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HomeMy WebLinkAboutCOMMUNITY VETERINARY HOSP 1AAGREEMENTTERMINATION Please complete this form when the attached agreement, is no longer in effect. Return form to the Deputy Clerk of the Council (M-30). Call 647-6520 if you , have any questions: The agreement with IRS A-Q'��cUc.t�.M9-(i N� A- �3 y was completed on ; and final payment has been made. p , x_01 Department: oL� Signature: Date: City of Santa Ana Revised 4-16-87 Clerk of the Council r INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES CLERK OF COUNCIL DATE: q-(�-03 SECOND AMENDMENT TO CONSULTANT AGREEMENT A-2003-073 THIS SECOND AMENDMENT TO CONSULTANT AGREEMENT, is entered into on j --PP, ( 71 , 2003, by and between Community Veterinary Hospital, Inc.,'a California corporation ("Consultant") and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). Recitals: A. The parties entered into Consultant Agreement No. A2001-228, dated January 1, 2002, (hereinafter "said Agreement") by which Consultant has provided veterinary services to sick and injured animals brought into the City's animal shelter. B. In accordance with the terms and conditions of said Agreement, the parties wish to amend the Scope of Services, increase the compensation and extend the term of said Agreement. Wherefore, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this Second Amendment to Consultant Agreement, the parties agree as follows: 1. Paragraph 1, SCOPE OF SERVICES, shall be amended to read as follows: Consultant shall provide veterinary services to sick and injured animals brought to the City's animal shelter through February 28, 2003 as set forth in Exhibit A of said Agreement. Consultant shall provide veterinary services to sick and/or injured police canines as set forth in Exhibit A-1, attached hereto. 2. Paragraph 2 a., COMPENSATION, shall be amended to read as follows: (1) City agrees to pay, and Consultant agrees to accept as total payment for its Animal shelter services, the rates and charges identified in Exhibit A. The total sum to be expended for said services shall not exceed $84,600.00 during the term of this Agreement. (2) City agrees to pay, and Consultant agrees to accept as total payment for its police canine services, the rates and charges identified in Exhibit A-1. The total sum to be expended for said services shall not exceed $7,500.00 during the term of this Agreement. Paragraph 3, TERM, shall be amended to read as follows: This Agreement shall commence on January 1, 2002 and terminate on June 30, 2004, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Chief of Police and the City Attorney. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Consultant Agreement on the date and year first written above. ATTEST: PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney Lau a Sheedy Assistant City Attorney CITY OF SANTA ANA L4 DAVID N. REAM City Manager CONSULTANT W WILLIAM A. GRANT, II Chief of Staff Community Veterinarian Hospital Scope of Duties (Police Canines) • Provide initial canine physical and evaluation for police service, including but not limited to blood work, x-rays and medical examination. • Veterinary treatment as required for sick and/or injured canines • Annual physical examination and recommended vaccinations • Surgeries as required • Consultation regarding all canine related medical care and treatment EXHIBIT A-/ a ' ` 03120/03 04:02P P.001 Mar 20 03 11:25a community veterxnar^tj Mosp 714 5371971 p.2 1.32W EU -CL ID, CARDEN CROVfc. CALIFOhr-41A 92643 SMALL ANIMAL MEDICINE 8y ArputnterPnr I7u) 537.5340 SURCM A DENTIS191 FEE SCHEDULE Office Call & Exam $27.00 Recheck Exam $17.50 Injections $23.50—S28-50 Radiographs (large, two views) S60.00 Radiographs additional views 512.50-415.00 Complete blood profile 567.50 Heartworm. blood teat $17.50 Urinalysis $25.00 Heartguard 272mg $32.75 Sentinel 51-100 lbs $60.00 IV Catheter $25.00 Hospitalization/day $25.00--35.00 Bayed on weight .CORD. CERTIRWATE_®_F_ LIABILITY IN�Rd�hICE p1 I+Hrr�n1Trr; ' Asi� - TMS CERTMCATE IS ISSUED As A MATTl:9 OF INFORMATION Aescit.iJrl L'tiiC ONLY AND CONFERS NO RIGHTS UPON TME CERTIFICATE A16D InSUrar_ce L. Financial Services I HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 305 'IJdlTIUt S[.re"t ALTER THE COVERAGE AFFORDED RY THE POLICIES a LOW `— Redwood C.i ty, CA 94CE3 INSURERS AFFORDING COVERAQF NSt:HE9- A F lrertiar: ` o` il1.:.Zd_ IT7F3Lii"dTl. E C.omnnrrllty Veterinary Hospital, Inc. .--- 13200 Euclid Street-- Gardeh Grove, CA 92843 INsan=n o COVEii,GE3 ; I"iSugER F. - - — THE F.$ CiFS INSURANCE LISTEC BELOW HAVE BEEN ISSUED TO THE INSURFP NAMED ABOVE FOR THE POLICY Pc9100 INCICATEO, NOTWITHSTANDING ANY RECILIREMENT, TERM OR CONDIT-ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BL' ISSUED CR MAY FEF.TA!N, THE INSUP,ANCE AFF0902J BY THE POLICES DESCRIEED HCRIBN IS SUBUECT TO ALt. THE TFR1,0S, EXCLUSIONS AND CONDITIONS OF SUCH MIT04 POLICIES AGT'FEGAT� S SHOWMAY HAVE BEEED . _ .. L ... N REDUCED �R i i I TYPE Or INSURANCE �J POLICY NUNfICR � BY PAID CLAIMS, II POLICY EFFRCTIVE hOLlcr Ezp r1iiTl"o'N- ... ---_{�nf:JJLiOErYYL DATE IMMrDDNVI LIMITS o A GkI:_Aa: LlAptl Tte;A-7,C60-7-1 I I�C•086 k JGr.IM i 10/01/02 10/01/03 CA:,rlXCURrew^_ �i J00 U 0 P.'IALGC CIiA _}Ag;LTI 6 C AiMADE : 1 ( - i 1FREOAMAGEIAn/oraILe (7Q COO I _ a... I .... M fCCUR - - _..- I I :11 EOGXa(iv'YG�oearanl•_-Ix•J;O, 001,1 ... __ ...._..__ PEIiSONALA APV 1rj.w.g1l ;$I COC Q 0 v 1 r � GENERAL AOCI LEGATE S� r 0001000 j1PFN'-AGGRECA]ELIMITAP=LIES'EF:I P�1CY I PPu• I i LOC PRCOUCTs •COMP;GWAGG _ i? , 0 � ' I .Ircr 1 I 'i AUT014064E UABIL!TY I _.f ' ANY AUTO i COWOINHP S NG,.E www I � (EaaciConl} v ; AUTCS N9JIUfjY 1 (PorPera �I HSL:q;'`Ic.ICALJLTEOP� - - — ...--- j N>n•OAMEPAUTOS— I 5001LY!.NJURY 1!Fc, accidari) v -r ' I-- � Pu�r+c dcrnpr I.SAGF I > I GA,.9AQE LIAdIi.ITY AU1'0 ONLY EA ACCpENT L ANY AUTO .._.I 1 i OTHCM THAN EA ACC I +— AUTO ONLY! �EXCE39 ua61t 17Y I ' uCCUF' CLAIMS R1Al i-J EACrl OCCUFlfi--NCc 5 I - - • • — --. ---`-- I AGGREGATE I s I meTENrIJV` A W-HKPRECOMPR'I6AnONhh3 ;tJZP8ti9079�3 ErdPtCYEfT6'LiApIUiY 1Q?jG11/02 i07; 0../03 X `vO�Is�U: oTrl.; 10:1. I. iT6_..._,_tN– r: L FACIi ACCIDer.T ,1, 00____F.l. lm� I SEA9E I A Lp,!KC)yG'r II� G o,ntpp.ofe.aso:,a71A`LCaG71t70aF Liability t6; ASE •POI.ICYi.IMIT $J , QCA 1,10,'O1/03 $1f000,OOQ , ( /fie, 000 000 PEBCR;PtION Of ADD.p OY Et:00F3E;HENT/6PECIAL PROVSiCNS Certificate Holder :lamed Addll .is Insured as respects to Veterinary Serlrices per`ormed by the named insured.. — I40( -#t 1 •- 1.3200 Euclid St . ; GARDEN GROVE, CA - Community Veterirnary Hospi.t: jj—.lC. 7joc## 2 - 13220 Ficlld St.; GARDEN GROVE, CA - Animal Frienda PeC Tiotel. Loc##• 3 - 13252 Euca.id St-; GARDEAT GROVE, CA - ArliMal Discount Clinic CERTIFICATE Hf)LDr.p X City of Santa Ana 20 Civlc Certer ?;a:a, M-30 Sx!ta Ana, CA 92702 �♦rK,w"vLLWllury '1'qT Il�:l/ :vQt- - o,- I9HOJLpaNY'OF7}(EA--p6V£YpR–a'kCwRi:68iEppgtIC166a6GANCE:.LkPBEPOAET,yEEXPxjaeT yON O4TE TII.REOF, 'H£ ISSUING MSU(iE7 W'(.L JTTCFi$jQiE LQQ�A(L U , p 1Yf `hRlTrf r: �NOnCErOTjAE GERnF:CA,TE KOLOLRNAM, LaTOTHeL�F',�0.�}CDF3CR'iA 70iT"riCCXI atT�ca:x�sacr,-m ��ilaxvrcc – I AUTH ZEC AEPRE9ENYAT}VE AC(j9D 2G•S (;;a7) 1 OF -j $iAl2 " Ct�lti_!dJ'I. _ E 15Zr;i Sheed T)ep'my Cit Attorney VAP O ACORD CORPORATION lydd _ IMPORTANT If the corl NOWe holder !s an ADDITIONAL INSURED, the policy(ies) must be enaorsed. A state,,,pent cn this cerllticate doos not confer rights to the certifica:a holder in lieu of such endorsement(s,. If SUBROGATION IS WAIVED, subject to the lerm5 and conditions of the policy, certain policies may require an endorsement. A stafemant nn this certificata does not confer rights to the certificate hoflar In lieu of such endorsement(s). DISCLAIMER The Ceilificato of Insurance on the reverse aide of this form does not conslitute a contract between trio issuing insurer(s), authorized representativo or producer, and the certificate holder, nor does it affirm8tivejy or negatively amand, extend or alter the coverage afforded py the policies lialed thereon. . Ii. ..�nL�vi . 1 110 POLICY NUMBER: AZC8071006n- I* COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Narne of Ferson or Orga^ization: City of Santa Ana 20 C,v_c Center Plaza, N-30 Santa Ana, CA 92702 (If no entry eppaars above, Information required to complete this endorsement will be shown in the Declare:lons as applicable to this endorsement.) WHO IS AN INSURED (Section 11) is amended to Include as an insured the person or organizatlon aown in the ScriedUle, but only with respec' to liabNlY arising out of your operations or premises owned by or rented to you. Certificate Holder is named Ad.3'1 ineured as respects to Veterinary Sex -vices Perfarmed by the named insured. AROVED AS TO FORM *'Sheedy CG 20 26 1 ; 35 - EXHIBIT B I1�Si�jRED ENDORSEMENT LP Co --IV" RCI��. GENERAL LLA>3iLITY POLICY Ins:,rance Company - ,'rc f, This endorsement modifies such insurance as is afforded by the provisions of Policy -- # 14 Z. C 91,71 6e 3"'L relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Catifonlia 93701; its officers, employees, agents, voIunteeis and representatives are named as addiiional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2- With respect to claims arising out of the operations and uses performed by or on behalf of the named i.nsttred, such insurance as is afforded by this policy is primary and is not additional to or contributing; ;With any other insurance curried by or for the I of the additional insureds, This insurance applies separately to each insured against whom claim is ruado or suit is brought except with respect to the company's limits of liability. The inclusion of a,*ty person or organization as an insured shall not affect any right which such person ot• orgi:nization would have as a claimant if not so included, 4• With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or Iimits except after flu,—,y (30) days ATitten notice has been given to the City of Sa California 92701. nta Ana, 20 Civic Center Plena (.1ri-30), Santa Alta, (Completion of the following, including countersignstwe, is required to make this endorsement effective.) Effective Policy #_ Z- C z',2 2 issued to (l„ . _ -1 1/1 this endorsement forth as a part of r�l✓I Ll � / C^� 0 � 4 L1..,, c Countersigned by Authorized Representative APPROVED AS TO PORNt ea Sheedya Sheedy Deputy Cityt rney Ilu L1111\/CTC Client#: 18321 ACORDTM CERTIFICATE OF LIABILITY PRODUCER PR Association Unit ABD Insurance & Financial Services DATE INSURANCE 061181040mvr) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OF INSURANCE LISTED BELOW TERM OR CONDITION OF THE INSURANCE AFFORDED BY AGGREGATE LIMITS SHOWN MAY TYPE OF INSURANCE 2480 Natomas Park Dr. Suite 200 Sacramento, CA 95833 INSURERS AFFORDING COVERAGE NAIC # INSURED Community Veterinary Hospital, Inc. A_AX3 d$ 13200 Euclid Street INSURER A: Fireman's Fund Insurance INSURER B: INSURER C: INSURER D: Garden Grove, CA 92843 INSURER E: AZC80733297 COVERAGES THE ANY MAY POLICIES. LTR POLICIES REQUIREMENT, PERTAIN, NSR OF INSURANCE LISTED BELOW TERM OR CONDITION OF THE INSURANCE AFFORDED BY AGGREGATE LIMITS SHOWN MAY TYPE OF INSURANCE HAVE BEEN ISSUED TO THE INSURED ANY CONTRACT OR OTHER DOCUMENT THE POLICIES DESCRIBED HEREIN HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER NAMED ABOVE WITH RESPECT IS SUBJECT TO POLICY EFFECTIVE DATE MM/DDm FOR THE POLICY PERIOD TO WHICH THIS ALL THE TERMS, EXCLUSIONS POLICY EXPIRATION DATE MM/DDIYY INDICATED. NOTWITHSTANDING CERTIFICATE MAY BE ISSUED OR AND CONDITIONS OF SUCH LIMITS 10101104 $1 000 000 A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_] OCCUR AZC80733297 10101103 DAMAGE To RENTED E n $100000 MED EXP (Any one person) $10 000 PERSONAL d ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 PRODUCTS-COMPIOP AGG $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jE� LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accitlenp ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accltlenl) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT S GARAGE LIABILITY ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR El CLAIMS MADE {CCI BOJ J�Si EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION E WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EL. DISEASE -POLICY LIMIT $ I(yes, tlescnbeuntler SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS '• Supplemental Name *' Doing Business As: Community Veterinary Hospital, Inc. (dba) Animal Friends Pet Hotel (dba) Animal Discount Clinic (See Attached Descriptions) City of Santa Ana 20 Civic Center Plaza, M-30 Santa Ana, CA 92702 25 (2001108) 1 of 3 #584786 THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE ISSUING INSURER WILL EFORK40OMQMIL 'An_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE COMMUVETE DF © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25•S (2001/08) 2 of 3 #584786 . DESCRIPTIONS (Continued from Page 1) William A Grant & Virginia L Grant, Trustees of the Grant Family Trust, agreement dated 3126/80 as respects Improved real property Certificate Holder is named Add'I Insured as respects to Veterinary Services performed by the named insured. Loc# 1 - 13200 Euclid St.; Garden Grove, CA Loc# 2 -13252 Euclid St.; Garden Grove, CA Loc# 3 - 13220 Euclid St.; Garden Grove, CA AMS 25.3 12001/081 3 of 3 #584786 POLICY NUMBER: AZC80733297 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: City of Santa Ana 20 Civic Center Plaza, M-30 Santa Ana, CA 92702 (If no entry apppears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your operations or premises owned by or rented to you. Certificate Holder is named Add'1 Insured as respects to Veterinary Services performed by the named insured. � o C CG 20 26 11 85