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Home My WebLink AboutFORCUCCI-HERON LEANNA 1A-2005 IJ - ¿).DO '1-- 0<15 - DI INSURAfJ:E NOT ON ill WORK MAY t1QlPROCEE.;~ CLERK or COUNCIL DATE: 2-15-oS ð:P~ (J>.~ FIRST AMENDMENT TO CONSULTANT AGREEMENT THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into this if;-r-. day of ~lo n/iPhGi ' 20ð2l\ by and between Leanna Forcucci- Herron ("Consultant") and the Ci y of Santa Ana, a charter city and municipal corporation of the State of California ("City"). Recitals: A. The parties entered into Agreement N-2004-045, dated May 5, 2004, (hereinafter "said Agreement") by which Consultant has instructed Hip Hop I Jazz dance classes through the City's leisure class program. B. In accordance with the terms and conditions of said Agreement, the parties wish to renew said Agreement for an additional one-year period. 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 First Amendment to Consultant Agreement, the parties agree as follows: I. Section I, SCOPE OF SERVICES, shall be deleted in its entirety and replaced with the following: "Consultant shall perform those services as set forth in Exhibit A- I, attached to this First Amendment to Agreement, and incorporated to said Agreement by this reference. " 2. Section 3, TERM shall be amended to extend the term through December 31, 2005. 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. II II II II II II IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Consultant Agreement on the date and year first written above. CITY OF SANTA ANA ATTEST: B~'-I~ .~ PATRICIA E. HEALY Clerk of the Council / / / / / Î/7 jy!t2(oUY~~c'-~-' DAVIDN. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney By: /-tÄ0Ø~ a 0 ~~ Laura Sheedy Assistant City Attorney APPROVED AS TO CONTENT: CONSULTANT ,~~ #1..:/ Executive Director ~ Parks, Recreation And Community Services Agency ~ ,,/"'[7 , /'." /"".C. ......- i . '<- EANNi¥~'æCCI-HERRON , . . EXHIBIT A-I SCOPE OF SERVICES Consultant shall provide beginning Hip-Hop I Jazz dance instruction for youth, ages II to 18, as follows: FEES . Consultant shall instruct a one-hour beginner class, once a week during separate six-week sessions. The classes will be held at the Sandpointe Recreation Center, or at another facility as agreed between Consultant and City. Consultant has determined that classes will be held on Friday's, from 6:30- 7:30pm. Consultant may adjust the schedule, based on the availability of rooms in the City's facility. Each class shall have a minimum of 8 and a maximum of 25, registered and paid participants. If the minimum registration has not been reached by the first class, the class may be cancelled by mutual agreement of Consultant and City, with no compensation owed Consultant for any cancelled class session. . . . . . Each participant shall pay a $45.00 class registration fee per six-week session of one-hour class. No refunds will be made to participants after the first week of class unless the class is cancelled by the Parks, Recreation and Community Services Agency. City shall collect registration fees from each participant. Consultant shall refer interested students to City for registration. Consultant shall receive seventy percent (70%) of total fees collected for the classes within fifteen (15) working days after completion of each class session. City shall retain thirty percent (30%) of the fees collected. Consultant agrees that City shall be entitled to audit Consultant's records and classes to ensure compliance with this Agreement and that all participants are registered. Consultant may not waive class participation/registration fees. City shall prepare class rosters and provide a copy to Consultant. Only registered participants, listed on roster, may participate in class. . . . . . . From: Sandi WFredericksen At: Wood-Gutmann Insurance Brokers FaxlD: 714-573-1772 To: Laura/City of Santa Ana Date: 3/1512005 11 :00 AM Page: 2 of 5 . ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR SF I DATE (MMIDDNYYY) CATHL-1 03/15/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wood-Gutmann Insurance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License #0679263 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 14192 Franklin Ave., Suite 200 ALTER THE COVERAGE AFFORDEO BY THE POLICIES BELOW. Tustin CA 92780-7044 Phone:714-505-7000 Fax: 714-573-1770 INSURERS AFFORDING COVERAGE NAIC# ~. ----.--.----- I -~ ------ INSURED ¡J. ;)N,Lj.{qS'OI ~~::;Uf\eRP., Zurich US 19305 ----.---.- -.----.--- N::;URER8 Cathleen Forcucci Dance INSUREPC Acad~, Fullerton C-----' 3040 ry st INSUR;:::¡D Riverside CA 92506 INSURER E COVERAGES THI:: f-'()_(~If::'", ()~ l'bURA~CE LISTED BELOW HAVE:. BeeN 1::;::;UtD ¡O THE INSURED t,J.AMED ABOVE <\R 'He POLICY PERIOD INDICA~ED NOTWITHSTA~OING ANY =1EOUIREMENT, TERM OR CONDIT ON (FANY cmHRACT OR OTHER DOCUME~JT \i\hTH RESP!::CTTO VVHICH THIS CERTIFICA'E f./AY BE ISSUED OR MAv PERTAIN, THe-: I'JSURANCE AFfORDED BY THE POLICIES DESCRIBED HERE I!\; IS SUBJECTTC ALL THE TEf;'MS, "XCLUSIOI\':::, A.ND cor~DITICNS OF SUCH f-\)LICll'~ !\GGFEC'ATE LIM'TS SH()W~J MAY HAVl LJLLI\ REDUCED BY PAiD CLAIM::; ~ ~-- ----- I "DATE (MMíDD~ P~TE' (MMIDDNY) LTR "SR TYPE OF INSURANCE POLICY NUMBER LIMITS ,.?~NERAL LIABILITY ! EACH OCCURREI\ICE. ! $ 1,000,000 A ~. ÕMERCIAL GtNtKAL LiAbiLITY 042823782 12/04/04 12/04/05 PREMIS-S,:EaoccLrSrlCs) I, *1,000,000 - - '~l /\IMS MAnF ~ or:cu< I MFD ¡::XP ¡Any Or18 ppr;on) ' 10,000 ~ *Tenant Leq1 Liab P"PSONAI fi. MV IN,1l :PY $1,000/000 GENERAL AGGREGATE' $2,000/000 - GEN'L AGGREGATE LIMIT AFf'LlES PER mODUCE - COMF'IOF' AGe, $2,000,000 I POLn n ~t2T n LOC ~TOMOBILE LIABILITY COMl:JlNtU SINGLE LlMl $ 1/000,000 A A.NY AUTO 042823782 12/04/04 12/04/05 (ea aCCljent) -. -. - ALL OWNtC AUTO:'; I:J~UILY INJURY , SCt--EúULi::D AUf OS (Per person ~ ~ ~ '1IREDAUTOS ROOII.Y INJURY $ ~ "JON-OWNED AUTO:=; (PAr 8cçirje~t) - PROP':PTY DAMÞ,GE ¡ (Per aCCident) ~AGE LIABILITY AUT8 or~L Y - EAACCOENT $ ,£l.NYAUTO OTHER IHA'J EAACC $ AUTO ONLY AGG $ ÒESSIUMBRELLA LIABILITY [AClI OCCuRRENCE $ - OCCUf-i n CLAIMS MA,Ue FORIv ' ",GGRE GA ~E $ ¡'RÜV ED AS TO , $ " R )EOUCTIBLE '/4 $ RETENTION $ ~ If;) ~,..¡f $ WORKERS COMPENSATION AND /,' '-. ,~, !T~~~;~1is! !°i:¡ EMPLOYERS' LIABILITY d ~ I ,,1l1ia ~~i,ShèCdY NN PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ftCCIDENT $ 1""\ tv AttnrnCy :JFFIC':FRIMFMBER EXCLUDED? ''¡",,-.-'' [L DISEASE - EA EMPLOYEE i $ Ifypc"d",cribeulldor E.L L)ISeAGE, POLICY LIMIT I $ SPECIAl PROVISIONS bclol'v OTHER I , DESCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 Days for Non-Payment of Premium. City of Santa Ana and their respective officers, employees, agents, volunteers and representatives are named as an additional insured per attached endorsement #CG20261185. Waiver of Subrogation also applies per attached endorsement #CG24041093 CERTIFICATE HOLDER SANTA07 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRmEN City of Santa Ana peggy Calvert 20 Civic Center Plaza Santa Ana CA 92701 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Of ANY KIND UPON THE INSURER. ITS AGENTS OR ACORD 25 (2001/08) u-R,¡{" RPORATION 1988 From: Sandi WFredericksen At: Wood-Gutmann Insurance Brokers FaxlD: 714-573-1772 To: Laura/City of Santa Ana Date: 3/1512005 11 :00 AM Page: 3 of 5 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statemenl on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), If SUBROGATION IS WAIVED, subject to the terms and conditions of the POliCY, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing Insurer(s), authorized representallve or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon, APPROVED AS TU l'Vh..,~ 7/./~>') '/1 :.JUfQ Sutt Sh',;(;dy '\:,,",btant City i\l!i)ífL..;\ ACORD 25 (2001/08) From: Sandi WFredericksen At: Wood.Gutmann Insurance Brokers FaxlD: 714-573-1772 To: Laura/City of Santa Ana Date: 3/1512005 11:00 AM Page: 4 of5 POLICY NUMBER: 042823782 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 following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name Df PerSDn Dr OrganizatiDn: City of Santa Ana and their respective officers, employees, agents, volunteers, and representatives As Required By Wrrtten Contra, (If no entry appears above, information required to complete this endorsement will be shown in the DeGlarations 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 w~h respect to liability arising out of your operations or premises owned by or rented to you. APPROVED ASrO FORlv! y:?-)) ,1'/11__...., , La'Jfa SUt\ ~nc';L1j !\s-.iSlan: CII', .\; :1)' CG20261185 Copyright. Insurance Services Office, Inc.. 1984 Page 1 of 1 0 From: Sandi WFredericksen At: Wood-Gutmann Insurance Brokers FaxlD: 714-573-1772 To: Laura/City of Santa Ana Oate:3/15!2005 11:00AM Page:50f5 COMMERCIAL GENEIW. UABlUiY THIS ENDORSEMENT CHANQE8 THE POLICY. PLEASE READ IT CAREFULLY. ""VAlVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 11IJa endor8emlllt mocill.. InIUl8nc8 pIII\lÍdld under Ihe faIawIng: COt,I,\!RCIAL OENEIW. LIABILITY CO\II!RAGE PART I"ICIIULR MInI. f1l1'enan or OI!81IqQII: City of Santa Ana and their respective officers, employees, agents, volunteers and representatives (II no II'Þy 1llpl8l'l1IboYe, ~ nlCulred ID c;onØIII8 111111 endønerrrent will þ IIhown In tne )d~ .. _GIIII.1ll1IiII endorlllNnl,) The TAANØlliR O~ RJI:JHTII ~ RlCO\I&RV ~ OTH5R8 TO U8 c-dIIIan <.-IV - COMMERCIAL GENERAL LIABlUiY CONDmONS) ....1ÒId b111w oddIiotl of Ihe~: We WIMI 8I1Y right d IIICIMIY we !MY hive 8QÛIII1he ptIIQI'I or crg8'llzlllan 8hoNn In ... Schedli8 8bow b8œU18 d ptym8ll11 \If8 II1II8 for Ir$Iry or dlmege l~eIna aut of your cngGing opntIon8 or ")'our work" done am. I CI1I8CI wnn .... 8I8IIn or orpru8lon II1d In:ÎId8CIln the "prmuc:lkOmplllllCl optIIIIIOnS nazanr. 11118 WlI...... only tD h III'ICIII or CIIQ8'IiZIIIOn aI1awn In IIw Sch8du18 .bav8. APPROVED AS TO I~Ohld ~!/j5 '1// ----,,--- / ¡,aura Stit! ShecJy ,\s:::.iswnl C\\y ;\\1"'-:1,," CG24041083 ----IIa,'"