HomeMy WebLinkAboutSCHERMER, JANET 4ec z��
AGREEMENT TERMINATION
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Please complete this form when the attached agreement is no longer in effect.
Return form to the Sr. Deputy Clerk of the Council (M -30). Call 647 523`$`if -y' aw iave any
questions.
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was completed on I n+ and final payment has been made..
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City of Santa Ana
Clerk of the Council
INSURANCE ON FILE
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UN i IL INSURANCE EXPIRES
CLERK OF COUNC~h~~
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FIFTH AMENDMENT
TO CONSULTANT AGREEMENT
N-2004-060-05
THIS FIFTH AMENDMENT TO CONSULTANT AGREEMENT is entered into
this 12`h day of December, 2008, by and between JANET SCHERMER ("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-2004-060, dated May 11, 2004, (hereinafter
"said Agreement") by which Consultant has provided piano lessons through 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 and to add 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
Fifrh Amendment to Consultant Agreement, the parties agree as follows:
1. Section 2.a., COMPENSATION, shall be amended to add $12, 000.00 to pay for
services during the extended term from January 1, 2009 through December 31, 2009.
2. Section 3, TERM shall be amended to extend the term through December 31, 2009.
3. Except as hereinabove amended, all teens and conditions of said Agreement shall
remain in full force and effect.
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IN WITNESS WHEREOF, the parties hereto have executed this Fifth Amendment to
Consultant Agreement on the date and year first written above.
ATTEST:
./
A'I'RIC:IA E. HEALY
Clerk of L'1e Council
APPROVED AS TO FORM:
n`~ C~
JOSEPH W.F TCHER
City Attorney
RECOMMENDED
CITY OF SANTA ANA
DAVID N. RE
City Manager
CONSULTANT
AL:
7~1 T SCHERMER
Executive Director `
Parks, Recreation and Community
Services Agency
EVANSTON II~'SURANCE COMPANY
CERTIFICATE NO.: 2009-02
CERTIFICATE OF INSURANCE
EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED)
City of Santa Ana
Alliant Insurance Services, Inc. in conjunction with 20 Civic Center Plaza
Apex Insurance Services Santa Ana, CA 92701
P. O. Box 6450
Newport Beach, CA 92658
{949)660-8135
License No: OC 36861
NAMED INSURED (EVENT HOLDER): EVENT INFORMATION:
Janet Schermer TYPE: Music (Piano)
34 Brisbane Way DATE(S): Jan. 5 -Dec. 31
CA 92612
Irvine LOCATION: Corbin Senior Center
, *Liquor Liability Yes ^ No ^
**Li uor Liabilit after 12 am ends before 2 am ^
This is to cerfify that the policies of insurance listed below have been issued to the insured named above for the policy period
indicated. Notwithstanding any requirements, Leans or conditions of any contract or other document with respect to which this
certificate maybe 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: 04SEP1000001-5
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2009 EXPD2ATION: JANUARY 1, 2010
COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE
Gettetal Aggregam Limit $ 2,000,000
Products & Completed Operations 1,000,000
Personal & Advertising htjury 1,000,000
Each Occurrence Limit 1,000,000
Fire Damage (Any One Fire) 50,000
Medical Paynuttts (Any One Person) 5,000
Liquor Liability (If purchased) 1,000,000
The limits of insurance apply separately to each even[ insured by ibis policy as if a separate policy of insurance haz been issued for that event.
"Who is insured" is amended to include, az an insm~ed, the person or organization shown in this schedule, but only with respect iD liability arising out of the
ownership, maintenance or use of [he premises used by [he named insured (event holder). This insurance does not apply to: Any "occutrenw" which ta`ses place
after the event holder ceases [o be a tenant in drat premises.
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above described policy m cancelled before the expiration date thereof, the issuing company will trail 30 days written notice [o the
certificate holder and additional insureds listed.
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AUTHORIZED REPRESENTATIVE:
DATE ISSUED: January 5 2009 ~~ 'T