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2017 CON Willis Insurance Services DBA Willis Towers Watson - Insurance Services - Amendment #3
THIRD AMENDMENT TO THE AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND WILLIS INSURANCE SERVICES OF CALIFORNIA, INC. dba WILLIS TOWERS WATSON This Third Amendment to the Agreement by and between the City of National City and Willis Insurance Services of California, Inc. dba Willis Towers Watson (the "Consultant") is entered into this 1st day of July, 2017, by and between the City of National City and Willis Towers Watson [Third Amendment]. RECITALS WHEREAS, the City of National City [City] and Willis Towers Watson previously entered into the agreement entitled Agreement by and between the City of National City and Willis Insurance Services of California, Inc. [Agreement], dated July 1, 2013, for employee insurance consultant and brokerage services to the City; WHEREAS, that Agreement provides that the City of National City may extend services beyond the contract expiration date of June 30, 2015 in one-year increments for an additional three years (until June 30, 2018); WHEREAS, on June 16, 2015 that Agreement was extended through June 30, 2016 through a First Amendment; WHEREAS, on July 1, 2016 that Agreement was extended through June 30, 2017 through a Second Amendment; WHEREAS, the City now seeks to extend the Agreement for an additional year. AGREEMENT NOW THEREFORE, the City and Willis Towers Watson agree as follows: 1. This Third Amendment extends the Agreement for one year for the time period July 1, 2017 through June 30, 2018. 2. The parties agree that each and every term of the Agreement not modified by this Amendment shall remain in full force and effect. IN WITNESS THEREOF, the parties hereto have executed this Third Amendment on the date and year first written above. Signature Page to Follow THIRD AMENDMENT TO THE AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND WILLIS INSURANCE SERVICES OF CALIFORNIA, INC. dba WILLIS TOWERS WATSON This Third Amendment to the Agreement by and between the City of National City and Willis Insurance Services of California, Inc. dba Willis Towers Watson (the "Consultant") is entered into this 1st day of July, 2017, by and between the City of National City and Willis Towers Watson [Third Amendment]. RECITALS WHEREAS, the City of National City [City] and Willis Towers Watson previously entered into the agreement entitled Agreement by and between the City of National City and Willis Insurance Services of California, Inc. [Agreement], dated July 1, 2013, for employee insurance consultant and brokerage services to the City; WHEREAS, that Agreement provides that the City of National City may extend services beyond the contract expiration date of June 30, 2015 in one-year increments for an additional three years (until June 30, 2018); WHEREAS, on June 16, 2015 that Agreement was extended through June 30, 2016 through a First Amendment; WHEREAS, on July 1, 2016 that Agreement was extended through June 30, 2017 through a Second Amendment; WHEREAS, the City now seeks to extend the Agreement for an additional year. AGREEMENT NOW THEREFORE, the City and Willis Towers Watson agree as follows: 1. This Third Amendment extends the Agreement for one year for the time period July 1, 2017 through June 30, 2018. 2. The parties agree that each and every term of the Agreement not modified by this Amendment shall remain in full force and effect. IN WITNESS THEREOF, the parties hereto have executed this Third Amendment on the date and year first written above. Signature Page to Follow A` 0RD CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 DATE 04/28/2017' 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 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 Willis of New York, Inc. c/o 26 Century Blvd. P. 0. Box 305191 Nashville, TN 37230-5191 CONTACT NAMF. PHONE FAX (NC FxTy 877-945-7378 (A/c Noy 888-467-2378 _NO E-MAIL qDnRFsr certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535-076 INSURED Willis North America Inc. and its subsidiaries 200 Liberty Street New York, NY 10281 I INSURER B: Sentry Insurance a Mutual Company 24988-001 INSURER C:See Subsequent Page 00000-004 INSURERD: INSURER E: INSURER F: CERTIFICATE NUMBER: 25461020 REVISION NUMBER:See Remarks 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. INSR i TR TYPE OF INSURANCE ADDL lusn SUBR wvn POLICY NUMBER POLICY EFF (MMmn/YYvv) POLICY EXP (MMH1n/YYYY) - LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL0014436300 7/1/2016 7/1/2017 $ 5,000,000 pEAACCHHGOECCCURRENCE PREMISESQEaEoNccTurence) $ 100,000 CLAIMS -MADE X OCCUR MEDEXP(Anyoneperson) $ 5,000 X Contractual Liability PERSONAL&ADVINJURY $ 5,000,000 $ 5,000,000 $ 5,000,000 GENERAL AGGREGATE GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS - COMP/OP AGG $ B AUTOMOBILE X LIABILITY ANY AUTO OWNED x SCHEDULED AUTOS NON -OWNED AUTOS ONLY Y 90-20597-04 7/1/2016 7/1/2017 COaBINdEDt) SINGLE LIMIT (EMaccien $ 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 71089381 7/1/2016 7/1/2017 EACH OCCURRENCE $ 3,000,000 $ 3,000,000 AGGREGATE $ DED RETENTION $ B B JS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE NN OFFICER/MEMBER EXCLUDED? Mandatory in NH) (Mandatory yes, describe under DESCRIPTION OF OPERATIONS below N/A Y Y Y 90-20597-01 90-20597-03 (MA) 90-20597-02 7/1/2016 7/1/2016 7/1/2016 7/1/2017 7/1/2017 7/1/2017 X STATIPER ITF OTH- FR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Errors and Omissions SM1617 7/1/2016 7/1/2017 $5,000,000 Per claim/aggreg DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 7/22/2016 WITH ID: 24574885 All employees of Willis North America and its subsidiaries are included as Insureds under the Errors & Omissions policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDAN WITH T E POLICY PROVISIONS. AUTHORIZ' r REPRES8NT IVE City of National City 140 East 12th Street, Suite A National City, CA 91950 Co11:5068559 Tp1:2146897 Cert:. 020©1:88-2015ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks o ACORD AGENCY CUSTOMER ID: 412600 LOC#• ACORD ADDITIONAL REMARKS SCHEDULE Page_.2_ of AGENCY Willis of New York, Inc. POLICY NUMBER See First Page CARRIER See First Page ADDITIONAL REMARKS NAIC CODE NAMED INSURED Willis North America Inc. and its subsidiaries 200 Liberty Street New York, NY 10281 EFFECTIVE DATE: See First Page THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE• CERTIFICATE OF LIABILITY INSURANCE Professional Indemnity Insurance (Errors & Omission Liability) Carrier: Stone Mountain Insurance Company and various carriers. It is agreed that The City of National City, its elected officials, officers, agents and employees are included as Additional Insureds as respects to General Liability and Auto Liability where required by written contract or agreement. Waiver of Subrogation applies in favor of The City of National City, its elected officials, officers, agents and employees with respects to Workers Compensation coverage where required by written contract as permitted by law. ACORD 101 (2008/01) Co11:5068559 Tp1:2146897 Cert:25461020©2008ACORDCORPORATION.Allrightsreserved. The ACORD name and logo are registered marks of ACORD ADDENDUM TO CERTIFICATE OF INSURANCE WILLIS NORTH AMERICA, INC. SUBSIDIARY LIST AS OF 6/30/16 WILLIS NORTH AMERICA INC. Willis Services LLC WILLIS US HOLDING COMPANY, INC. WTW Delaware Holdings, LLC Willis HRH Inc. Freberg Environmental, Inc. PBW LLC Premium Funding Associates, Inc. Smith, Bell & Thompson, Inc. Westport HRH, LLC Westport Financial Services, LLC Willis of Connecticut, LLC Special Contingency Risks, Inc. Willis of Greater Kansas, Inc. Willis of Oklahoma, Inc. Willis of Virginia, Inc. Willis of Wyoming, Inc. Willis Programs of Connecticut Inc. Willis of Michigan, Inc. Queenswood Properties Inc Willis Administrative Services Corporation Willis of Colorado, Inc. Willis Americas Administration, Inc. Willis Insurance Services of California, Inc. Willis Insurance Services of Georgia, Inc. Willis Management (Vermont) Limited Willis North American Holding Company Willis of Alabama, Inc. Willis of Arizona, Inc. Willis of Illinois, Inc. Willis of Louisiana, Inc. Willis of Maryland, Inc. Willis of Massachusetts, Inc. Willis of Minnesota, Inc. Willis of Mississippi, Inc. Willis of New Hampshire, Inc. Willis of New Jersey, Inc. Willis Giaconia Life, LLC Willis of New York, Inc. Willis Personal Lines, LLC Willis of North Carolina, Inc. Willis of Ohio, Inc. Willis of Oregon, Inc. Willis of Pennsylvania, Inc. Willis of Seattle, Inc. Willis of Tennessee, Inc. Willis of Florida, Inc. Willis of Texas, Inc. Willis of Wisconsin, Inc. Willis Processing Services, Inc. Willis Re Inc. Willis Securities, Inc. WTW Delaware Holdings, LLC formerly Towers Watson & Co. Towers Watson Delaware Holdings Inc. Watson Wyatt European Investment Holdings Inc. Towers Watson Delaware Inc. Towers Watson Investment Consulting, Inc. Towers Watson America LLC Extend Health, Inc Extend Administrators LLC Extend Insurance Services LLC Liazon Corporation Liazon Benefits Inc. Acclaris Holdings Inc. Acclaris Inc. Towers Watson Retiree Insurance Services, Inc. Willis Towers Watson CAC, Inc. AR D CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 06/28/201 ) 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 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 Willie of New York, Inc. c/o 26 Century Blvd. O. Box 305191 Nashville, TN 37230-5191 CONTACT _UAW: PHOX vir_JO FxT) 877-945-7378 (Air No) 888-467-2378 E-P. AnnRlFss certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535-076 INSURED Willis North America Inc. and its subsidiaries 200 Liberty Street New York, NY 10281 I INSURER 8:Sentry Insurance a Mutual Company 24988-001 INSURER C:See Subsequent Page 00000-004 INSURERD: INSURER E: INSURER F: CERTIFICAT • 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. INSR I TR TYPE OF INSURANCE ADDL INSn SUBS. wvn POLICY NUMBER POLICYEFF POLICYEXP (. MMmn/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL0014436301 _iMMmn/YYYYI 7/1/2017 7/1/2018 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE X OCCUR RWO STQRENTEDnce ) $ 100,000 X_ Contractual Liability lCaoccure MEDEXP(Anyoneperson) $ 5,000 PERSONAL&ADVINJURY $ 5, 000,_000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY LJ JECT I ; LOC PRODUCTS-COMP/OPAGG $ 5, 000,000 OTHER: B AUTOMOBILE LIABILITY Y 90-20597-04 7/1/2017 7/1/2018 (EOaalgcJI )INGLELIMIT $ 1,000,000 ANY AUTO BODILYINJURY(Per person) $ OWNED SCHEDULED AUTOS BODILY INJURY(Peraccident) $ X HIRED x NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ -- UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 90-20597-01 7/1/2017 7/1/2018 X CTATI IT OTH- FR B ANY PROPRIETOR/PARTNER/EXECUTIVEI-I DI N/A Y (MA) 90-20597-02 7/1/2017 7/1/2018 E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? (Mandatory Mandatory in NH) describe Y 90-20597-03 7/1/2017 7/1/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 yes, under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Errors and Omissions SM1718 7/1/2017 7/1/2018 $5,000,000 Per claim/aggrega DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 01, Additional Remarks Schedule, may be attached if more space is required All employees of Willis North America and its subsidiaries are included as Insureds under the Errors & Omissions policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANNE WITH THE POLICY PROVISIONS. AUTHORIZ City of National City 140 East 12th Street, Suite A National City, CA 91950 D REPRES o NT TIVE Co11:5094278 Tp1:2156185 Cert: 0322©1=88-2015ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks o ACORD to AGENCY CUSTOMER ID: 412600 ACORD® AGENCY Willis of New York, Inc. LOC#• ADDITIONAL REMARKS SCHEDULE POLICY NUMBER See First Page CARRIER See First Page ADDITIONAL REMARKS NAIC CODE NAMED INSURED Willis North America Inc. and its subsidiaries 200 Liberty Street New York, NY 10281 Paget of 2 EFFECTIVE DATE: See First Page THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE' CERTIFICATE OF LIABILITY INSURANCE Professional Indemnity Insurance (Errors & Omission Liability) Carrier: Stone Mountain Insurance Company It is agreed that The City of National City, its elected officials, officers, agents and employees are included as Additional Insureds as respects to General Liability and Auto Liability where required by written contract or agreement. Waiver of Subrogation applies in favor of The City of National City, its elected officials, officers, agents and employees with respects to Workers Compensation coverage where required by written contract as permitted by law. ACORD 101 (2008/01) Co11:5094278 Tp1:2156185 Cert:25550322 ©2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM TO CERTIFICATE OF INSURANCE WILLIS NORTH AMERICA, INC. SUBSIDIARY LIST AS OF 7/1/17 Acclaris Holdings, Inc. Acclaris, Inc.. Charles Monat Associates LLC Encore Insurance PCC Limited Encore One IC, Inc. Extend Health, Inc. Extend Insurance Services LLC Freberg Environmental, Inc. Liazon Benefits, Inc. Liazon Corporation PBW LLC Premium Funding Associates, Inc. Professional Consultants Insurance Company, Inc. Queenswood Properties Inc RSDIG Risk Purchasing Group LLC Smith, Bell & Thompson, Inc. Special Contingency Risks, Inc Stone Mountain Insurance Company The Willis Foundation Towers Perrin Capital Corp. Towers Watson America LLC Towers Watson Delaware Holdings Inc. Towers Watson Delaware Inc. Towers Watson Investment Services, Inc. Towers Watson Latin America Holdings LLC Towers Watson Middle East Holdings LLC Towers Watson Retiree Insurance Services, Inc. TPF&C International Inc. Watson Wyatt European Investment Holdings 1, LLC Watson Wyatt European Investment Holdings 2, LLC Watson Wyatt European Investment Holdings, Inc. Watson Wyatt International, Inc. Westport Financial Services, LLC Westport HRH, LLC Willis Administrative Services Corporation Willis Americas Administration, Inc. Willis Giaconia Life, LLC Willis HRH Inc. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. Willis Insurance Services of California, Inc. Willis Insurance Services of Georgia, Inc. Willis NA Inc. Willis North America Inc. Willis North American Holding Company Willis of Alabama. Inc. Willis of Arizona, Inc. Willis of Colorado, Inc. Willis of Connecticut, LLC Willis of Florida, Inc. Willis of Greater Kansas, Inc. Willis of Illinois, Inc. Willis of Louisiana, Inc. Willis of Maryland, Inc. Willis of Massachusetts, Inc. Willis of Michigan, Inc. Willis of Minnesota, Inc. Willis of Mississippi, Inc. Willis of New Hampshire, Inc. Willis of New Jersey, Inc. Willis of New York, Inc. Willis of North Carolina, Inc. Willis of Ohio, Inc. Willis of Oklahoma. Inc. Willis of Oregon, Inc. Willis of Pennsylvania, Inc. Willis of Seattle, Inc. Willis of Tennessee, Inc. Willis of Texas, Inc. Willis of Virginia, Inc. Willis of Wisconsin, Inc. Willis of Wyoming, Inc. Willis Personal Lines, LLC Willis Processing Services, Inc. Willis Programs of Connecticut Inc. Willis Re Inc. Willis Securities, Inc. Willis Services LLC Willis Towers Watson Risk Purchasing Group, Inc. Willis Towers Watson Management (Vermont) Limited Willis US Holding Company, Inc. WTW Delaware Holdings, LLC U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A, U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. U.S.A. Third Amendment to the Agreement by and between the City and Willis Signature Page By: CITY OF NATIONAL CITY WILLIS INSURANCE SERVICES OF CALIFORNI NC. By: v By: Leslie Deese, City Manager Jesu• i endoza, Vice P esident Christie Barr, Sr. Vice President