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HomeMy WebLinkAboutVENTIV TECHNOLOGY, INC. F/K/A/ AON ESOLUTIONS, INC.INSURANCE NOT ON FILE WORK MAY al PROCEED CLERK OF COUNCIL DATE: OCT 1 7 2017 SECOND AMEN THIS SECOND AMENDMENT to the above -referenced agreement is entered into on September 19, 2017 by and between Ventiv Technology [tic, 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 #A-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 tern 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 subsequently entered into a First Amendment to the Agreement (#A-2016-304) on September 30, 2016 to increase the total amount of the Agreement by $41,070.95 and extend the term for an additional one (1) year period through September 30, 2017. C. In accordance with the terns and conditions of the Agreement, the parties wish to further amend the Agreement to extend the tenn of the Agreement and provide additional compensation to the Consultant for those continued services. Now, therefore, in consideration of the mutual and respective promises, and subject to the terns and conditions of said Agreement, except those amended in the First Amendment to the Agreement, and except as herein modified, the parties agree as follows: Section 2(a), Compensation, shall be amended to add an additional $43,124.49 to the Agreement, such that the total sum to be expended shall not exceed $194,195.44 during the term of the Agreement which includes the original compensation and the additional compensation provided by the First Amendment to the Agreement. 2. Section 3, Term, shall be amended to extend the term of the Agreement for one (1) year until September 30, 2018. A-2017-248 3. Except as hereinabove modified in this Second Amendment, the terns of said Agreement and First Amendment shall remain in fiul force and effect. In the event of any conflict between the terms of this Second Amendment and the terms of said Agreement and First Amendment, the terns of this Second Amendment shall control. [Signature Page to Follori] IN WITNESS WHEREOF, the patties hereto have executed this Second Amendment to the Agreement on the date and year first written above. ATTEST MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM CITY OF SANTA ANA SONIA R. CARVALHO City Attorney LAURA A, ROSSINI Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: 1.r Ed Rays. Executive Director of Personnel Services CITY OF SANTA ANA VENTIV TECHNOLOGY INC, By:, Y Douglas Wil ron Title: VP, Operations & Admin TCN#68-0331363 Page 1 of 2 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/01/2017 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 BY THE POLICIES 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(ies) must have ADDITIONAL INSURED provisions or 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). CONTACT PRODUCER NAME: Willis of Texas, Inc. FAX PHONE 1-888-467-2378 1-877-945-7378 (A/C, No): (A/C, No, Ext): c/o 26 Century Blvd E-MAIL certificates@willis.com ADDRESS: P.O. Box 305191 Nashville, TN 372305191 USA INSURER(S) AFFORDING COVERAGENAIC # 20303 Great Northern Insurance Company INSURER A : 20281 Federal Insurance Company INSURED INSURER B : Ventiv Technology, Inc. Chubb Indemnity Insurance Company 12777 INSURER C : 227 W. Monroe Street Continental Casualty Company 20443 Suite 2000, 20th Floor INSURER D : Chicago, IL 60606 Illinois Union Insurance Company27960 INSURER E : INSURER F : W4243079 COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: ADDLSUBRPOLICY EFFPOLICY EXP INSR TYPE OF INSURANCELIMITS POLICY NUMBER (MM/DD/YYYY)(MM/DD/YYYY) LTR INSDWVD COMMERCIAL GENERAL LIABILITY 1,000,000 1,000,000 10,000 A YY 3603359205/11/201705/11/2018 1,000,000 2,000,000 1,000,000 1,000,000 AUTOMOBILE LIABILITY A 7359388505/11/201705/11/2018 10,000,000 UMBRELLA LIAB B 7989590605/11/201705/11/2018 10,000,000 EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N 1,000,000 C No N / A 7175494605/11/201705/11/2018 1,000,000 (Mandatory in NH) 1,000,000 DExcess Cyber E&O59669496305/11/201705/11/2018Limit:10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana and its officers, employees, agents and volunteers are included as Additional Insureds in regards to their General Liability policy as required by written contract. A Waiver of Subrogation applies in favor of City of Santa Ana and its officers, employees, agents and volunteers with respect to the General Liability policy, as required by written contract. SEE ATTACHED CERTIFICATE HOLDERCANCELLATION 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 20 Civic Center Plaza, M-30 Santa Ana, CA 92701 © 1988-2015 ACORD CORPORATION. All rights reserved. ReviewedbyBrizaMorales ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD 11/01/2017 15268145 498201 SR ID: BATCH: AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of 22 AGENCYNAMED INSURED Ventiv Technology, Inc. Willis of Texas, Inc. 227 W. Monroe Street POLICY NUMBER Suite 2000, 20th Floor Chicago, IL 60606 See Page 1 CARRIERNAIC CODE See Page 1See Page 1 EFFECTIVE DATE:See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, 25Certificate of Liability Insurance FORM NUMBER:FORM TITLE: Additional Named Insured: Ventiv Technology, Inc. Ventiv Technology Companies, Inc. 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. INSURER AFFORDING COVERAGE: Illinois Union Insurance Company NAIC#: 27960 POLICY NUMBER: G25543518002 EFF DATE: 05/11/2017 EXP DATE: 05/11/2018 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Primary Cyber E&O Limits: 15,000,000 ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:15268145 498201 W4243079 BATCH:CERT: