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HomeMy WebLinkAboutCC RESO 92-146RESOLUTION NO. 9 2 14 6 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE A WORK STUDY AGREEMENT WITH BONITA VISTA HIGH SCHOOL BE IT RESOLVED by the City Council of the City of National City that the Mayor is hereby authorized to execute a Work Study Agreement with Bonita Vista High School. Said Agreement is on file in the Office of the City Clerk. PASSED and ADOPTED this 4th day of August, 1992. ATTEST: Lo * Anne Peoples City Clerk APPROVED AS TO FORM: GeA L. orge H. Eiser, III City Attorney George H. aters, Mayor WORK STUDY AGREEMENT AMENDMENT The City of National City's Fire Department agrees to serve as a work study placement for a Sweetwater Union High School District student, Matthew Wayne Rios. Scheduling will be at the convenience of the National City Fire Department. For the purpose of this agreement, Matthew Wayne Rios remains a student of Bonita Vista High School and is not considered an employee or volunteer of the City of National City. As a condition of participation, student's parents must sign a release. Bonita Vista High School agrees to hold the City of National City harmless and indemnify the City of National City from and against all claims, demands, costs, losses, damages, injuries, litigation and liability arising out of this agreement. Throughout the term of this agreement, Bonita Vista High School will maintain a comprehensive general liability insurance policy, with minimum limits of S1,000,000.00 combined single limit, including. bodily injury, personal injury, and property damage and name the City of National City, its officers, agents, employees and volunteers as an additional insured on the policy. Such insurance coverage shall be primary coverage as respects the City of National City and any insurance or self-insurance maintained by the City of National City shall be excess of the School's insurance coverage and shall not contribute to it. This agreement may be cancelled at any time by the National City Fire Department after consulting with the Work Experience Coordinator and takes precedence over any other agreement. Georg'H. Waters, Mayor City of National City 2- N2 Date Tom Shoff, Principal Bonita Vista High School 7- ice % Date PARENT RELEASE NATIONAL CITY FIRE DEPARTMENT NAME OF CHILD /44'7•7 �l �AAGE / / /Vie S ADDRESS / 935 £ r )9 ere AuEN(i EF PHONE o2/4 ^ 09 3 7 . I, �19 i'n or), / 79,' '/2 /C)O.S request permission be granted t by the City of National City to my child, /-77% e.✓ �I.Gs to participate in National City Fire Department Work Study:Program. In consideration for permitting my child to engage in the Work Study - Program, I agree to indemnify and hold harmless the City of National City and its officers, agents, employees, or volunteer aides, from any liability which may occur in connection with this request. In case of serious illness or injury a reasonable effort will be made to contact me before medical or dental care is obtained, if time and conditions permit. If the fire department cannot, with reasonable diligence, locate me or in case of immediate emergency, I hereby__,' authorize, pursuant to Section 25.8 of the Civil Code, the Fire Chief or s representatives to arrange for and to consent to such medical and uental care as may be recommended by a licensed physician or dentist. Please list any health problems your child might have (epilepsy, asthma, special medication requirements): Treatment is preferred as indicated below. If private treatment is' selected and cannot be performed, I hereby authorize treatment at the nearest emergency facility. FAMILY PHYSICIAN !J2 SICK e „,//YIAT7NG" TYPE OF MEDICAL INSURANCE A A / SE IZ (Fu l l C'ooera e Q'.,Q.5 53 90 PARENT OR GUARDIAN'S SIGNATURE( ,,;(.70' ADDRESS /93 .5- k'ANCL' f/ ndC-"� IVO hO/14I Cif PHONE o2C % 99S 9 / IOS-/7)OPE;RN PHONE L/26_ `/999 case of an emergency n and I cannot be reached, please notify: NAME eOS/-i /i& D2 H/be6CF /4/1..-4/e/3/ o - Gk7ANOP/1REn,rPHONE 7-5775i ' Ueorlc. '/77- ., /5S 12588 PRODUCER CAA INSTIMFICNAL INSERAICE AGENCY, flC. P.O. BOX 882288 3AN DIEGO, CA 92168-2288 SSUE DATE iMMiDDIYY) 10/30/91/NV/sp 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. SOB —AGENT: WILLIS CORROON OF SAN DIEGO 1615 MURRAY CANYON RD, #800 SAN DIEGO, CA 92108-4322 �.vmrruviw ArrvrSvllvu L.vv=rinuc REVISED COMPANY LETTER A CALIFORNIA INSURANCE COMPANY COMPANY B LETTER INSURED SAN JOINT UNION 1130 CHULA DIEGO COSY SCHOOLS PO ERS AUTHORITY/SWEETWNATER HIGH SCHOOL DISTRICT COMPANY LETTER C RISK MANAGEMENT 92011 COMPANY LETTER D FIPTH AVENUE VISTA, CALIFORNIA COMPANY LETTER E TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. HAVE BEEN ISSUED OF ANY CONTRACT AFFORDED BY THE POLICIES CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE iMMIOD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY COMPREHENSIVE FORM PREMISES/OPERATIONS UNDERGROUND EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPER. CONTRACTUAL INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY OB 895-4161 *SUBJECT TO $100,000. 7/1/91 S.I.R. 7/1/94 BODILY INJURY OCC. $ I X BODILY INJURY AGG. $ j PROPERTY DAMAGE OCC. $ PROPERTY DAAGE AGG. M $ 1 BI & PD COMBINED OCC. S *1, 000, OOO El & PD COMBINED AGG. $ PERSONAL INJURY AGG. $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS I Priv. Pass. ) ALL OWNED AUTOS I Other Than) Priv. Pass. HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ BODILY INJURY & PROPERTY DAMAGE COMBINED S EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM I EACH OCCURRENCE S AGGREGATE $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY I STATUTORY LIMITS EACH ACCIDENT $ DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE . $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS WORK STUDY PLACEMENT CITY OF NATIONAL CITY TIRE DEPARTMENT 33 EAST SIXTEENTH STREET NATIONAL CITY, CA 92050-4596 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ,strcai rnoernnnv .�..e .e...r e.......a Et:L O=EMEKT CITY OF NATIONAL CITY, FIRE DEPARTMENT 333 EAST 16TH STREET NATIONAL CITY, CA 92050-4596 ,-MMITS OF LIABILITY $ 1,000,000 Eac:n CC` u--rence ADD/I:MAL INSURED - LESSOR consideration ion of an additional premium it is agreed that coverage A of Section -- tne policy shall apply subject to the following provisions and limits of 1iab4' *-y• The unqualified word "In or organization designated maintenance or use of that is designated opposite the necessary or incidenta sca red" also includes as an Additional Insured, the person below, butonly with respect to the ownership, par t of the premises leased tc the named insured which suchname of such person or organization, and operations to . 2. The insurance with respect to such Additional Insured rnrwc not apply: (a) after the named insured ceases to be a tenant in said premises; (b) to s ruorural alterations, new construction and demolition operations performed by or for said person or organizations; (c) to liability ass ed by said person or organization under any cont-act or agreement: (d) to Property Damage to: (1) Property owned or =pied by or rented to the Additional Insured. (2) Property used by the Additional Insured, or (3) Property in the care, =stody or control of the Additional Insured or any employee thereof, or as to which the Additional Insured or any employee thereof is for any pm -poses elmrcising physical t-ollcrol. NAME & ADDRESS OF AECITIONAL INSURED DESIGNAIION OF PREMISES (Part occupied by Named Insured) USE OF PREMISES PRM4SIUM $ INCLUDED of It is further agreed that7 the limit of such ty stated above as applicable to "each occurrence" is the limit of the company's l i ani l i ty for all damages sustained as a result of any one occurrence. All injury or damage arising out of the continuation or repetition of substantially the same condition or the same p-oxinate cause shall be =1.sidered as arising out of one occurrence. Ail other terms and conditions of this Policy remain unchanged. (The information below is required to be completed eery when this endorsement is issued subsequent to the pone", effective tints.'. Effective 7/1/91 , this endorsement forms part of Policy Number OS 895-4161 of CALIFORNIA INSURANCE COMPANY Issues to Enaorsemem no. Se=-27 n-, SAN DIEGO COUNTY SCHOOLS RISK MANAGEMENT JOINT POWERS AUTHORITY/SWEETWATER UNION HIGH SCHOOL DISTRICT 343 10/30/91/NV/sp NATIONAL CITY FIRE DEPARTMENT WAIVER OF CLAIMS FOR DAMAGES AND COVENANT NOT TO SUE In consideration of the permission granted to my child by the City of National City, California, to participate in the National City Fire Department Work Study Program, I, ,<1a ' Ga> /1:7, czS assume the risk of all dangerous conditions or occurrences which may be encountered during said training and waive any and all specific notice of the existence of such conditions or occurrences. Further, I hereby covenant not to sue the City of National City, its agents, officers or employees for any claims arising out of any act or omission occurring during said training. I understand that the City of National City does not provide insurance to protect me from loss or injury due to the acts of third persons. I understand I will not be covered by the City's "Workers' Compensation Insurance" since I will not be a City "employee" while engaged in the Work Study Program. Dated this / / day of Signature of Parent or Guardian: Address Telephone /27/3j ,19 %c2! /// 7L/ 2 /Z- Cif/ , C/I To be Completed by Officer: Unit"70 3 Shift G Officer Identification No. "r.As / Student mAf 7L-// et(/ mil,. Sweetwater Union High School District EXPLORATORY WORK EXPERIENCE EDUCATION PROGRAM TRAINING AGREEMENT /7-or- Rios Name of School 80/1.// i /9 1// Sch00I Grade EQUAL OPPORTUNITY EMPLOYER //th Date s-ii- 9a. By this agreement the /%/ /-; ; i� r//'< e r / 7 / /- J A' c /) C/- T will / Phone permit /l /f/) e (.CJ to enter its establishment to participate in Exploratory Work Experience ducation. In order to make this opportunity a meaningful experience, all persons jointly, -agree to the following: (Name of Employer'smpany) Training Agency ., STUDENT WILL: 1. Enter this program to learn as much as the supervisor or employer can provide in the nature of occupational information, skills and attitudes. 2. keep regular attendance, both in school and on the exploratory work station and will not work on any day he/she fails to attend school. Student will notify the training supervisor or employer if he/she is un- able to work. - 3. Not receive wages or any payment for participation in the Exploratory Work Experience Education program nor work for pay in the same, or similar work station, during hours when he/she is not assigned as an Exploratory Work Experience student. 4. Demonstrate honesty, punctuality, courtesy, a cooperative attitude, proper dress and groaning habits and a willingness to learn. S. Inform coordinator of any changes or problems concerning his/her program. 6. Complete all forms and related instruction assignments required by the program. PARENT WILL: 1. Support and encourage the student in his/her endeavors and responsibilities. 2. Assume responsibility for the conduct of the student while working and for the transportation of the student to and from the exploratory work station.. a _ EMPLOYER WILL: 1. Provide training from to five days a week; hours per day. This shall be progressive, passing from one job station to another in order that the trainee may become knowledgeable on the different phases of the occupation. 2. Provide time for consultation with the Work Experience Coordinator concerning the student and assist in the evaluation of the student. - 3. Not eliminate a training program without consulting with the Work Experience Coordinator. 4. Not pay a student wages for his/her participation in Exploratory Work Experience Education. 5. Not pay a student wages for like work in the same or similar work station during the hours when he/she is not assigned to Exploratory Work Experience Education. 6. Not use the Exploratory Work Experience Education student to replace a regular employee. SCHOOL WILL: 1. Provide Workmen's Compensation Insurance for students involved in Exploratory Work Experience Education. ray 2. Assist student to improve performance and help to solve problems related to program. -,,,,- 3. Make periodic visits to the job station to observe the student and to consult with the employer concerning progress and training of student. 4. Provide related instructions for the student. 5. Assign a grade and grant credit based upon: (a) evaluation by employer; (b) copletion of related in- /structiu assignments; (c) number of hours worked. {Moyers Signature) (Date (Student's Signature) (Ba ) (Phone) -/22 t s ignature (, f 2r raj.- 77.77 427 (Address of Employer's Company) copiee: White - Coordinatok Vettow - Empfoyen Pink - Studen.t VEA-i — 0/86 -9 (Date) (Con;pany Phone) • '1-2_9� (Work -Experience Counselor's Signature)