HomeMy WebLinkAboutALVARADO, ALFREDO 2 - 2000City of Santa Ana
Clerk of the Council
- AGREEMENT TERMINATION FORM
COTC Office Use Only
M23 M 9- 16
Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect. C Id � ANA
L
Return form to the Clerk of the Council Office (M -30).
Call 647 -2520 if you have any questions.
The agreement with
No. @N-2001-111
(List all amendments.
N-Mg- ISS
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Revised 0412 -10
Alvarado, Alfredo ,✓�
was completed on 6/30/02 " and final payment has been made.
Use space below if needed.)
Department: PRCSA
Phone /Ext.:
5254
Signature:
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Date: 9/22/10
Alcala, Abigail
From: Mitre - Ramirez, Norma
Sent: Wednesday, May 13, 2015 12:31 PM
To: Alcala, Abigail
Cc: Cuevas, Silvia
Subject: FW: ALVARADO, ALFREDO
Hello Abigail,
Please add amendment to the termination slip, scan it and also scan this email to LF. Thanks
From: Cuevas, Silvia
Sent: Wednesday, May 13, 2015 12:10 PM
To: Mitre - Ramirez, Norma
Subject: RE: ALVARADO, ALFREDO
Hi Norma, yes N- 2002 -076 is closed. Do you want me to send a termination form or could you add the amendment
number to the termination form you already have?
Thank you
'Suv%a Cuevas
Management Analyst
City of Santa Ana
Parks, Recreation and Community Services Agency
ScuevasCa?santa- ana.org (714) 647 -525d
Learn *Have Fun *Get Fit *Be Respectful
From: Mitre - Ramirez, Norma
Sent: Friday, May 08, 2015 7:50 AM
To: Cuevas, Silvia
Subject: ALVARADO, ALFREDO
Hello Silvia,
We have a termination slip for N- 2001 -111 however we are missing the termination for the amendment, N-
2002 -076. Please confirm that the amendment with Alfredo has terminated so that we may close out the file
Thanks
Norma Mitre
Sr. Deputy Clerk of the Council
City of Santa Ana I Clerk of the Council Office
20 Civic Center Plaza I Santa Ana, CA 92701
714- 647 -6520 1 nmitre @santa- ana.or�
t�gLl?.4NGF_ 0?I FILE
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CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this '3D day ofd 2000 by
and between Alfredo Alvarado, a sole proprietor (hereinafter "Consultant'), and the City of
Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City ").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
gymnastic instruction.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. 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 $4,500.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2001, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of Parks,
Recreation and Community Services and the City Attorney.
1 SURANCE j�.Li j ON FILE
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WORK MAY KIT PROCEED
CLERK OF COUNCIL
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DATE' P—fi— OJ (
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THIS AGREEMENT, made and entered into this '3D day ofd 2000 by
and between Alfredo Alvarado, a sole proprietor (hereinafter "Consultant'), and the City of
Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City ").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
gymnastic instruction.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. 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 $4,500.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2001, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of Parks,
Recreation and Community Services and the City Attorney.
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4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer - employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Worker's Compensation Insurance. In accordance with the provisions of Section
3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured
against liability for worker's compensation or to undertake self - insurance. Prior to commencing
the performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
C. If Consultant is or employs a licensed professional such as an architect or
engineer: Professional liability (errors and omissions) insurance, with a combined single limit of
not less than $1,000,000 per claim.
d. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
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(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
e. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section I of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care. "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
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Confidential information disclosed to either parry by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non -use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M -30)
P.O. Box 1988
Santa Ana, CA 92702 -1988
telefacsimile (714) 647 -6956
With courtesy copies to:
and,
Executive Director of Parks, Recreation and Community Services
City of Santa Ana
20 Civic Center Plaza (M -23)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 571 -4235
City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647 -6515
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To Consultant:
Alfredo Alvarado
1419 South Sycamore Street #6
Santa Ana, California 92701
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty -four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
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a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be governed and construed in accordance with the laws of the State of
California. This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of his inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST: CITY OF SANTA ANA
P CIA E. HEALY AVID N. RE
C erk of the Council City Manager
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
4
By:
Lau fa Sheedy
Deputy City Attorney
RECOMMENDED FOR APPROVAL: CONSUL
IV-9— - - --1 — I
Cleve Williams Al edo arado
Executive Director of the Parks,
Recreation and Community S.S. #648 -09 -2094
Services Agency
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EXHIBIT A
SCOPE OF SERVICES
A. Consultant will conduct children's gymnastics classes for eight monthly sessions,
commencing November 6, 2000 and continuing through June 30, 2001. Said classes shall
be conducted at the Jerome Recreation Center on Mondays and Wednesdays as follows:
Beginner classes will be held from 4:30 p.m. to 5:30 p.m.
Advanced classes will be held from 5:30 p.m. to 6:30 p.m.
No classes will be held on January 15, 2001, February 19, 2001 or May 28, 2001.
B. Consultant will provide and be responsible for equipment, records, personnel and clean
up of the facilities and materials necessary to ensure the effectiveness of said instruction.
Class Size — Registration
A. The minimum number of participants is 10 per class. The maximum number is 20 per
class session.
B. No registration will be accepted after the second week of classes.
C. In the event the minimum number of enrollees is not realized by the second week of
classes, the class shall be canceled. Consultant will be under no obligation to provide
services and City will have no obligation to compensate Consultant.
Fees
A. The fee to participants shall be no more than $20.00 per month per participant. No
refunds shall be made to participants unless class is canceled by the Parks, Recreation
and Community Services Agency.
B. City shall collect fees from each participant in the class during the registration period.
Consultant shall not collect fees but shall refer participants to the Jerome Center office.
City agrees to pay Consultant seventy percent (70 %) of the total fees within fifteen (15)
working days after completion of said class period. City and Consultant agree that City
shall retain thirty percent (30 %) of the fees collected.
C. Consultant agrees that City shall be entitled to audit Consultant's records to ensure
compliance with the Agreement
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EXHIBIT B
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ADDITIONAL INSURED ENDORSEMENT
FOR COMA�RCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
( "additional insureds ") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy # _
Issued to
this endorsement form as a part of
Named Insured
Countersigned by
Authorized Representative
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THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER PNDNE E,G,
MUNICIPALITIES INsum.NCE SERVICES, INC.
1920 E. 17th Street, Ste. 130
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THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
PER EXPIRING POLICY A:
CODE: SUB CODE:
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DESCRIPTION OF OPERAMORSNEHICLESIPROPEITY IIndu3nB LocXiaN
Exercise and Health Classes for City effuloyees
Per the attached list
INSURED
Leisure Class Instructors and The City Of Santa
Ana
20 Civic Center Plaza
Santa Ana, CA 92(701
TYPE OF INSURANCE COVERAGPIFORMS
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PRODUCER GAGLIARDI INSURANCE SERVICES, INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFN:ATE
2360 S. BASCOM AVENUE 9200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
CAMPBELL, CA 95008 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
408- 377 -7781
BELOW HAVE BEEN ISSUED TO THE INSURED NAMCO ABOVE FOH THE FVJLICY PEHIOU INDICATN). NOT W ITHSTANDING
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INSURERS AFFORDING COVERAGE
FAX -408- 377 -0665
OF ANY CONTRACT OR OTHER DOCUMENT WITH HESPEC'r TO WHICH T"G CFHTIFICVt MAY BF ISSUED
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DESCRIPTION OF ADDED By ENBORSETIFMISPEGIAL PROVISIONS
IT S HEREBY UNDERSTOOD AND AGREED THATCLTY OF SANTA ANA
ADDED AS AN ADDI "I -IONAL INSURED, BUT ONY WITH REGARD 70 NEGLIGENCE OF THE NAMED INSURED,
At AND CONDITIONS OF THE POLICY APPLY.
ERM OF 1MI0100'TO 711(01
LFORTHE
AL-1 1 11'1111N1
CERTIFICATE HOLDER I I ADDITIONAL NRWED;WSURE
SNOJLO AHY OF THE ABOVE oF9CPbE0 POLiC1E36E CANCELLED BEFORE TIE EXPRATION
CITY OF SANTA ANA I DAIS THEREOF, THE MSUNO INSURER WILL ENDEAVOR T AIL "A130 DAYS Y PTMN
20 CIVIC CENTER PLAZA I ROTICETO THEE n A LOER NAMe r, IV lT� iE . , BGT FMNRE TU GG 5U 5HALi
SANTA ANA CA '92701 ��.LTA ` ,y�r�rlx Nle�o uPgH 1NE�CCC �YTS -FNT3
INPOSE NO OBLIGATION
0 AACORD CORPORATION 1988
santa ana resa 7145714235 P
Dec 1.2 40, �t:�2f3 P � 40�%1013F XhE
e FILL No- 061 11,27 '00 1c,:2� �N��TA1NtIFNT BY J8J w
Tu:911�3'70n�` F•: l� 1.
ADDITIONAL INSURED ENDORSEMENT
Insurance COMPenY
This endorsemenl modifies such insurance ea is afforded by ►he prov]sinne al Fuliay
#_Su ?t4 1.' .__.._relatin9to the folluwinp:
1. The City of Santa Ana, 20 Clvlc Center plaza, Sere Ana, California
v
92701; Its oVOWS employs&&, agars. volunlaere and representatives are aned 84
,s additional tr]aw" ( "additional insureds") with regard to (lability and dater$* of tsud$
arising from the opstatlons and uses performed by or on behalf of the named insured.
2. Wllh reepeat to claims arising out of #0 operations and uses performed by
or on behalf of the named Insured, such insurance as is afforded by this paltry is
primary and is not additions to or contributing with any other insurance nestled by or for
the btmefit of the additional insureds.
S• This insurance aPPIles Wsrsiely to aeon insured against wham claim Is
made or suit Is brought except with respect to the company's limhs of liaNlity. The
inclusion of any person OF organization as an insured shall not affect any. right Which
such person or organization would have as a claimant if not so Included.
a. With reepeot to the additional insureds, this insurance shall not be
canoalled, or misterialiy reduced in coverage r limit except after
Center daahto ille"
notice has been given to the City
California 92701 -
(Completion of the following, inckWInU counieraignetwe, is required Io make this
endorsement effective -1
Effective_ November 22• 2000 ,thlaendorsamtnt form asa part ot
Policy k yL4i -L1 ttl r 39 —_..
Issuk to
bSBfdlbVit. ;ryytl:]:4N7tl:i dES�ac �n:3 -u. -hurt
w;h 00562486bt:I�GI
01/09/2002 14:19 - 4063770655
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un.
pAwfvA WYY)
900M CERTIFICATE OF LIABILITY INSURANCE , 2DD
ti,B1+
UAT" AS )NRORYATION
A. A
GAGLIARDI INSURANCE SERVICES, INC
2380 S. BASCOM AVENUE 01200
CAMPBELL, CA 85009
408- 377.7791
FAXAOB- 377-0956
NATIONAL SPORTS ORGANIZATIONS
ALREDO ALVARADO GYMNASTICS CLUB
P,O. BOX 5458
SANJOSE CA 9515C
INSURERS AFFORDING COVERAGE
COVERAGES
POLICIES OF INSURANCE E ICONDBELO
HAVE BEEN ISSUE T
WIABOVE ESPECT TO WWHHICH THIS CERTIFICATE MAY BE ISSUED OR
ANY
AFFORDED
OTHER DOCUMENT
BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
MAY
PERTAIN. THE INSURANCE
LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS
POLICIES,
AGGREGATE
F CTIVE POLICY EKPIR N LIMITS
TTPE OP INSURANCE
POLICY NUMBER
EACH OCCURRENty� S
A
GEMlRALLIABIL"
I EIRE DAMAOE IMY a 11 P") t
X COMMERCIALGENERALLIABLRY
CLAIMS MADG ❑ OCCUR
SL OL 281 5255 07/01/01 07101/02 PE EKF lM^ aln RPNEP) /
PERSONAL III ACV MIJURY ! ,QQD
GENERAL AGGREGATE t
X Exr LUDESATHLETICPARIICIP
6 PRODUCTS COMPIOp A00 y
OEML AGGREGATE LIMIT APPLIES PER
POLICY PRO LOC
COMBINED EMOTE LIMIT y
AUTOMDSILi WAIKRY
(EM a Wll
ANT AUTO
I
BODILY INJURY y
ALL OWNED AUTOS
(PArMgM)
SCHEDULED AUTOC
y��IRY S
HIRED AUTOS
IpNB)
REVI ED
NDNOWNED AUTOS
PROPEAW pMIAOE y
I
IpN .u+M.n(I
AUTOONLY- EAACCID[NT
S
GARAGE LIAIKITY
07KER THAN EA ACC
S
ANY AUTO
AUTO ONLY A00
!
EACH OCCUARENCE
I
EXCESS LIABILITY
CLAIMS MADE
AGGREGATE
E
OCCUR
y
I
DEDUCTIBLE
RETENTION F
WC TA '
WORKERS CGLIMNSATIDN MID
EL EACHACCIOENT
tMPLOVMS' LIABILITY
it
E.L. OISGAGG -FA EMPLOYE
!
S
I
E L. DIIEABE POLICY LIMIT
OTHER
DESCIMPT(ON OF OPERATKINIM OCATIW/EIVEMCLlE2XCLUSIONS ADDED BY ENDGR/EMEMIiMCIAL PIIOVlmmv
IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CITY OF SANTA ANA
WITH REGARD TO NEGLIGENCE OF THE NAMED INSURED.
ARE ADDED AS AN ADDITIONAL INSURED, BUT ONY
ALL TERMS AND CONDITIONS OF THE POLICY APPLY.
.n. TMC TFRU OR 12119!01 TO 711102
THE CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA
JOUMO, INSURER LETTER JAHVVGLM I IvI-
MIDULD ANY OF THE ABOVE DESCAI)!0 POLK:IES BE CANCELLED SEFORE THE EXMIATION
DATE TNlMOP, THE "VINO INSURER WILL SNOEAVON TG MAIL -M DAYS WARTEN
NOTICE TO THE CERTIFICAlE HOLDER NAMED TO THE LEFT, T F LIRE TO DO EO SHALL
CA 92701 VIPOSE ND M ON O4 L I" OF ANY WHO UPO TIM NI RER, ITS AGENTS OR