HomeMy WebLinkAboutMAXIMUS, INC. 1B - 2006
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INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
5-/;03
CLERK OF COUNCIL
O,ATE: SEP 2 0 lali7
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A-2006-230-01
SECOND AMENDMENT TO AGREEMENT
THIS SECOND AMENDMENT TO AGREEMENT is entered into on August
28,2007, by and between MAXIMUS, Inc. ("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 A-2005-2 I 8, dated September 19, 2005,
(hereinafter "said Agreement") by which Consultant has provided State Mandated
Claims reimbursement 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
Second Amendment to Agreement, the parties agree as follows:
1. Section 2, TERM, shall be amended to extend the termination date for an additional
one-year period, through September 19,2008.
2. Section 3.a., COMPENSATION, shall be amended to provide a total of$12,500.00 to
pay for services during the extended term of said Agreement.
3. Except as herein amended, all terms and conditions of said Agreement shall remain in
full force and effect.
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IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to
Agreement on the date and year first written above.
CITY OF SANTA ANA
ATTEST:
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L1 PATRICIA E" HEAL Y
D'^- Clerk of the' Council
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(y DAVIDN. M ·
, City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
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By: /), " 0( ,0",
LauriSheedy :/
Assistant City Attorney
MAXIMUS, .NC.
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AconQM 'CERTfFICATEOF LIABILITY INSURANCE
DATE (MMIODIYY)
05/01/07
THIS CERTIFICATE IS ISSUED AS 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 POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
MARSH USA INC.
SUITE 400
1255 23RD STREET, NW.
WASHINGTON, DC 20037
Attn: SHARON HENNING - T-202-263-7600
500625--GAUW-07 -08
COMPANY
A HARTFORD FIRE INSURANCE COMPANY
INSURED
MAXIMUS, INC, AND ALL SUBSIDIARIES
11419 SUNSET HILLS ROAD
RESTON, VA 20190
COMPANY
B TWIN CITY FIRE INSURANCE COMPANY
COMPANY
C HARTFORD CASUALTY INSURANCE COMPANY
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITlqN 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MMIDDIYY)
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
A X COMMERCIAL GENERAL LIABILITY 10 UEN TE5891 05/01/07 05/01/08 PRODUCTS-COM~OPAGG $ 2,000,000
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $ 1,000,000
O'M\lER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 300,000
MED EXP (Anyone person) $ 10,000
AUTOMOBILE LIABILITY 1,000,000
COMBINED SINGLE LIMIT $
A X ANY AUTO 10 UUN TE6206 05/01/07 05/01/08
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
C X UMBRELLA FORM 10 RHU TE5713 05/01/07 05/01/08 AGGREGATE $ 1 ,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B 10WBRMF5811 (WI) 05/01/07 05/01/08
C THE PROPRIETOR! X INCL 10WNMF5810 (AOS) 05/01/07 05/01/08 DISEASE - POLICY LIMIT
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE
OTHER
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DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESlSPECIALITEMS
THE CITY OF SANTA ANA, ITS OFFICIALS, EMPLOYEES AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSUREDS UNDER THE GENERAL
LIABILITY COVERAGE AS REQUIRED BY CONTRACT WITH THE NAMED INSURED,
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA, M-17
SANTA ANA, CA 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~A I~......--z._
Timothy M. Sasser --"~ ~