HomeMy WebLinkAboutGOVERNMENT STAFFING SERVICES, INC. (DBA MUNITEMPS MUNICIPAL STAFFING SOLUTIONS) (2)IN
November 24, 2015
CITY OF SANTA ANA
20 Civic Canter Plaza a P.O. Box 1588
Santa Ana, California 92702
MTL. nta-ana.oro
John Herrera
President/CEO
MuniTemps
14241 E. Firestone Blvd, Suite 400
La Mirada, CA 90638
RE: Contract Extension to 2016
Dear Mr. Herrera
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CITY MANAGER
David Cavazos
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Huizar
The City of Santa Ana would like to execute an extension of one year, in accordance with Section 3 of the
attached contract. This would bring the expiration date of the current contract to November 17, 2016.
Sincerely,
i
David Cavazos, City Manager
Sonia Carvalho, City Attorney
INSURANCE NIT ON FILE
ATTEST.
WORK MAY W-I PROCEED
CLERK OF COUNCIL.
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CLERK OF THE COUNCIL
MAYOR
Miguel A. PAW
Miguel A, Pulido
Whole Martinez Angolion Amoeoua P. Dowd Benavldoc Roman Rayon Sal Tmajoro
MAYOR PRO TEM
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Vincent F. Sarmiento
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OOUNCILMEMBERS
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Angelica Amezcua
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Michele Martinez
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Roman Rayne
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Sal Tinaiero
IN
November 24, 2015
CITY OF SANTA ANA
20 Civic Canter Plaza a P.O. Box 1588
Santa Ana, California 92702
MTL. nta-ana.oro
John Herrera
President/CEO
MuniTemps
14241 E. Firestone Blvd, Suite 400
La Mirada, CA 90638
RE: Contract Extension to 2016
Dear Mr. Herrera
=,I ,
CITY MANAGER
David Cavazos
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Huizar
The City of Santa Ana would like to execute an extension of one year, in accordance with Section 3 of the
attached contract. This would bring the expiration date of the current contract to November 17, 2016.
Sincerely,
i
David Cavazos, City Manager
Sonia Carvalho, City Attorney
ATTEST.
' M D
A-Y
CLERK OF THE COUNCIL
SANTA ANA CITY COUNCIL
Miguel A. PAW
Vlnaanl F. Sarmienlo
Whole Martinez Angolion Amoeoua P. Dowd Benavldoc Roman Rayon Sal Tmajoro
Mayor
Mayor No Tom, Ward 1
Ward Ward Wand 4 Wards Ward
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GOVESTA -02 PPISA,NO
�+►�t ►R� CERTIFICATE OF LIABILITY INSURANCE DATE 14120YYYY)
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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 P'ROD'UCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 15 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).
PRODUCER CONTACT
NAME:
CTK North American Insurance Services, LLC I INSURICA PHONE FAX
1240 North Lakeview Avenue, #240 Arc No Ext : (714) 779
Iarcua}: (714) 779 4129
E -MAIL ......�
Anaheim, CA 92807 ADDRESS:
INSURER(S) AFFORDING COVERAGE ( NAIC A
INSURED
Government Staffing Services
P.O. Box 718
Imperial Beach, CA 91933
INSURER A: Zurich American Insurance Co. of IL 127855
INSURER B:America'n Guarantee and Liability Ins. Co. 26247
INSURER C'
INSURER D; _ .._._.
INSURER E
COVER Ar3E8 CERTIFICATE NUMBER- RFVISInN NI1MRI=R-
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 CONDITION'S OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR, J.J . . ...... ..... ....... -.. ADDL SVBR POLICY EFF POLICY EXP - ............ ...... ._.........
ILTR TYPE OF INSURANCE IN D POLICY NUMBER MMIDD1YYYY MMIDDlY'YYY) LIMITS
A
X
COMMERCIAL GENERAL. LIABILITY
,NNL7r
__ ........ _,
EACH OCCURRENCE
$ 1,.000,000
CLAIMS -MADE OCCUR
PRA969906304
05/1012016
DXM� E TORENTED.
05110!2017 PREMISES,,.(Ea mccurremce
_
5 100,000
MED EXP (Any one person)
5 10,000
PERSONAL . &ADVINJURY
$ 1,000,000'
$ 2,000000
GEN'LAGGREGATELIMITAPPLIESPER:
GENERAL AGGREGATE
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PRODUCTS COMPYCPACG
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OTHER:
$
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(Ea accldent)
$ 00
1,0 ,000
A
ANY AUTO
PRA969906304
05110/2016
0511012017
� BODILY INJURY (Per person)
._
$
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ALL OWNED SCHEDULED
AUTOS AUTOS
I BODILY INJURY (Per accident)
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NON!- OWNED'
HIRED AUTOS AUTOS
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EACH OCCURRENCE,
$ 1,000,000
B
EXCESS LIAR.
CLAWS -MADE
�UMB948734704
0511012016
0511012017
AGGREGATE
$ 1,000,000
DEC) X I RETENTION $ 0
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRtlETOR /PARTNERIEXECUTIVE
OFFIICERWEMBEREXC'LUDED? �
andatory in NH)
N/A
PER OTH-
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DESCRIPT'lON OF OPERATVONS below
E.L. DISEASE - POLICY LIMIT
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$
A
,Crime
PRA96990630'4
0511012016
0511012017
$100,000 $2,500 Ded
A
Professional L°labili
PRA969906304
0511012016
05/1012017
$1m1$2m $1000 Ded
DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule,, may be attached. If more space is required)
Cyber Liability: BCS Ins. Co.1 RPS- P- 01 10241110123115-10123116 1$1,000 „0'00
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Schedule of Named Insured(s)
Government Staffing Service dba: Herrera & Associates Staffing Servces,,,,X” (°
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Government Staffing Service dba: Munigroup,Government Staffing Service dba. Muni'temps
Government Staffing Service dba: Munstaff
City of Santa Ana
20 Civic Center Plaza
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 PROVISIONS..
AUTHORIZED REPRESENTATIVE
PAV/000�1
Q 1988 -2014 ACORD CORPORATION. All .rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD