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INSURANCE ON FILE <br />r NORK MAY PROCEED <br />`~ UNTI IN UFANCE EXPIHLS <br />r� <br />:v <br />N MAYOR CNYCLER"r <br />N Valerie Amezcua DATE: <br />d MAYOR PRO TEM <br />tiJ Jessie Lopez <br />to COUNCILMEMBERS <br />Phil Became <br />Johnathan Ryan Hernandez <br />David Penaloza <br />Thai Viet Phan <br />Benjamin Vazquez <br />(i. fGtcohS� <br />September 8, 2023 <br />Adminsure, Inc. <br />3380 Shelby Street <br />Ontario, California 91764 <br />CITY OF SANTA ANA <br />HUMAN RESOURCES AGENCY <br />20 Civic Center Plaza • P.O. Box 1988 <br />Santa Ana, California 92702 <br />wWw.santa-ana.orc <br />A-2018-210-02 <br />CITY MANAGER <br />Kristine Ridge <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CITY CLERK <br />Jennifer L. Hall <br />Re: Final Extension of Workers Compensation Claims Administration Agreement <br />No. A-2018-210. <br />Pursuant to Section 1 ("Term") of Agreement No. A-2018-210, entered into by Adminsure Inc. <br />and the City of Santa Ana, dated September 4, 2018, as amended, the time period of said <br />Agreement is hereby extended for an additional two (2) year period from September 1, 2023 to <br />August 31, 2025. The insurance certificates are required to be extended and/or renewed to cover <br />this time extension. All other terms and conditions of said Agreement, as amended, remain <br />unchanged and in full force and effect. <br />Motsick <br />tive Director, Human Resources Agency <br />CITY OF SANTA ANA <br />Knst it�e RUdge <br />City Manager <br />ADMINSURE INC. <br />y: Alithia Varga loreses <br />Title: President <br />Valerie Amezcua Jauie Lopez Thai Viet Phan <br />Mayor Mayor Pm Tem, Wood S Word <br />aa�eania-ana om sielonezfdsama-ana om mhanOeania-anaam <br />ATTEST <br />I <br />nnifer L. 11 <br />er <br />APPROVED AS TO FORM <br />Laura A. Rossini <br />Chief Assistant City Attorney <br />SANTA ANA CITY COUNCIL <br />Benjamin Vazquez Phil Be.. Johnathan Ryan Hamandez Dowd Penaloza <br />Word Ward Ward Ward <br />by ui,POsania-anaam obacenmIDsanle-oneam 'rvanhemandez0annia-one.om doenalozatlisanta-anaam <br />