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Home My WebLink AboutORANGE COUNTY CONSERVATION CORPS 2A - 2002 . ,d-~~~,;1&) AMENDMENT TO AGREEMENT" TillS AMENDMENT, made and entered into this 2nd day of December, 2002, by and between the Orange County Conservation Corps ("Contractor") and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California ("City"). RECIIALS A. The City and Contractor entered into that certain Agreement dated June 3, 2002, hereinafter referred to as "said Agreement", to provide career preparation and basic skills services for disadvantaged youth who are out-of- schoo\. B. The parties hereto now desire to amend the amount of the "City's Obligations" found in Section 2 of said Agreement. ',',THEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do hereby agree as follows: 1. The "City's Obligation" section of said Agreement will be amended to read: ". ..a sum not to exceed $?R1i 'i'il 00." 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. crIT ~ KNA ""¡ -. of!!!?- APPROVED AS TO FORM: Orange County Conservation Corps. R~ Executive Director 6tA~ [ ~- By: Lisa E. Storck Assistant City Attorney RECOMMENDED FOR APPROVAL: John ~~, Executive Director Community Development Agency INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES '1~ZthJ3 CLERK OF COUNCIL DATE: v/t..¡.,(;) 3 ~:~t> ;;.cO1¡ld~ CERTIFICA T F liABiliTY... INSURA --.. O~A;~I;";~~~O.3.J THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER Andreini & Company 300 Esplanade, Suite 100 Oxnard, CA 93030 (805)981-9585 F:(805)981-0161 COMPANY A PHILADELPHIA INDEMNITY INS CO ",SUR" ORANGE COUNTY CONSERVATION CORPS FAX NO. 1(714)-956-1944 700 N. VALLEY STREET, STE. AB ANAHEIM CA 92801 COMPANY B S FUND COMPANY C COMPANY -,.' D (,;;vt;~' """" Ï!ó'i~i!j(¡~ïi::' "",'" """" '::'j:,:':;::;,': itk':': "" ": "" ~Isìs T~g~~~;;'~~ T ~~~;~~;~~';~"i~~~;;:;~~i~TED "'~~~~; "~~~~' "~~~~ ';~~C~~"'T~TH~iN~G~~~~;~~~;¡;~~~FoÁ T~iip~G~~ ~~Ái~~ INDICArED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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 CQNDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO L11I TYPE OF ",SURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION DATE (MMIDDIYY) DATE (.WDDIYY) UMITS PHPKO55497 07/20/03 07/20/04 GENERAL AGGREGATE PRODUCTS - COMPJOp AGG PfRSONAL . ADV INJURY EACH OCCURRENCE FIRE DAMAGE (My 0"' ",.) MEO EXP (My 0"' "'"00) 07/20/03 07/20/04 COMBINED SINGLE LIMIT '1,000,000 BODILY INJJRY (P" "'oon) FORM BODILY INJURY (I'".",IdonO A AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWHED AUTOS PHPKO55497 PROPERTY DAMAGE A EXCESS UABIUTY UMBRELLA FORM OTHER THAN UM8RELLA FORM B WORKERS CO""SATION AND EMPLOYEnS' UABIUTY PHUBO21098 07/20/03 07/20/04 AUTO ONLY. EA ACCIOENT OTHER THAN AUTO ONLY' EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE 46-012055-03 06/01/03 D6/01/04 WC STATU- OTH- THE PROPRIETORJ PARTNERSIEXECUTIVE OFFICERS ARE, OTHER INCI. EXCL EL EACH ACCIDENT EL DISEASE. POLICY LIMIT EL DISEASE. EA EMPlOYEE A AUTO PHYSICAL DAMAGE PHPK055497 07/20/03 07/20/04 DEDUCTIBLE DEDUCTIBLE 1,000 COMP 1,000 COlL DEBCRIPTION OF OPERATIONB/LOCATIONSIVEHICLESlBPECIAL ITEMS RE: GENERAL LIABILITY COVERAGE-THE CERT HOLDER ITS OFFICERS, EMPLOYEES AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. ADDITIONAL INSURED ENDORSEMENT,ATTCHED.*10 DAY NOTICE OF CANCEL FOR NON-PAY SHALL APPLY. Þ~1I1!I1îI!;'At!j,!!!!~!!'lì'n%F¡I:"¡nF>I"¡LF:i""" '"""""""",""" "" """"¡"œ¡;'~Imt!9t¡¡¡¡¡¡@Lr",¡¡{,;}""¡,:¡:m:"" JWi""","""""""""" \)':" """"""""""""""'" CITY OF SANTA ANA ATTN:ESTHER AKHAVAN/PARK PLANNING 888 W. SANTA ANA BLVD., STE 200 SANTA ANA CA 92701 SHOULO ANY OF THE ABOVE DESCRIB.. POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE 'SSU",G COMPANY WLLxøølallX1IOXMAIL ~ DAYS WRITTEN NOTICE TO THE CERT1FICATE HOLDER NAMED TO THE LEI'T, jijil_'jÞiP¡ GO 'd . . A'òDITIONAL IÑSURE'Q~~.MENT FQB. COMMEltqAL GENERAL LtAI5ILITY POLXÇY IO$uranoeCompat1.)I ")'Ii'tlr~""p'1i" r""U'iaÞ..... ç;g~ This endors~mertl modifics such insurance as is afforded by the prl)\I¡~ions of Policy # P¡¡;;PKf)5S4~7 re1atingto th~ following: ¡. 1M CitY of Santa Ana, 20 Civie Cenler Plaza, Santa Ana, California 92701; ils officers. employees, a¡¡;ent$, volunteers and ~presenll\tiVès are !I(uned as additional insureds ("additional insuredS") with regard 10 liability and defense of suits Ilrising from the operations and uses pmonned by or on behalf of the named ins\\red, 2, With respect to claims arising out ofilia opertltions and uses performed by or or¡ behalf of the named insured, such j(l$lirance as Is afforded by this policy is primary and is not additional to or conttibuting with aJlY oth~ insurànce carried by or for the benefit of the additional insureds, Urlless the c.i.ty h c;¡rossly ne9li~ent. 3, This illsuranoe applies separately to each In$1Jl'ed against whom claim Is made Or s\lh is brought except With xespect to the company's limits of lìabl1lty. The i¡¡clusion of any person or organization as an insured shall oot affecl any right which su'ch person Of orga,nÍ2:atÍon would b.ave as a. clairnl!1\! ¡Cn<n so inducted. 4, With respect to the additionõ1 il\S\.\reds. tbi.$ inSU\"ar1ce shall not be eancelled. or maleIiõ11y reduced it,¡ cov~age Of limits exc:"'pt after thirty (30) da.ys written ootice has been given to the City or Santa Ana, 20 Civiç Ce¡¡terPlaza. Ssllta Ana. California 92701. (Completion of the following, includh?,g cowtmÎgnature, is required to rno.ke ,hh endlJISem"'nt effective,) ~ffective -.:!./.:MJ'¡.o+ , this endorsement form as a part of PolicyII' ÞHP!(gš5197 lss\led to -Qr..........c C!~~n ¡';y e ~ ' '-"or ûM~~V a18ið.6ì~~d'. Countersigned by ~~ ~Wtl Authod:wt Rep, entati\'e ~ 'ON X\l~ ¡'¡d G! :GO 301 £OOG-GO-d3S , . . . . ' ¡ POLICY NUMBER:PHi>K055497 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the fQllowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF SANTA ANA ATTN: ESTHER AKHAVAN/PARK PLANNING 888 W. SANTA ANA BLVD., STE 200 SANTA ANA, CA 92701 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. CG20261185 Copyright, InsLirance §.ervices Office, Inc., 1984 .' ,'~ ANDREINI & COMPANY 1",0,"'" / R"k M,o'g,m,oc / Employ" B,o,n" . . ACORD FORM 25-S - CONTINUED... IT IS AGREED THAT ANY INSURANCE MAINTAINED BY THE CITY OF SANTA ANA SHAll APPLY IN EXCESS OF, AND NOT CONTRIBUTE WITH, INSURANCE PROVIDED BY THIS POLICY EXCEPT IN THE CASE OF SOLE NEGLIGENCE OR WillFUL MISCONDUCT BY THE CITY OF SANTA ANA, 300 E,pbmd" So'"~ 100, O",wd, CA 93030 Lice"" 0208825 80S/9BI-9585 FAX 805/981-0161 CERTHOLDER COpy STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE F=UN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE, 12-02-2003 GROUP: 000046 POLICY NUMBER: 12D55-2003 CERTIFICATE 10: 48 CERTIFICATE EXPIRES: 06-01-2004 06 -01-2003/D6-0l-2004 .1- ;2003-/ tP3 ------- "',A - d--DO3 - ;;25..3 CITY OF SANTA ~~ ATTN, KIM PFF.TFFI<R , " \ 20 CIV'fC CENTER PLAZA SANTA ANA CA 92701 JOB, ALL OPERATfONS This is to certify that we have issued a valid Worke(s Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for Ihe policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also giVe you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or aller the coverage affDrded by the policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which !his certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is sUbjècl to all the terms, exdusiOns, and cond~ions, of suchpoiicièS. ~ ,&~ c. &L- AUTHORIZED REPRESENTATIVE PRES/DENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS, $1,000,000 PER OCCURRENCE. ENDORSEMENT #1586 - VOLUNTEER COVERED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 06-01-2003 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ¿..~C>~ , :Ç-\I. <1r t' ~G 0,>" L.=~ O<-c...,- -'¡" ¡;;........ S ToT E'" é....:s:: ~ """'îb ~ IL. ,~ 'ì'\ð. EO o--.r-- S' T~\- - c.. ~,~;:- ~~"""-<'I ~,~ IS EMPlOYER APPROVED AS TO FORM ~ c£7___- -- Laura S,i" ')KeCCIY "",iSlnnt C,'y Allernc'" ORANGE COUNTY CONSERVATION CORP. CORP. ) 700 N VALLEY ST STE B ANAHEIM CA 92BD1 (A NON PROFIT SCIF 1O262E ¡;',\-/\:¡i'è!,"..2-20O> PAGE 1 OF' """'pi /hi, ".1ifiœ.. ""y' "'" ~. """ w...~.. Ih" ,..... "OFFICIAL STATE FUND DOCUMENT"