HomeMy WebLinkAboutISRAEL, RON 1BCity of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION_ 22 AM 9 28
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Please complete this form when the attached agreement is no longer ()LffOct.
Return form to the Clerk of the Council Office (M -30).
Call 647 -2520 if you have any questions.
The agreement with - ---f -- ��^
No.
and final payment has been made.
Revised 05-W8
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was completed on
Department:
Phone /Ext.:
Signature:
Date:
AGREEMENT TERMINATION
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Please complete this form when the attached agreement is no longer i ec
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Return form to the Sr. Deputy Clerk of the Council (M -30). Call 64 y � l�a<�U '}� ,.•
questions.
The agreement with l� �')� No. Al 6 —Of�
was completed on 1p 3't7� and final payment has been made.
N - 2000 - 11 �
Department:
Signature: J��gp,� i. k 4v A, )
Date: 7-J (V
City of Santa Ana
Revised 8 -7 -03 Clerk of the Council
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N- 2003 -066
INSURANCE ON FILE
WORK MAY PROCEED SECOND AMENDMENT TO
UNTIL rANCE EXPIRES CONSULTANT AGREEMENT
1
CLERK OF 0 NCIL
MME:
THIS SECOND AMENDMENT TO CONSULTANT AGREEMENT is entered
into on the day of Ta , 2003 by and between Ron Israel ( "Consultant ")
and the City of Santa Ana, a cliarter city and municipal corporation, organized and
existing under the Constitution and laws of the State of California ( "City ").
Recitals:
A. City and Consultant entered into Consultant Agreement N2000 -115, dated July 18,
2000, (hereinafter "said Agreement ") by which Consultant has provided counseling
and instructional services to inmates housed at the Santa Ana City Jail.
B. Said Agreement was amended to increase compensation and extend the term by
Amendment N- 2002 -113, dated July 1, 2002.
C. In accordance with the terms and conditions of said Agreement, the parties wish to
amend said Agreement to again 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 Second
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 Second
Amendment to Consultant Agreement."
2. Section 3, TERM, shall be amended to read as follows:
//
"This Agreement shall commence on the July 18, 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
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
BY 'it r t..1 C' �C'.cd , -
Laara Sheedy
Assistant City Attorney
APPROVED AS TO CONTENT:
PA L M. WALTERS
Chief of Police
CITY OF SANTA ANA
�U
DAVID N. REA
City Manager
CONSULTANT
N ISRAE
L1
EXHIBIT A -1
SCOPE OF SERVICES
CONSULTANT'S RESPONSIBILITIES:
Consultant shall provide the following services to City:
a. Deliver instructional and/or counseling services in the following program areas to
selected inmates:
(1) anger management
(2) stress reduction
(3) conflict management/resolution
(4) domestic violence
(5) chemical dependency
(6) life skills /family issues
(7) community resources
b. Coordinate with City staff to facilitate delivery of program material.
C. Collect diagnostic and statistical information regarding inmates in attendance and
program material.
d. Assign inmates tasks to perform and goals to reach in relation to the program
material.
e. Provide inmates in attendance with referrals to other agencies and community
resources that can provide additional instruction and /or counseling as follow -up to
the program material already delivered.
f. Keep a record of time worked during meetings, instruction and counseling
sessions.
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. The subject
matter, the number of hours and the scheduling of hours shall be approved by
City's contact person.
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 Alliant 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
Ron Israel '
�iv- �C {�a- 113
DATE(S): 1/14/04 — 12/31/04
a �C-
LOCATION: S.A. Jail
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 04SFPIOODOOI
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2004 EXPIRATION: JANUARY 1, 2005
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTIBLE: NONE
General Aggregate Limit $ 2,000,000
Produces & Completed Operations 1,000,000
Personal & Advertising Injury 1,000,000
Each Occurrence Limit 11000,000
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 organisation shown in.this schedule, but Only with respect to liability arising out of the
ownership, maintenance or use of the premises used by the narra:d insured (event holder). This insurance does not apply to: Any "occurrence' which takes place
alter 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 bolder and additional insureds listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: January 14, 2004
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 Alliant Insurance Services
City ob Santa Ana
P. O. Box 28323
20 Civic CenteA Ptaza, M -28
Santa Ana, CA 92799 -8323
Santa Ana, CA 92701
(949) 660 -8163
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:ana a -Se 26 Imphovement
II n.b ttlhuu�
t F
Ron Ibhaet
TYPE:
DATE(S): -
!"
LOCATION: S.A. Jatt
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 05SEP100000I
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2005 EXPIRATION: JANUARY 1, 2006
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTIBLE: NONE
General Aggregate Limit S 2,000,000
Products & Completed Operations 1A00A0O
.
Personal & Advertising Injury 11000,000
Each Occutteda;e limit 11000.000
Fire Damage (Any One Fire) 50,000
Medical Payments (Any One Person) SAM
The limits of insurance apply e tely to each event insured by this policy as if a separate policy of insurance burs been issued for tlwt event.
"Who is insured" is amended to include, as an insured, the person or organization Atom in this scWule, but only with respect to liability arising out of the
ownership, maintenance or use of the premum used by the named insured (event holder} This insurance does not apply to: Any "oocurrence" which takes place
after the event holder roses to be a tenant in that penises.
OTHER ADDITIONAL INSUREDS
SANCELATION: Should the above descried 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: Janua'y 6, 2005