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AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer in effect.
Re[urn form to the 5r. Deputy Clerk of the Council (M-30). C~ 47-52 8 if~yo h~a~ve any
questions. C{TY £l~ ': A ANA
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The agreement with ,~~ ~~ , No. /J/-o2Cby- /55-0/
was completed on //(~ J / (, 7 ,and final payment has been made
Departmei
Signatun
Date
Revised 8-7-03
City of Santa Ana
Clerk of the Counci]
INSURANCE ON FILE
WORK MAY PROCEED
~'L INSURANCE EXPIRES
," Fl ~ /-(I-O(
CLERK Of COUNCIL
DATE: 7",'--0'
0: rwAl_r (')(0 ~J
N-2004-155_01
FIRST AMENDMENT TO
CONSULTANT AGREEMENT
THIS FIRST AMENDMENT TO CONSl Jl ,T ANT AGREEMENT, is entered
into 00 June 28,2006, by and between Poma Systems ("Consultant") and the City or
Santa Ana, a charter city and municipal corporation of the State of California ("City"),
RECITALS:
A, The parties entered into Agreement N-2004-155, dated December 2H, 2004,
(hereinafter "said Agreement") by which Consultant has managed and provided
maintenance for the enterprise database server for the City's Water Resources
Division,
Fl, In accordance with the terms and conditions of said Agreement, the parties wish to
extend the term of said Agreement for an additional ninety (90) day 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 Agreemcnt, the parties agree as follows:
I, Scetion 2-a" COMPENSATION, shall be deleted in its eotirety and replaced with the
following:
"'t, City agrees to pay, and Consultant agrees to accept as total payment for its
services, the rates and charges identified in Exhibit A to said Agreement The total
sum to be expend cd under this Agreement shall not exceed $10,000,00, per fiscal
year, during the term of this Agreement"
2, Section 3, TERM, shall be amended to extend the term for an additional one-year
period, through June 30, 2007,
3, Except as herein amended, all terms and conditions of said Agreement shall remain in
full force and effect
II
II
II
II
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Consultant Agreement on the date and year tirst written above.
CITY OF SANTA ANA
ATTEST:
Uu/ll{2
[)A VID N. REAM
City Manager
~~" .
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ATRICTA-E. HEALY
City Clerk
APPROVED AS TO fORM:
JOSEPH W. fLETCHER
City Attorney
,,[ a
BY:/~.((,U_.l(~-_ Ju-/L.
Lai,{a Sheedy
Assistant City Attorney
RECOMMENDED ronPROV AL
~ .. {/I).,11 / ,z/
/~G. ROSS
%~cutive Director
Public Works Agency
POMA SYSTEMS
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GREG POMA
OWTler
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Ha~ 15 06 09:49G
Wright. Ins Srv
949-489 5702
p. I
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ACORD~ CERTIFICATE OF LIABILITY INSURANCE I 5/15/2006
"~ODU(:ER I THIS CERTIFICATE LS ISSUEO AS A MATTER Of INFORMATION I
Wright Insurance Serviees ONLY AND CONFERS NO RJGHTS . UPON THE CERTIFK:ATE
I HOLJ)ER. THIS CERTIFICATE' DOES NOT AMEND. EXTEND OR
33971 Selva Rd. .120 , ALTER THE COVERAGE AFFORDED BY THE P01.JC1E_~ BELOW.
Dana Point, C;o. 92629
(949) 489-1833 INSURERS AFFORDING COVERAGE NAIC#
INSijREO--Pom.a , -- .~-_.. --- Sequoia in.sU%an~ ..
Greg A! -d-tdI- /55 INSURER'" COIIlpany
-
INSuRE~ s:
3405 LadrJ..110 lsle .. 1'--
INS'JRER c"
CA 92606 /55 01 -. -
Irvine, /lhj(XY/ INSURER D:
,;49-294-8639 INSURER E:
COVERAGES
THE POLlCIE:S OF INSURANCe LIST!D BELOW HAVE SEEN ISSUED TO THl;: INSUREO NM4EO ABOVE! FORn1E POUCV'PeRlOO INDICATED. NOTWIT~TANCING
/W'( REQUIREftlENT, TE~ OR CONDITION OF ANY CONTRACT OR OTMER: [xx:aJMeNT WITH RE5PECT TO WHICH THIS CERTIFICATE UAV Sf tSSUEDOIiil
MAY peRTAIN, THE: INSUJ:W.JCE AFFOR~D 8YTHE POllelS DeSCRIBED HEREIN IS SUBJECT TO All THE TERM!, EXCLUSIONS AND COIIDITlQNS OF SUCH
~.p~~ AA;GRE~TE L~~TS St'lovYN MAY HAVE BEEN R6)UCED EilYPAlDCLAIMS," _._
~ ~_ J TW'''' nF INSURA POlleY NUt.lB<;R ~ FFEC'Il:: I til A - LIMITS
GENERAL LIABILITY I"A.CH OCCURRENce ~ 1:L~E, 02...~
~x .C.O""MEI~OA.LGENERAL. .LlABlUlY !~IWS=S IO./)c~~~) S 300,000
. . . -jCLAlMSMAOE ~locCUR ""mE)(POIAfiYon.~: s fr.r;ooo
A x ___.. __ SBP200BSl1 01-11-06 01.-11-07 PERSClNAL.&ADVINJURV S __~_cl,=",~~
_.~-~-~~ ~~.AL AGGR_EGATE __ ~ 2,000,000
i.~~L.AGC~~1f,LlM~~SPER;! ~~GaM~I\GG $ 2,000,000
I KlLICY ' I j~2T I I Loe '
~OMOBILElIA..8LTr' i
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ALL OWNEDAUTQS
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~_rGELIASILiTY
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A.l;rOONLY_EAACCJDEN~ ~
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~GREGATE
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SPECI...... mOVlSIONS b.k7w
. IOTI1ER
A I Bus/pers/Prop
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DESCFlI~T~ OF OPER... nONS/lOCATIONS I VEHICLES! EXCl.USlClN5 AOCiP S'l' ENCORSEMENT ! SPECIAL. F'ROVISIONS
Computer Consulting
SEP200891.
01-11-06
01-11-07
$5,000 Speci~l Form
$500 Oeductib~El
Cf TlFICATE MOLDER
City of Santa Ana, its offieers,
employees, 4~ont8 & representitives
20 Civic Center Plaza
Santa Ana, CA 92701
CANCEUATION
SHOULO ....Ny OFnu: A.aOVE :e.scRI!lED POL.lCi6S il& CMlC:EU.EO BEFORE THE EXPlflJloT
DATE lrIEREOF, THE I$SUil'G INSUReR WILL~Q M"l~ OA.VS WRITTEN
NOl1CE TO Tl<E CEilTIFICATE rlOl..CER N"MEO TO THE LEFT. BUT "AlLURE TO DO SC SHA:.L
IMPOSE NO oaUQ...nQloJ OR LIABILITY OF ANY KINO UPON THE ,"SURS<!, I'T .-.GENTS OR
REPRESENTATIVES"
oIWTI"IORlZED RePRESENT... nVE:
@ACORO C PORATION 19&8
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ACORD25(2D011D8)
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Ma~ 15 06 09:49a
Wr-iCht.
Ins Srv
949-489 5702
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ADDITIONAL INSURED ENDORSEMENT
InauraocB Company
Sequoia Insurance Company
This endorsement modifies such insurance as is afforded by the provosions ot
Policy # SBI'i!00891_1 relating to the follcwing:
1 The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92701; jts officers, employees, agents and representatives are named
as additional insureds ("additional insureds") with regard to liability and
defense of suilS arising from the operations and uses performed by or
on behalf of the named insured.
2, With respect 10 claims arising out of tile operations and uses
performed by or On behalf of the name insured, such insurance as is
afforded by this poHcy is primary and is not addillcnallo or cciltribuflng
with any other insurance carried by or for the benefit of the addiUonal
insureds.
3, This insurance applies separately to each insured 9gainst whom claim
is made or suit is brought except with respect to the company's limits
of/iabllity The inclusion of any person or organization a. an insured
shall not affect any right whiCh such person or organizatiOll would have
as a claimant if not so included.
4. With respect io the additional in,urad!, this insurance shaH nol be
cancelled, or material~ reduced in coverage or limits except after thirty
(30) days written notice has been given to the Cil)' of Sanla Ana, 20
Civic Center Plaza, Sanla Ana, California 92701,
(Completion of the following, inCluding countersignature, is required to make this
endorsement effeClille.)
Effective
of
01-11-06
, the endorsement fonn as pert
POlicy #.
SBP200891
Issued I"
PB'
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