HomeMy WebLinkAboutMONTELONE, SUE - 2009 INSURRNCE PLOT ON EPEE Naoo9.loa~oo2
WORN MAV Qi PROCEED
CEERNOP000N~IL sEwNUnm~n'DmENTTOACR~mEnT
ppTE PUG 8 010 armERTHEwoR~oacEwvESTMENTACT
CDA~ WOYK ~P_f^
S,~~yiq THIS SECONDAMENDMENTT000NSULTANTAGREEMENT,madeandenU,redintoRds70n
~~~pyday of tune, 2U10, by and 6e[ween Sue Moofelone (hereineMr "Consul~n('~, and the Gty of Barite Ana, a
ehar(er city and muni~pal corporation organiud and existing wrier ffie ConsdWdon and laws of theSlale of
Califomia(hereinaller"aty'~.
RECITALS
A. TheCltyendConsultantenleredinlolheAg~ementnndesfheWorkforaelnveshnentAo[(°seid
Agreement") doled ]uly 1, 2009 (N~2009-108) for Coruullant io providejo6 prepareMess and
employabih'ry skills ~sVuclion al fheSanla Ane WORK Center.
B. Thepatli¢samend¢dseidAgreementinMaeeh2010foaddadditlonelfandstosaidAge¢emeut~'Fusl
Amendment"),
C. ThepaAi¢sfierelonowdzsireloameadsaidA~eemenllo¢zleodfhetertnandinoerasethe
compensation.
NOW THEREFORE, N considerafion of themutual end respective pmmis¢s, and aubjerA to the femrsand
randi(ions hereimfiu set fofih, the per[ies ag<ee to amend said Agreement as follows
L Sectionl'"fimePeriodofAgreemenfbfseidAgreemenlalmllbeameodedtoeatendthe(emstoAugusl
30, 2010.
2. Seckon6"Comp¢nsadon"ofsaidA~eementshallbeamendedloaddeddidomlfundsof$I,000.OO,so
fhatlhe (otal som to 6e expended wrier said Agreement as amended sball riot exceed $12,OW.00 during fhe
[ema ofsaid Agreement,
3, Exceplasherainabovemodified,dretemnsandcondilionsofsaidAgreemeolremainonol~gedendinfWl
force and effect.
M WYfNESS WHEREOF, IhepaAies hraeto baveezuufed Ihis SecondAmendmentto saidAgreemenl Ere dale a'
year first above wnden.
ATTEST'. CITY OF SANTA ANA
~'I'1?~ `1,
Mara D, Huizflr David R¢am, ity Manegw
ClerkoftheCowofi
APPROVEDASTOFOItM~, CONSULTANT
Joseph W,Pletehu,Q[yAtlomey L,~
By
Lisa Slomk,AssisfanlGtyApomey SueMoolelone
REWMMENOED~RAPPROVAI~,
L~nlhial.Nelsory epuryCi[yManager
For Development Servirzs
f? - 2C?C?G -1 O
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