HomeMy WebLinkAboutHERNANDEZ, FLOR (2)G) AGREEMENT TERMINATION
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Please complete this form when the attached agreement is no longer in effect tj E R In 0
Return form to the Deputy Clerk of the Council (M-30). Call 647-5238 if you have any questions.
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Department:
Signature:i
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City of Santa Ana
Clerk of the Council
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
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CLERK OF COUNCIL
DATE` JAN 2 2 011
N-2008-139-002-
Q P RC S C Z SECOND AMENDMENT TO RECREATION SERVICESAGREEMENT
si1,, G THIS AMENDMENT is entered into this 19th day of January, 2011, by between
Cf-k evAS Flor Hernandez, an individual (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-2008-139, dated October 10, 2008, (hereinafter
"said Agreement") by which Provider has provided Aerobics classes through the
City's leisure class program.
B. Said Agreement has been amended to extend the term and revise the Scope of
Services.
C. In accordance with the terms and conditions of said Agreement, the parties wish to
renew said Agreement for an additional one-year period and to revise the Scope of
Services.
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 Recreation Services Agreement, the parties agree as follows:
1. Section 1, Scope of Services is amended to be as provided in Exhibit A, attached
hereto.
2. Section 3, TERM shall be amended to extend the term through December 31, 201 1.
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
Recreation Services Agreement on the date and year first written above.
ATTEST:
C-/Y-?_� _1<2,e��!� r
MARIA D. 1-I1_!I,&R
Clerk ofthe Council
CITY OF SANTA ANA
DAVID N. REAM
City Manager
[Signature Continued on Next Page]
APPROVED AS TO FORM:
4fdSEPH W.FLETCHEA
City Attorney
RECOMMENDED FOR APPROVAL:
GERARDO MOUET
Executive Director
Parks, Recreation and C mmunity
Services Agency
PROVIDER
LOR HERNANDEZ
EXHIBIT A
SCOPE OF SERVICES
Provider will provide beginning aerobics and step aerobics classes for the City's leisure
class program.
Provider will use accepted safe and healthy Aerobics techniques, warm up exercises and
steps as well as cool down.
Provider shall provide equipment, records and personnel necessary to ensure the safety
and effectiveness of said instruction.
Provider shall inform City of the day and time of the classes to be conducted by
Consultant. Provider and Parks, Recreation and Community Services staff may change
the days, time and/or location ofthe classes to be held during a given monthly session,
upon mutual agreement.
CLASS SIZE
Each class shall have a minimum of 10 paid students and no more than a maximum of 40.
If the minimum registration has not been reached by the second class, the class may be
cancelled by mutual agreement of Provider and City, with no compensation owed
Provider for any cancelled class session.
CLASS FEES
The beginning aerobics fee is $15.00 per month. Step aerobics class is $20.00 per month.
No refunds will be made to participants after the first week of class unless the class is
cancelled by the Parks, Recreation and Community Services Agency.
The City shall collect the class fees from each participant during the registration period.
Provider shall not collect fees, but shall refer interested students to City for registration.
City agrees to pay Provider seventy percent (701/o) of total fees collected for the classes
within fifteen (15) working days after completion of each class session. City shall retain
thirty percent (30%) of the fees collected.
Provider agrees that City shall be entitled to audit Consultant's records and classes to
ensure compliance with this Agreement.
EVANSTON INSURANCE COMPANY
CERTIFICATE NO,: 2011-10
CERTIFICATE OF INSURANCE
COVERAGE EXCLUDED FOR NOMINEE EVENTS SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER
PUBLIC ENTITY (ADDITIONAL INSURED)
Alliant Insurance Services, Inc. in conjunction with
City of Santa Ana
Apex Insurance Services /
20 Civic Center Plaza
P. O. Box 6450 N� p� Q
Santa Ana, CA 92701
Newport Beach, CA 92658
License No: OC 36861
NAMED INSURED (EVENT HOLDER):
EVENT INFORMATION:
Flor Hernandez
TYPE: Aerobics
13100 Chapman Ave„ Apt. 3-108
DATE(S): 01/19/11 — 12/31/11
Garden Grove, CA 92840
LOCATION: Jerome, Logan, Santa Ana Centers
*Liquor Liability Yes 0 No
**Liquor Liability after 12 am ends before 2 am 0
This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy
period indicated. 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 policy listed and it does not
constitute a contract between the insurance carrier, authorized representative, producer and certificate holder. The insurance
described herein is subject to all the terms, exclusions and conditions of such policy(ics).
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER- I ISEP1000001
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2011 EXPIRATION: JANUARY 1, 2012
C'OMMI''RC'IAL GFNF.RAL LIABILITY
OCCURRENCE FORM
DFMICTIRLF,: NONE
General Aggregate Limit $ 2,000,000
Products & Completed Operations 1,000,000
Personal & Advertising Injury 1,000.000
Each Occurrcncc 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
'I he limits of insurance apply separately to each event insured by this policy as ifa separate policy ot—msurance has been issued for that event.
"Who is insured" is amended to include, as an msured, the person or organization shown in this schedule, but only with respect to liability arising out ofihe
ownership, maintenance or use of the premises used by the named msured (event holder). phis 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
CANCFLLAI ION: Should the above described policy be cancelled before the expiration date thereof, notice will he deliverers in accordance with the policy
provisions. Every effort will be made to deliver 30 days written notice to the certificate holder and additional insureds) listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: January 19 201 1 by Briza Morales
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