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INSURANCE NOT ON FILE A-2018-210 WORK MAY NQT, PROCEED CLERK OF COUNCIL p DATE: OCT 0 3 2018 o� kk !-C\) PROFESSIONAL SERVICES AGREEMENT zb�� g�m� F _� FOR THIRD PARTY WORKERS' COMPENSATION CLAIMS ADMINISTRATION BETWEEN THE CITY OF SANTA ANA AND ADMINSURE, INC. THIS AGREEMENT is entered into this 41h flay of September, 2018, between the City of Santa Ana, a California Municipal Corporation hereinafter referred to as the "City," and AdminSure Inc., a California Corporation, hereinafter referred to as the "Administrator," WHEREAS, the City has undertaken to self -insure their Workers' Compensation obligation; and WHEREAS, the Administrator is engaged in the business of administering Workers' Compensation Self -Insurance Programs; WHEREAS, the City issued a Request for Proposal ("RFP") for Third Party Administrator services for worker's compensation and claims management, Administrator was one of the companies that submitted a proposal acid was ultimately selected us the successful vendor. WHEREAS, the City desires to retain the services of the Administrator to administer a Workers' Compensation Self -Insurance Program, hereinafter referred to as the "Program," for the City; NOW, THEREFORE, the City hereby retains the services of the Administrator and the Administrator agrees to perform the services for the City under the terms and conditions of this Agreement and in accordance with Administrator' proposal submitted in response to City's RFP incorporated by reference herein. TERMS AND CONDITIONS 1, TERM: The term of this Agreement is for a period of three (3) years, commencing on September 4, 2018 and terminating on August 31, 2021, unless otherwise extended by mutual agreement of the Parties for two, two year terms. 2. PERIODIC MEETINGS: The Administrator shall meet with the City and staff not less than every 60 days (or at the request of the either party with sufficient notice) to: A, Assist in developing internal procedures. 3. Provide orientation and training to personnel involved in the administration of the Program. C. Discuss specific claims and general trends in the Program. 3. ADVISORY SERVICES: The Administrator shall provide the City information regarding the adoption, amendment or repeal of all Statutes, Rules and Regulations, et cetera, which may directly affect the Program. 4. REQUIRED FORMS: The Administrator shall provide the City with all forms required by the State in connection with the Program. 5. COMPLIANCE WITH LAW: The Administrator shall administer the Program in full compliance with all laws, rules and regulations governing Workers' Compensation and Self -Insurance including the Health Insurance Portability Protection Act ("HIPPA.").