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Sheryl Cathers - 2015 Agreement - Amendment No. 1L FIRST AMENDMENT TO AGREEMENT FOR SERVICES WHEREAS, the City of Gilroy, a municipal corporation ( "City "), and Sheryl Cathers entered into that certain agreement entitled AGREEMENT FOR SERVICES effective on May 26, 2015 hereinafter referred to as "Original Agreement "; and WHEREAS, City and Sheryl Cathers have determined it is in their mutual interest to amend certain terms of the Original Agreement. NOW, THEREFORE, FOR VALUABLE CONSIDERATION, THE PARTIES AGREE AS FOLLOWS: 1. Exhibit "D ", Payment Schedule, Installment 1, paragraph 1 of the Original Agreement shall be amended to read as follows: Installment 1 paragraph 1. After acceptance of the moquette /artistic rendering by the Public Art Committee and the written notice to proceed, the Artist will be paid 10% of the total fee $1,200.00. 2. Exhibit "D ", Payment Schedule, Installment 2, paragraph 1 of the Original Agreement shall be amended to read as follows: Installment 2 paragraph 1. Upon receipt of Artist's written notice of 50% completion of the mural and the invoice for the work, and the City's written approval of the work, the City will pay the artist $4,800.00. The City shall have 30 days from the acceptance of the mural to complete payment. 3. Exhibit "D ", Payment Schedule, of the Original Agreement shall be amended to read as follows: Installment 3 paragraph 1. Upon receipt of Artist's written notice of final completion of the mural and the invoice for the work, and the City's inspection and written approval of the work, the City will pay the artist $6,000.00. The City shall have 30 days from the acceptence of the mural to complete payment. 4. This Amendment shall be effective on June 10, 2015. 5. Except as expressly modified herein, all of the provisions of the Original Agreement shall remain in full force and effect. In the case of any inconsistencies between the Original Agreement and this Amendment, the terms of this Amendment shall control. 6. This Amendment may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. in IN WITNESS WHEREOF, the parties have caused this Amendment to be executed as of the x fgrth besides their signatures below. [signature] Thomas J. Haglund [employee name] City Administrator [title department] m 15 4845 - 8215 -55400 _ 1 MDOLINGER104706083 Artist [title] Date: U/x 2 Date: Approved as to Form ity Attorney 4845 - 8215- 5540v1 _2_ MDOLINGER104706083 Citp of iffiffrop 1361 Rosanna Street Gilroy, Caffornia 950RO-6197 Review information for accuracy If changes are made, return this form to above address. DABBLE ART CENTER 7680 MONTEREY RD SP 106 GILROY CA 9502045211 Business Information 7680 MONTEREY ST STE 106 GILROY CA 95020 (408) 427-2204 Business License Phone (408) 846-0420 Business License Fax (408) 846-0421 Jan 29, 2015 Business H)# 12078 License # 14324 Category ID MRCH-1 Units 14.000 Owner Information CATHERS, SHERYL A. Please detach license at this pert ---; and post it in a conspicuous place. VA,Ik' LAcdii9ePExpirgj.0 Date; 2/31/2U 5 P , A.ge- V, ftpA b ite Z_ 19120 04-_' N&.E:.Ucenses are due and payable July Ist, and ..MA JdnUar� 1,61Ij. unless otherwise ProVidedby-Q�dinande. -'zk- ;.P KU NMa PAL" e h a I tyi6f 25%; tKd -f n 16t r66"th and an- 3- M -14 License k Qat!P90r)1 IP 14321 4 1�4 x R.. -Vlh 6000AN-Ah 1W y e.ordinance' LAcdii9ePExpirgj.0 Date; 2/31/2U 5 P , A.ge- V, b ite Z_ 19120 04-_' N&.E:.Ucenses are due and payable July Ist, and JdnUar� 1,61Ij. unless otherwise ProVidedby-Q�dinande. -'zk- ;.P 1:207$ e h a I tyi6f 25%; tKd -f n 16t r66"th and an- 3- M -14 License k Qat!P90r)1 IP 14321 4 -i ABBLEXR -36 &CENT ER 1�4 x R.. -768O.-MONTERE-Y—ST STE-10-6 :Post license in Conspicuous,' Pl THIS-.LC�8NSt IS NOT TRANSFERABLE. ° `' G.fL_R0Y ,CA 95020 V.; E] ?SHEP,_)(L� A =11- ff- zU ions 'you.; _' ill v.p_,AAyqj;;st (4o&).:946-o426 4a eu -Vlh 6000AN-Ah 1W y e.ordinance' , V, N&.E:.Ucenses are due and payable July Ist, and JdnUar� 1,61Ij. unless otherwise ProVidedby-Q�dinande. -'zk- ;.P Is 1@6�*'4.18buqo WiR& dot A e h a I tyi6f 25%; tKd -f n 16t r66"th and an- 3- M -14 in f---10d/6baciiJWo6th'-.'t6r r - _� subject to an exemption from x :Post license in Conspicuous,' Pl THIS-.LC�8NSt IS NOT TRANSFERABLE. ° `' rCvn: The Hartford Online Business Service Center < businesscenter @mail.service.thehartford.com> S• -ibjact: Certificate Of Insurance Request Confirmation Date: March 30, 2015 12:50:41 PM PDT To: sherylcathers @me.com Raaiy -Ts: The Hartford Service Communications aeply4e631173736006787715- 1930424_ HTML - 1516050208 - 10361245- 48081 @mail. service. thehartford. com> f' A THE HARTFORD Dear Sheryl, Your Certificate of Insurance request has been received. if we have any additional questions we will contact you by Email. The certificate will be sent to City Of Gilroy via Email If you have any questions, please don't hesitate to Crnt.a^ t U3. REQUEST DETAILS Insured Name: Customer Delivery Method: Email CerMcate Holder Name: City Of Gilroy Certificate Holder A ddr ess: 7351 Rosanna St. Certificate Holder Type: Additional Insured Effective Da:e: 03130/2015 Policy Numbers) ending In: DO8313 Thank you for your business, we look forward to servicing your business insurance needs for many years to come. Sincerely, The Hartford Online Business Service Center t '- ia,:.. - ± .:, r�: _ ,... i ^�. �.. .:; ;j '. .�.. 35 r3 - :IJ'cir ,{ ,_s ,�•:�t a.:: �:•�ac.- �'•�; CERTIFICATE OF LIABILITY INSURANCE 3/DATE (M1 31/2015) THIS CERTIFICATEIS 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 SUBROGATIONIS WANED, 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 endomement(s). PRODUCER PACIFIC DIVERSIFIED INS SCS INC/PH 152358 P: (866) 467 -8730 F: (888) 443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAM (AICNo,Ext): (866) 467 -8730 (Ae!No): (888) 443 -6112 _ o ess:. INSURERS) AFFORDING COVERAGE NAlca INSURER A: Sentinel Ins Co LTD INSURED DABBLE ART CENTER 7680 MONTEREY ST STE 101 GILROY CA 95020 INSURER 8: 07/01/2014 IINSURERC: EACH OCCURRENCE INSURER D: DAMAGE TO RENTED PREMISES'. pence) INSURER E: X INSURER F: MEDEXP (Any one person) 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 TYPE OF INSURANCE ADDL SUBR POLICYNUMBER PoLICYEF£ M/D POLICYEXP LII M A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X General Liab GENT AGGREGATE LIMIT APPLIES PER: PPOLICY ❑ Ca a LOC OTHER: 57 SBA D08313 07/01/2014 07/01/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES'. pence) 51 '000,000 X MEDEXP (Any one person) $10,000. PERSONAL b ADV INJURY $1,000,F000 GENERAL AGGREGATE _ s2,000,000 PRODUCTS - COMP /OP AGG 2, 0 0 0 _,- 0 0 0 A AUTOMOBILE LIABILITY _ ANY AUTO AL -OWNEO SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS - 57 SBA D08313 07/01/2014 07/01/2015 COMBINED SINGLE LIMIT (Ea accident) -- $1,000,000 BODILY INJURY (Per person) - - BODILY INJURY (Per accident PROPERTY DAMAGE (Per accident) UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ D RETENTION S _ S IFOREERS COMPLVSAT /ON AND EMPLOYEAV LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERfMEMBER EXCLUDED? (Mandatory In NH) ❑ If yes, describe under DESCRIPTION -OF OPERATIONS below NIA - PER - '0TN- STATUTE ER, - E.L. EACH ACCIDENT - - - S E.L. DISEASE- EA EMPLOYEE S E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) - Those usual to the Insured's Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. CEKIimuAIE HOLDER CANCELLATION _ U 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Gilroy BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn•Cathy Mirelez AUTHORIZED REPRESENTATIVE 7351 ROSANNA ST - GILROY, CA 95020 U 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Transaction Type: Request Certificate Of Insurance Agency Information Producer Code: Agency Name: Submitted by Name: Sheryl Cathers Email Address: sherylcathers @me.com Agency Phone Numbers: Contact Preference: Email Policy Information Policy Number: 57SBADO8313 Name of Insured: DABBLE ART CENTER Effective Date: 03/30/2015 Certificate Details CertificateHolderName: City Of Gilroy Attention: Cathy Mirelez Address: 7351 Rosanna St., Gilroy, CA - 95020 CertificateHolderType: Additional Insured WrittenContract: Yes Delivery Method: Email Send by Email: sherylcathers @me.com Additional Comments Comments: PACIFIC DIVERSIFIED INS SCS INC /PH PO BOX 330.15 SAN ANTONIO TX 78265 DABBLE ART CENTER 7680 MONTEREY ST STE 101 GILROY CA 95020 ACORD 25 (2014101) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGE This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated below: Policy Number: 57 SBA D08313 Named Insured and Mailing Address; DABBLE ART CENTER 7680 MONTEREY STREET UNIT 106 GILROY CA 95020 Policy Change Effective Date: 04/22/15 Effective hour is the same as stated in the Declarations Page of the Policy. Policy Change Number: 002 Agent Name: PACIFIC DIVERSIFIED INS SCS INC /PH Code: 152358 POLICY CHANGES: SENTINEL INSURANCE COMPANY, LIMITED ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS. THIS IS NOT A BILL. NO PREMIUM DUE AT POLICY CHANGE EFFECTIVE DATE PRO RATA FACTOR: .356 THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. Installment Payment Premiums Total Additional or Return Premium_ $ NO CHANGE Dates of Subsequent installments if payable in three installments: Previous Installments Additional Premium Return Premium Revised Installments 2. $ $ $ $ 3. $ _$. $ $ PREMIUM DUE AT EFFECTIVE DATE OF ENDORSEMENT $ $ Total for remainder of policy term: $ $ Form SS 12 1104 05 Page 1 Process Date: 04/22/15 Policy Effective Date: 07101114 Policy Expiration Date: 08/30/15 POLICY CHANGE (Continued) Policy Number: 57 SBA D08313 Policy Change Number: 002 CONT LOCATION 001 BUILDING 001 IS REVISED BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED ADDITIONAL INSUREDS) ARE ADDED THE FOLLOWING ARE ADDITIONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN THIS POLICY. LOCATION 001 BUILDING 001 PERSON /ORGANIZATION: SEE FORM IH 12 00 FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: IH12001185 PERSON /ORGANIZATION Form SS 12 1104 05 T Page 002 Process Date: 04/22/15 Policy Effective Date: 07/01/14 Policy Expiration Date: 08/30/15 POLICY NUMBER: 57 SBA D08313 V THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - NAMED PERSON /ORGANIZATION CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020 Form IH 12 00 11 85 SEQ NO: 002 Printed in U.S.A. POL EXP: 08/30/2015