows others to teach his /her class, those teachers must be over 21, have obtained and maintain an instructor rating, and be covered by Providers' insurance. Provider shall provide City with documentation to verify instructor and insurance requirements. Black -belt rated students may warm up beginning students, however, Provider must be present at all times. CLASS SIZE REGISTRATION I . The minimum number or participants is 5 per class, the maximum is 25. 2. No registration will be accepted after the second week of classes. 3. In the event the minimum number of enrollees is not realized by the second meeting of the class, the class shall be canceled. Provider will be under no obligation to provide services and the City will have no obligations to pay Provider compensation. FEES 1. Each participant shall pay a $30.00 class registration fee per monthly session. 2. No refunds will be made to participants after the commencement of a session unless the class is cancelled by the City. 3. The City shall collect registration fees from each participant during the registration period. Provider shall not collect fees, but shall refer all interested participants to City for registration. 4. Provider shall receive seventy per cent (70 %) of the total fees collected each month. City and Provider agree that City shall retain thirty per cent (30 %) of the fees collected as an administration fee. 5. Provider agrees that City is entitled to audit Consultant's records and classes to insure compliance with this Agreement. 6. Provider may not waive class participation/registration fees. 7. City shall prepare class rosters and provide a copy to Provider. Only registered participants may participate in class. EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2012.08 CERTIFICATE OF INSURANCE SPECIAL EVENT LIABILITY PROGRAM 1PRODUCER 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 Santa Ana, CA 92701 Newport Beach, CA 92658 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Rudy Sehuame TYPE: Martial Ats 2424 W. First Street, #133 DATE(S): 01/03/12 — 12131/12 Santa Ana, CA 92703 LOCATION: Santa Anita Center Liquor Liability Yes ❑ No lv ?' 00 — N-) ~ "{ It **Liquor Liability after 12 am ends before 2 am ❑ 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(ies). INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: 12SEP100000I MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2012 EXPIRATION: JANUARY 1, 2013 COMMIERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE General Aggregate Limit $ 2,000,000 Products & Completed Operations 1,000,000 A _ r. Personal & Advertising Injury 1,000,000 s Each Occurrence Limit I,000,000 Fire Damage (Any One Fire) 100,000 Medical Payments (Any One Person) 5,000 Liquor Liability (If purchased) 1,000,000 Optional Limits Purchased ❑ $1,000,00053,000,000 ❑ $2,000,000/$2,000,000 The limits of insurance apply separately to each event insured by this policy &s 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 of the ownership, maintenance cruse 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 that premises. OTHER ADDITIONAL INSUREDS CANCF�N: Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. AUTHORIZED REPRESENTATIVE: DATE ISSUED: 01 /03 /12 by Briza Morales EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2013 -30 CERTIFICATE OF INSURANCE 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 Santa Ana, CA 92701 Newport Beach, CA 92658 * *Liquor Liability after 12 am ends before 2 am ❑ License No: OC 36861 period indicated. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Rodolfo Sehuame TYPE: Bu- Jvutsu (Martial Art1 1000 Pine Avenue, Apt. 120 DATE(S): April 16, 2013 — December 31, 2013 Redlands, CA 92373 / ,(l_oe 00 0//11 V LOCATION: Santa Anita Center *Liquor Liability Yes ❑ No * *Liquor Liability after 12 am ends before 2 am ❑ 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(ies). INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: SEP41011 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2013 EXPIRATION: JANUARY 1, 2014 COMMERCIAL GENERAL LIABILFFY OCCURRENCEFORM DEDUCTIBLE: NONE General Aggregate Limit $ 2,000,000 Products & Completed Operations 1,000,000 Personal & Advertising Injury 1,000,000 Each Occurrence Limit 1,000,000 Aire Damage (Any One Fire) 100,000 Medical Payments (Any One Person) 5,000 Liquor Liability (If purchased) 1,000,000 Optional Limits Purchased ❑ $1,000,000/$3,000,000 ❑ $2,000,000/$2,000,000 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 of the ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any `occurrence" which hakes place after the event holder ceases to be a tenant in that premises. OTHER ADDITIONAL INSUREDS CANCELLATION: Should the above described policy be cancelled before the expiation date thereof, notice will be delivered in accordance with the policy provisions, / C -- AUTHORIZED REPRESENTATIVE: DATE ISSUED: April 16, 2013 by Briza Morales