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HomeMy WebLinkAbout2017 CON Cynthia Titgen Consulting - Risk Management Services - Amendment #1FIRST AMENDMENT TO THE AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND CYNTHIA TITGEN CONSULTING, INC. This First Amendment to the Agreement by and between the City of National City and Cynthia Titgen Consulting, Inc. is entered into this 1st day ofJune, 2017, by and between the City of National City and Cynthia Titgen Consulting, Inc. [Amendment]. RECITALS WHEREAS, the City of National City [City] and Cynthia Titgen Consulting, Inc. [Titgen], previously entered into the agreement entitled Agreement by and between the City of National City and Cynthia Titgen Consulting, Inc. [Agreement], dated July 1, 2016 for risk management services to the City; WHEREAS, that Agreement provides that the City of National City may extend services beyond the contract expiration date ofJune 30, 2017 under the same term and conditions; WHEREAS, the City now seeks to extend the Agreement through June 30, 2018; WHEREAS, the City now seeks to increase the not to exceed value to $39,000 for the period of the extension. AGREEMENT NOW THEREFORE, the City and Titgen agree as follows: 1. This Amendment extends the Agreement for the time period July 1, 2016 through June 30, 2018. 2. This Amendment increases the not to exceed value of the agreement to $39,000 for the period June 1, 2017 through June 30, 2018. 3. The parties agree that each and every term of the Agreement shall remain in full force and effect. IN WITNESS THEREOF, the parties hereto have executed this First Amendment on the date and year first written above. Signature Page to Follow Cynthia Titgen, Inc. First Amendment June, 2017 Page 1 of 2 CITY OF NATIONAL CITY CYNTHIA TITGEN CONSULTING, INC. By:By: Leslie Deese, City Manager ApprAve By: s-Jones City : •rney Cynthia Titgen, Inc. First Amendment June, 2017 Page 2 of 2 A ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/15/2017 THIS CERTIFICATEIS 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 BB&T INSURANCE SERVICES INC/PHS 273438 P: (866) 467-8730 F: (888) 443-6112 PO BOX 29611 CHARLOTTE NC 28229 CONTACT NAME: (A/C, PHONE (866) 467-8730 FAX (NC, (888) 443-6112 gDDRESS: INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Sentinel Ins Co LTD INSURED CYNTHIA TITGEN CONSULTING INC. PO BOX 14 POWAY CA 92074 INSURER B : INSURER C : INSURER D: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICYEFF (MMIDD/YYYY) POLICYEXP IMM/DD/YYY YI LIMITS A COMMERCIAL GENERAL -MADE Liab X LIABILITY OCCUR 22 SBM UJ2475 03/04/2017 03/09/2018 EACH OCCURRENCE $ 2, 0 0 0, 0 0 0 CLAIMS DAMAGEPREMISES TO(Ea RENToccurreEDnce) $1 / 000,000 X General X MEDEXP(Anyoneperson) $10, 000 PERSONAL & ADV INJURY $ 2, 0 0 0, 0 0 0 GEN'L AGGREGATE LIMIT PRO-X JECT APPLIES PER: LOC GENERAL AGGREGATE $ L) / 0 0 0 / 0 0 0 POLICY PRODUCTS - COMP/OP AGG $ 4 , 0 0 0 , 0 0 0 OTHER: - $ A AUTOMOBILE 'AUTOS X LIABILITY ANY AUTO OWNED ONLY HIRED SCHEDULED AUTOS NON -OWNED AUTOS ONLY 22 SBM UJ2475 03/04/2017 03/04/2018 COMBINED (Ea accidents INGLE LIMIT $ 2 , 0 0 0 , 0 0 0 BODILY INJURY (Per person) $ BODILYINJURY(Peraccident) $ x PROPERTY DAMAGE (Per accident) $ _ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS 00 08 attached to this policy. CERTIFICATE HOLDER CANCELLATION CITY OF NATIONAL CITY 140 E 12TH ST STE A NATIONAL CITY, CA 91950 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 7ir ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Client#: 1688709 305CYNTHTIT ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/26/2017 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 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 BB&T Insurance Services of Orange County 2400 Katella Avenue Ste 1100 Anaheim, CA 92806 CONTACT Angelique Lopez PHONE 714 941-2829 FAX (A/C, No, Est): (A/C, No): E-MAIL ue.lo ez an eli bbandt.com ADDRESS: g q p @ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Allied World Surplus Lines Ins 24319 INSURED Cynthia Titgen Consulting Inc. P.O. Box 14 Poway, CA 92074 INSURER B INSURER C INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSRSUBR TYPE OF INSURANCE NSRADDL WVD POLICY NUMBER POLICY EFF (MMIDDIYVYY) POLICY EXPD/ {MM/DYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR PREMISES (EO a RENTED $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PRO - JECT PER: LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N /A PER STATUTE OTH- ER E.L. EACH ACCIDENT -- $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Professional Liab Employement Practices 03088649 02/28/2017 02/28/2018 $1,000,000 Ea Claim $1,000,000 Ann Agg DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Cert holder is included as additional insured as required by written contract. Endorsement attached. CERTIFICATE HOLDER CANCELLATION City Of National city ATTN: Risk Management 140 East 12th St. Suite A National City, CA 91950 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 ACORD 25 (2014/01) 1 of 1 #S18534189/M18049166 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATMAR ENDORSEMENT NO. 9 ADDITIONAL INSUREDS/CO-DEFENDANTS This Endorsement, effective at 12:01 a.m. on July 15, 2017, forms part of Policy No. 0308-8649 Issued to Cynthia Titgen Consulting, Inc. Issued by Darwin Select Insurance Company In consideration of the premium charged, it is hereby agreed that coverage under this Policy shall be extended to include Claims against the following persons or entities: City of National City hereinafter referred to as "Additional Insureds", provided however, that any such Claim: (1) is made and continuously maintained against at least one Insured, other than an Additional Insured, and (2) arises out of Professional Services performed on behalf of the Named Insured or any Subsidiary, and otherwise covered under this Policy. The coverage provided by this Endorsement is excess of, and shall not contribute with, any other applicable insurance plan, policy or program of self-insurance carried by or applicable to a person or entity listed above. All other terms, conditions and limitations of this Policy shall remain unchanged. Authorized Representative v1875 (3/2008) CITY OF NATIONAL CITY Office of the City Clerk 1243 National City Blvd., National City, California 91950-4397 619-336-4228 Michael R. Dalla, CMC - City Clerk CYNTHIA TITGEN CONSULTING, INC. Risk Management Services Agreement Amendment #1 July 1, 2016 through June 30, 2018 Lizza Rojas (Human Resources) Forwarded Copy of First Amendment to the Agreement to Cynthia Titgen.