HomeMy WebLinkAboutMONTELONE, SUE 1A - 2010 INSURANCE ON FILE N-2009-108-001
1h'ORK MAY PROCEED
UNTIL INSURANCE EXPIRES
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CLERK OF COUNCIL
DATE: '
G,q~ C2 J FIRST AMENDMENT TO AGREEMENT
5 wla VgZgUCrZ UNDER THE WORKFORCE INVESTMENT ACT
y THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT, made and entered into this 1st
day of March, 2010, by and between Sue Montelone (hereinafter "Consultant"), and the City of Santa
Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of
the State of California (hereinafter "City").
RECITALS
A. The City and Consultant entered into the Agreement under the Workforce Investment Act ("said
Agreement") dated July 1, 2009 (N-2009-108) for Consultant to provide job preparedness and
employability skills instruction at the Santa Ana WORK Center.
B. The parties hereto now desire to amend said Agreement to increase the compensation.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms
and conditions hereinafter set forth, the parties agree to amend said Agreement as follows:
1. Section 6 "Compensation" of said Agreement shall be amended to add additional funds of $3,000.00,
so that the total sum to be expended under said Agreement as amended shall not exceed $11,000.00
during the term of said Agreement.
2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to said Agreement the
date and year first above written.
ATTEST: CITY OF SANTA ANA
C
Marra D. Huizar j David N. Re ,City Manager
Clerk of the Council "
APPROVED AS TO FORM: CONSULTANT
Joseph W. Fletcher, City Attorney 'j
Lisa Storck, Assistant City Attorney "Sue Montelone
RECOMMENDED FOR APPROVAL:
G
Cynt is J. Nelson, Deputy City Manager
For Development Services
I
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EVANSTON INSURANCE COMPANY
CERTIFICATE NO.e 2010-056
CERTIFICATE OF INSURANCE 1? ?,?p?? ? ? ?.3
EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APP A `YI''bb FO NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM .._rA ANA
CITY G'i -_-
PRODUCER PUBLIC ENTITY AL'-1
Alliant Insurance Services, Inc. in conjunction with City of Santa Ana
Apex Insurance Services 20 Civic Center Plaza
P. O. Box 6450 Santa Ana, CA 92701
Newport Beach, CA 92658
License No: OC 36861
NAMED INSURED (EVENT HOLDER): EVENT INFORMATION:
Sue Montelone TYPE: Resume WorKshoa/Self Improvement
19918 Paseo Lorenzo DATE(S): September 15, 2010 -December 31.2010
Yorba Linda, CA 92886 LOCATION: WorK Center
*Liquor Liability Yes ? No
**Li uor Liabili after 12 am ends before 2 am
This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period
indicated. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this
certificate may be 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: lOSEP1000001
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2010 EXPIRATION: JANUARY 1, 2011
COMMERCIAL GENERAL LIABILITY -OCCURRENCE FORM DEDUCTIBLE:NONE
General Aggregate Limit $ 2,000,000
Products 8c Completed Operations 1,000,000
Personal Rc Advertising Injury 1,000,000
Each Occurrence Limit 1,000,000
Fire Damage (Any,One Fire) 50,000
Medical Payments (Any One Person) 5,000
Liquor Liability (If purchased) 1,000,000
The limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event.
"Who is insured" is amended to include, as an insured, the person or organization shown in this schedule, but only with respect to liability arising out of the
ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes place
after the event holder ceases to be a tenant in that premises.
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above described policy be cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the
certificate holder and additional insureds listed.
AUTHORIZED REPRESENTATIVE: ?? ? ???
DATE ISSUED: September 15, 2010 by Briza Morales _..?nAV£D ?'? ?®_?? M
Assistant City