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Home My WebLink AboutRUFFIN, DON A. AND ARLENE B. 1BC coq AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Return form to the Deputy Clerk of the Council (M-30). Call 647-5238 if you have anj- 't' .qq,E� ions,' The agreement with No. and final payment has been made. - aw) � -WI-C) i � -,aD C) S- -0 Q3 -03 N -SLOC) Revised 05-22-08 �WAIWI N U WV was completed on Department: F aj�Js A Signature: sS� JW \jCA � A )()—A1G0 Date: to 11,°z 1) 4- City of Santa Ana Clerk of the Council INSURANCE ON FILE WORK MAY PROCEED UNTIL IN URAN E EXPIREa CLER 0 C NCIL DATEAUG 3 1 2010 AMENDMENT TO AGREEMENT N -2008- 063 -02 THIS AMENDMENT TO AGREEMENT is entered into this 1st day of July, 2010, between Don A. Ruffin and Arlene B. Ruffin, j ointly (hereinafter "Provider") 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 parties entered into Agreement N -2008 -063, as amended from time to time, (the "Agreement ") by which Provider provides recreation and leisure class services. B. The parties wish to amend said Agreement to renew the agreement for another one year term and to revise the Scope of Services (Exhibit A). 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 to Agreement, the parties agree as follows: 1. Section 1, entitled "Scope of Services ", shall be amended by substitution of a new Exhibit A, attached hereto. 2. Section 3, TERM, shall be deleted in its entirety and replaced with the following: "This Agreement shall commence on July 1, 2010 and terminate on June 30, 2011, unless terminated earlier in accordance with Section 12, below." 3. Except as herein 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 the date and year first above written. ATTEST: CITY OF SANTA ANA D. Hvl o: / lv�,, MARIA D. HUIZAR DA ID N. RE Clerk of the Council City Manager 2 PROVIDER ��w a4- Don A. Ruffin 4 ,ff - //�- Arlene B. Ruffin Tax ID No. 328 -52 -3005 Exhibit A SCOPE OF SERVICES Consultant will teach a variety of Classes on Tennis. TOTS TENNIS USPTA Coasches Neal Machander /S.A.H.S. Tennis Center (949) 678 -8658 Class is designed for kids to have fun while being introduced to the sport of tennis. Students must wear non - marking tennis shoes and bring a racquet; instructor will provide the tennis balls. Sa 9:00 AM - 9:45 AM 3 -5yrs $30 /Month BEGINNER'S TENNIS USPTA Coaches Neal Machander /S.A.H.S. Tennis Center (949) 678 -8658 Class is designed for first time players. Learn the basic grips, strokes and scoring. Students must wear non - marking tennis shoes and bring a racquet; instructor will provide tennis balls. $55 per month for 2 classes per week, 3rd class FREE. M 5:00 PM - 6:00 PM 6 -17yrs $30 /Month T 5:00 PM - 6:00 PM 6 -17yrs $30/Month W 5:00 PM - 6:00 PM 6 -17yrs $30/Month TH 5:00 PM - 6:00 PM 6 -17yrs $30 /Month Sa 10:00 AM - 11:00 AM 6 -17yrs $30/Month INTERMEDIATE TENNIS USPTA Coaches Neal Machander /S.A.H.S. Tennis Center (949) 678 -8658 Students will work on consistency and control on forehands, backhands, volleys, serves, overheads, lobs, and scoring. Students must wear non- marking tennis shoes and bring a racquet; instructor will provide tennis balls. $75.00 per month for 2 classes per week, 3rd class FREE. M 6:00 PM - 7:30 PM 6 -17yrs $40 /Month Tu 6:00 PM - 7:30 PM 6 -17yrs $40 /Month w 6:00 PM - 7:30 PM 6 -17yrs $40/Month Th 6:00 PM - 7:30 PM 6 -17yrs $40/Month Sa 10:00 AM - 11:00 AM 6 -17yrs $40 /Month ADVANCED TENNIS USPTA Coaches Neal Machander /S.A H.S. Tennis Center (949) 678 -8658 Designed for experienced player with focus on conditioning, drills, and match play to improve mental toughness and physical skills. Students must wear non - marking tennis shoes and bring a racquet; instructor will provide tennis balls. $95.00 per month for 2 classes per week, 3rd class FREE. M 7:00 PM - 9 :00 PM 10 -17yrs $50/Month Tu 7:00 PM - 9:00 PM 10 -17yrs $50/Month w 7:00 PM - 9:00 PM 10 -17yrs $50/Month Th 7:00 PM - 9:00 PM 10 -17yrs $50/Month Sa 10:00 AM - 11:00 AM 10 -17yrs $50/Month Private & Semi - Private Tennis Lessons Beginners learn basic grips /forhands/backhands/volleys /services. $25.00 for %x hour lessons and $45.00 for 1 hour lessons. Consultant will provide and be responsible for equipment, records, personnel and clean up of the facilities and materials necessary to ensure the safety and effectiveness of said instruction. If Consultant allows others to teach his/her class, those teachers must be over 21, have obtained and maintain an instructor rating, and be covered by Consultants' insurance. Consultant shall provide City with documentation to verify instructor and insurance requirements. CLASS SIZE 1) Each class must have a minimum of 4 paid students and no more than a maximum of 32. 2) In the event the minimum number of enrollees is not met by the class meeting the class shall be canceled. Consultant will be under no obligation to provide services and the City will have no obligations to pay Consultant compensation CLASS FEES 1) Each participant shall pay a $30.00/$40.00/$50.00 class registration fee per session; $60.00 per week for Tennis Camp. Anticipated revenue from this class is $10,000.00. 2) No refunds will be made to participants after the second class meeting unless the class is cancelled by the City. 3) The City shall collect registration fees from each participant during the registration period. Consultant shall not collect fees, but shall refer all interested participants to City for registration. 4) Consultant shall receive seventy per cent (70 %) of the total fees collected each month. City and Consultant agree that City shall retain thirty per cent (30 %) of the fees collected as an administration fee. 5) Consultant agrees that City is entitled to audit Consultant's records and classes to insure compliance with this Agreement. 6) Consultant may not waive class participation/registration fees. 7) City shall prepare class rosters and provide a copy to Consultant. Only registered participants may participate in class. /V' — 20 0 �S — 06 3 - 0 2 �� CERTIFICATE OF LIABILITY INSURANCE page 1 ot: 3 �o1 %oe /�ao 0 PROOUeER 677- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS LPON THE CERTIFICATE willies Znauraae• Barvicss o! Georgia, Znc_ ss century Hloa. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TYPE OPIMSURANGE D. O. Hos 305191 Nashville, TN 3723 0 -5191 INSURERS AFFORDINf3 COVERAGE NAICRI WSVRED Dnited StaCaa proiYaional TeTmia Aaaeeiation, Zn .INSURERA�RhLladel his IaauranOe C See 1S0S8 -900 INSV Bs•.BLre>.an• a D'uafl Znauraane CO. 2 18 7 3 -091 3s3s Hrierpar)c Dsivs Neuaeon, TX 770a2 INSURER C: S _� QOO, 000 COMMER ... GENERAL LIABILITY COVE : , =a.i::::,..� -. -.. THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION8 AND CONDITIONS OF SUCH POLICIES. AG�3REGATE LIMITS SHOWN MAY HAVE SEEN REDUCED OY PAID CLAIMS. R TYPE OPIMSURANGE PODGY NUMBER �� SY/31/2009 I 12/31/2 D10 LIMrt3 A X oENERAUMBP.In PHp)C510031 EACNOCCURRENCE ___ S _� QOO, 000 COMMER ... GENERAL LIABILITY Q• NTEO , S 100 O CLAIMS MADE ®OCCUR MEO EXP M aM _ S PERSONAL BADV INJURY f OFiVERAL A00RE0ATE S GEN'L AOGREOAiE LIMIT APPLIES PER= PROOUCTB- COMP /OP AGO f O POLICY LOC AVTOYOHILE LIABILITY ANYAVTO Item ha be COMBINE091NOLE LIMIT (Ee eorJeerLL) s ALL OWNEOAUTOS SCNEOULeDAVTOS Reviewed- BODILY INJIXiY � °`P°"°"I —_ S HODRy1NJVRy (P.I aaTJAant) i _ NIREDAUTOS NON -0WNED AUTOS Approved- 2� / __ PROPHRTY DAMAGE (PEr gctlelt) -- 1 DSte: ---------- OARATiE LfABILITV AVTOONLY -EA ACCIDEM_ S OTHER THAN EA ACC AUTOONLY� AGG i ANY AUTO i A EXGE881YMBRELLA LUBILnY pIiUH293364 12/31/2009 I2 /31/2010 EACH CCURRENCe S 00 OCCUR � CWM9 MADE AOORHOATE S O S s DeoucnaLE s ReTeNrwN s WORI[PJi8 ANDENPLOYER9•LV161Lm1 / WYPROPRIETCR�F WFICE�M�MBER �(NN�MaI�Wr(( ODMPEMSATION "LN 'P.RTN�JRIEXECLIT ^.F'` EXCLVDE09 L_J NNNRII j { f E.L. EACH M:CfI:ENT � ___ _ _ E_L OIHEA3E- FA EMPLOYEE _i _ _ S_ E.1_ DISEASE - POLICY LIMfr -- _ -____ S 1( MNab VIWN Y 8 OTHER eHX 1 12 2 010 BxeePa Liability 53,000,000 Limit DHSCRE'TION OF OPERATIONS I LOGTgNH /VEHICLES / EXCLVeV]NS ADDED BY HNDORSBNENT / 9PHCUILPROVISKINS Arlene RuElin 54144 UBPTA NemberB era SnBnredB Cor General Liability Cor playiag� teaching or oCEiciating in tennis oz operating a tonnie ball alaehine Cor practicing or teaching. City of Santa Ana (Neal Machander Tenaie Center Santa Ana High School) is an Additional Insured as r SHOULD ANY OP THE ABOVE OESCRNIHO POLICE'S BE CANCELLED BEFORE THL GIPIMTNNI GATE TNBREOP, THE ISSUWO WSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE GCRTIFN:ATe MOLDER NAMED TO THE LEFT, BUT PAILVRe TO DO SO SHALL oR08H If0 OBUOATNJN OR LUBILITY OF ANT HIND UPpI THE INSURER, n3 AGENTS OR Ci Cy oL Santa Ana (Heal Naehsnflor Tonaia Center Banta Ana Nigh School) REPREeENTATVEB. Sao w. walaue St. AVTNORI>CZD REPRESENTATVE Santa Ana, CA 92701 ACORD 25 (2006!01) Co 11:2903568 Tp1: 1040196 Cart:13. 765 ®1 BB -2006 ACORD CORPORATION. All rights reserved. The ACORO name and logo are registered marks of ACORD � Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statemerit On this certificate does not confer rights t0 the certificate holder In flea of such endorsamant(s). If SUBROGATION IS WAIVED, aubJect to the terms arld conditions of the policy, eertaln polices may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of insurance does not constitute a contract between the issulhg Irtsurer(s), authorized representative or producer, and the certificate holder, nor does It affirmatively or negatively amend, extend or alter the coverage afforded by the policies hated thereon. Tp1:1o90198 Carta 137267 THIS ENDORSEtitllEhlT GRANGES THE POLICY PLEASE R —�l,D IT CAREPULi.Y ADDITIONAL INSURED: OWNERS AND J OR LESSORS OF PREMISES, LESSORS OF LEASED- EQUIPMENT, SPQINSOR$ OR CO- PRQMOTERS This endorsement tmodittes Insurance provided under the following: COMMERCIAL [iENERAL LU►AILITY COVERAGE PART This policy is amender! t0 includa� as an additional Insured. any person or orgarrizetkxt of the types designated below, but only wtlh neapect to liability .arising aut of your operations- 1. owners end / or !.assort;• of the premises leased. r+entad, or loaned to you. subJect to the toHOwlrtg adtiltlortai exotutrions; a. TMs Instirerlce applies only to an 'occurrence' which (ekes place whtle you are e. tenant In the pnemises; - b_ This insurarvosdoas tw4apptyto'boditylryury or'prtapergr damage` resulting from structural aiteratior►s, flew t:ortatre�eSon or demoRtlon oparattona performed by or on behalf of fha owner end / or Ieasor of Otis j�oeritlssa;. c. TMs Inauartce does. not apply fo ut+trlsty of the orvrters and / or lessors for -bodily lryury or 'property damage` arledr�_ cut of arty design defect or atrudutal maintenance of the premieres ex loss osused by a premises deiect. With respect tD any addltloiial.Bisui!e)d Irrch.ided utrder tflfs pocky, fhia Insurance does no! apply io the sole negligence of audr txttlitlonellnetusd. 2. Lessor of Leased Equi�mertt, but only with raspee;t to tlabfNgr for `bodily injury, 'propergr damage' or "personal and advmritseng injury' caused, M whob or: in part, byyour malrtterlanca, apasatlon or use of equipmerrl teased to you by tiuCtr perann(S) Or organlzatkm(s) si,bject to the followin8 addWonal exdusiona: a. This intraxanoe does not apply to any `occurrence' whictr takes plane esker the equipment tease expires. 3. Sponerors a. co- Prornoiera City of Santa Ana /City Attorney Item has Reviewed: APPrn�ed: Date: Page � oT t • United Strafes Professional Tennis Association, Inc. Setting the standard for teaching professionals - That's Who We Are L�SPTA. May 2, 201 1 Ms. Arlene B. Ruffin 35 Ficld Irvine, CA 92620.3345 Dear Arlene, This letter confirms that, as a Recreational Coach of the United States Professional Tennis Association, you have purchased liability insurance as outlined below. This USPTA liability policy covers applicants, and certified and certain honorary members in the United States, its territories or Canada, and nonmembers who are insured through a certified member's policy_ It also covets Recreational Coaches who elect to purchase the insurance. THE USPTA LTABILI'tY POLICY INCLUDES S9 million liability insurance, while on cotvr, for bodily injury to others, and for damage to property rmt in the tennis teacher's care, custody or control. It does no[ cover injury to the fermis teacher, or damage to his/her property. The accident must have taken place on court, and arisen from the tennis teacher's playing, practicing, teaching or officiating in tennis. Policy Nutstber: E17ective Period: PHPK663100 12/31!2010 - 12/31!201 1 For gaestions or to USPTA World Headquarters report an accident, 3535 Briarpark Dtivc, Suite One contact: Houston, TX 77042 Telephone 713 -978 -7782 If we may be of further assistance, please do not hesitate to contact us. AP!'RC} 4' L1, Sincerely, A S �TC3 ! C> � c �� 'c- UNITED STATES PROFE(S /$J[ONAL TENMS ASSOCIATION, INC. < <iu��,�'� ___._� �� i — / 1 A.�es S.t >e.t C.�i: S -�ri�� (�/ /�" "� (i(/�/ rr: c t Melony� Insurance partment ]P!R -1XAY - KtYiN - (iJ3U 3535 Briarparlc Drive, Suite One •Houston, TX 77042 800- 877 -8248 • 713- 978 -7782 • 713- 978 -7780 fax • uspta�uspta.org • usptacom • United States Professional Tennis Association, Inc. - Setting the standard for teaching professionals - That's Who We Are USPTA. May 2, 201 1 Mr. Don A. Ruffin 35 Field Irvine, CA 92620.3345 Dear Don, This letter confirms that, as a Recreational Coach of rite United States Professional Tennis Association, you have purchased liability insurance as outlined below. This USPTA liability policy covers applicants, and certified and certain honorary members in the United States, its territories or Canada, and nonmembers who are insured through a certified member's policy. It also coven Recreational Coaches who elect to purchase the insurance. THE USPTA LIABILITY POLICY INCLUDES S9 million liability insurance, while oar court, for bodily injury to others, and for damage to property not in the tennis teacher's care, custody or control. h does not cover injury to the tennis teacher, or damage to his/her property. The accident must have takrn place on court, and arisen from the tennis teacher's playing, practicing, teaching or officiating in tennis. Policy Number_ PHPK663100 Effective Period: 12/31/2010 - 12/31 /2011 For questions or w USPTA Warld Headquarters report an accident, 3535 Briarpark Drive, Suite One contact: Houston, TX 77042 Telephone 713- 978 -7782 if we may be of further assistance, please do nat hesitate to contact us. sincerely, = �l'�?r,�,. UNITED STATES PROFES ONAL TENNIS ASSOCIATION, 7NC. - ' " ' * - _ ,r 1�— � I ��R11�1 (fit -J � �Q _ Melony De h �, -� � Ittsutanca %�l�partment ,c, y rt >rne� A74W - CE71 - Dl1BO - 09NW 3535 Briarpark Drive, Suite One •Houston, TX 77042 800- 877 -8248 • 713- 978 -7782 • 713- 978 -7780 fax - uspta�a usptaorg • uspta.com United States Professional Tennis Association, Inc. Setting the standard for teaching professionals - That's Who We Are March 21, 2012 Ms. Arlene B. Ruffin 28 Grant Irvine, CA 92620 -3353 -,� Dd 8" - �C�3-023 2 usP-r�.. Dear Arlene, This letter confirms that, as a Recreational Coach of the United States Professional Tennis Association, you have purchased liability insurance as outlined beioty_ This USPTA liability policy covers applicants, and certified -and certain honorary members in 'the United States, its territories or Canada, and nonmembers who are insured through a certified member's policy. 7t also covers Recreational Coaches who elect to purchase the insurance: THE USPTA LIABILITY POLICY INCLUDES $9 million liability insurance, while on court, for bodily injury to others, and for damage to property not in the tennis teacher's care, custody or control. It does nor cover injury to the tennis teacher, or damage to his/her property. The accident must have taken place on court, and arisen from the tennis teacher's playing, practicing, ,teaching -" or ofFiciating in tennis. Yollcy Number: EtfeMlve Period: For questions or to report an accident, contact: If we may be of further assistance, please PHPK801956 12/31/2011 - 12/31/2012 USPTA World Headquarters 3535 Briarpazk Drive, Suite One Houston, TX 77042 Telephone 713 - 978 -7782 do not hesitate to contact us_ Sincerely, t`U` " /N�IjT'(n /ED STATES PROFESSIO AL TENNIS ASSOCIATION, 1NC. Melony DeLo h ��g� - - Insurance De artment E41R- 2DBD- XNF -g2XB 3535 Briarpark Drive, Suite One - Houston, TX 77042 800- 877 -8248 • 713- 978 -7782 - 713 - 978 -7780 Fax • usp[a riluspta.org - uspta.com