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AGREEMENT TERMINATION
Please complete this form when the attached agreement is no onger i eff.
Return form to the Deputy Clerk of the Council (M-30). Ca� �'�`5�0 if
questions.
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The agreement with T 1 G -AC D
was completed on�h-91 I , and final payment has been made.
NUMBER Department: 12
N-2000-067
N-2001-098 Signature: v
N-2002-117
Date:
N-2003-070
City of Santa Ana
Revised 4-16-87 Clerk of the Council
1
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL Iq 11 SU ANCE EXPIRES
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CLERK pF 0 NCIL
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THIRD AMENDMENT TO
CONSULTANT AGREEMENT
N-2003-070
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'V J THIS THIRD AMENDMENT TO CONSULTANT AGREEMENT is entered
��� into on the 15r day of , 2003 by and between Sylvia Franco
("Consultant") and the City of S to Ana, a charter city and municipal corporation,
A organized and existing under the Constitution and laws of the State of California ("City")
Recitals:
A. City and Consultant entered into Consultant Agreement N2000-067, dated May 1,
2000, (hereinafter "said Agreement") by which Consultant has provided translation
and clerical assistance to inmates housed at the Santa Ana City Jail.
B. Said Agreement was amended to increase compensation and extend the term by
Amendment N-2001-098, dated May 24, 2001, and again by Amendment N-2002-
117, dated July 1, 2002.
C. In accordance with the terms and conditions of said Agreement, the parties wish to
amend said Agreement to extend the term and amend the Scope of Services.
Wherefore, in consideration of the covenants contained in said Agreement, and subject to
all the terms and conditions of said Agreement, except those amended in this Third
Amendment to Consultant Agreement, the parties agree as follows:
1. Section 1, SCOPE OF SERVICES, shall be amended to read as follows:
"Consultant shall perform those services as set forth in Exhibit A-1 to this Third
Amendment to Consultant Agreement."
2. Section 3, TERM, shall be amended to read as follows:
"This Agreement shall commence on the May 1, 2000 and terminate on June 30, 2004,
unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Chief of Police and the City
Attorney."
IN WITNESS WHEREOF, the parties hereto have executed this Amendment to Consultant
Agreement on the date and year first written above.
ATTEST:
PATRICIA E. HEALY O
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
By.
La ` a Sheedy
Assistant City Attorney
APPROVED AS TO CONTENT:
PAUL M. WALTERS
Chief of Police
CITY OF SANTA ANA
AVID N. REAM
City Manager
CONSULTANT
SYLVIA FRANCO
EXHIBIT A-1
SCOPE OF SERVICES
CONSULTANT'S RESPONSIBILITIES:
Consultant shall provide the following services to City:
a. Verbal and written translation of instructional materials provided to inmates
b. Coordinate with City staff and other Consultants to facilitate the delivery of
program materials.
C. Assist program instructors and counselors with the completion of forms, filing
of materials, and other clerical duties as requested by City staff, counselors
and program instructors.
d. Keep a record of time worked during meetings and assisting inmates.
CITY'S RESPONSIBILITIES:
The City shall provide the following assistance to Consultant:
a. Identify a contact person who shall be responsible for approving the schedule of
programs and coordinating the services provided by Consultant.
b. Provide an adequate facility that will allow Consultant to perform the services
required by this Agreement in an efficient and timely manner.
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.: -
CERTIFICATE OF INSURANCE
EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER:
PUBLIC ENTITY (ADDITIONAL INSURED)
Driver Alhant Insurance Services
City of Santa Ana
P. O. Box 28323
20 Civic Center Plaza, M-28
Santa Ana, CA 92799-8323
P.O. Box 1988
(949) 660-8163
Santa Ana, CA 92702
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
TYPE: Self Improvement
Sylvia Franco iO�' — �' �'4
DATE(S): 1/14/04 — 12/31/04
/t/ i
LOCATION: S.A. Jail
C�7C
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 any requirements, terms or conditions 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.
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: 04SEPI000OOI
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2004 EXPIRATION: JANUARY 1, 2005
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTBI.B: 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
Fire Damage (Any One Fire) 50,000
Medical Payments (Any One Person) 5,000
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 takes place
atter the event holder ceases to be a tenant in that premises.
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the
certificate holder and additional insureds listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: January 14, 2004