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HomeMy WebLinkAboutVENTIV TECHNOLOGY 1nusuHANCE ON WORK MAY PRO UNTIL INSURANr DATE: /oy /dvi 2.r /ti wlS EXPIRES VENTIV TECHNOLOGY INC. A-2016-304 THIS AMENDMENT to the above -referenced agreement is entered into on September 30, 2016 by and between Ventiv Technology Inc, f/k/a Aon eSolutions, Inc. (hereinafter "Consultant") and the City of Santa Ana, a charter city and municipal corporation (hereinafter "City"). RECITALS A. The parties entered into Agreement 4A-2014-241 dated September 16, 2014 ("Agreement"), by which Consultant agreed to provide continued upgrades, maintenance and support of the City's Personnel Services Agency's workers' compensation liability claims software program for a two (2) year period. The total compensation was not to exceed fifty-five thousand dollars ($55,000.00) per year during the initial term of this Agreement and a rate equal to the initial term rate or at an increase not to exceed five (5%) during any extension period. B. The parties wish to amend the Agreement to provide for compensation to the Consultant in the amount of $41,070.95 for the period of October 1, 2016 through September 30, 2017, as provided for and allowed in. Section 2(a) of the Agreement. C. The parties wish to extend the Agreement for one (1) year pursuant to, and as provided for in Section 3 of the Agreement. The termination date of the Agreement would be amended from September 30, 2016 to September 30, 2017. Now, therefore, in consideration of the mutual and respective promises, and subject to the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: 1. Section 2(a), Compensation, shall be amended to provide for total compensation of $41,070.95 to Consultant for services provided during the period of October 1, 2016 to September 30, 2017. 2. Section 3, Term, shall be amended to extend and amend the termination date of the Agreement from September 30, 2016 to September 30, 2017. 3. Except as hereinabove modified, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to the Agreement on the date and year first written above. [Signature Page to Follow) ATTEST MARIA D. HU�IZAR Clerk of the Council APPROVED AS TO FORM CITY OF SANTA ANA SONIA R. CARVALHO CITY AmTort NAY RA M. SCHWARZMANN Assistant City Attorney CITY OF SANTA ANA DAVID CKV City Manager CONSULTANT Ventiv Technology Inc. f/k/a Aon eSolutions, Inc. By -l" Douglas ilson Title: VP, Operations & Admin TIN#68-0331363 ,..�� VENTTEC-02 SENGUPTASU CERTIFICATE OF LIABILITY INSURANCE DATE 711 212 01 6 MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Of Texas, Inc. c/o 26 Century Blvd P.O. Box 305'191 CONTACT Willis Towers Watson Certificate Center PHONEFAX AIC No E,):(877)946-7378 AIC No): (888) 467-2378 ADDRESS: certlficateS OCWIIIIs.COm Nashville, TN 37230.5191 INSURER(S)AFFOROING COVERAGE NAICa INSURER A: Great Northern Insurance Company 20303 INSURED INSURER B: Federal Insurance Company 20281 Ventiv Technology, Inc. 227 W. Monroe Street INSURERC:Chubb Indemnity Insurance Company 12777 INSURER D: Illinois Union Insurance Company 27960 INSURERE:Continental Casualty Company 20443 Chicago, IL 60606 NSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONDITION OF ANY CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYVYY LIMITS A X COMMERCIALGENERALLIABILITV EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE T OCCUR X X 36033592 0511112016 0511112017 PREMISES Ea occurff rence $ 1,000,00 MED EXP (Any one person) $ 10,000 PERSONAL &ACV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ JECT LOC PRODUCTS -COMPIOPAGG $ 1,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ AANY AUTO 73593885 05/11/2016 05/11/2017 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AU 0 NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ X 4 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 B EXCESS LAB CLAIMS -MADE 79895906 05/1112016 05/11/2017 DED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUOED4 (Mandatory In NH) NIA 71754946 0511112016 05/11/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ 1,000,000 D Primary Cyber E&O G25643518001 05/11/2016 05/11/2017 Limits: 15,000,000 E Excess Cyber E&O 596694963 05/1112016 05111/2017 Limit: 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached If more space Is required) City of Santa Ana and its officers, employees, agents and volunteers are included as additional insureds in regards totheir eneral Liability policy as required by written contract. A Waiver of Subrogation applies in favor of City of Santa Ana and its officers, xPlovangVV0tTP(3T(Vespect to the General Liability policy, as required by written contract, YYlt1 Additional Named Insured: Ventiv Technology, Inc. 7nra Ventiv SEE ATTACHED ACOR10Companies, Inc. M.Sc arzmann CFRTIFICATE HOLDER CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Y7' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Santa Ana n 20 Civic Center Plaza, M-30 /Santa Ana CA 92701 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Y7' AGENCY CUSTOMER ID: VENT, -02 LOC #: ADDITIONAL REMARKS SCHEDULE SENGUPTASU Page 1 of AGENCY NAMED INSURED Willis of Texas, Inc. Ventiv Technology, Inc. 227 W. Monroe Street Chicago, IL 60606 POLICY NUMBER EEPAGE1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 26 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations[Vehicles: US Apple Holdco, LLC Ventiv Technology Group International, LTD. Ventiv Technology Netherlands B.V. Ventiv Technology Australia, PTY. LTD. Ventiv Technology Germany GMBH Ventiv Global Technologies, LTD. Ventiv Technology Australia PTY LTD (Hong Kong) Ventiv Enterprises, LTD. :PPR EIS AS FORM a dra N1. Schwarzmann nior Assistant City Attorney ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD a COTC PROCESSING FORM Agreements / Amendments / Deeds TO: CLERK OF THE COUNCIL OFFICE FROM: DEPT.: Personnel/Risk Management PROJECT MANAGER: Briza Morales 1016 OCT It AM II.41 VTT OF SANTA ANA CL RK OF COUNCIL. MAIL STOP: EXT: Clear Form M. 5470 AGREEMENT NUMBER (if amendment): A / N A-2014-241 AMENDMENT NUMBER (if applicable): ® IST ❑ 2ND ❑ 3RD ❑ NAME OF CONSULTANT/ PARTY: Ventiv AMOUNT: ®* OVER $25,000 — (A) ❑ *UP TO $25,000 - (N) Note: If your agreement with a vendor exceeds $25,000 within a Fiscal Year, then you will need to obtain Council Approval. ❑ 1) NOT approved by council. ❑ 2) Approved by council. COUNCIL APPROVAL DATE: TERM OF AGREEMENT- EFFECTIVE DATE: ITEM #: 09-30-2016 TERMINATION DATE: 09-30-2017 SIGNATURES REQUIRED: F7 VENDOR ❑AGENCY Z CITYATTORNEY ❑OTHER (INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC) INSURANCE REQUIRED: 0 YES ❑ NO (Provide City Attorney Office approval) ❑ AUTO ❑ CGL (Commercial General Liability) ® PROFESSIONAL LIABILITY WORKERS COMPENSATION RIC yjildil4illt&S USE ONLY: ❑ PROCESS ❑ DO NOT PROCESS ❑ Needs Council Approval ❑ Missing Signatures ❑ Other * Charter amendment effective December 21, 2006 for City Manager contract authority increase; NS -2717 I:\Agreements\Form -AGREEMENT PROCESSING FORM_canary.doc Revised: 1/17/2012