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HomeMy WebLinkAboutOCAMPO, KARINA MORALES 3 / o |0 E _ / I$ 0 < o 10 c X-8 '6 :U arCa £ .S -tC 7 ;� Z E fa rri V3� / -4 O :...�L:=1al... g Ni (4131 E • 02 >LAJ / e � , - \ • § 3 . I \ 5 . } E d \ o \ 0 \ c / § 0 k • / / / \ - / E o •< 0 \ o 22 IX \ _/ \ 2 U- C \ / ) C CD 6 0 _ rim 0 22 \ / / . \ t P.2 7 . - \ \ m / ƒ ' 0 . y _ § eb ▪ § ) / \ \ / § o • 0 ce 4- o 2g 0f / $ c rt 0.) 1- G / / § 4- / @ 0 - E 0 \ / OD I.F. 0 E / h § : § g o ¢ - w / / ® E oD £ ! @ � � ( 0 Q / E \ £ o > L� E ! ✓ U 2 7 � 7g 2 • J d / � c _ - % o [ \ / CZ 0 = § E ®_ \ 0 � / 0 2 « « o2 ^/ƒj � / � / / E7 / $ \ /2 � ( / k ° ° © / id / y: r c 0 2 \ \ f U J Z } INSURANCE ON FILE WORK NIAY PROCEED AT(I INSURANCE EXPIRES N-2018-078-01 L, i�4MIFF. We rlLcrin ��� CLERK OF COUNCIL we DATE: $V, 2 0 nis O: PROS (/) FIRST AMENDMENT TO RECREATION SERVICES AGREEMENT Silvia Cuevas WITH KARINA MORALES OCAMPO THIS FIRST AMENDMENT to the above -referenced agreement is entered into on August 20, 2018, by and between I£arina;Morales Ocampo ("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 ("City"), RECITALS A. The parties entered into Agreement AN -2018-078, dated April 26, 2018 ("Agreement}, by which Consultant agreed to provide Various Ballet classes in her recreation class program. B. The Term of the Agreement is for July 1, 2018 through June 30, 2019, and is currently in effect. C. The parties wish to amend and rcplace Exhibit A (Scope of Services) to the Agreement to include an additional course to the scope of services. The amendment will not affect the compensation agreed upon by the Parties. The Parties therefore agree: 1. Exhibit A, Scope of Services, is amended and replaced by the attached Exhibit A. 2. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. F' MARIA D. HUIZAR "' V Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney LAURA A. ROSSINI Senior Assistant City Attorney CITY OF SANTA ANA RAUL GODINEZ II City Manager PROVIDER ITitle:r. Page I of I Agency N-2018-078-01 Exhibit A - First Amendment to N-2018-078 SCOPE OF SERVICES A. Provider shall conduct Various Ballet classes for ages 4 yrs and up. B. Provider shall teach such or similar activities at the times provided below at facilities to be designated by the City. Cheer Gymnastic, Beginning/Intermediate Ballet, Hip Hop In this class kids will learn some of the latest moves with high energy. Your child will be taught various dance moves. INSTRUCTOR: Karina Ocampo LOCATION: Santa Anita Community Center, 300 S. Figueroa St., Santa Ana, (714) 647-6552 • Cheer Gymnastic classes will consist of monthly sessions, held I day per week, 50 minutes per day • Beginning/Intermediate Ballet classes will consist of monthly sessions, held 1 day per week, 50 minutes per day • Hip Hop class will consist of monthly sessions, held I day per week, 50 minutes per day C. Provider. shall provide all materials, supplies, equipment, records and personnel. Provider shall be responsible for clean-up of the facilities and materials and shall ensure the safety and effectiveness of instruction. CLASS SIZE A. Each class must have a minimum of 5 paid students and no more than 20 students. B. No registration will be accepted after the second meeting of classes. C. If the minimum registration has not been reached by the second class, the class shall be cancelled. Provider will be under no obligation to provide services for the cancelled classes, and the City will have no further obligations to pay Provider compensation for the remaining classes that were cancelled in that session. CLASS FEES A. Each participant shall pay class registration fees as established by City. B. Provider may not waive class participation/registration fees. N-2018-078-01 C. Only registered participants may participate in class. D. Any refunds to participants will be made in accordance with City policy. E. Any materials fee shall be established by mutual agreement of City and Provider and shall be payable directly to Provider. EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2018.35 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. 0. Box 6450 Santa Ana, CA 92701 Newport Beach, CA 92658 N_2018-078-01 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Karina MoralesOcatupo TYPE: Dance 9772 Santiago Blvd -L20) -7 _ l / DATE(S): 2/08718-1213UI$ Villa Park, CA 92867 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. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless amended as described in Special Conditions. INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: SEP41026 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2018 EXPIRATION: JANUARY 1, 2019 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE General Aggregate Limit S 2,000,000 Products & Completed Operations 1,000,000 SPECIAL CONDITIONS: Personal & Advertising Injury 1,000,000 The following endorsements attached to Each Occurrence Limit I,Oo0,000 the Master Policy do not apply to this Damage To Promises Rental To You (Any One Premises) 100,000 Certirmse Of Insurance: Medical Payments (Any One Person) 5,000 MEGL643 Liquor Liability (Ifpurchased) 1,000,000 Optional Limits Purchased Q $1,000,0001S3,000,000 ❑ $210001000/$2,000,000 Damage To Property (If purchased) The limits of insurance apply separately to each event insured by this policy as if a separate policy of insumace has been issued rot that event. OTHER ADDITIONAL INSUREDS :E CANCELLATION Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy rovisions. AUTHORIZED REP?ESENTA DATE ISSUED: G (bxP SP�P��`� 91? 03/07/2017 10:36 FAX 17144569646 Let Office Don Buchanan 0004/004 L. WORKERS, CQMPEN ATIOUDZ2L& T10Ti I i I Karroo O'Camoo hereby arrr under penalty ofperjury, the ttramairi"O following declaration I certify on behalf of that during the tern of my (ConfniunvCpmPam'Nuni} contract for Recreation Classes services with the City of Santa Ane, t will not employ any person In any manner so as to ¢ecome subject to the workers' eompensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions and provide proof of workers' compensation coverage, DATE: _ 31 r7.1 11 By: Name: Title: {TQC ahW1_�iI�YY6fUV Telephone: (IK'` 2i$ -wri WARNWO: FAILURE TO SECURE WORKERS, CO;KPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI4i ANAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S [00,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3 706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. C;0 Q i