HomeMy WebLinkAboutLOMELI, MARTHA 1CAGREEMENT TERMINATION
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Please complete this form when the attached agreement is no longer in effect. .
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Return form to the Deputy Clerk of the Council (M -30). Call 647 -OLf W * -hjb 3LWMIL
questions.
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was completed on (►J "ice (04 and final payment has been made.
Department:
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Signature:
Date:
City of Santa Ana
Revised 4 -16 -87 Clerk of the Council
City of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION
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Please complete this form when the attached agreement is no longer in e i '4 i jr L tttJ C i1
Return form to the Clerk of the Council Office (M -30).
Call 647 -2520 if you have any questions.
The agreement with
No. fV"�� — 13y' %�id^� C3 "), /�1 �4✓Lr was completed on
and final payment has been made. .4 Department: _
Phone /Ext.:
Signature:
Date:
Revised OR4 -08
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N- 2003 -076
INSURAN..1- N0T ON FILE
WORK MAY fND 1 PROCEED
CLERK Or COUNCIL THIRD AMENDMENT TO
DATE: Yl kIO.3 CONSULTANT AGREEMENT
THIS THIRD A D NT TO CONSULTANT AGREEMENT is entered
into on the � day of , 2003 by and between Martha Lomeli
( "Consultant') and the C' of S to Ana, a charter 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 -139, dated August 24,
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 has been amended to increase the compensation (N- 2002 -018) and
again to extend the term and increase the hourly rate of compensation (N- 2002 -112).
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 August 24, 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."
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IN WITNESS WHEREOF, the parties hereto have executed this Amendment to Consultant
Agreement on the date and year first written above.
ATTEST:
P TRICIA AL
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
Laura Sheedy Y 3
Assistant City Attorney
APPROVED AS TO CONTENT:
PAUL M. WALTERS
Chief of Police
CITY OF SANTA ANA
AVID N. REAM
City Manager
CONSULTANT
MARTHA LOMELI
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:
ti CX %C- 13�
TYPE: Self Improvement
Martha Lomeli- L Z(er -Uj
DATE(S): 1114/04 - 12/31/_04
N - =0(%
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: 04SEP1000001
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2004 EXPIRATION: JANUARY 1, 2005
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DED=IBLE: NONE
General Aggregate Limit $ 2,000,000
Products & Completed Operations 1,000,000
Personal & Advertising Injury 11000,000
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 organization shown in this schedule, but only with respect to liability arising out of the
ownership, maintenance or use of the prendses used by the named insured (event holder). This insurance does not apply to: Any `occurrence' which takes place
after 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 Trail 30 days written notice :tbc
certificate holder and additional insureds listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: January 14, 2004