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SIXTH AMENDMENT TO AGREEMENT WITH CERTIFICATE OF INSURANCE '!!' .-;- -./ J ., " ",~C': I v.l\f'" . I";'" ~-,:l~.~ f.~: . -,'~ -;.< ~-r4: ", SIXTH AMENDMENT TO AGREEME~'t\'( WITH CHI CHI RODRIGUEZ YOUTH FOUNDAT~~~:JNC{! ): \993 F~C" THIS SIXTH AMENDMENT TO AGREEMENT is made and entered into this cl /6T day of ~ , 1993, by and between the CITY OF CLEARWATER, FLORIDA, a mu~pa 1 corporat ion (the "City"), and the CHI CHI RODRIGUEZ YOUTH FOUNDATION, INC" a Florida corporation not for profit (the "Foundation"). It is mutua lly agreed that the Agreement between the part ies dated November 12, 1985, as amended, is further amended as follows: 1. Paragraph 34 of the Agreement, relating to the construction of a nature center and park by the Foundation, is hereby deleted, 2. Except as modified herein, all of the terms and conditions of the Agreement, as previously amended, shall remain in full force and effect. IN WITNESS WHEREOF, the undersigned parties have set their hands and seals the day and year first above written. CITY OF CLEARWATER, FLORIDA By: Approved as to form and correctn s: Attest: ~ M. A. Galbralth, City Attorney '- . By: z. fL. Cynt i a E. Goudeau--- City lerk ~.. <'20>_ ,,' " ~_... ~ j Attest: CHI CHI RODRIGUEZ YOUTH FOUNDATION, INC. rilutAlI t ~JYA/;M Secretary By: (SEAL) /11 Ii.. "'..x '. '- r, "', _ I _~' / /, I r, .so -, .,- . .. , '!',.. , 'lII . STATE OF FLORIDA COUNTY OF PINELLAS Before me the undersigned authority, personally appeared W\\\\~ .~~./) , as President of Chi Chi Rodriguez Youth Foundation, Inc., who by me being duly sworn, did acknowledge before me that he is President of said corporation and did acknowledge that he executed this instrument as his free act and deed on behalf of said corporation. IN WITNESS WHEREOF, I hereunto set my hand and affixed my official seal this Q\~ day of (Y\~ , 199a. ~~~ Notary Public . My Commission Expires: ,,~;,'!A~:!%;-" AMANDA L WAGNER f~r~"1~~ MY COMMISSION # CC 246283 EXPIRrs ;~~",~--,;~t: December 15. 1996 ";4~h~:t~~~" BONDED THRU TROY fAIN lNSUR.I\N(,E, iNC. -'I PRODUCER Arrerican Busienss Insurance Southeast, Inc. P.O. Box 31666 Tampa, FL 33631-3666 3/5/93 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. I ISSUE DATE (MM/DDIYY) CERTIFICATII'.op:;IN$URANCI: COMPANIES AFFORDING COVERAGE INSURED ~~T~~~NY B COMPANY A LETTER Travelers Insurance Canpany COVERAGES 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. RECEIVED MAR 0.8 f993 Clry CL Chi Chi Rodriguez Youth 3030McMullen Booth Road Clearwater, FL 34621 Foundat ion, Inc. COMPANY C LETTER COMPANY D LETTER CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROTo 660607G5167 2/1/93 2/1/94 GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED. EXPENSE (Anyone person) .. $ 1,000,000 1,000,000 1,000,000 50~000 5,000 UMBRELLA FORM OTHER THAN UMBRELLA FORM COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY - -WORKER'S-COMPENSATION AND EMPLOYERS' LIABILITY EACH ACCIDENT $ DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS 1345 Court Street, Clearwater, FL Certificate holder is an additional insured. CERTIFICATE HOLDER CANCELLATION City of Clearwater P.O. Box 4748 Clearwater, FL 34618-4748 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ 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. ^","OA'" Un.. J~1\kBarrer @ACORD CORPORATION 1990 ACO.RD 25-S (7/90) ---