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Home My WebLink AboutREACH EMPLOYEE ASSISTANCE 1 -2005 iNSURI\NCE. WORK MPli CLERK Of ))(.!I:;' \ DI\Tf' ;)_,7-clr ]I T' A-200S-241A FIRST AMENDMENT TO AGREEMENT THIS FIRST AMENDMENT TO AGREEMENT is entered into on October 3, 2005, by and between REACH Employee Assistance, Inc" a California corporation ("Consultant") and the City of Santa Ana, a charter city and municipal corporation ofthe State of California ("City"), RECITALS: A The parties entered into Agreement #2002-207, dated November 18, 2002, (hereinafter "said Agreement") by which Consultant has provided employee assistance program services, B. In accordance with the terms and conditions of said Agreement, the parties wish to renew said Agreement for an additional one-year period and to increase compensation to pay for services during the extended term, 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 First Amendment to Consultant Agreement, the parties agree as follows: I, Section 2,a" COMPENSA nON, shall be deleted in its entirety and replaced with the following: "City agrees to pay and Consultant agrees to accept as total payment for its services, the rates and charges set forth in Exhibit A to said Agreement The total compensation to be expended pursuant to said Agreement shall not exceed $41,803.00, annually, during the term of said Agreement" 2. Section 3, TERM, shall be deleted in its entirety and replaced with the following: "The term of said Agreement shall commence on January 1,2003 and terminate on December 31, 2006, unless terminated earlier in accordance with Section 12 of said Agreement. City shall have the option to extend said Agreement, at the rates and charges set forth in Exhibit A to said Agreement, for two additional one-year terms." 3. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect II II II IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Consultant Agreement on the date and year first written above. ATTEST: ~. ~ PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney By: /, / Laura Sheedy Assistant City Attorney CITY OF SANTA ANA LLUJ~ DAVID N. REAM City Manager REACH EMPLOYEE J AS. SISTANCE, INC.. 7)_ L/ ,0,- 1V'\ /L.o...~_ (7-) Lr f)o/tilJ /)tly/,Jl (NAME - print) /.. D (Title) C 1:; e, \ C to':, q / ,( (', t-v SP CERTHOLDER COPY STATE COMPENSATION INS U RAN CE FUND P.O BOX 807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03-01-2005 ^ ~w(L L - C r(\ J" F\ 'J'" :r- ~. GROUP, POLICY NUMBER: 1555105-2005 CERTIFICATE 10, 11 CERTIFICATE EXPIRES: 03-01-2006 03-01-2005/03-01-2006 CITY OF SANTA ANA BENEFITS OEPT 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 SP This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration. I This certificate of insurance is not an insurance policy and does not amend. extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement. term, or condition of any contract or other document with respect to which this certificate of insurance 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. ~ ~~c ~ AUTHORIZED .REPRESENTATIVE PRESIDENT EMPLOVER'S LIABILITV LIMIT INCLUOING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS PDLICV. EMPLOYER LEGAL NAME REACH EMPLOYEE ASS I STANCE. I NC 101 E LINCOLN AVE STE 230 ANAHEIM CA 92805 REACH EMPLOYEE ASSISTANCE, INC (REV,3.03) ". . :. . . . F eo 24. ACORD. 2006 11 .29AM CERTIFICATE OF LIABILITY INSURANCE No. 7262 P. 2 ~~~\::~!~e~:,"":~~~v 1);.'.1. Baysho.':"s :G 117\)6 Phon~, 63' SSS-15SB $!;@.rli"g OP 10:r []ATE ,1ItMI0DI'N'tY) RIil714-1 02 24 06 THill ceRTIfICATE IS IlISUEO AS A MATTE!'l OF lNFOP.!.t'.rlOM Olll Y AND CON~ERS NO RIGHTS UPON THE CI':RTIFICATE HO"OER THIS CERTIFIO"E DOES Nor .~MEHo, EX,E/!!! OR lH, 'TER 'Tl~!:; cr;~~,~,G5 ,~\1e70~J.:-~~ '?'" "i''''i"::" ;;."'-:'i"_F:'1.>;::'~ 'E1l-'7:L1""\~.' I ! ~ PROOUCE~ Reaoh Emp1c?y.. A,Jsi.t.anee 1 too: ~~h~t:t~i~~i5g_AV"" Ste 230 : INSuRE~S JlfFOfIDlIlO COVEllAOE lh3VRtRA: Ace American Ins. IINSUREA. 8' !ti8~AC, I INSURER 0: .N$URE~ i:" Nj~~C :J IN,StJlt:i!O Co. COVERAGES r Tdl; PD~1l:;JC$ Q~-:-iN~' ~IS7iiO BHOW I1Avt dE8If lSiUfO 10 fWf lH~fD H';;~;M-;O~~;O-L-;C;~GH;OO-t)JOlC"'TEU. ~OT\~~Tf4S ~~-;'G---'-----'---~~-"-'--'- ! A,,,'-' i<iiVi..~'i<~,;,j, iti"""i! ,;ti .~.)Ni:;.oT~-~.;t: "'N'''-'::{'I<Iol'~':'f.'W.\(Ht'W ~"'~:\..2AA'l!,V'1 ....11'" ~~':i~'":' 1'_' "",","'." 'H!~ '"'~q~~_~4)", "'i"'!' ~~ '''~'''''.'; '",",ItY ?'.o;~.~,,'l """""'. '~i";:J"U.."Jf;". 'F~Qq.\:....t'l ".-f"~F "'0!:.'r~~ '"!.1:;~:-Il.,."I.",r: "*"J.;FW-i"~ "J,P:!f'0T '')~' , nj~ ~;;:t:'0. "'~J':,J~)P~.)~',,~~,ln G{:"r,r;:(::--,:;~-,' ,;; :1~li j /(ju.~p<:ci ;-l.w...;~:::,.i;:..ji: -LlMlT::i ~Hu'!'ti~ M!l~ HA\'\: Bl;;tiJljtl.!i:UUCi::O-a.'1 PAli) ClAIMti r~4;'\i~~N._, ~:;:,Y ~;;:~~j~~-~===.~:~~~:-:~:~~:~~!~~=.=~.~:=_~~j~:~iI[fg~i~~:2:~71~~~~1l~3g:.,;-__n_._.._---- '_ i!i'!~"3 I q!O~t::~,"'~. Ulo_e~l.:TY ! :.N:::-! O::C\..i"',"C:~K~ i S '1 PfR!Ol'lAt & AD" lNJ~Y GENERAl. AGGREGArc: PRODUCTS. COWlOf' AGO .1 .3 .1 .0.oQ.000 lCn.cM! -~QQO i 000 000 000 000 000 000 -inj C"~Me:!'tCto..;.. Ct:i':::M1.. ll."5!LiT'1 i !~Tl ;:.~)M5 :"lAiJ( 1 X' \ '1CCUR I ---r---- ~' H C;;;~'''GGR5GA'' UMIT "'"LlES "E' I '0'> n , POUC'f E<:T loe hQNIOUlle: LlAIlUTY H ANY AUTO I : ALl. OWHEO AUTOS ~' . SCHeOUleO AUTOS HIRED AUTOS NON--OWNiD AUTOS I GARAGE UA8lUTY A!iYAlITO T::sJ) 02/17/06 ' :0-2/';.7/01 ~(.,e: 'Vl'ti::1"'ln:;u---- :. 1>Rl,;MJ-:!:;.$ i;~"C"'-.-\.~~~:' , ~ ! ~-'i>~Xfl !.A;~:':''''''''pIII<w'':\ $ ft-. COMll....Et1 SINGLE LIM!T 16a8Ct;iderrt) . fIOOll. Y INJUR,Y (P... p<<~Q(ll IJOOIlYINJUIl:Y (P....~~> " PROflIMTV OAMAGE' (PerlO:il1ef'C} . EJtCeJ8IUUItRIIU.A lJA8lUT'( OCClJlt 0 Ct..A.lUStU.Of, AUTOONlV.!AACCCENT S EAACC S . AGG '>THER TlW9 AUTO ONLY I EACH OCWRRENCE " AGGMfQAlE :t . . $ OeOUCTlIl( REttMTIOM t WQlI'.tI:IQlI COIII'INlATtON AtfO 1I!MPl0YlD" LIMI..m' .\."f'f PflClRETORtPARTNERJEXECtJT/VE QfFIC(.~t.~ EXQ,,\JPEO' ~tt~~e~ OTtt';;\'{ A prof8$~ianal Liab TIll) 02/11/06 'I I &J,. ~w ACOOiiHT $ fL~f.t:Af.MPlOYEt: $ ,l:.LOlse.Il.Sl.~ICYUIdIT J I 'I 1,000,000 3 000 000 r- i 02/11 J07 CUCM'T!>C<< Of .In,ib\I1CAi;i 1 i~I~ i ii~E&~ EXCltJ$0M3 4run:O OY ~NtlOftGtMENT: $f't,c1Ai. P~O\ilZ.OlllS ]},J, I t"'J ~~,,,t. a.r2 5.nch:ad-e-d i;\!.a 0d:;tLt.::-v2':;:\;;;~.1 ~,P,.'.>i\U_"i~:,j;-S '::,'!yt, I ;C:2l':CPf'"-"- ~:S' ~: - >'r.,,,:o- I I I I CERTIFICATE HOLDER :e~" t..ha. f'..t..;i'Wd ;i~::.~'"\.::;z'[,,c. ~ Ci1:.y of knta. Ana. Pe.rsonne~ Dpt. 2D C~v~c c.ntar Pla~a m-3"~ SiS.;.;"'1t:.& ~~ c.rt. S270Z CANCIiUA nON SHOULD IlNY OF lltI.A8OW DPCIUIID POi.!CIEI BE CANCe\.LEI;l"FORE THI CXPIRAT DA'l1!ntERslfi. TMt!ISSUlNGINaUJlMW'lU.~VOflITOMA1L ~ DAYI5WRm!!N ~ 'TO~~!eA1~HCU1e~NAMgc ,-o,-\<< t.~, llU"'''...,LUJIlE lOOO'~SHA!.\. 1fl'I~,!Ol~ Ql!;!:I.~.'J1Q"~_l~'J!..".....or "'l'r!''''f~!~ '!'toI~'N~y-~m!'\'s MIZN~ Ql': I I . ~..~~... .~,~-'~~__- .-J tl ,,~CnR!) COR~RA'Tl0~ 1~g.$ !'I:e~i''''''Tl\I'!l:!.. AU i-- __. "CORD 15 !Z~~"W)6~ -.---------'--- /) (l L.. )' CERTHOLOER COPY STATE COMPENSATION INSURANCE FUND P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03-01-2006 GROUP: POLICY NUMBER: 1555105-2006 CERTIFICATE 10: 11 CERTIFICATE EXPIRES: 03-01-2007 03-01-2006/03-01-2007 CITY OF SANTA ANA BENEFITS DEPT 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 SP This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms. exclusions, and conditions. of such policy. O:::-REPRESENTATI EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: ~ PRESIDENT $1,000,000 PER OCCURRENCE, ENDORSEMENT #1600 - MARCUS 0 DAYHOFF, PRESIDENT CEO - EXCLUDED, ENDORSEMENT #1600 - LETICIA A DAYHDFF, SECRETARY TREASURER - EXCLUDED, ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-01-2000 IS ATTACHED TO AND FDRMS A PART DF THIS POLICY, ~.. EMPLOYER REACH EMPLDYEE ASSISTANCE, INC 101 E LINCOLN AVE STE 230 ANAHEIM CA 92805 SP lREV.2-05J PRINTED 02-18-2006 SP M0408