HomeMy WebLinkAboutORANGEWOOD CHILDREN'S FOUNDATION 1B - 2007
INSURANCE ON FIlE A-2007-J03-0l
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
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~OFC~~~OND AMENDMENT TO AGREEMENT UNDER WORKFORCE INVESTMENT ACT
~-I'-07 (\
0: eM/W I~_.L.I ) THIS SECOND AMENDMENT TO AGREEMENT ("Amendment") is entered into this
~fQhCe)""",,/'jll b thC' fS A h . d ., I
1 st day of July 2007, by and etween e lty 0 anta na, a carter city an munlclpa
corporation duly organized and existing under the Constitution and laws of the State of
California ("CITY") and Orangewood Children's Foundation ("CONTRACTOR").
Recitals:
A. The parties entered into an Agreement dated July l, 2006, ("said Agreement") by which
Orangewood Children's Foundation, was to provide education, training and employment
programs for economically disadvantaged youths for entry into the labor market ("said
program") through June 30, 2007.
B. The parties now wish to amend the Agreement to extend the term for six months.
Wherefore, in consideration of the covenants contained in said Agreement, and subject to all the
terms and conditions of said Agreement, the parties agree as follows:
1. Section 3, TIME PERIOD OF THE AGREEMENT, shall be deleted in its entirety and
replaced with the following language:
This Agreement shall commence on July l, 2006 and all duties arising under this
Agreement shall have been performed by December 30, 2007. The term ofthis
Agreement may be extended by a writing executed by the Executive Director of
the Community Development Agency and the City Attorney.
2. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to
Agreement on the date and year first written above.
Patricia E. Healy
Clerk of the Council
CITY OF SANTA ANA
BY: VtL
tllStephen H ring
Executive rector
Community Development Agency
"COnOR'~
BY: V~
Name: Cc<\ I).}"'S.\OW
Title: CEO
TaxID#:C)S-"3'bI6bg8'
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID,~ DATE IMMl'DDm"'r'Yi
ORANS-7 06/25/0"1
PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Chapman & A~aoeiatel A-2007-103 I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Licen~e #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
p, O. 50x 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
paaadena CA 91117-0455 ,
Phone: 626-405-6031 Fa>l:626-405-0585 I INSURERS AFFORDING COVERAGE NAtC.
INSURED ' INSURER A: 'I'uclcn:: Inlluranc. Comp.l.ul:' <<3199Z
A-2007 -103-01 ! INSUR~R 8 Great aner~Dan r~5 co .26932 16691
oran~ood Children'a I iNSURER C !'ir!el1tY-Cepolit Co lID i39306
FeUD tJ.on
1.5'5 E. l7tb street INSURER ~ EnDue.nCI Worx.~~ camp ~lO641
Santa Ana CA 92705
i INSUR"'~: E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TC THE INSURED NAMED ABOVE FOR THE POL-ICY PERIOD INDICATED. NOTINITHSTANOING
ANY REQUiREMENT, TERM OR CONDITION OF AN':' CONTRACT OR eTHER DOCUMENTWIT~ RESPECT TO WHICH THiS CERTIFICATE NAY BE ISSUED DR
MAY PERTAIN, HI::: INSURANCE AFFORDED BY THE PO:"ICIES DESGR1RED HEREIN IS SUBJECT TO ALL THE: TERMS, EXCWSIONS AND C:JNDITIONS OF SUCH
PQ!JCIES. .....aGREGATE LIMITS SH:JWt\' MA.YHAVE BEEN REDUCED BY PAID CLAIMS
LrRmRD ,..".E Ol'tNSUAANCE f"Ol.ICYNUMSER ~6i~r:Mi6'6~,l: 11"~~~r~lNDcm\"
~R.AL UABIU1Y I
A I X IX ICO~""RO''''OENERA:."'ABllT' PliL739636 I 02/01/07
I 'X 'C"-""IMS M>>.D::: n OCCLl~ '
~ professional
~!!>l Abuse/Molest
~'LAGGREGATE Lltvl. A"'PLIES PER
I i POLlC\. i j~2~ r-, LOC
X 1TC>,i'L:MI~S I I' ""
03/01/08 E~ EACHACCIDE~ ~ 1000000
;__ DISEASE_EAE~PLOYEE ~ 1000000
EL DISEA5'"-PC}ICY'_IMIT ~ ~OOOOOO
CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.~ED BEFORE lHE EXPIRATION
PATE THEREOF, THE ISStJf,lG NSURER WLL ~L 30 DA V'S WRrrrEN
NOTICE TO THE CERnFICAlE HOLDER NAMEO TO THE LEFT, BLIT ~ALL
" , , " ",,,L,,
city of Santa Ana ~
20 Civic center Plaza
santa Ana CA 92701 AUT~ REP ~
IYl'rk/::/ .,.
"
COVERAGES
02/01/06
EPCrl OCCURRB>JCE
~(E~=occuren:::e)
rv.ED EXP IAAy one p..""OI".1
PERSOOA.. 6 AD\' II\JJRY
GEI'ERoIl.J... AGGREGATE
OROCX.Jc:T5 - COMPK)P AGG
riiDC !len.
51
~OB(L.~l.IABILni'
I I AN, AJTO
CQ,l,ABINES SINGLE L1",i';T
lE:l!Il!Ico'dlliltl
02/01./06
PAC7575346
02/01/071
BODILY IN..uR'"
(Pe'pe""oil
ALL OV\lNEU AUTOS
rl S:::'H=:DL-L:;L ACTO~
iX1 HIRES AUTOS
~ NOI.....OWNEC Alrros
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03/01/071
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(Pllrecoid9nt',
, PROPERTY DAM.e..GE
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I l_GARAGE LIABILITY
A'>:.\ AUTC,
[-I
I EXCESSIUM8RELl.A L.lABILIT\. i
~ CCCJ~' L' CLA,MS MAD~
L
, I DEDLiC-:-IBLE
II ~El:-:NTIO!~
,<oJJTO ONLY - Et... A'~CID':'NT Il
EAAC':I S
AGG I,
,OTl-ERTHNI!
1,A.lJTOONLY
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1 AGGR::GAlE
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I
I WORKERS COMPENSATION AND I I
EMPLOYERS. L1ABILlll'
P 1 A'f1 PRa:'RI=.' QRIPART/oJ:;R/SXECUTIVi: . WEN~002 84 00 1
,OFFIC=:RIMENBER EXCLUD:'.D'I
1;1','\I,,0O5CfiDi<Urld&f . I
I SP<=CIAL ::OROVISlor~s bslOl'
!~~ I I
B Property section . PAC7575346 02/01/07 i. 02/01/08
C 1 CriJDe : CCP0061907 I 02/01/07 02/01./06 :
DESCRIPTION OF Qf"ERATlONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEr.EJIlT I SPECIAL PROVISIONS
XXX The city of santa Ana, it'S officers, employees, agents, vo~unteers and
representatives are named as an Additional Insured as respects ~iability
arising from the operations of the Named Insured, See attached
end.orsement.
EE Dishon
CERTIFICATE HOLDER
CANCELLA nON
1.IMIT5
" J.OOOOOO
'50000
, 1000
'1000000
, 3000000
, 1000000
100/300
, 1.000000
I'
,
,
,
,
,
500,000
~~
ACORD 25 (2001/06)
@ACORD CORPORA nON 1986
,
This Endorsement Modifies Your Policy
(Efttdin At lutllptlon Unl(S5 ADOlb er Dak SbO'WlI Below)
ADDITIONAL INSURED ENDORSEMENT
The insll1'ance alforded by this polic; for "bodil;' injury," "property damage" IllId1or"pmOnal injury" shal1also.ppiyto
the "additional insured" listed below for claims, suits. andIor damages lDllde against the "additional insured," but only to
the extent the "additional insured" is hemg held responsible fur the acts, omissioM and/or negligence of the "named
insured,"
This insurllIlce offordea shall not apply to claim" suits and/or damages .rising out of lbe act,. omissions and/or
negligence of the "additional insurod(')."
The inclusinn of the "additional insured(s)" shall not operate tll increase the COmpllny's Limit or Li.bility.
10th, extenl, ifan)', tlmtthis policy .!Tords coveragero an "additional insured." the "additional insured" is subject to all
of the t,nm of the policy
The obligation of the Company to provide coverage to an "additional insured" is further limited by 1I>e interest of the
"additiona! insured" as defined bel"".
IT.terest of the Additional Insured[s) Defined:
Child Placemenl andlor Funding
For the purpose of this endDrsement, tbe "named insured' is tbe person( s) ""diD:' party(ies) designated on the Declarations
Page of the policy or on an; endorsement The "additional insured" is !be person(s) and/or party(ies) identified below.
Identit)' of Additiona' lnsured(s):
Citl' of Sanlll Ana, II> officers, employees,
agents, \'olua.teer., aDd. represeatatives
20 Civic Center Plaza
Santa Anl1 CA 92701
(Comp~cte ihks section ifendcrscmcnt ~ added after polity is isli.oo,)
PO\ic)'"f\jo
~tNO.
End'r Effecrive DEtt
Sigoawre or Auth. Rcprc:smtati",:
Producer :r-.;(l.
WW 100 (04.<l])
\
IMPORTANT
If the certificate nolde' IS an ADDITIONAL INSURED, the polloY(les) must be endorsee A statement
or, tms certificate ooe5 no~ confer rights to the certificate holder in lieu of such endorsement(s)
I: SUBROGA,IO!\ IS WAIVED subject to the terms ano conditions of the polley, certain policies may
require an endorsement A statement on thiS certificate does not confer nghts to the certificate
Mlder in lieu of sucr endorsement(s)
DISCLAIMER
The Cerliflcate of Insurance on the reverse side 0' thiS form does not constrtute a contrac: between
the Issuing Insurer(s;, authorized represemative o~ producer, and the certificate holde~, nor DOes it
affirmatively or negatively ament extend or alter the cover~ge afforded by the policies ilsted thereon,
ACORD 25 (2001108)