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Home My WebLink AboutRIVERA, SALOMON 1dAGREEMENT TERMINATION :r fa s Please complete this form when the attached agreement is no longer in effect (b Return form to the Deputy Clerk of the Council (M-30)_ Ca11647-5257 if you liave=anysgtxesttiiirs,�,� IL The agreement with No. * A - c2006 - c�oo3-0 /(0)was completed on (S-L36bx and final payment has been made. Department: �?s A Signature: Ga-Q kA.2C I—k "A / i Date: (� � i,6A City of Santa Ana Revised 08-28-06 Clerk of the Council CLERK OF COUNCIL - nnTc c_ n_n o FOURTH AMENDMENT TO AGREEMENT INSURANCE ON FLE A-2006-263-01 WORK MAY PROCEED UNTIL INSURANCE EXPIRES /,2-9/- 07 CLERK OF COUNCIL DATE: 6- 7-07 FOURTH AMENDMENT TO AGREEMENT aPRCS Cz')Cc,Zhomdf1"- THIS FOURTH AMENDMENT TO AGREEMENT is made and entered into this 25th day of April, 2007 by and between the City of Santa Ana, a charter city and municipal corporation of the State of California ("City") and Salomon Rivera ("Consultant"). RECITALS: City and Consultant entered into Agreement N-2004-033, dated April 22, 2004, hereinafter "said Agreement", by which Consultant has instructed salsa dance classes through the City's leisure class program. 2. In accordance with the terms and conditions of said Agreement, the parties wish to renew the said Agreement for an additional one-year period. WHEREFORE, in consideration of the mutual and respective covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, City and Consultant agree as follows: Section 1, SCOPE OF SERVICES, shall be amended by replacing Exhibit A, attached to said Agreement, with Exhibit A-1, attached hereto. 2. Section 3, TERM, shall be amended to extend the tern of said Agreement through June 30, 2008 Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF. City and Consultant have executed this Fourth Amendment to Consultant Agreement on the day and year first set forth above. CITY OF SANTAAAAN. A(1 Patricia E. Healy, Clerk of Council _ DAVID N. REXIL City M nager APPROVED AS TO FORM: Joseph W. Fletcher, Cit Attorney CONSULT RECOMMENDED /FOR APPROVAL: Gerardo Mouet, cecutive Director SALO ON RIVERA EXHIBIT A-1 SCOPE OF SERVICES Consultant shall provide Salsa and Casino Rueda dance instruction for teens and adults as follows: • Consultant shall instruct a one -hour class of Salsa and a two- hour class of Casino Rueda. Each class shall meet once a week per six -week sessions. • Consultant shall set the time, date and location of the classes, with the approval of the City. • Consultant may adjust the schedule, based on the availability of rooms in the City's facility. • Each class shall have a minimum of 10 and a maximum of 50, registered and paid participants. • If the minimum registration has not been reached by the first class, the class may be cancelled by mutual agreement of Consultant and City, with no compensation owed Consultant for any cancelled class session. • Consultant shall provide all necessary materials and supplies. FEES • The class registration fee is $30.00 for Salsa and/or $60.00 for Casino Rueda per six -week session of one -hour class. • No refunds will be made to participants after the first week of class unless the class is cancelled by the Parks, Recreation and Community Services Agency. • City shall collect registration fees from each participant. Consultant shall refer interested students to City for registration. • Consultant shall receive seventy percent (70%) of total fees collected for the Yoga classes within fifteen (15) working days after completion of each class session. City shall retain thirty percent (30%) of the fees collected. • Consultant agrees that City shall be entitled to audit Consultant's records and classes to ensure compliance with this Agreement and that all participants are registered. • Consultant may not waive class participation/registration fees. • City shall prepare class rosters and provide a copy to Consultant. Only registered participants, listed on roster, may participate in class. I:b ANSTON INSURANCE COMPANY 1: it, ANSTON INSURANCE COMPANY CERTIFICATE NO.: - CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LLABILITY PROGRAM PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) City of Santa Ana Alliant Insurance Services, Inc. in conjunction with 20 Civic Center Plaza, M-28 Apex Insurance Services Santa Ana, CA 92701 P O. Box 6450 . Newport Beach, CA 92658 (949)660-8163 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Salomon Rivera TYPE: Dance Class 709 S. Parton St. DATE(S): San. 1, 07 - Dec. 31, 07 Santa Ana, CA 92701 LOCATION: Southwest Senior Center 'I "Liquor Liability after tam ❑ -Dills 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 vertificate 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: 04SEPI000OOI MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2007 EXPIRATION: JANUARY 1, 2008 I ONN111i( Al til°.NLRAL LIABILI 1 Y OCCURRENCE FORM DEDUCTIBLE NONE t t91e1'al 1Egl Crate Illlat $ 2,000,4W I'mducts & ('nrnplttcd Operations 1,000,000 I'cnonal & Advertising Injury 1,000,000 I adi Owtumic, Limit 1,000,000 I u, Damage IAny Onc hire) 50,000 Medical Pawnenu(Ally One Person) 5,000 I he hinds of mwramc apply separately to each event insured by this policy as ifa separate policy of insurance has been issued for that went. iViv, is insured' is amended to include, as an insured, the person or organization shown in this schedule, but only with expect to liability arising out of the nwmhip. inanocnauce or use of tlu, premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes place :air, the o cal holder ceases to be a tenant in that premises. OTHER ADDITIONAL INSUREDS tNCE LI.AI�N: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the rcruticate holderand additional insureds listed. /�� 7:z- \U"rHORIZIiD REPRESENTATIVE: t ,r_ )ATE ISSUED December 28 2006 lonerated liv Risk Management Division by: