HomeMy WebLinkAboutDELGADO, ANTHONY J. 3BC, zo
AGREEMENT TERMINATION
2GH OCT 25 P3 1� 3 ,,���0 EP I � A 8' '5l
Please complete this form when the attached agreement is no longer in effect.
CITY !ZAITA j MAX Vl q f
Return�f4" �p the I,�eOWderk of the Council (M -30). Ca11647 -6520 M} x7iave any =�
questions.
The agreement with
was completed on and final payment hasl been made.
Department:
Signature: k"I" I vat
Date: IILei"
City of Santa Ana
Revised 4 -16 -87 Clerk of the Council
,
N-2003-075
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CLERK OF yOU. NylL.
DATE: "J /)'-"1 ù 3
e-: ~ ~ ') THIS SECOND AMENDMENT TO CONSULTANT AGREEMENT is entered
~~~. into on the~6-r-aay ofJ;:I)'l ,2003 by and between Anthony J. Delgado
. r- . ("Consultant") 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").
SECOND AMENDMENT TO
CONSULTANT AGREEMENT
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Recitals:
A. City and Consultant entered into Consultant Agreement N2000-087, dated July 1,
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-2002-114, 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 to 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-I 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 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."
II
II
IN WITNESS WHEREOF, the parties hereto have executed this Amendment to Consultant
Agreement on the date and year first written above.
ATTEST:
CITY OF SANTA ANA
PATRICIA E. HEALY
Clerk of the Council
D~¡
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
'j J .
... t I;¡ "/, -, " "
By. ) f,[¿C' {., / '-' ~ ( ¿ /
Laura Sheedy ~ "
Assistant City Attorney
APPROVED AS TO CONTENT:
CONSULTANT
cJ~'\LV~
PAL M. W'ÂL TERS
Chief of Police
~
EXHIBIT A-I
SCOPE OF SERVICES
CONSUL T ANT'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 skillslfamil y issues
(7) community resources
Coordinate with City staff to facilitate delivery of program material.
Collect diagnostic and statistical information regarding inmates in attendance and
program material.
Assign inmates tasks to perform and goals to reach in relation to the program
material.
Provide inmates in attendance with referrals to other agencies and community
resources that can provide additional instruction andlor counseling as follow-up to
the program material already delivered.
Keep a record of time worked during meetings, instruction and counseling
seSSIOns.
b.
c.
d.
e.
f.
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.
Provide an adequate facility that will allow Consultant to perform the services
required by this Agreement in an efficient and timely manner.
b.
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 EN1TIY (ADDmONAL INSURED)
Driver Alliant Insurance Services
P. O. Box 28323
Santa Ana, CA 92799-8323
(949) 660-8163
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
N -aa'c;-{S'¡
Tony Delgado/J - ;;{D0~- i 14-
j>J ~'[lO:\ -- ('15
City of Santa Ana
20 Civic Center Plaza,
P.O. Box 1988
Santa Ana, CA 92702
M-28
EVENT INFORMATION:
TYPE: Self Improvement
DATE(S): 1/14/04 - 12/31/04
LOCATION: S.A. .Tail
This is to certify that the policies of insurance listed below have been issned to the insured named above for the policy period
indièated. 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 descnDed herein is subject to all the terms,
exclns¡om and conditiom of such policies. Limits shown may have been reduced by paid claims.
INSURANCE CARRIER: Evanston Imurance Company
MASTER POLICY NUMBER: 04SEPlOOOOOI
MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2004
EXPIRATION: JANUARY I, 2005
COMMERCIAL GENERAL LlABIUTY
General Aggregate Limit
Products &. Completed Operations
Personal & Advertising Injury
Each Occurrence Limit
Fire Damage (Any One Fire)
Medical Payments (Any One pen¡on)
OCCURRENCE FORM
DEDUCTffiLE: NONE
$ 2,000,000
1,000,000
1,000,000
],000,000
50,000
5,000
The limits of insurance apply separately to each event insured by Ibis: policy as if a separate policy of insurance Iuis 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). ThÎs insurance does not app1y to: Any "occurrence" which takes place
after the event holder ceases to be a tenant in that premises.
OTHER ADDITIONAL INSUREDS
CANCELI A TION: Should the above described policy to cancelled before the expiration date thereof. the issuing company win mail 30 days written notìce to the
certificate holder and additiona1 insureds listed.
AmH=RH'RESENTATIV~ ~
DATE ISSUED: January 14, 2004
'P~ vb¡
,---
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.:
CERTIFICATE OF INSURANCE ,
EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER: f'-,). ~t..oc>O-~T .
. V- ]A:P3 - tS'1- 5
Driver Allia¡lt Insurance Services t-> - 2DD1- - ,) L{
P.O.Box28323 .1\1-~-ct1
Santa Ana, CA 92799.8323 . r -
(949) 660-8163
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
I
TOYlIj Veiga.do
PUBLIC ENTITY (ADDITIONAL INSURED)
Cdlj 06 Sa.n.ta. AM
20 C'¿v'¿c. Ce.ntVL Plaza., M-28
Sa.nta. AM, CA 92701
,
EVENT INFORMA.TION: . ,._.0 - 06
TYPE: Inl,;(;Jw.c.-ti.o,ILU--S",,-
DATE(S): I/UbIU~ - IZt:>IIU~
LOCATION: S.A. Jeu.{.
Imp.IWv eme.nt
This is to certify that the policies ofinsuraucelisted below have been issned to the insured named above for the policy period
indicaÌecl. Notwitbstaoding 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 descn"bed herein is subjcct to all the terms,
exclusions and conditions of such policics. Limits shown may have been reduced by paid claims.
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: 05SEPlOOOOOI
MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2005
EXPIRATION: JANUARY 1,2006
COMMERCIAL GENERAL UABIUfY
General Agrop" Umi.
Products '" Completed Opcntions
Personal '" Advutisins Injury
Each Occum:nce Limil
FiJO Damage (Any One Fire)
Medical Payments (Any One Person)
OCCURRENCE FORM
DEDUCTmLE: NONE
$ 2,000,000
t,ooo,OOO
1,000,000
1,000,000
50,000
5,000
The limits of insurance apply separately 10 each event insured by tiJi. policy as if a separate policy of insurance hu been issued for that event
"Who is insured" is amended to include, IS an insured. the person or orpnizatim shown in this schedule. but only with respect to 1iability arilrinS out of the
ownership, maintenance OT UK urthe premises oued by the named insured (even. bolder). This insuranœ does not apply 10: Any "-""""",," which talces ploce
after the event holder ceases to'be a tenant in lhatpremises.
OTHER ADDmONAL INSUREDS
CANCP.T I Á TION: Should Ibe above described po1icy to cancelled before the expiration date thereof, the 1ssuing cOJJ1W1Y win mail 30 days written notice to the
certificate holder and additiooal insureds listed.
AUTIIORIZED REPRESENTATIVE:
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"J(:L ,<:_-
,J>!
DATE ISSUED:
Ja.YlUiVLIj 6, 2005
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