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Home My WebLink AboutBALLET FOLKLORICO RENACIMIENTO (FRANK ALANIZ) 1B - 2006City.of Santa Ana Clerk of the Council AGREEMENT TERMINATION HIM Kk -7 NO 4: 53 Please complete this form when the attached agreement is no longer in effect. Return form to the Clerk of the Council Office (M -30). t Call 647 -5237 If you have an questions. I t A y v a : „ AIL c 200q No. K — W Q — UP 3-0 was completed on (9 (<36 l 0) and final payment has been made. Revised 07 -2U7 Department: E" Phone /Ext.: ,jast Signature: d( �1A o9CkvQ 29- Vd 7 Date: 6 I 3 I 1 1-f INSURANCE WORK MAY PROGG � RES UNTIL INSURAN W 4 toy UN( n nTP $ ZpoB HoR �rG z� THIS SECOND AMENDMENT TO AGREEMENT is entered into on March 26, 2008, by and between FRANK ALANIZ, and individual dba Ballet Folklorico (hereinafter "Instructor ") and the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City "). SECOND AMENDMENT TO LEISURE CLASS AGREEMENT N- 2006 - 063 -02 RECITALS: A. The parties entered into Agreement #N- 2006 -063, dated April 3, 2006, (hereinafter "said Agreement ") by which Consultant has provided dance instruction, Ballet Folklorico, as part of the City's Leisure Class program. B. In accordance with the terms and conditions of said Agreement, the parties wish to renew said Agreement for an additional one year 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 Second Amendment Agreement, the parties agree as follows: 1. Section 3, TERM, shall be amended to extend the termination date to June 30, 2009. 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 Second Amendment to Agreement on the date and year first written above. ATTEST: CITY OF SANTA ANA i� PATRICIA E. HEALY GERARDO MOU Clerk of the Council Executive Director APPROVED AS TO FORM: JOSEPH W. FLETCHER City At�qrney By:r Laura Sheedy; Asst. City Attorney ACORD DATE (MMlDDrvWY) TM. CERTIFICATE OF LIABILITY INSURANCE 10/1512008 PRODUCER Phone (898) 395 ENS Fax (858)519,0522 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FITNESS AND WELLNESS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 380 STEVENS AVENUE, SUITE 206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SOLANA BEACH CA 92075pp ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3 (, INSURERS AFFORDING COVERAGE NAICIf INSURED INSURER A. Philal FRANKALANIZ INSURER B: 2234 SOUTH TOWNER ST INSURE_R_ SANTA ANA CA 92707 D. _ .INSURER D. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIE POLICY PERM INDICATED, NOTN'THSTANDING ANY REOUREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, ME INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAMS, WSR IDD'L POLICY - POLICYE�OLICYEXNMTIM LTA INSR TYPE OFINSURANCE POLICY NUMBER DATE QVD PATE NMO LIMRS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO GENERALUABLLRY PHPK284105 I 10119108 10119109 EACH OCCURRENCE Is 1.000,000 DA 10G REMED PPEMISE$ Ed Bcwennl $ 100,000 Attention: X COMMERCIAL GENERAL LIABILITY ". _ CLAIMS MACEn OCCUR MED. EXP(Anyone Person) $ 2,50g PERSONAL B ADV INJURY S 1,000,000 A $ 3,000,000 GENERAL AGGREGATE PRODUCTSGOMPIOP ASS $- 3,000,000 GEN'LAGGREGATELIMRAPPLIESPER. X PRD- (POLICY JECT LOC _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AUTO (Ea=Idaat) $ BODILY INJURY �ANY ALL OW N EO AUTOS J SCHEDULEDAUTOS BODILY INJURY $ HIRED AUTOS " NON DAWNED AUTOS (Per accide0l)- - - g PROPERTY DAMAGE Per (accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC I j ANY AUTO $ __ $ AUTOONLY. ADS EXCESS) UMBRELLA LIABILITY OCCUR CLAIMS MADE //� /��y�.1 / ��( U r / / ` `•(� I EACH OCCURRENCE $ AGGREGATE S $ DEDUG16LE _._ __..... S is RETENTION $ WC T STARV WORKERS COMPENSATION AND LLL TO IMITS OTHER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ AM PROPRIETpUPARTHER/EYELVINE —_ .... 'I$ OFFDERT,EMaG excLUO[oa EL DISEASE-FA EMPLOYEE rc�, aaara u�aB, E. L. DISEASE - POLICY LIMIT �$ ISPECWL PROVegNSMW OTHER: DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS It is understood and agreed that the following entity Is added as an additional insured but only as respects the operations of the named Insured except that liability resulting from the additional Insureds sole negligence. ACORD 25 (2001108) Certlticate R da4ti W B V.. wlaraPrtBAI L.I. m.D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO THE CITY OF SANTA ANA DO SO SHALL IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS 20 CIVIC CENTER PLAZA AGENTS OR REPRESENTATIVES. SANTA ANA CA 92701 AUTHORIZED REPRESENTATIVE Attention: J� Frick, CEO ACORD 25 (2001108) Certlticate R da4ti W B V.. wlaraPrtBAI L.I. m.D ADDITIONAL INSURED ENDORSEMENT Insurance Company Tr�i��ohia Jn�dranC2 lOrn�anl�S This endorsement modes such insurance as is afforded by the provisions of Policy # PKPK,A 8 41 D 5 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and volunteers are named as additional insureds ( "additional insureds ") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be canceled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 10 j19l D $ — 161111b9_ this endorsement form as a part of Policy# PF�P1Ga��llos Issued to Named Insured Countersigned by w zed presen afi Amici, Sandra From: Thompkins, Carla Sent: Thursday, December 04, 2008 3:32 PM To: Amici, Sandra Cc: Valadez, John; Cervantes, Jesus; Schultze, Donna Subject: FW: Alaniz Attachments: Alaniz.pdf Attached for your files is the approved insurance renewal for Frank Alaniz dba Ballet Folklorico (Agreement No. N- 2006 - 063 -02). Carla Mack - Thompkins Management Aide City of Santa Ana Parks, Recreation & Community Services Agency 888 W. Santa Ana Blvd., #200 Santa Ana CA 92701 Tel: (714) 571 -4222 * Fax: (714) 571 -4209 E -mail: cthompkins(Bsanta- ana.ore 1