HomeMy WebLinkAboutOH INSURANCE AGENCY/ALLSTATE INSURANCE AGENCY (3) - 2011INSURANCE ON FILE
VJORK MAY PROCEED
UNTIL INSURANCE EXPIRES N-20?'1-074-001
G -/6 - /2
CLERK OF QQ??NCII? 20ta
DATE: J?"
Syw i G V u^ 2C? 15?Z FIRST A NDER THE WORKFORCE INVESTMENT ACRT EMENT
THIS FIRST AMENDMENT, made and entered into this 29"' day of September, 2011, by and between Oh
Insurance Agency/All State Insurance Agency ("Employer") and the City of Santa Ana, a charter city and
municipal corporation duly organized and existing under the Constitution and laws of the State of California
RECITALS
A. The City and Employer entered into that certain On-the-Job Training Agreement Under the Workforce
Investment Act dated May 31, 2011, hereinafter referred to as "said Agreement".
B. The parties hereto now desire to amend said Agreement, to reduce the number of individuals to be served, and to
reduce the Budget of said Agreement. Relevant exhibits affected by these changes will also be amended.
WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and
made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do
hereby agree as follows:
1. Section 1, "Term" of said Agreement is amended to extend the term of the Agreement through October
31, 201 1. The terms of the Agreement allow for an extension of the Term by mutual agreement of all
parties to a written Amendment.
2. Section 2, "Scope of Work", is amended as detailed in the revised Exhibit A which is attached hereto
and incorporated herein by reference.
3. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and
year first above written.
ATTEST:
CITY OF SA'7TA ANA, a municipal
corporation of the State of California
"CITY"
Maria D_ Huizar
Clerk of the Council
APPROVED AS TO FORM:
Joseph Straka
Interim City Attorney
BY: ?; F•-
Lisa E. Storck
Assistant City Attorney
BY:??' ? ??
Paul Walters
Interim City Manager
"EMPLOYER"
Oh Insurance/All State Insurance
BY:
Jan Oh
Exe uti Manager
Agreement # - Exhibit A
TRAINING PLAN
I. GENERAL
1. Name of OJT Employer: Oh Insurance Aeencv/Allstate Insurance A?ency
2. Address of OJT Work-site: 1421 Warner Ave.. Suite D, Tustin. CA 92780
3. Phone Number: 714-247-1030
4. Training Supervisor: Janet Oh
5. Name of OJT Trainee: Guadalupe Arzate
6. Application Number of Trainee: 1012356
7. Proportion of trainees/employees: (at time Agreement entered into)
a. Total number of employer's regular employees 5
c. Cumulative number of trainees currently in OJT 1
II. OCCUPATION AND ON-THE-JOB TRAINING OUTLINE:
1. Vendor #:
2. Occupation/Product or Service: Customer Service Ren.
3. Length of Time in Business: 13
4. ONET Code: 43-4051.00 SVP Level (4.0 to < 6.01
5. Hourly Starting Wage: $10
Start Date: 6/6/201 1 End Date: 10/31/2011
Hours 680 or Days or Weeks_
6. State and Federal Tax I.D.: State: 464-94407
Federal: 33-0937743
7. Basic Work Week Hours: 40
1
Outline of On-the-Job Training Plan and Method of Asse.,sment:
ELEMENTS OF TRAINING HOURS OF TRAINING
1. Will be trained to support the agency by developing exceptional customer 80
service. Develop client relationship through a courteous and prompt customer
interaction.
Measurement Method: Q 8c A, task observation and inspection. Goal is to achieve rate
of proficiency within first Month and a half of training.
2.
a. Learn to call policyholders to deliver and explain policy, to analyze 180
insurance programs and suggest additions or changes to change beneficiaries.
b. Learn to send out introductory letters regarding agency and prompt service
requirements.
c. Learn to follow up on all referrals and leads.
d. Learn to send out thank you cards for referrals.
Measurement Method: Q & A, task observation and inspection. Goal is to achieve rate
of proficiency within subsequent three and a half months.
3.
a. Learn to sell various types of insurance policies to business and individuals 260
on behalf of insurance companies, including automobiles, fire, life, property,
medical and dental insurance or specialized policies such as marine, far/crop
and medical malpractice.
b. Learn to interview prospective clients to obtain data about their financial
resources and needs, the physical condition for the person or property to be
insured, and to discuss any existing coverage.
c. Learn features of various policies to be able to promote sale of insurance
plans.
Measurement Method: Q & A task observation and inspection. Goal is to achieve rate of
proficiency within subsequent three and a half months.
4.
a. Learn to seek out new clients and develop clientele by networking to find 160
new customers and generate lists of prospective clients.
b. Learn how to insure that policy requirements are fulfilled, including any
necessary medical examinations and the completion of appropriate forms.
c. Learn to confer with clients to obtain and provide information when claims
are made on a policy.
Measurement Method: Q& A task observation and inspection. Goal is to achieve rate of
proficiency within subsequent three and a half months.
RATING LEVELS:
Measurement method: how will it be determined if OJT participant acquired the skill? QBcA, observation, product review/inspection,
etc.
PROFICIENT MODERATE
III. COST COMPUTATION
Example: Hourly Reimbursement at 50% $5.00
_ $ 3,400.00
Funding Source: WIA 201 Adult
MARGINAL
Hours 680 cost Per Trainee
IV. Person(s) authorized to sign payment invoices for EMPLOYER: `C/?? 4 ? (/t?s LI/Vrc?LC'?
??? r/ ?/ ? I ?L 9/29/201 1
Print Name Si ature Tit a Date
Print Name
Signature
Title
Date
'
.acoRO CERTIFICATE
Q '"
F`INSURANCE DATE (MM/DD/YY)
, o?n22o1,
PRODUCER THIS CERTIFICATE IS ISSUED AS AMATT ER OF INFORMATION ONLY
ALLSTATE INSURANCE COMPANY ANID:CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
OH INSURANCE AGENCY CERTIFICATE DOES NOT AMEND, EMEND OR ALTER THE COVERAGE
1421 WARNER AVE., STE. D AFFORDED By THE POLICIES BELOW.
TUSTIN, CA 92780
INSURED COMPANIES AFFORDING COVERAGE
Janet Oh COMPANY A ALLSTATE INSURANCE COMPANY
DBA Oh Insurance Agency LETTER
1421 Warmer Ave Ste D COMPANY B HARTFORD INSURANCE
Tustin, CA 92780 LETTER
COMPANY C
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD IND[CATED- NOTWRHSTANDINGANY REQUIREMENT, TERM OR CONDITIONOF.ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO
WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS
LT EFFECTIVE DATE EXPIRATION DATE
A GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000
X COMMERCIPL GENERALLJAB WTV PRODUCTS-COMP/OP AGO. $ 1,000,000
CLAIMS ]OCCUR 50661033 6/1612011 6/1.8/2012 PERSONAL &ADV. INJURY $ 1,000,000
OWNERS. CONTRACTORS PROT_ EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any one fire) $ 50,000
VIED EXPENSE (Any 'I Person) $ 1,000
AUTOMOBILE LIABILITY
VED AS T COMBINED SINGLE LIMIT
ANYAUTO App7it BODILY INJURY (Per P,mOn) $
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILY INJVRY(Per
HIREDAUTOS y TOR
A E K ACCident)'
NON-OWNEDAUTOS
GARAGE LIABILITY LIS
• tt
tant City PL
i rney PROPERTY DAMAGE $..
s
ss
PER OCCURRENCE
EXCESSLIASILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM a _-?
6 - WORKER'S COMPENSATION EACH ACCIDENT $ 1 .000,000
AND 83 WEC JZ6626 10/13/2010 10/13/2011 DISEASE POLICY LIMIT $ 1,000,000
EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE
$ 1 .000,000
A OTHER
CLAIMS MADE Description: Amount:
Ds scrlpti- Deduc[IWe: _
BPP $ 500.00 $ 15,000.00
DESCRIPTION OF OPERATIO NS/LOCATIO NSfVEHICL ES/SPECIAL ITEMS
10 DAY NOTICE OF CA,NCEL.LATIONF OR NON PAYMENT OF PREMIUM
With respect to claims arising out of the operations and uses performed by or on behalf ofthe named Insured, such insuracne as is
afforded bythis policy is primary and 1s not additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
- CERT IFJCATE.HDLOEF7;. a }, "CANCEULAT10" ';
SHOULD ANY OF TIE ABOVE OESCRIBEO POLICIES BE CANCELLEO BEFORE THE
EXPIRATION DATE THEREOF. THE. ISSUING COMPANY VYIL.L. MAIL
City of Santa Ana 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE NAMED TO THE'-T
_
20 Civic Center Plaza
Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE
ADDITIONAL INSURED ENDORSEMENT
Insurance Company -? I j??tzz-l-e ? V}S Vc rC+ r?c-? ?-?
This endorsement modifies such insurance as is afforded b}, the provisions of Policy
# _ O?b(<?, l 0=-?3 relating to the following:
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92702; its officers, employees, agents and volunteers are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the
operations and uses performed by or on behalf of the named insured.
With respect to claims arising out of the operations and uses performed by
or on behalf of the named insured, such insurance as is afforded by this policy is
primary and is not additional to or contributing with any other insurance carried by or for
the benefit of the additional insureds-
3. This insurance applies separately to each insured against whom claim is
made or suit is brought except with respect to the company's limits of liability. The
inclusion of any person or organization as an insured shall not affect any right which
such person or organization would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be
canceled, or materially reduced in coverage or limits except after thirty (30) days written
notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana,
California 92702.
(Completion of the following, including countersignature, i!; required to make this
endorsement effective.)
Effective CU1tt??-z-o t t this endorsement form as a part of
Policy #
Issued to .?;?1,1?? E-*1i, cS Fx-+ ?h ? 1??a--u rC-c ?-? c e' ? ?`?-?
Named insured ?
gpVED RS TO Countersignecl by??.
ppP Authorized Representative
gTORCK
LISA Ecity Attorney f ,
Assistant y '', - _ _ . _,-•
?O