HomeMy WebLinkAboutJames Free - 2016 Agreement - Amendment No. 1AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN
CITY OF G"OY AND James Free FOR Appraisal Services
PURCHASE ORDER NO. 161045
DATED JUNE 6, 2016
AMENDMENT NO.1
This Amendment shall become effective when it has been signed by the City Administrator, Project Manager, and
Consultant. All copies forwarded to Consultant for signature shall be returned to the City of Gilroy properly filled out.
Upon acceptance by the City, the Consultant's copy will be returned to him as his authority to proceed with the work.
This amendment is for additional appraisal services for property located at the corner of Third Street and Santa
Teresa Blvd, in an amount not to exceed $6,000.00.
All requirements of the original Agreement Documents shall apply to the above work except as specifically modified by
this Amendment. The contract time shall not extend unless expressly provided for in this Amendment.
Mr. James Free hereby agrees to perform the above work subject to the terms of this Amendment for additional
property appraisal services
Consultant: James Free
By —�
flames Free/ Owner J
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Manager
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Gabriel A. Gonzalez, City Admnistr— Date
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A`C>R °F CERTIFICATE OF LIABILITY INSURANCE °osizw2 s
PRODUCER THIS CERTIFICATION IS ISSUED AS -A MATTER OF INFORMATION -
HEIDI LANHAM - STATE FARM INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2542 S. BASCOM AVENUE, SUITE 155 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ACAMPBELL, CA 95008 -5541 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
408371-9700 INSURERS AFFORDING COVERAGE "Ca
INSURED
INSURER A 9bb Farm Garbral Imuranca Comparry 75151 2$151
FREE, JAMES INSURER B:
176U MOUNT VERNON DR INSURER C:
SAN JOSE CA 9512SZ552
INSURER O
INSURER E
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIESDESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS
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TYPE OF INSURANCE
POLICY NUMBER
POUCYEFFECTWE
DATE MWDDIYIYY
POLJCYEXPIRATION
DATE MID
LIMITS
A
X
GENERALUABILITY
' X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX] OCCUR
97.67- V533-3 G
03/11/2016
04/1512017
EACH OCCURRENCE
$ 1,000000
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S 5,000
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$
AUTOMOBILE
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WORI(ER I COMPENSATION AND
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CITY OF GILROY, ITS OFFICERS AND EMPLOYEES AS ADDITIONAL INSURED
7351 ROSANNA ST
GILROY CA 95020
CITY OF GILROY, ITS OFFICERS AND EMPLOYEES
7351 ROSANNA ST
GILROY CA 95020
2R T9nnOm1I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL X30_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES.
HEIDI
( dd*G 9nnn Annen nnenne A1, .
The ACORD name and logo are registered marks of ACORD 1001486 132849.3 04-06.2009
HHDU Policy No.: 97 BT- V533 -3
FE�6609
SECTION II ADDITIONAL INSURED ENDORSEMENT
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Policy No.: 97 BT- V533 -3
Named Insured: JAMES FREE
Additional Insured (include address):
CITY OF GILROY, ITS OFFICERS AND EMPLOYEES AS ADDITIONAL INSURED
7351 ROSANNA ST
GILROY CA 95020
WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as
an insured the Additional Insured shown above, but only to the extent that liability is imposed on that
Additional Insured solely because of your work performed for that Additional Insured shown above.
Any insurance provided to the Additionali Insured shall only apply with respect to a claim made or a
suit brought for damages for which you are provided coverage.
The Primary Insurance coverage below applies only when there is an "X "' in the box.
❑ Primary Insurance. The insurance provided to the Additional Insured shown above shall be
primary insurance. Any insurance carried by the Additional Insured shall be noncontributory
with respect to coverage provided to you.
All other policy provisions apply.
FE-6609 Pdnted in U.S.A.