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Home My WebLink AboutWITTMAN ENTERPRICES, LLCA-2019-118 INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL ® DATU 0 6 2019 EXHIBIT 1 W) SECOND AMENDMENT TO AGREEMENT THIS SECOND AMENDMENT TO AGREEMENT, made and entered into this 16`h day of July, 2019 by and between Wittman Enterprises, LLC, a California Limited Liability Company (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS: A. The parties entered into an ambulance and paramedic billing and collection services agreement for the City's Emergency Medical Services (EMS) and Emergency Medical Transport Services (EMTS) Programs (Agreement #A-2014-145) dated June 17, 2014 (hereinafter "said Agreement") by which Consultant has provided ambulance and paramedic billing and collection services to the City. B. The original Term of said Agreement was three (3) years effective as of July 1, 2014 and ending June 30, 2017. C. In accordance with the terms and conditions of said Agreement, the parties mutually agreed to amend the Term, Scope of Services, and Compensation to provide for an additional two (2) year period beginning July 1, 2017 and ending June 30, 2019 (hereinafter "First Amendment to Agreement") #A-2017-120. D. The parties now wish to enter into a further agreement to amend the Term of the Agreement to provide for an additional six (6) month period beginning July 1, 2019 and ending December 31, 2019 (hereinafter "said Second Amendment to Agreement"). NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. Section I of said First Amendment to Agreement, "SCOPE OF SERVICES" shall remain operative and in effect during the amended Term of this Second Amendment to Agreement. 2. Section 2 of this Second Amendment to Agreement, "TERM" shall be amended as follows: This Second Amendment to Agreement shall commence on July 1, 2019 and terminate on December 31, 2019, unless extended by subsequent amendment of this Agreement or terminated earlier in accordance with Section 12 of said Agreement. 3. Section 3, subsection ii of said First Amendment to Agreement, "COMPENSATION" shall remain operative and in effect during the Term of this Second Amendment to Agreement. 25G-3 4. This Second Amendment to said Agreement must be signed below and may be signed in counterpart and delivered by fax, emailed as a PDF (Portable Document Format) file attachment, or by other means that displays the original or a copy of the signatures, Any subsequent amendments may be signed and delivered in the same manner. S. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in hull force and effect. {Signatures on following page) 25G-4 IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement the date and year first above written. to DAISY GOMEZ CLERK OF THE COUNCIL APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By:` LISA STORCK Assistant City Attorney RECOMMENDED FOR APPROVAL: Kathryn Downs, Executive Director Finance & Management Services Agency CITY OF SANTA ANA: -z . KRISTINE RIDGE? City Manager CONSULTANT: /d44/4ue� Kathryn Garcia Vice -President Wittman Enterprises, LLC Tax ID FEIN # 68-0456021 26G-6 WITTENT-01 ' ^JMAH Q CERTIFICATE OF LIABILITY INSURANCE I DATE IMMI00 YYYI 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(ios) 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 p-ZdIRMSU INSURED Insurance Solutions Crook Place, Suite 2 95747 Wittman Enterprises LLC 11093 San Center Drive Rancho Cordova, CA 95670 COVERAGES CERTIFICATE NUMBER: REVISION NIIMRFR, 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. VIER ADDL SUER POLDICYEFF POLpIaM Oitp EXP TYPE OF INSURANCE POLICY NUMBER _ LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000,000 CLAIMS -MADE UOCCUR B6020067350 7/1/2019 7/1/2020 DAMAGE TO RENTED 300,000 REMISES lEe occurtenfel.... 10,000 _ MEn EXP An one erxpr!1 URr S 2,000,000 __PERSONAL&AUV CEEN'L AGGREGATE LIMIT AP((PPL'LIES� PER: GENERALAGGREGA F $ 4,100,101 X I D 4,000,D00 POLICY DECO LOG PRODUCTS -COMP OP AGG EPLI FIDUCIARY 10,000 OTHER. $ B AUTOMOBILE LIABILITY COMBMEDSINGLE LIMIT $ 1,000,000 X ANY AUTO B6020067396 7/1/2019 7/1/2020 BODILY INJURY (Pera 1y�r@on OWNED SCHEDULED ONLY AUTOS BODILY INJURY (Per accident $ _AUTOS A ARED ONLY_ A� 0�40NLY PeOr a.cltlentcAMAG�°' $ C X UMBRELLALMS X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE B6020067431 7/1/2019 7/1/2020 AGGREGATE $ 2,000,000 DED X RETENTIONS 10,000 - $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X PER OTH _ STATUTE YIN 9161868-2019 7/11/2019 7/112020 ANY PROPRIETORlPARTNER/EXECUTIVE rN/ E.L. EACH ACCIDENT $ 1,000,000 go_F EXCLDDED? (nlan�atory in Ni ❑ DtSFASE-EA EMPLOYEE _ _ 1,000,000 It Yes, dsecnteu ider _ 1,000,000 DESCRIPTION OF OPERAI IONS bainw E.L. DISEASE -POLICY LIMIT $ E Cyber Liability POOIO0004271101 11/7/2018 11/7/2019 Aggregate/Limit 1,000,000 F E&O/Crime/Fiduciary 107019103 1)1/2p19 1/1/2020 Each Claim/Agg 2,000,000 - _. .- ___L --------------- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addl ionai Remarks Schedule, may be attached if more space is raqulmd} SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1439 S. Broadway ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92707 -- AUTHORIZED REPRESENTATIVE I r ACORD 25 (2016103) 91988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD