HomeMy WebLinkAboutPADILLA, DENNYS DIAZ (2)N-2022-260-01
MAYOR
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Valerie Amezcua
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MAYOR PRO TEM
Jessie Lopez
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CITY CLERK
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COUNCILMEMBERS
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Phil Bacerra
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Johnathan Ryan Hernandez
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David Penaloza
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Benjamin Vazquez
CITY OF SANTA ANA
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August 29, 2023
Dennys Diaz Padilla
203 Emerald Lane, Sp #142
Santa Ana, CA 92703
PARKS, RECREATION, & COMMUNITY
SERVICES AGENCY
20 Civic Center Plaza — M25
Santa Ana, California 92702
www.santa-ana.oro
Re: Extension of Agreement #N-2022-260 for Recreation Class Services
Dear Mr. Padilla:
CITY MANAGER
Kristine Ridge
CITY ATTORNEY
Sonia R. Carvalho
CITY CLERK
Jennifer L. Hall
Pursuant to Section 3 ("Term") of the Agreement between Dennys Diaz Padilla ("Provider') and the
City of Santa Ana, dated August 29, 2022, the term of the Agreement is hereby extended through June
30, 2024. All other terms and conditions of said Agreement remain unchanged and in full force and
effect.
Since Cirecto
wk
Execut
Parks, Recreation, & Community Services Agreement
CITY OF SANTA ANA
Kristine Ridge
City Manager
APPROVED AS TO FORM
won Salvatierra
Deputy City Attorney
ATTEST
OVIDER
liy. Denny laz
T'tit''Dance Instructor
SANTA ANA CITY COUNCIL
Valerie Artemw Jessie Lapex IhaNlal Phan sr,a'.n Va .ra, PH War.. JOMaffiaa Ryan Hernandez Oavd Panelaza
Mayor Mayo, Pm Tam, Ward 3 Ward Ward Ward Ward5 Wards
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N-2022-260-01
NOTICE OF COMPLIANCE
Contractor Dennys Diaz
Name:
Project N-2022-260
Number:
Project Dennys Diaz- Danza Folklorico
Name:
The Certificate of Insurance (COI) submitted indicates that the coverages are in
compliance with the insurance requirements. No further action is required at this time.
The compliant
TYPE OF INSURANCE
GENERAL LIABILITY
SEXUAL ABUSE
WORKERS COMPENSATION AND EMPLOYERS'
LIABILITY
Thank you,
City of Santa Ana
Risk Management Division
in partnership with
CTrax Plus Services Team
10/3/2022 12:39 PM
POLICY NUMBER
EXPIRATION
I COI DATE
FILE NAME
DATE
PHPK2457612000 j
09/01/2023
08/25/2022
Dennys Diaz COI
9-14-22.PDF
PHPK2457612000
09/01/2023
09/29/2022
j Dennys DiazCOI
9 28 2
WAIVER
07/15/2023
09/20/2022
WCfor Dennys
Diaz Padilla.pdf
NOTICE OF COMPLIANCE
CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL
Contractor
Dennys Diaz
Name:
Project
N-2022-260-01
Number:
Project Extension of Agreement #N-2022-260 for Recreation Class
Name: Services
The Certificate of Insurance (COI) submitted indicates that the coverages are in
compliance with the insurance requirements. No further action is required at this time.
The compliant coverage(s) are:
EXPIRATION
TYPE OF INSURANCE POLICY NUMBER COI DATE FILE NAME
DATE
Account
84527366
Dennys Diaz-
GENERAL LIABILITY PHPK2457612001 09/01/2024 08/31/2023
Additional
Insured
(1).pdf
Dennys Diaz-
GENERAL LIABILITY PHPK2457612001 09/01/2024 08/31/2023 SAM
coverage.pdf
WORKERS COMPENSATION AND Dennys Diaz
WAIVER 07/14/2024 09/18/2023
EMPLOYERS' LIABILITY WC 7.23.pdf
Thank you,
City of Santa Ana
Risk Management Division
in partnership with
CTrax Plus Services Team
9/21/2023 7:21 PM