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HomeMy WebLinkAboutSTERLING HEALTH SERVICES, INC. (2)INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES 511�120Z!�- CITY CLERK DATE: JUN 10 2024 o•. tip.Cpt> MAYOR Valerie Amezcua MAYOR PRO TEM Thai Viet Phan COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez David Penaloza Benjamin Vazquez CITY OF SANTA ANA Human Resources Department 20 Civic Center Plaza • P.D. Box 1988 Santa Ana, California 92702 y .santa-ana.oro May 17, 2024 Sterling Administration Vice President of Sales P.O. Box 71107 Oakland, CA 94612 Attn: Vice President of Sales Re: Extension of Health Billing Services Agreement (N-2022-335) N-2022-335-01 ACTING CITY MANAGER Alvaro Nufiez CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Sterling Health Services, Inc. ("Consultant"), and the City of Santa Ana, dated October 21, 2022, the time period of the Agreement is hereby extended for an additional one-year period through June 30, 2025. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, Lori Schnaider Acting Executive Director Human Resources Department CITY Alvaro Nufiez Acting City Manager APPROVED AS TO FOW onathan T. Martin Assistant City Attorney Wall. Amaa"a Thal WM Phan Benjamin vaaq.. ezwMayor Mayor Pm Tam, Weal 1 WaN2 e®aan6anaom luheiaMc.Mearenm hvamuez�IDsanleane.am ATTEST ennrfer L. all City Cle rl� CONSULT.A! B Z �l Title: (( F"I ff:IPL'LNY�cdilg�L�71� Jaaele Lopez Phil Beano JohnaMan Ryan Hamandez David Panaloan Walt Wama Wand WaN6 Ieselel ala®sanlean nia-ahl0n,nlaane Irvanhemandualanlaan daeminss®anMan CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDM'YY) 05/16/2024 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 CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 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 endomement(s). PRODUCER DUN IAGI Kristin Larsen, CISR, CLIC ME: Winton Ireland Strom & Angie D I 2 FAx (209) 887-7142 License#0and Strom - a2s Alc No: Aooaess: rsen@?wtg.com Box 3277 \, VERAGE N0.1Cq Turlock CA 9 35 J INSURE v er I I ompany ofAmerica 19046 INSURED E RI r C any 34630 Sterlin HA Se s,I Da I- MAWS 19489 Sterlingh e v e d o AE' p y PG BD 110 1 1 : — Oakland CA 94812 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 24�25 GL/E&O/CYB/AUTO/ REVISION NUMBER: THIS 15 TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ILTR TYPE OF INSURANCE INSD W e POLICYNUMBER POLICYEFF MMIDDIYYYY POLICY EXP MMIDDIYTTYJ LIMITS X COMMERCALGENERALLIABILITY EACH OCCURRENCE $ 2,000,000 X D AORTED ENoccunence 300,000 CIAIMSMAOE OCCUR PREAMMGETISES Ea $ MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 A Y Y 680OR4236162442 05/14/2024 05/14/2025 GEN'L AGGREGATE LIMIT APPLI ES PER: GENERALAGGREGATE $ 4,000,000 X POLICY 0PRO ❑ LOC JECT PRODUCTS-COMP/OPAGG S 4,000,000 $ OTHER' LIABILITY COMBINED SINGLE LIMIT Ea acGtlent $ Included in GL BODILY INJURY(Per person) $ ANYAUTO. AOWNED SCHEDULED 680OR4236162442 05/14/2024 05/14/2025 POMOBILE BODILY INJURY(Per accident) S AUTOSONLY AUTOS PROPERTY DAMAGE (Pm. $ HIRED NON -OWNED H AUTOSONLY AUTOS ONLY $ UM BRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMSMADE DED RETENTION $ $ WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACHACCIDENT $ 1,000,000 B ANY PROPRIETORIPARTNERIEMCUTIVE NIA STWC561943 05/14/2024 05l14/2025 E.L DISEASE - EA EMPLOYEE $ 1,000,000 OFFICERIMEMBER EXCLUDED'! (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ 1,000,000 Professional Liability $2,000,000 Professional E&O Liability C 03133872 05/14/2024 05/14/2025 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONSI VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if mare space is required) The City of Santa Ana, its officers, officials, employees, and volunteers are to be Covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations per attached CGD1050494, Primary & Non -Contributory wording applies (Form to Fallow) City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th Fir Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRO) AUTHORIZED REPRESENTATIVE ©1988-2015 ACOF ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 71 + 'i� WdeMamgmadDNbion REVIEWED&APPROVEDBY: O0 A-p Acw k Rrsk Management Spedalist