HomeMy WebLinkAboutREACH EMPLOYEE ASSISTANCE, INC. 1B -2002
A-2002-208-02
~, 11 ~D'\
FEB 0 7 2007
SECOND AMENDMENT TO AGREEMENT
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THIS SECOND AMENDMENT TO AGREEMENT is entered into on September
18, 2006, by and between REACH Employee Assistance, Inc., a California corporation
("Consultant") and the City of Santa Ana, a charter city and municipal corporation of the
State of California ("City").
RECITALS:
A The parties entered into Agreement #2002-20'b, 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.
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:
I. The term of said Agreement shall be extended to December 31, 2007.
2. Except as herein amended, all terms and conditions of said Agreement shall remain in
full force and effect.
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:
CITY OF SANTA ANA
/ .; ./ '
:\/",(,11J> _::/)/t(Aj"/ '/
JOSEPH W. FLETCHER
City Attorney
ATTEST; . /
~.JL_/'.
PA TR/CiA E. HEAL ,-;"0 ----0
CLERK OF THE COUNCIL
REACH EMPLOYEE
~SISTANCE ~_ /, (iJ
(y.-. '?--Y\.~ 1= "J ?-,. /'6
-0,' f'v/ru'('cp Day 40-1.(
(Name) -
(Title) c... (f (,). (' I';'" c, / 2), ;.... - f-J___
F eo 24.
ACORD.
2006 11 .29AM
CERTIFICATE OF LIABILITY INSURANCE
No. 7262
P.
2
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Baysho.':"s :G 117\)6
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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""\~.'
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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
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PRODUCTS. COWlOf' AGO
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hQNIOUlle: LlAIlUTY
H ANY AUTO
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~' . SCHeOUleO AUTOS
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I
GARAGE UA8lUTY
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02/17/06 '
:0-2/';.7/01
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PROflIMTV OAMAGE'
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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':
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"CORD 15 !Z~~"W)6~
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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
$1,000,000 PER OCCURRENCE,
ENDORSEMENT #1600 - MARCUS 0 DAYHOFF, PRESIDENT CEO - EXCLUDED,
ENDORSEMENT #1600 - LETICIA A DAYHDFF, SECRETARY TREASURER - EXCLUDED,
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-01-2000 IS
ATTACHED TO AND FDRMS A PART DF THIS POLICY,
~..
EMPLOYER
REACH EMPLDYEE ASSISTANCE, INC
101 E LINCOLN AVE STE 230
ANAHEIM CA 92805
SP
lREV.2-05J
PRINTED
02-18-2006
SP
M0408
02/14/2007 10:22 FAX 7145335700 REACH EAP
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DatI! : 2/1412007 11:45 AM Page: 2 of;;
,
,
ACORD. CERTIFICATE OF LIABILITY INSURANCE IU~
f'RODUCI:R A-.;;l.OO~ -.;AD! THIS CERTIFICATE IS ISSUED AS A MAT
ONlY AND CONFERS No RIGHTa UPorl
Van Waqner Group Div. SterHng A- ;)[Ja.::l. ~ HOLDER. THIS CERTIFICATE DOES NO
21 ""ple Ave, -~O ~O;;l.. ALTER THE COVERAGE AFFORDED BY
BAYS bore NY ~1706 A--)..ro5-4/A-
~hone:631-66G~1S88 INSURERS AFFORDING COVERAGE
INSUReD INSUR~R A; Ace American Ins.
l""'-"ERe
Reach ~10Kee Assistaneel Ine IN$l./RERC:
-.
101 East Li co1n Ave., Ste 230 INSI.RER D:
Anaheim: CA. 92805-
I_E
"
(
1)PID T2( DA"rE IhfMfDDfYYYYl
"14-1 02/14/07
"ER OF INFO""'ATION
THE CERTIFleATE
AMEND, EXTEND OR
"HE PoUCIES BELOW,
NAlC#
:0.
-
T
COVERAGES
'rHE POLICIES or- lN$l.IAANcE USTm BeLOW J;.Il..VE BEeJ lSSLEo TO TI-E 1N31...1R'eo NAMED ;.eOVE FOR: THE POLICY peRIOD INDICATED. NOTWllHSTANOI
ANY t=lf20UIREMENT. TERM OR CONJITIO\! OF .ANY OONTRACT OR ~"'HF.;Iil DOClJIAENT WITH REWECTTO WHlOi THIS CERTJFICA1E MAY ae IS8<JE;D OR
MAy PERTAIN. THE INSURANCE AFFORDED By Tl-€ Pa".t;re:e; DE~:CRIE4E:D H5<RE:IN IS SllSJECT To A.l.l Tl-ElERMS, e;XCLlISJONSMID CONDITIONS or- SI.ICI
POLICIES. .AG~G.ATE UMITS SHoWN MAY HAV5 aeEf\I REDUCED BY PAID GlAIMS.
'''' NSR TIPS OF INSlAANcE I~OLlcY NUMB~ OA,.gj~J bATE fMMlD
GE~L LlAeLllY EACH OCCURI
A ~ COMMERCtAL G!:;1'ERAl. LIABilITY TBD 02/17/07 02/17/08 PREMISES r~l
J CLAIMS MADE ~ OCo.lR MSO EX? (Ar,;
f- ~.,
C= - - ~RAL Mil
n'L AGGREGATE LIMIT APPn PER. F'RODLt:TS.(
P<<.JCY n ~& J.OC
~OMOElll~ L1ABll.llY (:0M3INED Sl~
~ /l#YAlJTO (!:Il11cxldomtl
ALl. O~D AlJTOS BOOIL Y IN..uR'(
= SCHEDULED I..urOS [Ptorpur-..on)
_ l-IIR5DAU'ro.'S 80DIL v I~..~'
NCN-OWNED I..!..rros [P.;rlkl;:idQrij
-- f---
- PROPERTv OA;
fP9rl!l(;~idot1l;J
R""UABII.f1Y AlfI'OONLV-E
,"",Y',Qi.lTo OTt-ER THAN
ALITOONLV
ElCaE:SSN~lA. LIA,BIUTY ~H OCClJRR
:j -OCCUH 0 Cl...PJMS MAJ.)Ef AGGREGA1'e
~ IDEDUCTIBLE
RElENTlON .
WORKER$; eOMPENSATION AN> hORVLIMn
EMPLOYERS' LIABILITY E;,l. EACHACC
AN.... F'ROPRlc"TORIPARThEFu.QQ;:cun\tE
OFflCERlMe.E!E~ ExCIJ.DED? E.l. DISEAsE_
1I\fQli.dAsct1b"UfId",r ~.l. DISEASE.
SN:CIAl. PY<OVISIONS bEllow
OTHER
A profes.sional Lial:> TBP 02/17/07 02/10/09 Ea.~l:
A9'g.
OeSCRPTlON OF OPE:R4T10NS J LOCATIONS' VEHICLES! EXCLlJ61e'Nlil AOI:lISC ev E:NDORBE'Ml;NT I SP€CiAt. PROvr.;;tONS 1-\> ,
All. C1ieut Compan1.Q$ are ineJ.uded as adl;titi.ona1 in,sured~ but oD1y ali
respects 1:0 the operations pereO':lIled by I:h.. 11_ in.su~ecl. ,
_..
i\'
~
-
1
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NO. $1...000,000
Em II; 100,000
,c~urencIitJ
'cnop.:,r;;,.,n) . 5,000
'Vlf'UE.:y 51,000,.000
-
4t:'GATE $ 3, C?,oo I 000
:(MP/OP AGG t 1,000,000
-
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A. A.CCICENT .
EAACC .
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CiiNT .
-
~\EMP!"Oyt:E .
~ :JI.JCY LIMIT .
I Clee. 1,000,000
'<:gate 3,000,000
/ , .. 1:: .\J
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CERTIACATE HOLDER
City of Sauta Ana
e-ezsonne1 Dpt.
20 C~V10 Center P~aza
M-34
Santa Ana CA 92702
CANCELLATION
tiHoUl..o ANY OF THe; ABOVE DE!:iCAIBEc POLfCl:S Ell; c; :y.jCEl..LeD ee>ORETHE EXPIR.ll.TlON
OA'rE~fI",TI-EIBSUINC;;N!oUfU:RWII.,I,EiNt>!A.VORTOMAJL. 30 DAnWFo:tY'TEN
NOTICE TO THl: C"ERnFJCATE HOLDER NAMED TO 'Il-1E LI fT, BUT FALURe TO DO 1/.0 SHAf.l.
IMPOSE NO oeUGAllON OR U&auTy OF .ANY KIND UPOt I THI::: INSIJRE;"R, rr:; AtiE'NTS DR
f1:~E~ATIV~a.
A T
ACORD 25 (2D01/0B)
" ACORD CORPOAAnoN 1988
ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID T2 I DATE (MM/DDNYYYJ
RE714-1 02/07/08
, "RQDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Van Wagner Group Div. Sterling HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
E7 E. Main St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
~ay Shore NY 11706
Phone: 631-647-9381 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Ace American Ins. CO.
INSURER B:
Reach Employee Assistance, Inc INSURER C'
101 East Lincoln Ave., Ste 230 INSURER o. I
Anaheim CA 92805- !
INSURER E:
COVERAGES
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 OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR"I>.,<~ I POLICY NUMBER PD~';!EiMMfODrvYl- 8k!fEYf~~b'1fJ!t~N LIMITS
LTR NSRO TYPE OF INSURANCE
~NERAL LIABILITY I ~~H OCCURRENCE $1,000,000
A X COMMERCIAL GENERAL LIABILITY' TBD 02/17/08 02/17/09 PR~~ES YE~~~u~~ncel $ 100,000
, I CLAIMS MAOE ~ OCCUR MEO EXP (Anyone person) , 5,000
PERSONAL & ADV INJURY ,1 000,000
i . ~.~ AGG~EnE ;~"c;T ?'lS PER I ....::~rJCRI\L AGCREGATE .3,000,000
PRODUCTS - COMP/OP AGG $1,000,000
, POLICY JECT lOC I
:~TOMOBILE LIABILITY ! !
COMBINED SINGLE LIMIT I'
ANY AUTO I (Eaacddent)
-
ALL OWNED AUTOS
- BODilY INJURY $
SCHEDULED AUTOS I (Per person)
- _._-~
HIRED AUTOS ,
-- , , BODILY INJURY $
, NON-OWNED AUTOS I (Peracddent)
, f-- -- ~,
, ...u~'o-r.1
1-, ------- i ,. PROPERTY DAMAGE
I , (Peraccidenl) $
, I " I ~,'
GARAGE LIABiliTY ,\ ... ... i1fM-~ I AUTO ONLY - EA ACCIDENT $
~ "
! ANY AUTO OTHER THAN EAACC
.,.__ ," '--7' AUTO ONLY: AGG "
. ,. < ,,'J
EXCESS/UMBRELLA LIABILITY -' " ~., . ~')' EACH OCCURRENCE ,
~ OCCUR D CLAIMS MADE \', "- ,l '\' I '~l
I ,'" AGGREGATE ,
R ~EDUCTIBLE $
$
RETENTION $ ,
WORKERS COMPENSATION ANn ! 'T'ff:i.y' LII~:~S i :U~R
EMPLOYERS' LIABILITY
I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
.-
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
~~EC:I~r~r~~v~~?~~s below , E,L, DISEASE - POLICY LIMIT ,
OTHER !
A Professional Liab TBD 02/17/08 I 02/17/09 Each Dec. 1,000,000
Aaareaate 3 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
All Client Companies are included as additional insureds but only as
respects to the operations performed by the named insured.
CERTIFICATE HOLDER
CANCELLATION
City of Santa Ana
Personnel opt.
20 Civic Center Plaza
M-34
Santa Ana CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES,
AUT EPRESEN
ACORD 25 (2001/08)
@ACORD CORPORATION 1988
CERTHOLOER COPY
STATE
COMPENSATION
INSURANCE
FUND
P.O. BOX 420807, SAN FRANCISCQ,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE OATE: 03-01-2007
GROUP,
POLICY NUMBER 1555105-2007
CERTIFICATE ID, 11
CERTIFICATE EXPIRES, 03-01-2008
03-01-2007/03-01-2008
.
,
"
CITY DF 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.
G:::-REPRESENT A TI
EMPLOYER'S LIABILITY LIMIT INCLUDING OEFENSE COSTS:
~
PRESIDENT
$1,000,000 PER OCCURRENCE.
ENDORSEMENT #1600 - MARCUS D DAYHOFF, PRESIDENT CEO - EXCLUDED.
ENDORSEMENT #1600 - LETICIA A DAYHOFF, SECRETARY TREASURER - EXCLUDED.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-01-2000 IS
ATTACHEO TO AND FORMS A PART OF THIS POLICY.
A:' PRO,! L)
{-,,:,
EMPLOYER
i~
-----
... ,
REACH EMPLOYEE ASSISTANCE, INC
101 E LINCOLN AVE STE 230
ANAHEIM CA 92805
SP
(REV.2~05)
PRINTED
02-17-2007
SP
M0408