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HomeMy WebLinkAboutCOUNSELING TEAM INTERNATIONAL, THE (3) - 2018f RIA'I"�""N-2017-251-01 FIRST AMENDMENT TO AGREEMENTFOR PSYCIiOLOGICAL EVALUATION2018AMENDMENT to the above -referenced ttgreement is entered into on March 30, 018, by and between Counseling Team International ("Consultant"), and the City of Santa Ana, charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A, The parties entered into Agreement #N-2017-251, dated October 1, 2017, ("Agreement"), by which Consultant agreed to provide psychological evaluations for the City's Police Department. B. The original term of the Agreement was from October 1, 2017 through March 31, 2018, for an amount not to exceed $18,882. C. The parties wish to amend the Agreement to extend the Agreement for an additional three (3) months. City staff has confirmed that it has not expended the Funds stipulated in the Agreement and will not require any increase in the compensation amounts for the extended term. The Parties therefore agree: Section 3, Term, is amended to extend the term of the Agreement through June 30, 2018. 2. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. SO R. CARVALHO Cit Ai c By TA t2A f0 (0 IAN Assistant City Attorney REA CO WINDED FOR APPROVAL -I?AVIDgVALE`i T Chief of Police CITY OF SANTA ANA r RA GODIN Z I City Manager CONSULTANT r CERTIFICATE E OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 05/10/2018 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(les) 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). PRODUCER tateFarrf SKALA INSURANCE AGENCY INC 4214 N SIERRA WAY SAN BERNARDINO, CA 92407 4N— CONTACT NAME: PHONE 909-883-8861 FAX A1C o E AIC No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 2011_251_01 INSURER A; State Farm General Insurance Company 25151 INSURED NANCY K BOHL INC DBA THE COUNSELING TEAM INTERNATIONAL AND DBA THE ORGANIZATIONAL NETWORK INSURER B: State Farm Mutual Automobile Insurance Company 25178 INSURER C: INSURER O: INSURER E: INSURER F: �I vmnAur_a CEki IFIGA IE 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADDL LTR TYPE OF INSURANCE SUER POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYWY LIMITS COMMERCIAL GENERALLIA131UTY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR DAMAGE TO RENTED__ PREMISES fEa occurrence 5 300,000 HIRED AUTO MED EXP (Any one person) $ 5,000 ENOL PERSONAL &.ADV INJURY $ A Y Y 92LB14261 & 92YD04220 05/10/2018 07/12/2019 GENT AGGREGATE LIMIT APPLIES PER: PRO- GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPfOP AGG $ POLICY ❑ JECT LOC OTHER: S AUTOMOBILE LIABILITY 4414187F2475 05/10/2018 12/24/2018 COM Ea aocidenDtSINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ 1,000,000 B OWNED SCHEDULED x BODILY INJURY (Per accident) $ 1,000,000 AUTOS ONLY AUTOS HIREAUTO AUTOSNON-OMI ONLY AUTOS ONLY ,4UT05 ONLY PROPERTY DAMAGE $ 1,000,000 Per acc,dent S I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED P,ETENTION S !$ WORKERS COMPENSATION PER DTH - AND EMPLOYERS' LIABILITY YIN STATUTE ER EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ N I A Mandatory in N If yes, describe under E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Business Office Policy Property Locations: 1881 Business Center Dr, San Bernardino, CA 92408 39755 Murrieta Hot Springs Rd, Ste D160, Murrieta, CA 92563 1545 Anacapa Rd Ste 7C, Victorville, CA 92392 135 S State College Blvd Ste 200, Brea, CA 92821 444 Camino Del Rio Ste 2015,San Diego, CA 92108 7220 Avenida Encinas Ste 125, Carlsbad, CA 92011 74075 EI Paseo Ste A9, Palm Desert, CA 92260 232 W Harrison Ste D, Claremont. CA 91711 ti rzn I INCA I t HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SANTA ANA POLICE DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 60 CIVIC CENTER PLAZA SANTA ANA, CA 927D2 A IZE REPRESENTA 01 e p, I/ -L ©1988-201 OR C R 1 A Ig reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD '/ _/►: 1001466 132849.12 03-16-2016