HomeMy WebLinkAboutACE-AMERICAN CENTER 2A - 2004
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer in effect.
Return form to the Sr. Deputy Clerk of the Council (M-30). Ca11647-5238 if you have any
questions.
The agreement with f_~ lk ~~- , No•~'O~~"`-'' -0l
was completed on Y/ W ,and final p yme has been made.
Signature:
Date:
City of Santa Ana
Revised 8-7-03 Clerk of the Council
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AMENDMENT TO AGREEMENT
TIllS AMENDMENT, made and entered into this 1st day of December, 2004, by and between ACE - American
Cetner for Education (hereinafter "Consultant") 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), collectively referred to
herein as "the Parties".
RECIIALS
A. The Parties entered into that certain agreement entitled "Consultant Agreement" dated January I, 2004,
hereinafter referred to as "said Agreement", to provide job preparedness instruction for clients at the Santa Ana
WORK Center.
B. The parties hereto now desire to amend said Agreement to increase the "Compensation" found in Section 2
of said Agreement.
WHEREFORE, 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 "Compensation" section of said Agreement will be amended to read "...shall not exceed $5,000 during
the term of the Agreement."
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.
ATIEST:
CITY OF SANTA ANA
~~
City Manager
Patricia E. Healy
Clerk of the Council
APPROVED AS TO FORM:
Joseph W. Fletcher, City Attorney
ACE - American Center for Education
~-~
Lisa Storck, Assistant City Attorney
By:
Rich
ED FOR APPROVAL:
J1:IL
mcia C. Whitaker, Executive Director
Community Development Agency
INSUR~NCE ON FILE
WORK M~ Y PROCEED
UNTIL INSURANCE EXI'IRES
I / I /07
CLERK 'OF COUNCIL
DATE:' IJ--;)-C¡ -oct
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 AIliant Insurance Services Cily 06 Santa AM
P. O. Box 28323 20 C,¿V-ic. CelLteA Pl.a.za, M-28
Santa Ana, CA 92799-8323 Santa AM, CA 92701
(949) 660-8163
License No: OC 36861
NAMED INSURED (EVENT HOlDER): EVENT INFORMATION:
RÙhalLd GltegeA TYPE: Inðbutc.üonlLt - Se1.-,í ImPltoveme~
17561 BltelLt Lane DATE(S): 10/8/04 - 12/31/04
TU-6un, CA 92780 . LOCATION: W.O.R.K. CPILtPlt
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,
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INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: 04SEPIOOOOOI
MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2004 EXPIRATION: JANUARY 1,2005
COMMERCIAL GENERAL LIABIUTY OCCURRENCE FORM DEDUCTIBLE: NONE
General Aggregate Umit $ 2,000,000
Products & Completed Operations 1,000.000
Personal & Advertising Injury 1,000,000
Eacb 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 po1icy as jf 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, hut 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 awly to: Any "occurrence" which takes place
after the event holder ceases to be a tenant in that premises.
OTIIER ADDITIONAL INSUREDS
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CANCELLA nON: Should the above descnòed policy to cancelled before the expiration date thereof, the issuing company wjll mail 30 days written notice to the
certificate holder and additional insureds listed.
AurnORmIDRE"""ENTATIVE ~~
DATE ISSUED: Oc;tobelt 8, 2004
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