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HomeMy WebLinkAboutUS NATIONAL BADMINTON FOUNDATION 1B-2010(D City of Santa Ana Clerk of the Council AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Flo jut 19 PM -V 13 Return form to the Clerk of the Council Office(M-30). O Call 647-5237 if you have any questions. CiTCLY AN/a 0 COUNCIL 54HTA TAAN The agreement with No. /�14— n:f was completed on (t" II W) L5 and final payment has been made. �1 -&QC3�_055 ---00 4 Department: ����� N - M CI0 `r- 038*- C+C ;;�,. Phone/Ext.: 115 -IS7-i Q --a &—C bS — CM G J )�-3 - aLCG,�S--G'vR--GO4 Signature: Date:[ Revised 07-23-07 C1?.?1=NT N-2008-038-002 INSURANCE NOT ON FILE WORK MAY NOT PROCEE CLERK OF COUNCILS ' AMENDMENT TO AGREEMENT DATE: SEP 2 7 2010 O: PRCS (1Z) Silvia Cuevas THIS AMENDMENT TO AGREEMENT is entered into this 1 st day of July, 2010, between U.S. National Badminton Foundation, a non-profit public benefit corporation (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-2008-038, 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 continence 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 MARIA D. HUIZAR DAVID N. REAM Clerk of the Council City Manager APPROVED AS TO FORM: JOSEP ER City Atto y PROVIDER Tax ID No. 82-05761 OS l EXI-I1BIT A Exhibit A SCOPE OF SERVICES 1) Provider will teach Badminton at Salgado Recreation Center. Participants will learn the fundamentals of badminton; rules of the game, court etiquette, swing production, foot work and more_ p ?' ,? /&WVV O:30pm 2) The classes will be held on Fridays from 6.30 p.m. -843-5-p.m. Class will be conducted monthly. Except during basketball season, when gymnasium is not available (December - March). 3) Provider 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. 4) If Provider allows others to teach his/her class, those teachers must be over 21, have obtained and maintain an instructor rating, and be covered by Providers' insurance. Provider shall provide City with documentation to verify instructor and insurance requirements. CLASS SIZE 1) Each class must have a minimum of 5 paid students and no more than a maximum of 30. 2) In the event the minimum number of enrollees is not met by the first class meeting the class shall be canceled. Provider will be under no obligation to provide services and the City will have no obligations to pay Provider compensation CLASS FEES 5: oa/moh t 1) Each participant shall pay a $ P9-O& for the Friday class session. Anticipated revenue from this class is $i?;96696- i?Soo. ob / Nczy?. 1 z9 / ???e/ 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. Provider shall not collect fees, but shall refer all interested participants to City for registration. 4) Provider shall retain seventy per cent (70%) of the total fees collected each month. City and Provider agree that City shall receive thirty per cent (30%) of the fees collected as an administration £ee. 5) Provider agrees that City is entitled to audit Provider's records and classes to insure compliance with this Agreement. 6) Provider may not waive class participation/registration fees. 7) City shall prepare class rosters and provide a copy to Provider. Only registered participants may participate in class. 4 i _ ,... , k ? ,,.a; , ,.. - ?, _- ., ?-,. ,, w , - _ - ? _- - _ .. 9 ? ` ?. ,? ?yy _ ? ?, '' Yf? '{ I ?_ I i y u ? i_ ..^F it ? - - ? ? '? `tiff yy q ?, +f 1 ... - ?? tJ? ? .. ` 1'r "mow r , L a ? 'v ?I?.-??y.? y ?..1. ? '?s I,.?n,,"'.. -? ?? I?J? wtr ?- ? Eti ? `tEJhl? ??? ?. I E i ??r71 4 i ?..?u? .,? ? : Imo..,. .. 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IirY 4 lYJ T ??? ,? ?,. ??Y ?? - rv ?' a? ? ??._? __ ....,,.? m_ ?- - ? 1 ??????'?1 i.?I..? ??`?1 r ?* ?W "A .._ ?? N -aoo?-o3?3 -oo? ?/??? CERTIFICATE OF LIABILITY INSURANCE °vs?.YZ DA o9 zz/ o ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bollinger, Inc. y? HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ShortFBilis NJy07078-$000 ?Q{? QCT 25 ? L THE COVERAGE AFFORDED BY THE POLICIES BELOW_ Phone: 800-$26-1379 Faz:973-921-2876 INSURERS AFFORDING COVERAGE NAIC Je IN D US National Badminton F??%i _ s Markel Insurance Company 38970 14862 Collate Place ii" ` `' ' B_ INSURER C: Westminster, CA 92683 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER100 INDICATED. NOTWITHSTANDING ANY REOVIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCV MENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSVEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSKJNS ANO GONOITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR /NSR TYPE OF INSURANCE ? POLICY NUMBER DATE (MM/DDA'YYY) DATE (MILDD/YYY17 LIMITS GENERAL LIABILITY EACH OCCURRENCE E 1 , OOO , OOO A 1 Z Z COMMERCIAL GENERAL LIABILITY 8$02AH024$04 03/01/10 03 /O1/11 PREMIStes (Ee aearanoa) E 100,000 IJ GLAIM3 MADE ® OCCUR MED EXP (My me peon) E $ , OOO f Z Zacl Participants PERSONAL BADV INJURY E 1, DOD, OOO a ZnCl Drag Tenting GENERALAOGREGATE f $,000,000 GENt AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP A00 E 1 , OOO , OOO POLICY JECT Z LOC Abu80 Mol lmil 21811 ' AUT OMOBILE L14BIUTY COMBINED SINGLE LIMIT E ANY AUTO (Ea aicci0ent) All OWNED AUTOS A ROVED O FOR eP?DIL? I?NrIJ)uRY f SCHEDULED AUTOS HIRED AUTOS BODILY INJURY E I NON-0WNED AUTOS _ (P°r accident) L? ?I1? rT FLE HER •Y PROPERTY DAMAGE f CITY A O EY (Par acci°°"`) GARAGE LU\BILT/ AUTO ONLY - EA ACGIOENT f ANY AUTO OTHER THAN EA ACC f AUTO ONLY: qGG E EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE E 1 , OOO , OOO A 8 occuR ?cLAIMS MADE 4602A8024$O$ 03/01/10 03 /O1/11 AGGREGATE f 1, GOO, OOO E DEDUCTIBLE f RETENTON E S AND EMPLOYERS' LUUlILnY ? TORY LIMITS ER ANV PROF`RIETOR/PARTNER/EXECUTIV Y/N E.L. EACH ACCIDENT f OFFK;ERlMEMBER EXCLUDED9 (Mandatory In NH) I E.L. DISEASE - EA EMPLOYE S H y? dRRiba urwar , SPECIAL PROVISIONS balpw j E.L. DISEASE -POLICY LIMIT E OTN ? DE RI N PERATION LOCATIONS /VEHIC LE LU I N ADDED B I I N The certificate holder is named as an additional insured under the liability policy. Coverage is provided under thin policy for sponsored/supervised activities of the named insured. This certificate is issued on behalf of the fJSNBF Club. VANLC LLA I IVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRA SALGCAl GATE THEREOF, THE 136UIN0 INSURER WILL ENDEAVOR TO MAIL 3 D DAYS WRITTE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHA IMPOSE NO OBLKiAT10N OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AOENTB OR Salgado Community Center 706 NO rth Newhope St rest REPRESENTATIVES. Santa Ana CA 92703 ,/-' Tha ACORD Hama and logo era raglstered marks o1 ACORD POLICY NUMBER: 8502AH024504 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE City of Santa Ana, its officers, employees, agents, volunteers and representatives 20 Civic Center Plaza Santa Ana, CA 92701 Group Code: Irvine Badminton Club This insurance is primary and non-contributory. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or APPR ED AS _ EURM rented to you. J PH W. TCHER _r+TY ORNEY CG 20 26 07 04 ©ISO Properties, Inc., 2004 Page 7 of 1 ADDITIONAL INSi3RED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company , tilarkel Insurance Company- - N.?AIC = X8970 This endorsement modifies such insurance as is afforded by the provisions of Policy # S50?.?I IO_'-ISO4 relating to the following: l . The City of Santa Ana, and the City of Santa Ana, located at 20 Civic Center Plaza, Santa Ana, California 92701; and their respective officers, employees, agents, volunteers and representatives aze named as additional insureds ("additional insureds") with regazd to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other ins¦*?*?ce carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty {30) days written notice has been given to the Community Redevelopment Agency of the City of Santa Ana, 20 Civic Center Plaza (M-25), Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective from C)3-[)1 ? I U to (}3!0 i.?1 1 ,this endorsement form as a part of Policy # S_>O?t?1i0245(l?} Issued to L''SA Bad.n3inton cX: its member clubs Named Insured Countersigned by ??j? ?-?j thorized Representative from Insurance Provider OP ID: AY ACORO « ?? CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/`/YYY) 03/04/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 800-526-1379 CONTACT NAME: Bollingger, Inc. 973-921-2876 101 JFK Parkway PHONE aC No : Short Hills, NJ 07078-5000 AJ M -MAIL organ PRODUCER . USABA-2 INSURERS AFFORDING COVERAGE NAIL K INSURED USA Badminton INSURERA:Markel Insurance Com an 38970 $a its member clubs INSURER B One Olympic Plaza INSURERC: Colorado Springs, CO 80909 INSURER D r? ? •? ?M ? ? O ? Jr-?OO? INSURER E V?? VV CJ INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 REQUIREMENT, TERM OR CONDITION 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD POLI Y EXP MM/DD LIMITS GENERAL LV\BILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 8502AH0245D4 03/01/11 03/01/12 PREMISES Ea occurrence $ 100.000 CLAIMS-MADE ? OCCUR MED EXP (Any one person) $ 5,00 J( Intl Participants PERSONALBADV INJURY $ 1,000,000 J( Intl Drug Testing GENERAL AGGREGATE $ 5.000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 1.000,000 POLICY PRO X LOC Abuse/Mol $ lmil/2mi1 AUT OMOBILE LUIBILITY COMBINED SINGLE LIMIT $ (Ee eccitlent) ANV AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accitlent) $ SCHEDULED AUTOS DAMAGE O R HIRED AUTOS G nt Pe r a¢ $ NON-OWNED AUTOS $ UMBRELLA LIAR )( OCCUR EACH OCCURRENCE $ 1,000.000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 A 4602A H024505 03/01 /11 03/01 /12 DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATON AND EMPLOYERS' LIABILITY T?T? / \ a ? s? c J ?PS y?V V • ?,j, ? ??1 r-/? V 1' V ? n 1v1 WC STATU- OTH- Y/ N . ANY PROPRIETOR/PARTNER/EXECUTIVE ? N /A ) E.L. EACH ACCIpENT $ OFFICER/MEMBER EXCLU DED9 / (Mantla[ory In NN) - E.L. DISEASE - EA EMPLOYEE $ IT yes, tlescriba untler DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ Laura Slit S' erdy Assistant C=ity ttorncy DESCRIPTON OF OPERATONS /LOCATIONS /VEHICLES (AHach ACORD LOS, Adtlltlonel Remanca SebaCUle, If more space is requiretl) The certificate holder is named as an additional insured under the liability policy. Coverage is provided under this policy for sponsored/supervised actlVltles of the named insured. This certificate is issued on behalf of the USNBF Club. CERTIFICATE HOLDER CANCELLATION SALGCAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Salgado Community Center THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 706 NOrth NBWhope Street ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92703 , AUTHORIZED REAP, R/EjS?yEfN?T?/A//TI?V?E ?/ © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD N ?-aoo ?- a 3?-ooa POLICY NUMBER: 8502AH024504 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE City of Santa Ana, its officers, employees, agents, volunteers and representatives 20 Civic Center Plaza Santa Ana, CA 92701 Group Code: Irvine Badminton Club This insurance is primary and non-contributory. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 rv ?- ano ?- o ? ? o o? ADDITIONAL INSURED ENDORSEIYIENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company Markel insurance Compan?? - NAIL # 38970 This endorsement modifies such insurance as is afforded by the provisions of Policy # _8502AH(12?50? relating to the following: 1. The City of Santa Ana, and the City of Santa Ana, located at 20 Civic Center Plaza, Santa Ana, California 92701; and their respective officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the Community Redevelopment Agency of the City of Santa Ana, 20 Civic Center Plaza (M-25}, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective _ from 03/U 1 11 1 to 0310.1.112 ,this endorsement form as a part of Policy # ? SS(12AH02?S(/? Issued to LJSA Badminton ? its member clubs Named Insured Countersigned by Authorized Representative from Insurance Provider