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Home My WebLink AboutRamirez, Daniel 2bAGREEMENT TERMINATION Please complete this form when the attached agreement is no loa r i0fiv4t * 21 Return form to the Sr. Deputy Clerk of the Council (M -30). Can 647 52-38 rfjrou h0V`any questions_ C 14V -------- - - - - -- --- - - - - -- Theagreementwith - O ,rez— 21 No- M� a003- C)CJ6 -Ok was completed one " � and fmal payment has been made_ Department: A?V—C 2,4 Signature: *—U t &', C&Aao Bate: (0(31Iq City of Santa Ana Revised 8 -7 -03 Clerk of the Council N-2003-096-02 INSURANCE ON FILE WORK MAY PROCEEO UNTIL INSURANCE EXPIRES I./''/~O(O CLERK Of COUNCIL DATE, OCT 1 9 2005 SECOND AMENDMENT TO CONSULTANT AGREEMENT Df (J!(.r:..s po) (O_~ THIS SECOND AMENDMENT TO CONSULTANT AGREEMENT is entered into on OQ*IJ\:J~v 1"1 ,2005, by and between Daniel Ramirez, a sole proprietor ("Consultant") and the City of Santa Ana, a charter city and municipal corporation ofthe State of Cali fomi a ("City"). Recitals: A. The parties entered into Consultant Agreement N-2003-096, dated September 24, 2003, (hereinafter "said Agreement") by which Consultant has provided Folklorico- Mexican Traditional dance instruction for participants registered through the City's Parks, Recreation and Community Services Agency. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term for an additional one-year period and to increase the compensation to pay for services during the extended term. 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 2.a., COMPENSATION, shall be deleted in its entirety and replaced with the following language: "City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $10,000.00, annually, during the term of this Agreement." 2. Section 3., TERM, shall be amended to extend the termination date from June 30, 2005 to June 30, 2006. 3. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. II II II IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Consultant Agreement on the date and year first written above. CITY OF SANTA ANA ATTEST: ~~. 'I/e' .J _,,,.- -. . -......... /:~ .. ~Al~~cf;E~ifEAL~,I .~ Clerk of the CBuncil ~a DAVID N. AM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney i~~~~e~~ ~ Assistant City Attorney APPROVED AS TO CONTENT: CONSULTANT 7-(. GERARDO MO Executive Director Parks, Recreation d Community Servi es Agency ::::DCh4' ~ DANIEL ~IREZ ~.., . lrpOM FIT',F3S Ar~D WE~LJ\lfSS ir"S~)R,\tJCE (Tf-'U I MA R 9 2 '1 (16 1 -'l : r:: 8 S T I,,"' IJ, IJ., f:i ~:,> fJ 4 2 Cl >3 B ,;: ACORD CERTIFICATE OF LIABILITY INSURANCE ) DATE (MMfDDlYYVY) TM 031051/2006 PRODUCER Phone: (BOO) 3ll5-8075 Fax: (858j519..()822 THIS CERTIFICATE IS ISSUEO AS A MAnER OF INFORMATION FITNESS AND WELLNESS INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIfiCATE 380 STEVENS AVENUE, SUITE 206 ~~~:R. THIS CERTIFICATE DOE~ :';>~:J:MEND. EX~~~ nO: SOLANA BEACH CA 82075 INSURERS AFFORDING COVERAGE NAIC' ., lief 0026716 i------ -------- --- ----~-_._. INSURED N- d-VO?;-rfi(p-O;;L INSURER ~: Zu!iCh American Insurance Company t--- -- DANIEL RAMIREZ N -;).(;o3-v9~-O' INSURER B: 13901 FERNWOOD ._..~ I~NSURER C GARDEN GROVE CA 92843 IV -;).003-090 'NSURER-D~ - --[---- u_ -- INSURER E: COVERAGES THE POLICIES OF INSURANCE LtSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMeD ABOVE FOR THE F'OLICYP[RIQD INDICATED, NOtWITHSTANDING ANV REQUIREMENT, TERM OR CON DillON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTlf"ICATE !MY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDI~IONS OF SUCH POL!CIES_ AGGREGATE LIMITS SHOWN MAV fil\VE BEEN REDUCED lJV PAlO CLA!MS. H;;R ~~ .. -----.- LTR INSR[] TVPi OF INSURANCE I POLICY NUMBER ~NERAL LIABILITY I ! X CO".,.,ERCIAl GENERALLIABIUTYI' I CLNMS MADE [E OCCUR ~i"~~~ ~;~t:Y,=~N LIMITS EOL9012327-D1 01/10/06 01/10/07 EACH OCCURRENCE DAMAGE!o.RENi!D PREMISE"StF.OGGu~"") MED. [J(p (Anyone F"rson: . . 1,0~ .~~ 2,~_~_ 1,000,000 . ___ 3,~0~ 3,000,000 A f-- f---~------ GENl AGGREGATE LIMIT APPLIES PER: f-c-, .~PRO ~ X I POLlCY ! I JEer . 'LOC PERSCNAl &ADV INJURY _ _~_ GENERAL AGGREGATE $ I ~~oou CT~_~COMP~'~~ ~~~. . AUTOMOBILE LlAEUl..rrY 8 . :::Y:~~DAUTOS SCHEDULED AUTOS HIREO AUTOS I NON-OWNED AUTOS - - COMBINED SINGLE LIMIT (Eaaccide-nt) $ J BODILY INJUHV 'IIP!lfpar$Onl BODILY INJURY (P9l"oocid9tit) s . GARAGE LIABiliTY =] ANY AUTO ~e:SS I UMBRfL.U\ L.lA8tuTY ~. OCCUR 0 CLAIMS MADE HI--, DEDUCTIBLE RETENllON S I I Pp:~~~I~AMAGE . AUTO ONl.. Y : EA ACCIDENT . OTHER THAN AUTO ONLY EA ACC S AGG $ . . ~--- . '- ; EACH OCCURRENCE , ~(;ATE WORKERS COIIPENSATlON AND EMPLOYERS' LIABIL(TY I ""Wi PItOPRlETORIPAJlTNe~eUTIVE OFl'lCl!l'lmEMIlEIt.EXCLUDEO? ,~,",duc:I'lIlIIUIIdW ISPEClAlPROVISlOta_ LjJ:(j / j I /-, fVL '.7'+'. . ~!iT"'T\J-~L~ TOPl_VLlMIT1; O~R - -- E.L. EACH ACCIDENT . E.L DISEASE-EA EMPLOYEE . -- E_L DISEASE-POUCv. IM/T . I OTHER: I i I . DESCRIPTION OF OPERATIONS/LOCATIONSNEJiICLESJEXCLUSIONS ADDED BY ENDORSEMENTI SPECIAl PROVISIONS It is understood and agreed that thQ following eoUty Is added as an additional Insured but onty as respects the operations of the ~med insured except that Uability resulUng from the additional insureds sole negligence. CERTIFICATE HOLDER CANCELLA TlON Tho Cjty of Santa Ana 20 C'vlc Centeor PIau!. santa Ana CA 92702 SHOULD PJfV OF THE ABOVE DESCRIBED POL,CII:.S BE CANCELLE"Q BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURfR WILL MAIL 10 DAYS WRI-:-TEN NOTlCF TO THE CERTWtCATF HOLDER NAMED TO THF LEFT AUTHORIZED REPRESENTATIVE ~~~ Jeffrey E. Frick, CEO @ACORDCORPORATION19Ba Attention: FX: CARLA THOMPKINS 714-571~209 ACORD 25 (2001108) Certificate # 37082 I'::""', Y . . ~~~v F!T~ESS AND WELLN~SS INSURANCE \ T H 'J) MA '" 9 2 C Li G 1 -l C, B /'; I 1 4 I~ -;' /I'J '-' F f< '2 (4::' n" 8 ':' p POLICY NUMBER EOL9012327-01 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS (Form B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY SCHEDULE Name of Person or Organization; The City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92702 (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, but only with respect to liability arising out of "your work' for that insured by or for you Primary and noncontributory ~~ CG20 10 1185 Copyright. Insurance Services Office, Inc, 1984 Certificate # 37082