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HomeMy WebLinkAboutLIFESIGNS, INC (2ND AMEND) 1B - 2005avu - toy -0.z SECOND AMENDMENT'TO CONSULTANT AGREEMENT THIS SECOND AMENDMENT TO CONSULTANT AGREEMENT is entered into on June 1, 2005, by and between Life Signs, Inc., a California corporation ( "Consultant ") and the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City "). Recitals: A. The parties entered into Consultant Agreement N -2002 -104, dated July 31, 2002, (hereinafter "said Agreement ") by which Consultant has provided sign language interpreting services. & In accordance with the terms and conditions of said Agreement, the parties wish to extend the term of said Agreement for an additional one -year period. 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 Consultant Agreement, the parties agree as follows: 1. Section 3, TERM, shall be amended to extend the termination date from June 30, 2005 to June 30, 2006. 2. 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 Second Amendment to Consultant Agreement on the date and year first written above. CITY OF SANTA ANA 4ETE . ALV A Execu 'u irec crr of Personnel APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney Laura Sheerly Assistant City Attorney -;�A vuGER Li4ense # 0502s0a (845) 987-9727 grown & Brown Insurance f MFC &`d Insurance Serv}ces P.O. Boas 2875 Camarillo, CA 93011-2015 2222 Lav+rma Ave Los Anfte €es, CA 90049 -2825 INSURERS AFFORDING COVERAGE INSURER a: INSURER DATE(MM100lYYYYI 619072005 WNW. IOVE FOR THE POLICY PERIOD INDICATED. NOT4VIIHSTANDING :SPEOT TO WHICH THIS CERTIFICATE MAY 0E ISSUED OR To ALL THE TERM$, EXCLV9IO4S AND CONDITIONS OF SUCH GIVE �...�. _. ...... .. ,. 1 °E OF INSURANCE ._. .. ..... ...... ...... POLR:Y NUMBER FOtKY EFFEC'SVE DATE' M10tl POUCYE PIRATION D E 211 LIMITS OVNERALLIA91LIW FACHOCCURRENCE $ 9,090,900 A I CO19ME.ROXGENERALLIAIIIRY PHPK904338 92127/2004 12127/2005 1I , REMIS ce> a so®,DDo �, IMMS MADE T OCCUR 111 LMED RAP (Any one cr50nj $ 5 99 PER30NA_iSAOVINJURY $ 9� ®99,000 $ 3,000,900 GENERAL AGGREGATE GEN'L AGGREGATE LIMITAPPLr$ PER; PRODUCTS. COMPIOP AGO $ 3,000,00( 1 PODGY I I FRO LDO AUTOMOBILE LIABILITY COMBINED SINGLE LPRII' $ ANY ALTO (199CCedij BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS {per pateun} 60DILY iNXRY HIRED AU" OS NON -OWNfiDAUTOS I (perawdeny __..__. PROPERTY OANIAGE $ {Rar ecddYnll i GARAGE UABIUrf v AUTOONLY - EA ACCIDENT & �- $ ANY AUTO pTHER THAN EA ACC $ ! AUTO ONt.Y. AGO ExCEs9'UMriRELLA LIABILITY EACH OCCURRENCE Y 2,99D,000 A lr } =Up F 9ilFIe339aT2 121`2712004 1212712905 1 AGGREGATE $ 21000.000 _ 5 DEDUCTIBLE XRETENTION S 90,000 } Y /ORKEAII OOMPENSAYION ABD 6MPLOYEKS'U IM-111 / WG gTb'(V- OTH' TORY LIMITS, EFS E.t_ EACHACCIOVNT Z OFFICEMMEM ERi EXOILUERIE%EOjlTite pFFiCEkLMEM£ER EXCLUDED? Y __- ...... $ Et 01sEASE.P.R EMPLOYEE It Vr+a, dosGiba Vndor SPECIAL PROVISIONS bolow, _ ,w 9.,at1G`& Stitt S�tGeC EL.4lB9tSE- i'OLIGY LIMIT 8 _ OTHER Assistant City Attopey J DESC3EIFn0Pr OR OFERAYfquB t t,OGATrpN£ /VEHICLES 1 EXCLUSIONS ADDED BY ENOORBRMENT I SPECIAL PROVISIONS (10) sway Notice of Cancellation for Non - Payment of Premium "Proof of ingurance"` City of Santa Ana pemonnel Services Department Post Office Box 190$ Santa Ana, CA 92702= 9HOULO ANY Of THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE YNEREOC„ THE i££UING INSURER WILL ENDEAVOR TO MAIL 30 DAYS wmTrON NOTICE TO THE CERTIFICATE NGLIIER NAMED TO THE LEFT, OUT FAILURE TO DO £0 SHALL IMPOSE PO OBLIGATION OR LIABILITY OF ANY FUND UPON THE INSURERS ITS AGENTS OR Ea] .l Ull. l J- Z U U ' I : /4l'^ If the certificate holder is an ADDITIONAL INSURE®, the policy(ies) must be endorsed. A Statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) 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 endorsement(z). The Certificate of lnsurenee 4n the reverse side of (his form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, exlend or alter the coverage afforded by the policies listed thereon. 25 GREALOS -01 PACL ACORD TM CERTIFICATE OF LIABILITY INSURANCE DA2/1412005 ) PRODUCER License # OB02587 (805) 987.9727 Brown & Brown Insurance / MFC &V Insurance Services P.O. Box 2815 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ,ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Camarillo, CA 93011 -2815 ,. V:y INSURERS AFFORDING COVERAGE NAIC # INSURED Lifesigns Inc. 2222 Laverna Ave Los Angeles, CA90041-2625 ..- pp Y �', 11 INSURERA: Philadelphia Insurance Company ED ESENTATIVE INSURER B: INSURER C: I �. , INSURER D: EACH OCCURRENCE $ 1,000,00 ,+ INSURER E: A C(1VFRAQFS 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TR DD' NS E POLICY NUMBER POLICY EFFECTIVE p 7 POLICY EXPIRATION LIMITS ED ESENTATIVE GENERAL LIABILITY I �. , EACH OCCURRENCE $ 1,000,00 PREMISES EEaaoacurence $ 100,000 A X X COMMERCIAI- GENERALLIABILITY PHPKI04336 12/27/2004 12/27/2005 CLAIMS MADE ® OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG 5 3,000,00 POLICY PRO LOG AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accl art) $ BODILY INJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS - - BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,00 A X OCCUR D CLAIMS MADE PHUB039472 1212712004 1212712005 AGGREGATE $ 2,000,00 $ DEDUCTIBLE $ X RETENTION $ 10,000 WORKERS COMPENSATION AND WC STATUS OTH- TORY LIMITS ER E.L. EACFIACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below I I I E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS (10) Day Notice of Cancellation for Non - Payment of Premium Certificate Holder, its officers, employees, agents, volunteers and representatives are named as Additional Insured under the General Liability per the attached form CG2026 11/85. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001108) © ORD CORP R Tf - 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana 20 Civic Center Plaza DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN P.O. BOX 1968 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Santa Ana, CA 92701 - IMPOSE NO OBLIGATION OR LIABILITY OF ANY K)pl ON THE INSURER, ITS AGENTS OR 1\ REPRES ATIVES. AUTHOR ED ESENTATIVE I �. , ACORD 25 (2001108) © ORD CORP R Tf - 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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 endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(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 listed thereon. 25 GREALOS -01 PACL POLICY NUMBER: PHPK104336 COMMERCIAL GENERAL LIABILITY 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 Name of Person or Organization: Schedule: City of Santa Ana PO Box 1988 Santa Ana, CA 92702 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to the liability arising out of your operations or premises owned by or rented to you. CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984 POLICY NUMBER: PHPK104336 COMMERCIAL GENERAL LIABILITY 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 Name of Person or Organization: Schedule: City of Santa Ana PO Box 1988 Santa Ana, CA 92702 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to the liability arising out of your operations or premises owned by or rented to you. CG 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984 CERTHOLDER COPY STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142 -0807 COMPENSATION I N S U R A N C E FUN ® CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 06 -10 -2005 GROUP: POLICY NUMBER: 1593254 -2004 CERTIFICATE ID: 115 CERTIFICATE EXPIRES: 08 -01 -2005 08- 01- 2004/08 -01 -2005 CITY OF SANTA ANA PERSONNEL SERVICES DEPT.,.- PO BOX 1988 SANTA ANA CA 927 -02 This is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advances. notice should this policy be cancelled prior to Its normal expiration, This certificate of Insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of Insurance may be Issued or to which It may pertain, the Insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions, of such policy. �6� A,, e . AUTHORIZED REPRESENTATIVE EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08 -01 -2002 IS ATTACHED.. TO AND FORMS .A PART OF .THIS POLICY. EMPLOYER _ LIFESIGNS NOW AND /OR (A NON - PROFIT PUBLIC BENEFIT CORP.) 2222 LAVERNA AVE LOS ANGELES CA 90041 _. ..[1316,81-] SCIF 10262E Accernthis cerificale only ifyou see a faint watermark that reads 'OFFICIAL STATE FUND DOCUMENT" PRINTED: 06 -10 -2005 PAGE 1 OF i