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HomeMy WebLinkAboutIDEXX LABORATORY, INC. -2016INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURRAANN',CCEEEE,XPIRES CLERKO GOUNCII-�Z�y����a DARE: jr I YOf')w FIRST AMENDMENT TO CONSULTANTAGREEMENT WITII IDEXX LABAT ORfIP.S. INC. A-2016-268 THIS FIRST AMENDMENT to the above -referenced agreement is entered into on September 20, 2016 by and begween IDEXX Laboratories, Inc., a Maine corporation ("Consultant'), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State df California ("City's. RECITALS A. The p#.rties entered into Agreement #N-2015-156, dated May 6, 2015 ("Agreement'), by which Consultant agreed to provide veterinary laboratory services. B. The to n of the Agreement is from July 1, 2015 through June 30, 2017, and the Agreement remains in C. In,,=, with the terms and conditions ofthe Agreement, the Parties wish to amend the Agreement to provitI additional funds for the services that are the subject of the Agreement. The Partios therefore agree: Sectio 2, Compensation, is amended to include an additional ten thousand dollars ($10,000) so that the tot 1 sum to be expended under the Agreement shall not exceed thirty five thousand dollars 2. Excep as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST CIT 'SAN;IA11,A C L l� 1 MARIA D.H�IA. — CA Clerk of the Council City Mana er APPROVE) AS TO FORM CONSULTANT SONIAR. ARVALFIO City Attom y _„ By: f J tut. PUNK Name i'E:a2c-E fr�w4�u.. ssistat t City Attorney f �. vp/coi RppE,,COMM iNDED FOR APPROVAL, Gerardo Muet Executive irector, Parks, Recreation, and Comrminily Services Agency 1 ® ` o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 07106=16 I 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(les) must have ADDITIONAL INSURED provisions or 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services Northeast, Inc. Boston MA Office CONTACT NAME: PHO(g6fi) 283-7122 FAX (800) 363-0105 (AIC. Na,,): PIC. No.I: E-MAIL ADDRESS: One Federal Street Boston MA 02110 USA INSURERS) AFFORDING COVERAGE NAIC M AUTHORIZED REPRESENTATIVE INSURED INSURER A: Federal Insurance Company 20281 IDEXX Laboratories, Inc. INSURER B: The Charter Oak Fire Insurance Company 25615 One IDEXX Drive Westbrook ME 04092-2041 USA INSURER C: Travelers Property Cas Co of America 25674 INSURER D: NOetiC Specialty Insurance CO 17400 INSURER E: INSURER R COVERAGES CERTIFICATE NUMBER: 570062938314 REVISION NUMBER: 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 LTR TYPE OF INSURANCE INSD MD POLICY NUMBER MMIDDIYYYVIMMIDDIYYYYI LIMITS A X I COMMERCIAL GENERAL LIABILITY � AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza - M23 EACH OCCURRENCE $2,000,000 Santa Ana CLAIMS -MADE ❑X OCCUR PREMISES Ea occurrent. $2,000,000) MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO ❑X LOC ECT PRODUCTS - COMPIOP AGG EXCluded OTHER: A AUTOMOBILE LIABILITY 73580790 06/30/201606/30/2017 COMBINED SINGLE LIMIT Ea ersid.nt $1,000,000 BODILY INJURY ( Per person) ANY AUTO OWNED SCHEDULED - BODILY INJURY(Peraccidenl) AUTOS ONLY AUTOS X HIREDAUTOS X NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Peraccident Comprehensive Deduct $1,000 A X UMBRELLALIAB X OCCUR 79890079 06/30/2016 06/30/2017 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000 DED RETENTION B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICEWMEMBER EXCLUDED? 71 (Mandatory in NH) NIA TC20UB439OL42816 (AOS) TR7 U64300L4161fi (MA, WI) 06/30/2016 06/30/2016 06/30/2017 06/30/2017 X PER OTH- STATUTE ER E. L. EACH ACCIDENT $1,009,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 0 Products Liab N16ME380006 06/30/2016 06/30/2017 Aggregate $10,000,000 SIR applies per policy ter s & condi ions per occurrence $10,900,000 SIR Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aUs.Xd if more space Is required) The City of Santa Ana and their respective officers, employees, agents, volunteers and representatives are included as Additional Insured on the General Liability policy, but only with,respect to liability caused by the acts or omissions of IDEXX Laboratories Inc. in the performance ongoing operations of or,igpnnection with premises owned or rented by IDEXX Laboratories Inc. Coverage afforded by the General Liability policy sl $d rimary and Non -Contributory for the Certificate Holder with respect to work performed by IDEXX Laboratories Inc. 4 11ev q(y" CERTIFICATE HOLDER ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD L 0 Z ql U dr U HDµLp I Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE \�Z N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE S I YPROVISIONS. The City Of Santa Ana � AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza - M23 Santa Ana CA 92701 USA tW07i a/LEIk c/iLLtfc64 c/ //t ldCL,9f a/ fla ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD L 0 Z ql U dr U AGENCY CUSTOMER ID: 570000058422 A� ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Ann Risk Services Northeast, Inc. NAMEDINSURED IDEXX Laboratories, Inc. POLICY NUMBER See certificate Number: 570062938314 CARRIER See Certificate Number: 570062938314 NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPEOFLYSU&tNCE ADDL IVSD SUBR WVD POLICY NUM BER POLICY EFFECTIVE DATE MM/DD/YYVY POLICY GXPDATTION DATE NINI/DDIVYYY LIMITS AUTOMOBILE LIABILITY A 73580790 06/30/2016 06/30/2017 collision Deductible $1,000 OTHER D E&O-PL-Primary E16ME380001 SIR applies per policy to 06/30/2016 ms & conditi 06/30/2017 ns Aggregate $5,000,000 Per Occurrence $5,000,000 SIR Aggregate $1,000,000 9 P��Pa v 4 ACORD 101 (2008101) © 2008 ADDED CORPORATION. All rights reserved. The ADDED name and logo are registered marks of ACORD KILiability Insurance oHusa Endorsement Policy Period JUNE 30, 2016 TO JUNE 30, 2017 Effective Date JUNE 30, 2016 Policy Number 3601-92-28 BUS Insured IDEXX LABORATORIES, INC. Name of Company FEDERAL INSURANCE COMPANY Date Issued JUNE 30, 2016 This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Is An Insured, the following provision is added: Who Is An Insured Scheduled Person Or Subject to all of the terms and conditions of this insurance, any person or organization shown in the Organization Schedule, acting pursuant to a written contract or agreement between you and such person or organization, is an insured; but they are insureds only with respect to liability arising out of your operations, or your premises, if you are obligated, pursuant to such contract or agreement, to provide them with such insurance as is afforded by this policy. However, no such person or organization is an insured with respect to any: assumption of liability by them in a contract or agreement. This limitation does not apply to the liability for damages for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement, representation or warranty unauthorized by you. chemical or physical change in your product made intentionally by the person or organization, damages arising out of their sole negligence. reckless or willful violation of any law or regulation. of your product which, after distribution or sale by you, have been labeled or relabeled or used as a container, ingredient or part of any other substance or thing by or for the person or organization. This limitation does not apply to such relabeling of your product in the regular course of dispensing or furnishing the required amount or dosage of such product, Additional Insured - Scheduled Person Liability Insurance Or Organizafgv�:Y , Aub Cor 80-02-6440 (Ed. 8-04) as A cs continued Page 1 NE OHUBB Liability Endorsement (continued) Further, no person or organization from whom you have acquired your product, or any container, ingredient or part entering into, accompanying or containing your product, is an insured under this provision. Schedule THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES. All other terms and conditions remain unchanged. Authorized Representative Pd0\0 Additional Insured - Scheduled Person Liability Insurance Or Organiza(?@]Y 411Ug, CODV last page Form 80-02-6440 (Ed. 8-04) Endorsement Page 2