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!
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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
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GENERAL AGCLEGATE
PRODWTB • (XMF/OP MO
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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)