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HomeMy WebLinkAboutREACH EMPLOYEE ASSISTANCE, INC. 1C - 2008INSURANCE ON FILE WORK MAY PROCEED A-2002-208-03 UNTIL INSURANCE EXPIRES ~;_! 7-08 CLERK OF COUNCIL THIRD AMENDMENT TO AGREEMENT DATE: ~,30-C~`~ ~ ~~! 2vsunn rl ~ ~"~JTHIS THIRD AMENDMENT TO AGREEMENT is entered into on September l of Maybe" 17, 2008, by and between REACH Employee Assistance, 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 Agreement #2002-207, dated November 18, 2002, (hereinafter "said Ageement") by which Consultant has provided employee assistance program services. B. In accordance with the terms and conditions of said Ageement, the parties wish to renew said Agreement for an additional one-year period. 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 Third Amendment to Consultant Agreement, the parties agree as follows: 1. The term of said Agreement shall be extended to December 31, 2008. 2. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to Consultant Agreement on the date and year first written above. ATTEST: PATRICIA E. HEALY Clerk of the Council CITY OF SANTA ANA DAVID N. RE City Manager APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: ~c.c.<r.~ ~ez~ Laura Sheedy / Assistant City Attorney REACH EMPLOYEE ASSISTANCE / n Dr. Marcus Dayhoff / `, CEO & Clinical Director _~ ~"` P w-(( Dxtc 21t 4l2pD7 T L45 Ahl Pape: 2 0! ~~, I ~'I~rO~ acoRD. CERTIFICATE OF LIABILITY INSURANCE ~~P to T2 OAYE IMM/DDMYVYI 7xtooucER RE /14-Y 02 14/07 TNL4 CERTIFICATE IS ISSVED A$ A hi47"ER OF M9FOf3pATION A-o100.Z - as g ONLY AND CONFERS NO RIGNT9 UPON THE CERTIFlCJiTE Van Wpagner Oroup Div. Sterling~~~-~O~ ~~ ALTER THE COVERAC,e gpFORnE~BOT AME~~'~BE oW. 21 Ma le Ave. say5hore i7Y 13706 ,,LL ,~} _ ` Phone: 631-666-1588 lY~~~,> :~1-~~TT INSURERS AFFORpING COVERAGE wcuREO NAIL # ~~+Q+A Ace American ins c'o. YY n WGlA6e a' SO~lcgast~Liaeola~av~t~gte 230 INS,x~Rc Anaheim CA 92805- EJSlA77(D; - - __ PfsUiHi E. T1E POLICIE'a OR IN-GIitANCE LISTED BELOW HAVE BEEN ISStEll TO TIE ll;LiiE'p NANEp ABOVE FO/( THE POLICY PERIOD INDICATE, NOTWIi1t5TAMDIN ANY aE0U1REMENi, TERM oq CGNDRION OF IyW OOMfg9CT OR ]Tight p00{AEN! WITI{ RESPECT TO WNI[N TN5 CJ3RIFICATE MAYBE IGELIED OR FIAY PERIAW, ME INSLVMfK'E AFFORDED BV TFE POLICIES DEtiCR16E0 NGgE W 9 SUBJECT TO 4L TIE 1FRAS:, E~(glE<IONSiYO CONpITONS Of 3~q1 POLICIES. AOGgEGATE LIMfiG GMOYM fMY MAVE BEEN REDUCED BY PAID CLAIMS. GQBSAL l1ABYfY A X COMMERGLIL GENERM.LWILRY TBD CLAIPG WPE X ODOUR ENL A6GREGTE LIMRAPpLIES PER PCtlC9 PR6 lOC __ _ .cle.u.rY LR, BACK DCCl.Rf4 FGCE 02/17/07 02/17/08 FFd>AISES fE:~ecunMi MFp ExP(Mi'•m wr>;unl RER90NpL dAlNLyIIRV GENERAL AGCLEGATE PRODWTB • (XMF/OP MO - ET4 i 3 L f it L 9 i 3 AIf TOMGBILE LMBILRY _ ANY P1If0 rt~llc LF LMAIT ~ ( l ~ E w Y d L fyl. Ol1TED AVf05 - SCNEDULEDA'1T05 BGOYVINJLR'! INAd-anl d tuREDAAffPS _ NONO\AhEp AI.ROS BODkY INJIR'! L IRY(KGIEY~FI PROPERTY Dq'M 10E ~ L GAfLGf LmOgRy ~,~~ wIfY00A'LY-E4 ACGnENf L OT7E1-e THaN EA ACC L ALrtO ONLY' .. E[CES°.JUfBMI.LL LNBIy1Y' _ AGG f OCGhi ^CWMG AhUE 6"ACN OCCURRE Yk f AGGgEGAi'E L DEDUCTIBLE - L RE7BJ00N L _ L WOR II E S A e O NeHTON MD f L ~ 1O I ~ F R p P p ~-T p q~y ~FU`mIUFUGCS er~~~ ESL, FAG}I ACC C RM i E.L. i A ProFessional Liab TBp 02/17/07 02/30/08 Eackl Oce. 1,000, DOD oEOCanipN OF DPErwn T Da NEr /ErcLUacwa AOD6D MDOaEEMRMT/ s•<R3ate 8 000 000 All CSiettt companies are included as additional itts7aeeds but only as ~ ~ `'~` ~ -~~`~~'~ resyects to the operations per£Ormed by the tta®ed insured. ~~_ _ - «./ 'E NOLpER CANCElLAT10N - EH01.ly AMY OR TIC ABOVE OBSCgIBEO POLICES BE G WCeLIJ® lIEF'ORETIIE p~ppA~pM City of Santa Ana DAVE TI~EO-,T~~MlO N9URER MALL ENDELVOR TO MAIL 3D oaw vJgrrTEn Personnel Lpt. N07f0E TO THE GERTFTCATB MOLDER NAPIED TO THE I.I pT, BVI' FAIUIXF 1n DO EO 8~4L6 2D CiViC Center P1aSd M-94 IMPOEE Iq OBLISATNNi OR LYEE.rtY oR,WV WNO uwA I THE WSURER, R: AGENrE aR Santa Ana CA 82702 a~RE•,artAmEa ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 T2 I DATE {MMIDDIYYYY) RE714-1 02/07/08 'I-:RODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Van Wagner Group Div. Sterling HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR f>7 E. Main St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bay Shore NY 11706 , Phone: 631-647-9381 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ace American Ins. CO. INSURER B Reach Employee Assistance! Inc INSURER c: 101 East Lincoln Ave., Ste 230 INSURER 0: Anaheim CA 92805- INSURER E: COVERAGES 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR"AOD' PJl~~~ri~fDEaf~IE Dk~'EYf~~h~J!RN : L TR INSR TYPE OF INSURANCE POLICY NUMBER LIMITS A I GENERAL LIABILITY ~~H OCCURRENCE '1,000,000 - X COMMERCIAl GENERAL LIABILITY TBD 02/17/08 02/17/09 M!\GCT<TRENTEu .) , 100,000 PREMISES (Es occurence - ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) , 5,000 ---- I , PERSONAL & AOV INJURY 1'1,000,000 , c--- ~N[RALAGCREGArE , $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG .1,000,000 nF -PRO- nLOC POLICY , JECT ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ ANY AUTO (Eaac~dentl ALL OWNED AUTOS I BODILY INJURY - (Per person) $ SCHEDULED AUTOS I ~ , - HIRED AUTOS BODILY INJURY , , NON-OWNED AUTOS (Per accident) - ---..-.-. ~- - ----..- '"' : ~-0,-'~Nl PROPERTY DAMAGE , I : .~, . , (Per accident) , , GARAGE LIABILITY ,\ ~ . " .eJV 1 AUTO ONLY - EA ACCIDENT $ =1 ANY AUTO i1i^!- OTHER THAN EAACC , ,---r AUTO ONLY . , AGG , EXCESS/UMBRELLA LIABILITY -- 1,1.,-':-"':')' EACH OCCURRENCE , ~ OCCUR D CLAIMS MADE " )', ~ ,\ \' I AGGREGATE , ~ , , I DEDUCTIBLE , , I RETENTION , i , WORKERS COMPENSATION AND , I i'IC'~'Y"~IMlrS I IVEri', I EMPLOYERS' LIABILITY ANY PROPRIETORJPARTNER/EXECUTIVE E.l. EACH ACCIDENT , OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $ ~~~~I~tS~WJv~~?~~s below E.l. DISEASE - POliCY LIMIT , OTHER i I A Professional Liab TBD 02/17/08 02/17/09 : Each Oec. 1,000,000 Aaareaate 3 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS All Client Companies are included as additional insureds but only as respects to the operations performed by the named insured. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Personnel Dpt. 20 Civic Center Plaza M-34 Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUT I EPRESEN ACORD 25 (2001/08) @ ACORD CORPORATION 1988 CERTHOLOER COPY SP STATE COMPENSATION INSURANCE FUND Ii -~(')C). -~O8' -0>3 P.o. BOX 420807, SAN FRANCISCQ,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03-01-2008 GROUP: POLICY NUMBER: 1555105-2008 CERTIFICATE ID: 11 CERTIFICATE EXPIRES: 03-01-2009 03-01-2008/03-01-2009 CITY OF SANTA ANA BENEFITS OEPT 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 SP This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of Insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms. exclusions, and conditions, of such policy. 0::: REPRESENTATI EMPLOYER'S LIABILITY LIMIT ~~ PRESIDENT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - MARCUS 0 DAYHOFF, PRESIDENT CEO - EXCLUDED. ENDORSEMENT #1600 - LETICIA A DAYHOFF, SECRETARY TREASURER - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-01-2000 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER ~ REACH EMPLOYEE ASSISTANCE, INC 101 E LINCOLN AVE STE 230 ANAHEIM CA 92805 SP M0408 PRINTED 02-16-2008 (REV.2-05)