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Home My WebLink AboutRamirez, Daniel 1aCity of Santa Ana -� Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Return form to the Clerk of the Council Office (M -30). Call 647 -6520 if you have any questions. The agreement with (, 2a65 f COTC Office Use Only No. N- 2000 -200 was completed on 6/30/01 and final payment has been made. (list all amendments. Use space below if needed.) N- 2001 -127, N- 2002 -077 Department: PRCSA Phone /Ext.: 5254 Signature: �SL� Date: 6/13/14 Revised 08 -23 -10 4- N- 2001 -127 AMENDMENT TO AGREEMENT THIS AMENDMENT, made and entered into this 19`h day of June 2001, by and between Daniel Ramirez ( "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 ". RECITALS A. The Parties entered into that certain agreement entitled "Consultant Agreement" dated December 8, 2000, hereinafter referred to as "said Agreement ", for providing folkorica classes at Jerome Center. B. The Parties hereto now desire to amend the Compensation, Term and Scope of Service of said Agreement in order to in order to provide continuous uninterrupted service under the 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. Section 1, of said agreement, pertaining to Scope of Services of said agreement is hereby amended to provide no classes held on the following dates: July 4, 2001; September 3, 2001; November 12, 2001; November 22 -23, 2001; December 24, 2001- January 4, 2002; January 21, 2002; February 18, 2002; May 27, 2002. 2. Section 2, of said agreement, pertaining to "Compensation" term of said Agreement is hereby amended to reflect an increase in compensation of an amount not to exceed $9,000.00 due to an unexpected increase in the City's need for the Consultant's services under said Agreement. 3. Section 3, of said Agreement, pertaining to Term of said Agreement is hereby amended to change the termination date of June 30, 2001, to June 30 2002, in order to provide necessary continuous uninterrupted service to the Agency. 4. 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. PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney ll By: Mic el igliotta Deputy City Attorney City Manager (signatures continued on next page) p' (!1A,r rF Qp,J FILE CITY OF SANTA AN L'PJ71L !tv'au '. to E ;; ^JriES ! b CLFFWu�Cf��_ DAVID N. RE " `' � D3'of City Manager (signatures continued on next page) RECOMMENDED FOR APPROVAL: /fit. Cleve Williams Executive Director of the Parks, Recreation and Community Services Agency CONTRACTOR Daniel Ramerez Tax ID# SPECIALTY NATIONAL INSURANCE A KEMPER COMPANY CEkTIFICATE OF LIABILITY INSURANCE 3XZ126451 -01 - IDEA Fitness and Wellness Purchasing Group Policy Number: 0393366 Certificate Number: NAMED Daniel Ramirez #393366 AGENT Murria & Frick Insurance Agency, Inc. - WSURED Effective 11110101 NAME AND 380 Stevens Avenue, #115 AND MAILING MAILING Femwood Solana Beach, CA 92075 AILING ADDRESS j ADDRESS Garden Grove, CA 92843 800- 395 -8075 - CA LiC 0672756 POLICY PERIOD: From 11/10/2001 To 11110/2002 TOTAL PREMIUM: THIS CERTIFICATE OF LIABILITY INSURANCE FORMS A PART OF THE POLICY REFERENCED ABOVE. INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. THE INSURANCE COVERAGE PROVIDED UNDER THIS CERTIFICATE IS SUBJECT TO ALL THE TERMS, CONDITIONS, AND EXCLUSIONS OF THE POLICY IDENTIFIED ABOVE. rroioonr_oc I LIMITS OF INSURANCE IF YCU HAVE ANY QUESTIONS CONCERNING THIS CERTIFICATE CON f AG I : uv�. 800- 395 -8075 October 23. 2001 Authorized Representative LB 25772 (.6 /00) Date Each Occurrence Limit $ 100,000 Damage to Premises Rented to You Limit - any one Premises $ 2,500 Medical Expense Limit - any one person Personal and Advertising Injury Limit - any one person or organiz. '.. $ I, UUU,UUC Each Professional Incident General Liability General Aggregate Limit (other than Products / Completed Ooerations) Aggregate Limit - Professional Liability Products /Completed Operations Aggregate Limit None Hired Auto Liability Sexual and /or Physical I Abuse Liability Each Claim $ 300,000 Annual Aggregate Limit - Sexual and /or Physical Abuse Liacility None Each Employee Limit Employee Benefits Liability None Aggregate Limit - Employee Benefits Liability Retroactive Date Employer's Liability (Only available in the following States: ND, OH, VA, WA and WY) State(s) where this Insurance applies $ 100,000 Bodily Injury by Accident - Each Accident $ 100,000 Bodily Injury by Disease - Each Employee $ 500,000 Ag regate Limit - Employer's Liability Liquor Liability one Each Common Cause Limit None Aggregate Limit - Liquor Liability Classification and Premium' Rate I Advance Premium Loc. No. Classification Code No. I Premium Basis I Prem /Ops Prod /Comp Prem /Ops I Prod /Comp Health or 44311 Per Schedule Per Schedule on File Per Schedue on File Exercise Clubs on File Form of Business: _ Individual _ Partnership _ Joint Venture _ Limited Liability Co. _ Organization, (not including a Partnership, Joint Venture or Limited Liabifity Co.) Location of all premises you own, rent or occupy: 1) Various 3) l 2) 4) IF YCU HAVE ANY QUESTIONS CONCERNING THIS CERTIFICATE CON f AG I : uv�. 800- 395 -8075 October 23. 2001 Authorized Representative LB 25772 (.6 /00) Date