HomeMy WebLinkAboutBUCK CONSULTANTS, LLC 2 -2012INSURANCE ON FILE
WORK MA)r PROCEED
GNRI, INSURANCE EXPIRES
6 a6-/ -/
CLERK O? M C?O?NCIL" 9
DATE: 8 2013 FIRST AMENDMENT TO AGREEMENT
FOR PROVISION OF ACTUARIAL SERVICES
BETWEEN THE CITY OF SANTA ANA
AND BUCK CONSULTANTS, LLC
14-2012-076-001
THIS FIRST AMENDMENT, made and dated as of the 74l day of March, 2013, by and between
the City of Santa Ana, a charter city and municipal corporation duly organized and existing
under the Constitution and laws of the State of California ("City") and Buck Consultants, LLC
("Consultant").
RECITALS
A. The City and the Consultant entered into that certain agreement on the I" of June, 2012, entitled
"Agreement for Provision of Actuarial Services" (Agreement N-2012-076) hereinafter referred to as "said
Agreement", for the provision of actuarial studies for the City.
B. The parties had agreed to extend said Agreement, however, due to clerical error, no
documentation was executed. In order to provide continuous uninterrupted service, the parties hereto
are executing this amendment to evidence the parties' agreement to continue as of January 1, 2013, and
to increase compensation for the extended term.
WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter
contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended,
the parties hereto do hereby agree as follows:
The "Compensation" (Section 4) is hereby amended to include an additional amount
of compensation for the extended services pursuant to this Amendment which shall
not exceed Three Thousand Five Hundred Dollars ($3,500).
2. Section 5, "Term", shall be amended to read as follows:
"This Agreement shall commence on January 1, 2013 and terminate on June 30,
2013, unless terminated earlier in accordance with Section 14, below.
Except as hereinabove amended, all terms and conditions of said Agreement as
amended shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement
on the date and year first written above.
ATTEST:
/ f CITY O i'I'A ANA
•_• ? yr 1 / °vL..,6t. .L.1 ' 0 1W .tey?./
MARIA D. H'UIZAR6?-'- KEV 'ROURKE
Clerk of the Council Interim City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO BUCK CONSULTANTS, LLC
City Attorney
B y:
Lisa Storck Robert Burnell
Assistant City Attorney Principal
RECOMMENDED FOR APPROVAL:
n?m?>?rA?
FRANCISCO GUTIERREZ
Executive Director - FMSA
2
?-•? ® DATE(MMIDD/Yl'YV)
CERTIFICATE OF LIABILITY INSURANCE D6126I26,B
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 policy(ies) must 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 ri ghts to the ;=
certificate holder in lieu of such endorsement(s) '?
.
PRODUCER
CONTACT
NAME: N
'a
ADD Risk services Northeast, Inc. PHONE FAX
New York NY Office
NC. No. El): (g66) 283-7122
800-363-0105
NC.No.:
9
199 Water Street E-MAIL
New York NY 10038-3551 USA ADDRESS: _
INSURER(S) AFFORDING COVERAGE NAIC p
INSURED INSURERA: Chartis specialty Insurance company 26883
Buck Consultants, LLC
One Pennsylvania Plaza INSURER B:
29th Floor INSURER C:
New York NY 10019 USA
INSURER 0:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 5700500724 04 REVISION NIIMRFR•
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
ADD SUER
INSR
O ICY EFF POLICY EXP
LTR TYPE OF INSURANCE
INSR
MD POLICY NUMBER
MMIOD
MMIDDIYYYY) LIMIT S
GENERAL LIABILITY EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY PREMI =RENTED
ISES Ee occurrence
CLAIMS-MADE ? OCCUR MED EXP (Any one person)
PERSONALS ADV INJURY
GENERAL AGGREGATE
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO
POLICY PRO LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident
ANY AUTO BODILY INJURY ( Per person)
ALL OWNED
AUTOS SCHEOULEO
AUTOS BODILY INJURY (Per accident)
IRED
U NON-OWNED A'P1ROVED rg+ yO FORM PROPERTY DAMAGE
A
H
TOS AUTOS Peraccldent
UMBRELLA LIM OCCUR C ------- EACH OCCURRENCE
EXCESS LIAR CLAIMS-MADE LISA E. STORCK AGGREGATE
DED RETENTION n
ASSIStant ity Attorr ey
WORKERS COMPENSATION AND WC STATU- OTH-
EMPLOYERS' LIABILITY YIN / TORY LIMITS E
ANY PROPRIETOR/ PARTNER I EXECUTIVE
OFFICERIMEMBER EXCLUDED? F-
NIA L E.L. EACH ACCIDENT
(Mandatory in NH)
If
en
describe undo, E.L. DISEASE-EA EMPLOYEE
y
,
DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT
A E&O-PL-Primary 025827848 05/26/2013 05/26/2014 Aggregate $10,000,000
SIR applies per policy ter ns & condi ions
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD ID1, Additional Remarks Schedule, if more space Is required)
Named insured includes: Buck Consultants, LLC, 1455 Frazee Road, suite 805, San Diego, CA 92108
Re: Contract NO, N-2010-038
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City of Santa Ana AUTHORIZED REPRESENTATIVE
Attn: Bich D. Ta, Supervising Accountant
Finance & management services
_ ?
Finne nDivision Visisioon m-17
20 Civic center Plaza iG2a'e+.O T
Santa Ana CA 92701 USA
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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