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HomeMy WebLinkAboutQUIROZ, LETICIA 1CCity of Santa Ana Clerk of the Council AGREEMENT TERMINATION C~2op 9 1~n ,,,~ ~ Please complete this form when the attached agreement is no longer in effec .~I` f Retum form to the Clerk of the Council Office (M-30). ~ ,~jVq Call 647-2520 if you have an ``''~' y questions. ; ~_~~ jC The agreement with i ~c ~ ~ ~ __ ____________________________________________ G1~ No. .~ ~~ ~ ~ ~ ~ ~ '~ ~ was completed on ~j tr 3Q y and final payment has been made. JJ AGREEMENT Department: ---~-y ~, , NAME NUMQER SUFFIX Phone/Ext.: ~ ' i,~-- ~ ~J QUIROZ, LETICIA N-2004-133-01 1A ~ 'y S QUIROZ, LETICIA N-2004-133-02 1 B QUIROZ, LETICIA N-2004-133-03 1C ~--~~~~ Signature: ~ QUIROZ, LETICIA N-2004-133-04 1D ~`-'~ ''~ Date: /j ~ J //~ ~~~ Revised 05.04-0$ ~ ~-~ ('' 4J N-2004-133-03 - ,,~NCE ON FILE WORK MAY PROCeED UNTIL INSURANce EXPIRES /- I-of ClERK OF COUNCIL OATE: 7-3 /-o? 0'. Po'lCe {fiScc.l (Z.) THIRD AMENDMENT TO CONSULTANT AGREEMENT (LC1', B(ew"") THIS THIRD AMENDMENT TO CONSULTANT AGREEMENT is entered into on June 15,2007, by and between Leticia Quiroz ("Consultant") and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). RECITALS: A. The parties entered into Agreement N-2004-133, dated November 4, 2004 (hereinafter "said Agreement") by which Consultant has provided teacher assistance for jail inmate instruction in GED and computer classes. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend said Agreement for an additional ten month term and increase compensation to pay for 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 Third Amendment to Consultant Agreement, the parties agree as follows: I. Section 2.a., COMPENSATION, shall be amended to increase compensation by $10,000.00 to pay for services during the extended term. 2. Section 3, TERM, shall be amended to extend the termination date from August 31, 2007 through June 30, 2008. 3. Except as herein amended, all terms and conditions of said Agreement shall remain in fun force and effect. II ',.. II II II II II .' .... IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to Consultant Agreement on the date and year first written above. CITY OF SANTA ANA ATTEST: (2j);a DAVIDN. REAM City Manager / ~~ Clerk ofthe Council APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney ,/J -li By:t;'^l.uvw. . .~ Lat:lta Sheedy Assistant City Attorney RECOMMENDED FOR APPROVAL: CONSULTANT I WLl\) . PA M. WALTERS Chief of Police ~ LEtiCIA QUIROZ E\'\NST()I\ lNStlRANCE COMPANY nH.Tl FlC <I.'rE '\0.: 2607-08 CERTIFlCATR m'lNsuRANCE n':l'LtD.:S ('OVERAGlO: FOR M}\1JNEE E;VE~'J'S. SEE SEPARATE Al'l"LlCATIONS FOR KOMINEE EVE:'IIT~:' Sl'U'IAL EVENT LIABILITY PROGRAM !\-"lUIOl\{'cR II PUllUC ENTITY (ADDITIONAL INSl:'RED) l~ity "rSanta An~ ~'. '\llliHH ll\~uH.In1..'-: S.ervl\.:t::~, In;:, In COlljWlC(iotl wlth :.l'\\'L'X tnsunlllJ;;~ Sr:I\.i..;~:, 1 I' '.l Bu.\ M51l /11- :lCXJ l../ -I J3 _O:}, ~ ~i;\\PUlt BeJL.I1, C ~ Q2658 i I"~\I, ('iJD.81(),l 1 L,c<n<< ~o Ot 36H61 ~ ~A~iED f.\ISUREO I EVENT HOLDER): i l.eliciaQulr~z ~-2.0cH-13~ ~ ~ll W. First Street, l-103 N_?Olll..\-13.3-01 , S.Ul. "na. ( A 92701 \' ~ .0'L N-2.00Ll- " 20 Civic Center Piau, M-28 Santa Ana, l'A 92701 EVEYf INFORMATION: TYPE: SeU-ImDrovement DATE(S): 0(10111)7 -tU31107 LOCATION: Sallla AD" Jail nr .\Oll~r Lcobll1tv .Ii:e, 2;;"1 \l :: '1 hi, I; \(I C"TL:'y that Ibe policie, of Insur.nce bsted below hove been i........,d to Ihe llI>ured named above fot!he policYlleriod I, ."d.,.Md. 'llllw:th.tanding any requimnenls, tCTD15 01 condi[;on, orany contract or other dncurotnt with resp<c: 10 which Ibis Ii ""nili<'.t, may he l<Slt<li or may pertain, tho:: ,liSuranc. aIT",'d.d by lb. policie, desctibed hetein is subject to .11 the tenllS, ~ <\C',"'''"I1' and (ondmon, 01 sueb. pull<,es. L,nelS .hown may ha,e lIl:en reduced by paid claims. " r'\Sl1RANClC t'ARllU:a, EV.l1.lOn Insulance Cumpany \IASTf.R pour', NlIMBER: 04SEl'tOOOOOl I \lASTf.R l'OUl'V UA'l'1eS: l!:Ht:CflVE: JA.'lUARY 1,2007 EXPIRATION: JANUARY 1,2008 i . ~1"lMI t{C1 \1 \i1<1:~ I.[AlJ.J1 rn \\ OC{~UR1~EN{,E.FORM OEDt;CnnLf::: NnNt: ~ "~J\..;('..l \~gr~.al~ i.lIniL $ 2.00'.1.000 , l'mou...'L~ &~ 'lmplc::\~ lJpcr;JlllIll~ l.OllO,OUl) J l'o.'r':.(JIlUl & '\J'lIl.atl~ 11~ 11I~ljry 1..0mlJ'tlO \ ~ IJ~''l)...':II1I~I",,,l:1111 1.04'1\),000 II He L'r.llltol~~ U\ll~ 01'1: ~ 1~1 ~OOO ~;,,:ul.:3~h...t1kll1, ~,AJ1~()Uc:r~r'ltnl -"WO f,:. ".m'" "..",.ran" .pply ,cp"""ly '" ",h event 'lI1ur.u hy tn"I"''''' ~"r. """"". ""1.,,., ""'""""'~... been ,>>uoG to< thin ""ent .., hll'~ ~U~I~' l.~ il1l11t;1Ided ID II'C:uOe...s;.n In!lIrcd,lhc pcr..cn oTorCillUZ::l.lIon sllown In \tus schtdu.1e. bu:or\ly With re~~t to 11001111)' arllll1ntOU~ [}t the .\1 ~ 1~111\~ It\l.jTI!..na,lll,:l: I.r U!oJ,; l\fl,hr; prcl1Ut>(:~ u~ed r,y tnc- n;:lnw:~ ~jli.lrtl.d (c"'an.t to.older). flus mSUl2l"~ d\l~5 rwt apply \0: Any "ocCW"tcncc'. wtm:b W<C:.'i p10.:c Ii !~}''':~lllll'-kll..t::JM'~H,ll1 a c:tmrl1l'l tl1:.Jlptl!n 1!l.I:'!o OTHER ADDITIONAL INSUREDS \- - - -;/'/5 i--- ." . ., . , "0.1.1..n- " ,I"",,' "~ .,h",,""''''..,) ,ol~1 OJ "",-ell,," ""'<>Celt" "?'"uo" d..."h<....r. \1<< i..uing oomponywm....i1 '"dol" ""i","" "otk, t. &,' ~ ...:~~l1.\l.~t~ b.;'Kk:, ...:,"1 Ol.l&ll1..mal U1.\ll'c:d~ h:!o'i...:d - - . .---- \l ,THORIZFI} REPRESE~T ATIVE. ~//,~ i)ATlIg:;UED ...E.nHID 01.]007 r rl'iIL'I'lIft"~ bl' R1S/;. MUJWKC'l'WnJ DJVI:uun b'Y' ~~ '/'1?t>,o./(~ ..-'-- --- Page 1 of2 Mitre-Ramirez, Norma From: Sheedy, Laura Sent: Wednesday, February 06, 2008 10: 16 AM To: Morales, Briza Cc: Mitre-Ramirez, Norma Subject: RE: Instructor's at Jail IN-2004-133 !N-2004-133-01 < IN-2004-133-02 IN ! -2004-133-03 I have forwarded this string of emails to let Norma know that commercial general insurance is not required for these instructors: Leticia Quiroz Daniel Achatz Felice Stinson Luis Martinez Norma, please let me know if you need something more. Thank you Laura From: Morales, Briza Sent: Wednesday, February 06,2008 10:14 AM To: Sheedy, Laura Subject: RE: Instructor's at Jail Does the Clerk's office need anything from you in order to note this on their database? Briza Morales Personnel Secretary Risk Management Division (714) 647-5475 Please note new email address: bmorales5@santa~ana.org From: Sheedy, Laura Sent: Wednesday, February 06, 2008 10:05 AM To: Morales, Briza Subject: RE: Instructor's at Jail They do not need insurance to provide counseling services. They will require Workers' compensation if they have any employees. Thanks Laura From: Morales, Briza Sent: Wednesday, February 06, 2008 9:57 AM To: Sheedy, Laura Subject: Instructor's at Jail Laura: These are the names of the instructors at the jail: 2/6/2008 Page 20f2 Leticia Quiroz Daniel Achatz Felice Stinson Luis Martinez Thanks for looking into this Briza Morales Personnel Secretary City of Santa Ana Risk Management Division 20 Civic Center Plaza, M-28 Santa Ana, CA 92701 Ph: (714) 647-5475 Fx: (714) 647-5311 bmorales5@sa!l!~~J!!H!",Q!1J 2/612008