HomeMy WebLinkAboutGEORGE, MARIE DBA ACT ONE ACADEMY OF DANCE (LITTLE STEPS DANCE SCHOOL) 2C,,;~,+(CEE ON PILE
,_ ,;~ ,,,-., PROCEED N-2006-060-03
:,.,, ,,,,~n„~~CE EXPIRES
(v-:~3-G~l ,~,
6~.ERK oP COUNCIL
u.~i t! 3_l q_~1 THIRD AMENDMENT TO CONSULTAN'T' AGREEMENT
P rks R R~~- ~ C~~
~~-t1~~u~. /nun ti,~ev THIS TH[RD AMENDMENT TO CONSULTANT AGREEMENT is entered
mto this 12~ day of February, 2009, by and between Marie George, an individual dba Act
One Academy of Dance (hereinafter "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-2006-060, dated April 3, 2006 (hereinafter
"said Agreement's by which Consultant has provided dance classes through the
City's leisure class program.
B. Consultant has incorporated her business under the name "Act One Academy of
Dance, Inc.". The parties desire that the Agreement reflect the new name of the
studio.
C In accordance with the terms and conditions of said Agreement, the parties wish
to renew said Agreemant for an additional one-year.
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
Amendment to Consultant Agreement, the parties agree as follows:
1. Consultant's business name shall be changed to Act One Academy of Dance, Inc.
Payments will be made and taxes charged to the corporation.
2. Section 3, TERM shall be amended to extend the term through Jwte 30, 20 ] 0.
3. 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 Amendment to
Consultant Agreement on the date and year first written above.
ATTEST:
PATRICIA E. HEAL
Clerk of the Council
CITY OF SANTA ANA
V L`~
DAVID N. AM
City Manager
Act One 3`d Amendment
2.12'09
APPROVED AS TO FORM: ACT ONE ACADEMY OF DANCE, INC.
JOSEPH W.FLETCHER
city Ario4ney
By~~~
La ' heedy ~\~ ` ~~
Assistant City Attorney MARIE GEORGE
President
Tax ID #! 94-345733]
RECOMMENDED FOR APP,$.OVAL:
`u fib,
GERARDO MOT
Executive Direct r-PRCSA
Act One 3`d Amendment
2.1209
rr.n ..r. CNARCENE NATAKEYAMA, Agin!
Llcansa N0771272
7841 va6ay vlrrr Sena!
4 P+Nna, CA 80623
ir~uure! (/14)527.8687
far; (714)527-8898
a-meil:charlana.hal+ksYama.wrdOalatalrrm.cam AUGUST 15, 2008
Fire Policy Status
8 Ph. {7I4y625-9356
GEORGE, MARIE GENL Policy: 92-GA-8133-6 G Yr issd: 2002
]BA ACT ONE ACADEMY OF DANCE xref:
1186 N TUSTIN AvE
GRANGE CR. 92867-6006 Location: 1186 N TUSTIN AVE
ORANGE CA 92867
Term: CONT
type: BUSINESS - MISC Renew date: JUN-23-09'
~ovezage information Premium: 1,209.00 Written date: SEP-06-02
3-BUSH PROP 10000
.-LOSS INC ACT LOSS
-BUSN LIAB 1000000
BEN AGGREGT 2000000
?CO AGGREGT 7.000000
9-MED/PERSN 5000
Amount due: SFPP
Date due: SFPP
Sill to: SFPP
Prev preen: 1,255
?rev risk: 5,800 SFPP acct:0404-0556-23
)eductibles applied: 500 ALL PER OTHER DED MAY APPLX
fessages
Year built: 1951 Constr: FRAME
Zone: 59
Sub zone: O1
~ y~r.cvc.~ nv G-~3 -D8/
,a~~6 a s -0 9
c-. ,/r1c,c~
End act 06/23/08
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Policy Number
92-GA-8133-8
DECLARATIONS PAGE AMENDED JUN 23 2007
-s
900 OLDERIVER RD, BAKERSFIE RD CA 939 ~1 6000
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
h'- Z voles - coo- o~
Named Insured antl Mailing Adtlress
23-8821-F790 S
GEORGE, MARIE
DBA ACT ONE ACADEMY OF DANCE
1186 N TUSTIN AVE
ORANGE CA 92867-6006
BUSINESS POLICY -SPECIAL FORM 3 Cov A -Inflation Coveragge Index: NIA
Cov B -Consumer Pricelndex: 203.9
AUTOMATIC RENEWAL - If the POLICY PERIOD is shown as 12 MONTHS, this policyy will be renewed automatically
subject to the premiums, rul¢¢s and forms in effect for each succeedingg policy period. if Phis icy Is terminated, we will
give you and the Mortgagee/Llenholder Written notice in compliance with the policy provisions or as required by law-
Policy Period: 12 Months The policy period begins and ends at 12:01 am standard time at the
Effective Date: JUN 23 2007 premises location.
Expiration Date: JUN 23 2008
Location of Covered Premises:
1186 N TUSTIN AVE
ORANGE CA 92867-6006
Coverages & Property Limits of Insurance
Section I
A Buildings Exc 1 uded
B Business Personal Property $ 5 800
C Loss of Income - 12 Months $ Actual doss
Section II
L Business Liability 1 000 000
M Medical Payments 5'000
Products-Completetl Operations 2,000;000
(PCO) Aggregate
General Aggregate (Other $ 2,000,000
Than PC )
Forms, Options, and Endorsements
'Section II AddAional Insured
Amendatory Endorsement
Debris Removal Endorsement
Policy Endorsement
Business Policy Endorsement
Glass Deductible -Section I
' New Form Attached
liontinUeO On R2VefSe Side Of Page
FP-6143
FE-6609
FE-6205
FE-6451
FE-6506.2
FE-6464
FE-6538.1
Your policy is amentled JUN 23 2007
ADDL INSURED NAME & ADDRESS ADDED
ENDORSEMENT FE-6609 ADDED
Deductibles -Section 1
$ 500 Basic
In case of loss under this policy. the deductible will be
applied to each occurrence and well be deducted from the
amount of the loss. Other deductibles may apply -refer to
nnllnv
Endorsement Premium
Increase
120.00
RlenewaSYea~ied:APE R~",%ir" ~,~; f't>
Years in Business ~ `~`l
Claim Record -~i~ ~~~ ~
-- ~~~-;: 1 ~ --
i ~~~
.- ~s :_ ,.
Prepared OTHER LIMITS AND EXCLUSIONS MAY APPLY -REFER TO YOUR POLICY
lUL 06 2007 Counte signed
)6/ 993 .2C A3TN gy
lour policy consists of this page, any endorsements CHARLENE HATAKEYAMA
end the policy form. PLEASE KEEP THESE TOGETHER. (714) 527-see?
~O1
(a1f2172b)
07/28/2009 16:31 7145278898 STATE FARM
PAGE 02
Poifoy Number DECI-ARATIQNS PAGE COVERAGE SUMMARY
82-t~A 8133-8 - JUL 213 2009
I~Vp
$00 QA D RIVER RD BAK€RSF E LD CA 9S31n1 6000
A STOCK COMPANY W11'H HOME OFFICES iN BLOOMINGTONt ILLINOIS
Nan'ted Insured end MAiling Address
23-8321-F790 S
QEORQE, MARIE
D8A ACT ONE ACADEMY QF DANCE
1196 N TUSTIN AVt:
ORANGE C:A 9286?-8008
BU911dESS POLICY -SPECIAL FORMS Cov A -Inflation Covers a Index; I~I/A .
Cov B - Consumer price~ndex~ ?,2f).0
AUTQMATiC REiVEWAL _ If the POLICY PER OD is sho as t2 MbN~S, th s p0 I wlfi b0 ren wed automatical#y
s b ect to the ~psremmturns, ruled and farms # e~e~ for eac +~s edlng~ poffay per~nd. I~,ts all ~ i to we wit'
g~v~ you and tfle Ntortgagee~/t.lenhotder wniten notice In comp~~ance wltti the policy provis#onspor a r etirre
Palley Period: 12 Months The oilc ~ ~~~iy~aw.
p y period begins and ends at 1 z:01 am standard time at file
Effective Date: .JUN 23 z0o9 premises location,
Expiration Cate; JUN 23 2010
Location of Covered Premises:
1186 N TUSTiN AVE
ORANGE GA 92887.6006
coverages & Property
Section I
A Buildings
C GLOSS Of nCOme n ~f2 rMOp n}djy~
Section 11
t_ Buslne8s Liab11i1y
M Medical Payments
Products-Completed Oper$tlans
(PCO) Aggregate
Cameral gggregate (Other
Than PCO)
corms Options, and Endor:
Sp®cie~ Form 3
Amendatory Endorsement
Debris Removal Endorsement
POi1Cy Er1dOrSem6nt
BusMess Policy Endorsement
Glass Deductible - S9ctfon f
Terrorism Insurance Cov Notice
Continued on Reverse Slde of Page
Limits of Insuranoe
Excluded
Actual0~oss
$ 2,000,000
FP-6143
FE-6205
FE-6451
FE-8508,2
r=~-6as4
FE-86313. i
FE-8999.1
Prepared OTHER LIMIT'S AtdD 1;x
JUL p203g0p2008
0~8993'2C CUTQ
slid the po cu y to~~nt~ptr~ASB Kt:EP THE E TOOE~TNER,
F3equested t3y Additlonel Insured
Deductibles - Seotsan r
$ 600 Basic
in case of loss under flits policy the deductible will be
a~ir-pou~nt of tfa olI asp. Otiierdeduotibies maeda~ td f re er to
no(Ic:v_ Y Pp Y -
Policy Premium
Discounts Applied:
Renewal Year
Years In Business
Cfatnt Reoord
CLU810N8 MAY APPLY- REi=ER
Count stgrred
B ,
CHARLENE f~lA7AKEYAII
(714) 527-8897
,oso.
POLICY
- ~ .fed fi'
nt
(o SIR 17P.bi
07/28/2099 16:31 7145278898 STATE FARM
PAGE 93
CoRO poltcy No„ 92-GA 8133-8
eaflo FE-
SECTION II ADDITIONAL iNSURED ENDORSEMENT
,,,~...w
Policy No.: 92-QA 8133-8
Named Insured: DEORC3E, MARIE DBA: ACT ONE ACAD!~MY OF DANCE
Additional insured include address}:
CITY OF SANTA ANA
THEIR OF~'iCERS & EMPLOYEES
886 W SANTA ANA BLVD StE 20Q
SANTA ANA CA 92709-4587
WWO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as
an insured the Additional fnsurad shown above, but only to the extent that liability is Imposed on that
Additional Insured solely because of your work performed for that Additional Insured shown above,
Any insurance provided to the Additional Insured shall only apply v~ith respect to a claim made or a
suit brought for damages for which you are provided ooverage.
The Primary lnsura~nee coverag® below applies oniy when there i8 an "X" In the box,
Primary Insurance. The Insurance provided to the Additions( Insured shown above shall be
Primary insurance. Any insurance Carried by the Additional Insured shall be noncontributory
with respect t0 Coverage provided to you.
Ali other poltcy provisions apply,
FE~60R
Pdnled In Ef,S.A,