HomeMy WebLinkAboutCC Resolution 10544 (Workers Compensation Claims Services)RESOLUTION NO. 10544
A RESOLUTION AUTHORIZING THE SIGNING OF AN AMENDMENT TO THE
AGREEMENT WITH ACCLAMATION INSURANCE MANAGEMENT SERVICES
FOR WORKERS' COMPENSATION CLAIMS ADMINISTRATION SERVICES
(Commencing on October 1, 1999 and ending on September 30, 2000)
THE CITY COUNCIL OF THE CITY OF SAN RAFAEL RESOLVES as follows:
The MAYOR and CITY CLERK are authorized to execute, on behalf of the City of San
Rafael, an Amendment to the Agreement with Acclamation Insurance Management Services for
Workers' Compensation Claims Administration Services from October 1, 1999 to September 30,
2000.
I, JEANNE M. LEONCINI, Clerk of the City of San Rafael, hereby certify that the
foregoing resolution was duly and regularly introduced and adopted at a regular meeting of the
City Council of said City on Monday, the 20th day of December, 1999, by the following vote, to
wit:
AYES: COUNCILMEMBERS: Cohen, Heller, Miller, Phillips & Mayor Boro
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: None
JEA6NE M. LEONCINI, City Clerk
ORIGINAL
AMENDMENT TO AGREEMENT
FOR WORKERS' COMPENSATION
CLAIMS ADMINISTRATION SERVICES
This Amendment to Agreement is made and entered into this 20th day of December, 1999,
by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and Acclamation Insurance
Management Services (hereinafter "CONTRACTOR").
RECITALS
WHEREAS, the CITY and CONTRACTOR entered into an Agreement, dated October 20,
1997, for the CONTRACTOR's provision to CITY of Workers' Compensation Claims
Administration Services; and,
WHEREAS, CITY and CONTRACTOR desire to modify and extend that Agreement;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
1. Paragraph 5 of the Agreement, "COMPENSATION", is hereby amended to read as
follows:
A. For the full performance of the services described herein by
CONTRACTOR, CITY shall pay CONTRACTOR the sum of seventy
thousand dollars ($70,000) per year. Said sum shall be paid in quarterly
installments of $17,500, due and deliverable to CONTRACTOR upon
receipt by Project Manager of invoices submitted by the CONTRACTOR in
every January, April, July and October, during the term of this Agreement,
unless this payment schedule is altered by written mutual agreement of the
parties hereto.
B. The parties hereto agree that the $70,000 fee structure is based upon a cap of
40 new Indemnity claims and 80 new Medical Only claims on average per
year. If, during the term of the Agreement, the average number of new
indemnity claims or medical only claims for the prior three fiscal years
exceeds the cap, City agrees to pay Contractor an additional fee of $795 per
Indemnity claim in excess of the cap and $115 per Medical Only claim in
excess of the cap. However, the total annual fee shall not exceed $72,000,
regardless of the number of new claims.
2. Paragraph 6 of the Agreement, "TERM OF AGREEMENT", is hereby amended to read
as follows:
The term of this Agreement shall be for one (1) year commencing on October 1,
1
1999 and ending on September 30, 2000. Upon mutual agreement of the parties,
and subject to the approval of the City Manager, the term of this Agreement may be
extended for an additional period of up to two (2) years, not to exceed a total term of
five (5) years.
3. With the exception of the amendments recited in sections 1 and 2 herein, the remainder
of the parties original Agreement dated October 20,1997 remains in full force and effect.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month
and year first above written.
CITY OF SAN RAFAEL
V
2J�v, Mayor
ATTEST:
C Jerk , Jeanne M. Leoncini
a /
APJ?ROVE T,O FORM:
LC
ity AttojW ; Gary 7� Ragghianti
2
C RA TOR
By: II
Name: 1 n i c� 2L`"Ssv
Title:"
Services/Professional Services
Contract Form -1 (Revised 4/96)