HomeMy WebLinkAboutALVARADO, ALFREDO 2B - 2002City 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amendments (if any) are no longer in effect.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�
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
CLERK OF COUNCIL
DATE:
SECOND AMENDMENT TO
CONSULTANT AGREEMENT
N- 2002 -076
THIS SECOND AMENDMENT TO CONSULTANT AGREEMENT, is entered
into on 15� 2002, by and between Alfredo Alvarado, a sole
proprietor ( "Consul t ") and the City of Santa Ana, a charter city and municipal
corporation of the State of California ( "City ").
Recitals:
A. The parties entered into a Consultant Agreement, dated November 30, 2000,
(hereinafter "said Agreement ") by which Consultant has conducted gymnastics
classes at the Jerome Center.
B. On June 19, 2001, the parties entered into an Amendment of said Agreement to
extend the term and increase compensation to cover services provided during said
extended term.
C. In accordance with the terms and conditions of said Agreement, the parties wish to
amend said Agreement for an additional one year term and to increase the
Compensation to cover 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 Second
Amendment to Consultant Agreement, the parties agree as follows:
Scope of Services. Consultant shall perform those services as set forth in Exhibit A
to this Amendment to Agreement.
2. Section 2 a. Compensation, shall be amended to read as follows:
"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
Amendment to Agreement shall not exceed $10,000 during the extended term of said
Agreement."
3. The term of said Agreement shall be extended to June 30, 2003.
4. Except as hereby amended, all terms and conditions of said Agreement shall remain in
full force and effect.
03
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:
PATRICIA E. HEALY DAVID N. REA
Clerk of the Council City Manager
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
By: Cf c u
Laura Sheedy
Assistant City Attorney
APPROVED AS TO CONTENT: CONSULTANT
JON "RIP" RIBBLE ALF O ARADO
Executive Director of the Parks,
Recreation and Community
Services Agency
K:\WPDOCS\DOI 11POO 1100004812.DOC
Exhibit A
Scope of Services
A. Consultant will prepare and instruct students in gymnastics.
City and Consultant shall agree on a class schedule and location.
No classes will be held on Labor Day, Thanksgiving weekend, the week of
Christmas and New Years, Martin Luther King, Jr. Day, Presidents Day or
Memorial Day.
B. Consultant will provide and be responsible for equipment, records, personnel and
clean up of the facilities and materials necessary to insure the effectiveness of said
instructions.
Class Size Registration
A. The minimum number of participants is 10 per class.
B. No registration shall 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 and Consultant will be under no obligation to
provide services, and City will be under no obligation to pay Consultant
compensation.
Fees
A. The fee to participants shall be $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 said fees from each participant during the registration period.
Consultant shall not collect fees but shall refer participants to the City registration
office. City agrees to pay Consultant seventy percent (70 %) of the total fees collected
within fifteen (15) working days after completion of the class. City and Consultant
agree that City shall retain thirty percent (30 %) of the fees collected.
C. Consultant agrees that City representatives shall be entitled to audit Consultant's
records to insure compliance with said Agreement.
EVANSTON INSURANCE COMPANY
CERTIFICATE NO.:
CERTIFICATE OF INSURANCE
SPECIAL. EVENT LIABILITY PROGRAM
ti Wo 'L, 6'Ke
PRODUCER:
PUBLIC ENTITY (ADDITIONAL INSURED)
Driver Alliant Insurance Services
City of Santa Ana
P. O. Box 28323
20 Civic Center Plaza, M -28
Santa Ana, CA 92799 -8323
Santa Ana, CA 92701
(949) 660 -8163
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Alfredo Alvarado
TYPE: Gymnastics
1419 S. Sycamore, #6
DATE(S): 1/1/(13 — 19 /3l /n3
Santa Ana, CA 92701
LOCATION: doroma Caatar
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,
exclusions and conditions of such policies. Limits shown may have been reduced by paid claims.
INSURANCE CARRIER-- Evanston Insurance Company
MASTER POLICY NUMBER: 02SEP100000I
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2003 EXPIRATION: JANUARY 1, 2004
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTIBLE: NONE
General Aggregate Limit S 1,000,000
Products .@ Completed Operations 1,000,000
Personal & Advertising Nury 1,000,000
Each 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 policy as if 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, but only with respect to liability arising out of the
owner ship, maintenance or use of the premises used by the named insured (event holder), This insurance does not apply m: Any "occurrence" which takes place
after the event holder ceases to be a toners in that premises.
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the
certificate holder and additional insureds listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED:
1/22/03
Atli- i3OV, iu AS '10 FORXI
4-aur:l Shccdy
Deputy City Atlorncy
DIAMOND STATE INSURANCE COMPANY
CERTIFICATE NO.:
CERTIFICATE OF INSURANCE
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER:
PUBLIC ENTITY (ADDITIONAL INSURED)
Robert F. Driver Company, Inc.
City of Santa Ana
P. O. Box 28323
20 Civic Center Plaza
Santa Ana, CA 92799 -8323
M-28
(949) 660 -8163
Santa Ana, CA 92702 -1988
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Alfredo Alvarado
TYPE: Gymnastics
DATE(S): 7/1/02 — 12/31/02
1419 S. Sycamore, f6
LOCATION: Jerome Center
Santa Ana, CA 92701
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,
exclusions and conditions of such policies. Limits shown may have been reduced by paid claims.
INSURANCE CARRIER: Diamond State Insurance Company
MASTER POLICY NUMBER: CCL0040170
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2002 EXPIRATION: JANUARY 1, 2003
COMMERCIAL GENERAL LIABILITY
OCCURRENCE FORM
DEDUCTIBLE: NONE
General Aggregate limit S 1,000,000
Products & Completed Operations 1,000,000
Personal & Advertising Wury 1,000,000
Each 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 policy as if 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, but only with respect to liability arising out of the
ownership, maintenance or use of the premises used by the narreed insured (event holder). This insurance does not apply to: Any 'bccummec' which takes place
after the event holder ceases to be a tenant in that premises.
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the
certificate holder and additional insureds listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: 12/31/02 (not previously issued) Ag7s
.. r'ity Atturnev