HomeMy WebLinkAboutCOOPERATIVE PERSONNEL SERVICES 1B-2003INSURANCE ON FILE
WORK MAY PROCEED
UNTIL. INSU R.~ANCE Fb;PIRES
CLERK OF COUNCIL
DATE: ~/1~//0~
SECOND AMENDMENT TO
CONSULTANT AGREEMENT
THIS SECOND AMENDMENT TO CONSULTANT AGREEMENT, is entered
into on ~qO~{O~ / ~' ,2003, by and between Cooperative Personnel Services
("Consultant') and the City of Santa Ana ("City").
Recitals:
A. The parties entered into Agreement #N-2002-030, dated April 24, 2002, (hereinafter
"said Agreement") by which Consultant has developed written examinations for
certain employee positions in the Fire Department.
B. The parties wish to Amend said Agreement to extend the term for an additional year.
Wherefore, in consideration of the covenants contained in said Agreement, and subject
to all the terms and conditions of said Agreement, except those amended in this Second
Amendment to Consultant Agreement, the parties agree as follows:
Section 3, TERM, shall be amended to read as follows:
"This Agreement shall commence on April 24, 2002 and terminate on June 30, 2004,
unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of the
Personnel Services Agency and the City Attorney."
IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to
Consultant Agreement on the date and year first written above.
APPROVED AS TO FORM:
~r~OSEPH W. FLETCHER/
City Attorney
CITY OF SANTA ANA
Executivez~ecto~ZPersonnel Services
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE
06/Z ?/2003
.RC~C~ (916)443-0200 FAX (916)443-0251
Owen Dunn Znsurance Services
License Number: 0670167
2831 G Street Suite 200
Sacramento, CA 95816-3721
INSU~O Cooperative Personne] Services
241 Lathrop Way
Sacramento, CA 95815
COVERAGES
THIS CERTIFICATE 15 ISSUED AE 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 POLIClEE BELOW.
TRAVELERS
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO0 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 ADGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLA!MS.
.AL LIABILITY ~AeN C';CUF~EN,2E $ l ~ 000 ~ 000
$60770¢A197
07/01/2003
O7/01/2004
I ~NERAL A~GREGATE $ 2 ~ 000 ~ 000
A~OMOBILELIABILI'P/ BlO7704'A197 07/01/2003 O7/01/2004 COMEi~DS~GLEL~T $
I EXCESSLI~L~ EX7704A197 07/01/2003 07[01/Z00~ EACH~CURRENOE $ 5 ~ 000 ~ 000
OCCU~ ~ CLAIMS MADE AGG~GA~ $ 5 ~ 000,000
~RKERSCOMPE~An~AN= gB1176A220 07/01/2003 O7/01/200~ XIr°~rhrl*% I
A ~ E~eASE EAS~AO~E ~ ],000,000
Dcputy City Attorney
;eneral t~abil~ty Additional In~ as per attached endors~ent Cfi OZ 48 1002 w/ primary wording
Upon non-pa~ent of pr~, 10 ~y ~t~ce of cancellation app14es.
CERTIFICATE HOLDER I X I ADDITIONAL IN~JRED; INSURERLE'TER: A CANCELLATION
City of Santa Ana
Attn: Thien-Vu Ngo
20 Civic Center Plaza
Santa Aha, CA 92702
ACORD25~(7~?)
aryanne Novak/CBV
~ACORI~ CORPORATION 19EE'
7/2/2003 Tfme~ 2~$2 PM TO~ Mary Radcliffe % 91-714-647-6930 Page~ 003-006
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(les) must t~e endorsed. A statement
on this certificate does not confer d~hts to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement A statement <~n this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s)
DISCLAIMER
The CertJficate of Insurance on the reverse side of this form does not constitute a contract bet~veen
the rssuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereen.
ACORD 25.S
City of Santa Aha
:ertlficate issue~1 to City of Santa Aha
~wetl Dunn ]:nsu~'ance Services
06/2 ?/2003
,6/27/2003
:C D2 48 10 02
COMMERCIAL GENERAL LIABILITY
nsurance Carrier: TRAVELERS
'olicy Number: 6607704A197:
'olicy Period: 07/01/2003 to 07/01/2004
HIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
,LANKET ADDITIONAL INSURED
CONTRACTORS OPERATIONS)
:OMMERCIAL GENERAL LIABILITY COVERAGE PART
:OMMERCIAL GENERAL LIABILITY - CONTRACTORS COVERAGE PART
· WHO IS AN INSURED - (Section II) is amended to include any person or organization you are required to
nclude as an additional insured on this policy by a written contract or written agreement in effect during
his policy period and signed and executed by you prior to the loss for which coverage is sought. The
,arson or onganization does not qualify ms an additional insured with respect to the independent Acts or
,missions of such person or organization. The person or organization is only an additional insured with
'aspect to liability caused by "your work" for that additional insured·
The ~nsurance provided to the additional insured is limited as follows:
) In the event that the limi:s of liability stated in the policy exceed the limits of liability
'equired by a written contract or written agreement qn effect during this policy period and signed and
~xecuted by you prior to the loss for which coverage is sought, the insurance provided by this endorsemen:
hall be limited to the limits of liability required by such contract or agreement· This endorsement shall
pt increase the llmits stated in Section Iii - LIMITS OF INSURANCE.
,) The ~.surance provided to the additional insured does not apply to "bodily injury", "property
lamage", "personal injury" or '~dvel-tising injury" arising out of an architect's, engineer's or surveyor's
'endering of or failure to render any professional services including:
The preparing, approving or f~iling to prepare or approve maps, shop drawings, opinions, reports,
urveys, field orders, change orders, or drawing and specifications; and
I. Supervisory or inspection activities performed as part of any related architectural or engineering
ctivities.
:) This insurance does not apply to "bodily injury", or "property eamage" caused by "your work" included
n the "products-completed operations hazard".
Subpal-t (1)(a) of the pollution exclusion under Paragraph 2., Exclusions of Bodily Injury and
'roperty Damage Liability Coverage (Section I - Coverages) does not apply to you if the "bodily injury" or
'property damage" arises out of "your work" performed on premises wMch are owned or rented by the
dditional insured at the time "your work" is performed.
· Any coverages provided by this endorsement to an additional insured shall be excess over any other
Mid and collectible insurance available to the additional insured whether primary, excsss, contingent or
~n any othen basis unless a wmtten contract or written agreement ~n effect during this policy period and
igned and executed by you prior to the loss for which coverage is sought specifically requires that this
nsurance apply on a primary or non-contributory bases. When this insurance is primary mhd there is other
nsurance available to the additional insured from amy source, we will s)~e~t a th[eiz)jB21~rance by
he method described in the policy. .
City of Santa Ana
iertiqicate issued to City of Santa Aha
~wen Dunn Znsurance Services
06/27/2003
As a condition of coverage, each additional insured must:
) Give us prompt written notice of any "occurrence" or offense which may result in a c]aim and prompt
rritt~n notice "suit".
i) Immediately forward all legal papers to us, cooperate in the investigation or settlement of the claim
~r defense against the "suit", and otherwise comply with policy conditions.
) Tender the defense and indemnity of any claim or "suit" to any other insurer which also ~nsures
gainst a loss ~ cover under this endorsement. This includes, but is not limited to, any insurer which has
ssued a policy of insurance in which the additional insured qualifies as an insurea. For purposes of this
'equirement, the term "insures against" refers to any self-insurance and to any ~nsurer which issued a
,olicy of ~nsurance that may provide coverage for the loss, regardless of whether the additional insured
as actually requested that the insurer provide the additional insured with a defense and/or indemnity
inder that policy of insurance.
i) Agree to make available any other insurance that the additional insured has for a loss we cover under
his endorsement.
:G D2 48 10 02
Copyright, The Travelers Indemnity Company, 2000
,4/11/2002
:G 20 26 11 85 COMMERCIAL GENERAL LIABILITY
~MED INSURED: Cooperative Personnel Services
'OLICY NUMBER: BMG?04$0510
NSURANCE COMPANY: American Manuf. Mutual Ins Co
FFECTIVE DATE: 07/01/2002
his endorsement changes the policy. Please read it carefully.
AS
FORM
,OOITIONAL INSURED--DESTGNATED PERSON OR ,,,_,q-ROVED
~RGANIZATION
his endorsement modifies insurance provided under the fol]owi~ ~ci~no: /~d~.,~/ ~))/~/~,
:ODIMERCIAL GENERAL LIABILITY COVERAGE PART. Deputy City Attorney
.CHEDULE
lame of Person or Organization:
The Community Redevelopment Agency of the City of Santa Aha, and the City of Santa Aha, their
'espective officers, employees, agents, volunteers and representatives.
7/2/2003 T&me~ 2152 PM To~ Mary Ra~ol~fe · 91-714-647-6930 Pa~e~ 006-006
City o4 Santa Aha
:ert~icate issued to City o~ Santa Aha 06/2?/2003
~en Dunn Insurance Sepvices
If no entry appears above, informa:ion required ~o complete this endorsement will be shown in the
~eclarations as applicable to this endorsement.)
~HO I5 AN INSURED (Section II) is amended to include as an insured the person or oroenization shown in the
.chedule as an insured but only with respect to liability arising out of your operations or premises owned
ly or rented to you.
iC 20 26 11 85
Copyright, Insurance Services Office, Inc., 1984
Apt, COYED Ab iL) rOK~t
i)cpUt> Ch5 A. ttorney