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Home My WebLink AboutBENEVATE, INC.0` NANCE NOT A-2020-085-05-01 . ON FILE CLERK MAY MOTPROCEED 91W4 AMENDMENT TO BENEVATE INC SAAS SERVICES AGREEMENT DATE:12/ZVZMETWEEN BENEVATE INC AND CITY OF SANTA ANA, CALIFORNIA U'.(DA(1)MiK. LtSc i THIS FIRST AMENDMENT TO SAAS SERVICES AGREEMENT (this "First Amendment") ismade �.. Q. effective as of November 17, 2020, between Benevate, Inc ("Company") and CITY OF SANTA ANA, CALIFORNIA ("Customer"). RECITALS A. The Company and Customer entered into a SAAS SERVICES AGREEMENT dated May 12, 2020 (the "Agreement"), for the Company to provide hosted software for the administration and management of the Customer's housing and cornmunity development programs. B. The Customer has determined that it is necessary to amend the Agreement with the Company to (i) add additional services to the Scope of Work of the Agreement (the "Additional Services") and (ii) increase the compensation of the Company for the Additional Services. C. The Company and the Customer desires to enter into this First Amendment to (i) include the Additional Services and (ii) increase the compensation of the Company for the Additional Services. AGREEMENT NOW, THEREFORE, in consideration of the foregoing recitals, which are incorporated herein by reference, the following mutual covenants and conditions and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Company and the Customer hereby agree to amend the Agreement as follows: Per User/Program Pricing. The Company shall provide the Additional Administrative Licenses as set forth in Exhibit D, attached hereto and incorporated herein by reference. 2. Compensation. The Customer shall pay Company One -Time Implementation fee(s) as set forth in Exhibit D, attached hereto and incorporated herein by reference. 3. Effect of Amendment. In all other respects, the Agreement is affirmed and ratified and, except as expressly modified herein, all tenns and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this instrument as of the date and year set forth above. Company CITY OF SANTA ANA, CALIFORNIA: a� as Rusnak, President Kristine Ridge, City Manager RECOMMENDED FOR APPROVAL: Approved as to form: ATTEST: Steven Mendoza Rya Ho ge Daisy Gomez Executive Director Assistant City Attorney Clerk of the Council Community Development Per User/Program Pricing Additional programs and licenses may be purchased, pro-rata to the Initial Service Term, based on the pricing table below. ANNUAL TOTAL: $15,000.00 6 month (November, 2020 - May, 2021) PRO -RATED TOTAL: $7,500.00 CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE _ 06r21/2020 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 p011cy(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 Ilou of such andorsamonttsl_ PRODUCER CustomerSuccess CANT Justworks Customer Success Doug Jones Justworks pNONE ` - (888) 534 1711 do Adex Risk Solutions, Inc. jjEEAf_c�Ho F,SU 8840 E. Chaparral Rd.; Suite 275 ADDRESS support@fustworks cam Scottsdale, AZ 85250 ,.,e„e�e.... ............... ....... INSURED Justworks Employment Grout) LLC Labor Contractor, for co�omp!oysas of, Benevato, Inc. 55 Water Street 29th Floor Newyork, NY 10041 COVERAGES r:ERTlrinerp wlsnacn•Dnnlvnl>�nnamn _.._._.....".............. ...... ..—.. THIS INDICATED. CERTIFICATE EXCLUSIONS MSR t IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH .. --"-- -_..__1ADdLj5Da'R!____ TYPE OF INSURANCE _IINSP COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR r -' G ENT AEON L CATE LIMIT APPLIES PER POLICY C ] p�Or LOC l OF INSURANCE PERTAIN, POLICIES, LISTED BELOW HAVE BEEN ISSUED TO TERM OR CONDITION OF ANY CONTRACT THE INSURANCE AFFORDED BY THL POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY _ _. -_..._ PTSL(CY F IJeEa' _,,,__POLICYNUruH R jM il�lUpIYVYYLjfPOLICYEItp - ' � 7FIE INSURED OR OTHER DESCRIBED PAID CLAIMS, VOI,ICY EXP j NAMED ABOVE FOR THE DOCUMENTWITH RESPECT THEREIN IS SUBJECT TO .,` LIMITS EACH OCCURRENCE PREMISEbjEaoca__„caJ„ PERSONAL &AOV INJURY 2 NERALAGGRCOATE PRODUCTS. COMP/OP AGG I��OMaaiNC0151NGt i'�I�—'— POIJCY PERIOD TO WHICH THIS ALL THE TERMS, ...... $ 5 m _ $ - $ .. __ ....n AUTOMORILFl1ABIl ITY ANY AUIC OWNED SCHei`UL£p AUTOS ONLY (( AUTOS HIRED I NONOWNEO AUTOS ONLY F AUTOS ONLY I ., I I _. BODILY INJURY IPxr Pursen) BODILY INJURY (Perwinum).S IPRO�'ERT�DARIhi ;Der aLuaonDANIAE _ $- -- ------ fS UMBIiRLIA LIAR OCCVR EXCESS UAD CLAIMS MADE i EACROCCURRENCE - - AGGREGATE $ m - -- - S OEO RETENTION$ ! $ _ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN._. �EOT ....... -_ A ANYPROPRIETORIPARTNERIEXECUTIVE r l OFFICERR,IEMBEREXCLUI L J!NIA -WC 4Q.71-166�01 06POV2020 � C610112021 E L. EACH ACCIJCN r S 2,000 000 — i.-..-_. IMannatory In NNl - 111 yes, tlescnhe antler ,DESCRIPTION OF OPERATIONS bebw ! �FL DISEASE, _EACMPLO)EE$ E.{.. DISEASE POLICY LIMIT 2'000 00Q ._...__. OD S 2,000,000 Location Covarage Period: 106101/2020 06/01/2021 Client# 25327-GA I _.-....._. ......._..I DESCRIPTION Of OPERATIONS I LOCATIONS r VEHICLES ACORD 101, AdditionalRamarkx Schedule, maybe anachod If more space Is rxyulretll only Nose rn providedfor 3423 Piedmont Road NE Suite 216 Covonly Unno is-emmI.J ms Benevate,3423 Pied Inc. REVIEWED CX APPROVED of, but not subcontractors Atlanta, GA 30305 Y Risk MANAGEMENT DjVjSION m: jj'' iill pp qq JVN Benevate, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3423 Piedmont Road NE Suite 216 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Atlanta, GA 30305 AUTHORIZEEDDREP�RE�SEENTATIVE v 1000-AVID AL LJKLJ L.Ut(HUP(A I PUN. Ail rights reserved. ACORD 25 (2016/03) The ACORD nano and logo are registered marks of ACORD CERTIFICATE UT LIABILITY INSURANCE DATF,(MMNOMYYY) ovuna2D TIRS CEltl'IFICATE IS ISSUEU,i$ A ANiTER OF INFORMATION ONLY AND GUNFERS NO RIOOTS UPON TILE CERTIFICATE HOLDER. TI11N CERTIFICATE DOES NOT APFIRAIATIVELY Olt NEGATIVELY AMEND, ESTERS UN ALTER TUE COVBMGEAPPORDPO EY TIIE POLICIES BELOW. THIS CERTIPIC'ATE OT INSURANCE DOM NOT C.ONSTITIITE A CONTRACT BETVEENTHE ISSUING INSURENEE AUTHORIZED REPRESENTATIVE Oil PRODUCER, AND THE CERTIPIC_ATE HOLDER LMPORTo Oidrfibe ttHiRnln Lower Uan dUU115VHAL IASUREb,@e pnllylita) an have A DDITIONAL INSURES procblam or or endootd.If SUBROGATION IS WAIVED•wLlal to lot itrmt end on4ul.ne obM1e pglity, t[ldn'Allat "'Ent an enJnenrn6A alaumaut nn lhRtarlllicne Jan not cinder rlyltle to IM1e ctrinOto Folder ONE. WIWI molar roll). may 4 T N PRODUCER CONTACT NAME: FounderShleld, LLC 119 W NOR SIONL Dd Floor PHONE (MC No, ERA): 646-BS4-I0S8 rAX (AC No): E-NIAIL ADDR Mi xoI a(jluenderso leld.rion New York, Sex York, 10011 INSLRERIS) AFFORDING COVE RA CIE NAIC INSURER A I CONTINENTAL CASUALTY CO(CNA) 20443 INSURED _ INSURER EINORTH AMEMCAN CAPACITY INS CO 2938 INSURER C I BennnH 34U PleNnont Rd NE INSURER D SON.,., Ceorgtu, 30306 INSURER E t INSURER F: COVERLAUES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAY REEK ISSUED TO THE INSURED NA.AI ED ABOVE FOR THE POLICY PERIODINDICATEq,NOT\VITIISTANDING ANY REOUIRRISENT,TE11At OR CONDITION OF ANY CONTRACT Olt OTHER DOCWTENT WISH RESPECTTO\YfIICII THIS CERTLpICATEALSY RE ISSUED OR MAY PERTAIN;TIIE INSURANCE APFORDED DY TIIE POLNOIN A RIDEUHEREINISSUDJEOR TO ALLTHETERSU,MCLDSIONS AND CONDITIONS OFSUCH POLICIES. LIA115SSHOWN MAYIIT'E BEEN REDUCED DV PAID CLAIMS. INSE LTR TYPE O)tINSURANCE ADDL INSU BUBR N'VD POLICY NUMBER 'POLICY EFF (01MIDWYVV}T —I--OLICY EXP (MAUBD)YYYY) WARTS COMMERCIAL GENERAL LIABILITY / CLAMS MADE 'y GCCIIR / EACH OCCURRENCE $1,000,000.00 DAAIACETO RENTED $300,000.00 PREMISES IL. „/ o.kurronce) GENT. AGGREGATE 1,1611T APPLIES PER: MEUTiXP (Any onx SI01000.DU A - PGLICI'. YItWECT './'r 1AC - OTHER 'f f 0602468080 OUISR02B 01110021 P.rson) PERSQNALSADV INJURY S1,Ob0,000.00 GENERAL AGGREGATE Yt,gU0,0UU.U0 PRODUCTS COMPIOP AGO $2,000,000,00 T AUTOVKDILE LIABILITY ANYAUTO �__ �— CGFiDINED SINGLE UAtIT(Eru ddou) BI,900,60O.Od A _ - 011WEDAUTOS SCHEVULED ONLY Y)IJRBDAUTOS NON-UWNEDAU'FOS ONLY ONLY D602469080 OUIen B20 / ONIBn@I VVV BGDILV INJURY(Ver Pawn) DODILYINJURY (P¢r •..idiot) PROPPLITYDANIAGE (1'er a<fldinO UMRIIELLA LIAR EXCESS LI AO Both ofH...... _ OCCUR - CLAMIS-AIADC ._. AEP.reOnte 1YURRF.ItY COAIPENSdI'IUN AND EASI'491'EItR'LIABI1.15Y _ n ANYP ROPRIETUM'A RT(MI. ELCIMV CAN OPPICEIVA10MbfiRERCLUU[Dt N vm.rdalmyln NIR -PERSSIATVTE - OTHER IrYn JoeelbturrJer OEYCRIPTPoN OR OPERASWNY Irelo•, .VIA ILL, EACRACCIDEN F..—DISEASE- EA EMPLOYEE E.1,. DISEASE- POLICY LIMIT A PropervT V 060146863NU 0VI0l1020 0111moal slo' 9DPP moodeductNB B CyOa LISIrIIRy,Errurs.S.tlnllulom,Aledin LluLlOty,PrlvntY CALQB-I39400-CYDER-201O OI118n02a 0III8n021 F 5A00,0001mr ore 3S.00,00 in let, EMIR PTION OF OPERATIONS; LOCATIONS I VEHICLES OCCUR 101, AJdllanai Ranork, SchMule, Sit It aloehed It mere sFact4 reY irnJ1 I ityo—lawn.'')nn ren . pl.,e aJ'I ry,tl IJII nll.ln,v d AI FIIer pr,nu,,l lo,.,n„n rou t rJv, el u, Inala 5 61,f u,aoce nrn.HvrJeJb 11, Icl tballlYl lnar), snJ n}l aunnaeo-tlrJ LyCI)An, 4 ,uauJ Im yy(c�/PpA1N�(�fJJ�Dt''{{n<itb,l1lpl�y5(TIt2I�N-�l(rl�'Iy ^aanyypryprior e6lreuoil Y P° nr<.nmlamo. c�YiC FVCL/IX�'+r'r14Y./Y 411 fiisls...LMANBgeatgN,rz-9ivis' u CGR7[I1CA l- CLAN(-Fl :I A'EIf Nl Ir^ SHOULD ANY OP5'HEAROVE. DESCRIBES POLICIES DR CANCELLED IMPOSE THE EXPIRAT10N DATE150 '. Clry a(Sul4 Alk THCREOF, NOTICE WILL BE DELVCRED INACCORDANCE WITH TIIE POLICY PROVISIONS, Dlvbinn V) CO, C'mir Fnin R911oAno,CA92202 •+—»-- ANCftAL'EVECLi AUTHORIZED REPRESENTATIVPs l 491988-2016 ACORD CORPORA110N, All rlghls reserved. ACORD 25 (2U16103) The ACORDnxme mid logo are raglelered murk. Of CORD =1 lr " III •.ill 11 •ill Help Us To Serve You Better Every effort has been made to produce a quality product for you. Please review this transaction, and If It is Incorrect list the correction needed in the space provided below and fax this Quality Assurance Form to us at 877.363-8669 or email, to cietocna.com Questions pertaining to any transaction should be referred to Center at 877-574-0540, Option 3 CNA Customer Interaction Please send routine requests via standard ACORD forms through the same method you are using today. The preferred method is by fax to 877.363.8669 Insured/Account Name: Benevate, Inc Policy Number: B 6024686380 Line of Business: CNP Agent Name: FOUNDER SHIELD Producer code: 081956 Branch: NEW YORK CITY Transaction Type: Endorsement Transaction Effective Date: 05/13/2020 Your Transaction was processed by Commercial Insurance Center - Lake Mary, FL C ID: BY C772551 Transaction Incorrect —See Below. Transaction Processed Correctly Correction needed: REVIEWED & APPROYM ... ---. BY Risk MANAtEMENT .II `�"""" l�NGIE ACEVCCIO Rmcia�iYiaaY.c:. :�? ' r:45M1a.a,MAILSW POLICY NUMBER INSURED NAME AND ADDRESS S 6024686380 Benevate, Inc 3423 PIEDMONT RD NE ATLANTA, GA 30305 ,g ADDITIONAL INTEREST SCHEDULE LOCATION 1 BUILDING The following has been added to your policy effective 03/13/2020 Type; Notice of. Cancellation Additional Interest Name and CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA or Material Coverage Change Address: CA 92702 Types State, Political -Permits Additional interest Name and Address: CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA , CA 92702 REVIEWED & APPROVED try Risk MANAgeMENT DiVisjON ju�*02Q AN(ile Acevedo AGENT Page 3 of BOLXCY NUMBER INSURED NAME AND ADDRESS B 6024686380 Benevate, Inc 3423 PIEDMONT RD NE Yy ATLANTA, GA 30305 Y Mv, FORMS AND ENDORSEMENTS SCHEDULE The following list shows the Forms, Schedules and Endorsements by Line of Business that are a part of this policy. COMMON The following forms have been added to your policy, effective 05/13/2020 FORM NUMBER FORM TITLE SB147052C 06/2016 Notice of Cancellation or Material Coverage Change G56015B 11/1991 ENDORSEMENT EFFECTIVE 05/13/2020 G56015B 11/1991 ENDORSEMENT EFFECTIVE 05/13/2020 Che� REVILWED & APPROVED By Wisk RNACIFMFW DlVIS(ON mym�� Ar4gk Acurdo countersignature �Secreut SB-146895-A (Ed. 01/06) AGENT Page 4 0£ 4 POLICY NUMEER INSURED NAME AND ADDRESS E 6024686380 Eenevate, Inc 3423 PIEDMONT RD NE x ATLAN.CA, GA 30305 POLICY CHANGES END. RShMEIT Bf PECTIVE 05/13/2020 This Change Endorsement changes the Policy. Please read it carefully. This Change Endorsement is a part of your Policy and takes effect on the effective date of your Policy, unless another effective date is shown. CHANGES - NOTICE TO CERTIFICATEHOLDERS OF CANCELLATION OR MATERIAL COVERAGE CHANGE This endorsement modifies insurance provided under the following: BUSINESSOWNERS COMMON POLICY CONDITIONS In the event of cancellation or material change that reduces or restrict„ the insurance afforded by this Coverage Part (other than the reduction of aggregate limits through payment of claims), we agree to mail written notice of cancellation or material change at a minimum of thirty (30) days prior to such cancellation or material change, to: SCHEDULE Name of Designated Entity: CITY OF SANTA ANA Address/Contact Information of Designated Entity: RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 *Information required to complete this Schedule, if net shown above, will be shown in the Declarations. The following conditions are added: 1. If the policy is cancelled or not renewed, we will give written notice of such cancellation or nonrenewal to the Designated Entity shown in the Schedule above, or in the Declarations, at a minimum of thirty (30) days prior to such cancellation or nonrenewal. Suchnotice may be delivered or sent by any means of our choosing. The notice to the Designated Entity will state the effective date of Ghelrman bf fho aoat G-56015-5 (ED. 11/91) RBy Risk MANACIC [ti Div si N JUN 6 202D ANGiE AMC& tlSememr 4 y, POLICY NUMBER INSURED NAME AND ADDRESS B 6024686380 Benevate, Inc 3423 PIEDMONT RD NE ATLANTA, GA 30305 POLICY CHANGES E ORS�FECTIVE 05/13/2020 This Change Endorsement changes the Policy. Please read it carefully. This Change Endorsement is a part of your Policy and takes effect on the effective date of your Policy, unless another effective date is shown. cancellation or nonrenewal. However, such notice of cancellation or nonrenewal is solely for the purpose of informing the Designated Entity of the effective date of cancellation or nonrenewal and does not grant, alter, or extend any rights or obligations under this policy. 2. If we cancel or elect not to renew the policy for any reason other than nonpayment of premium, we will give written notice to the Designated Entity shown in the Schedule above, or in the Declarations, at a minimum of thirty (30) days prior to such cancellation or nonrenewal, at the same time notice is given to the first Named Insured. 3. if we cancel or elect not to renew this policy for nonpayment of premium, we will give written notice to the Designated Entity shown in the Schedule above, or in the Declarations. Such notice may be provided before or after the effective date of cancellation or nonrenewal. 4. Failure to give notice in accordance with the terms of this endorsement does not: a. Alter the effective date of: policy cancellation, nonrenewal or expiration; b. Render such cancellation or nonrenewal ineffective; c. Grant, alter, or extend any rights or obligations under this policy; or d. Extend the insurance beyond the effective date of cancellation or policy expiration, whichever comes first. All other terms and conditions of the Policy remain unchanged. REVIEWED & APPROVED By Risk hMNACjLh9l:Ni DIVISION jU 11 21320 ANgiE ACEVEdo cnaie soaM� G-56015-B (ED. 11/91) (!94drSrw y