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HomeMy WebLinkAboutCC Resolution 13302 (Employment Agr. Finance Director Mark Moses)RESOLUTION NO. 13302 RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE AN AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND MARK MOSES TO PROVIDE INTERIM SERVICES AS FINANCE DIRECTOR WHEREAS, the City is currently recruiting to fill the vacant Finance Director position; and WHEREAS, the City contracted with Mark Moses to provide interim Finance Director services from February 13 to March 5th 2012; and WHEREAS, the City would like to keep the position staffed until such time as the position can be filled. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of San Rafael hereby approves and authorizes the City Manager to execute an Agreement with Mark Moses to provide interim Finance Director services, a copy of which is hereby attached and by this reference made a part hereof. 1, Esther C. Beirne, 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 San Rafael City Council held on the 5th day of March 2012, by the following vote to wit: AYES: Councilmembers: Connolly, Heller, Levine, McCullough & Mayor Phillips NOES: Councilmembers: None ABSENT: Councilmembers: None ESTHER C. BEIRNE, City Clerk AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND MARK MOSES TO PROVIDE MANAGEMENT AND ADMINISTRATIVE SERVICES AS AN INTERIM FINANCE DIRECTOR This Agreement is made and entered into this 64' day of March, 2012, by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and Mark Moses (hereinafter "CONTRACTOR"). RECITALS WHEREAS, the CITY desires to employ the services of a CONTRACTOR to provide services as an interim Finance Director, as set forth herein; and WHEREAS, CONTRACTOR has the training, education and experience as a Finance Director; and WHEREAS, CONTRACTOR is willing to provide said finance services to CITY pursuant to the terms and conditions expressed herein; AGREEMENT NOW, THEREFORE, the parties hereby agree as follows: • 1 • 019Z67IRT1ON 0-1163al A. CITY. The City Manager shall be the representative of the CITY for all purposes under this Agreement. The City Manager, Nancy Mackle is hereby designated the PROJECT MANAGER for the CITY, and said PROJECT MANAGER shall supervise all aspects of the progress and execution of this Agreement. B. CONTRACTOR. CONTRACTOR shall assign a single PROJECT DIRECTOR to have overall responsibility for the progress and execution of this Agreement for CONTRACTOR. Mark Moses is hereby designated as the PROJECT DIRECTOR for CONTRACTOR. 2. DUTIES OF CONTRACTOR. CONTRACTOR shall perform the duties and responsibilities, and provide the services, as described in the Job Class Description for Finance Director, attached hereto as Exhibit "A" and incorporated herein. 3. DUTIES OF CITY. CITY shall compensate CONTRACTOR as provided in Paragraph 4. 4. COMPENSATION. Version 2-15-11 t x_' 1 u ee, F For the full performance of the services described herein by CONTRACTOR, CITY shall pay CONTRACTOR at a rate of $120 per hour, inclusive of expenses. Payment will be made monthly upon receipt by PROJECT MANAGER of itemized invoices submitted by CONTRACTOR. 5. TERM OF AGREEMENT. The term of this Agreement shall commence upon March 6, 2012 and shall run through December 31, 2012 or until the Finance Director position has been filled. 6. TERMINATION. A. Discretionary. Either party may tenninate this Agreement without cause upon thirty (30) days written notice mailed or personally delivered to the other party. B. Cause. Either party may terminate this Agreement for cause upon fifteen (15) days written notice mailed or personally delivered to the other party, and the notified party's failure to cure or correct the cause of the termination, to the reasonable satisfaction of the party giving such notice, within such fifteen (15) day time period. C. Effect of Termination. Upon receipt of notice of termination, neither party shall incur additional obligations under any provision of this Agreement without the prior written consent of the other. D. Return of Documents. Upon termination, any and all CITY documents or materials provided to CONTRACTOR and any and all of CONTRACTOR's documents and materials prepared for or relating to the performance of its duties under this Agreement, shall be delivered to CITY as soon as possible, but not later than thirty (30) days after termination. 7. OWNERSHIP OF DOCUMENTS. The written documents and materials prepared by the CONTRACTOR in connection with the performance of its duties under this Agreement, shall be the sole property of CITY. CITY may use said property for any purpose, including projects not contemplated by this Agreement. 8. INSPECTION AND AUDIT. Upon reasonable notice, CONTRACTOR shall make available to CITY, or its agent, for inspection and audit, all documents and materials maintained by CONTRACTOR in connection with its performance of its duties under this Agreement. CONTRACTOR shall fully cooperate with CITY or its agent in any such audit or inspection. 9. ASSIGNABILITY. 2 The parties agree that they shall not assign or transfer any interest in this Agreement nor the performance of any of their respective obligations hereunder, without the prior written consent of the other party, and any attempt to so assign this Agreement or any rights, duties or obligations arising hereunder shall be void and of no effect. 10. INSURANCE. A. During the term of this Agreement, CONTRACTOR shall maintain, at no expense to CITY, the following insurance policies: 1. A commercial general liability insurance policy in the minimum amount of one million ($1,000,000) dollars per occurrence for death, bodily injury, personal injury, or property damage. 2. An automobile liability (owned, non -owned, and hired vehicles) insurance policy in the minimum amount of one million ($1,000,000) dollars per occurrence. 3. If any licensed professional performs any of the services required to be performed under this Agreement, a professional liability insurance policy in the minimum amount of one million $1,000,000) dollars to cover any claims arising out of the CONTRACTOR's performance of services under this Agreement. B. The insurance coverage required of the CONTRACTOR by section 10. A., shall also meet the following requirements: 1. The insurance shall be primary with respect to any insurance or coverage maintained by CITY and shall not call upon CITY's insurance or coverage for any contribution. 2. Except for professional liability insurance, the insurance policies shall be endorsed for contractual liability and personal injury. 3. Except for professional liability insurance, the insurance policies shall be specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as additionally named insureds under the policies. 4. CONTRACTOR shall provide to City's Risk Manager, (a) Certificates of Insurance evidencing the insurance coverage required herein, and (b) specific endorsements naming CITY, its officers, agents, employees, and volunteers, as additional named insureds under the policies. 5. The insurance policies shall provide that the insurance carrier shall not cancel, terminate or otherwise modify the terms and conditions of said insurance policies except upon ten (10) days written notice to City's Risk Manager. 6. If the insurance is written on a Claims Made Form, then, following termination of this Agreement, said insurance coverage shall survive for a period of not less than 3 five years. 7. The insurance policies shall provide for a retroactive date of placement coinciding with the effective date of this Agreement. 8. The insurance shall be approved as to form and sufficiency by PROJECT MANAGER and the City Attorney. C. If it employs any person, CONTRACTOR shall maintain worker's compensation and employer's liability insurance, as required by the State Labor Code and other applicable laws and regulations, and as necessary to protect both CONTRACTOR and CITY against all liability for injuries to CONTRACTOR's officers and employees. D. Any deductibles or self-insured retentions in CONTRACTOR's insurance policies must be declared to and approved by the City's Risk Manager and the City Attorney. At CITY's option, the deductibles or self-insured retentions with respect to CITY shall be reduced or eliminated to CITY's satisfaction, or CONTRACTOR shall procure a bond guaranteeing payment of losses and related investigations, claims administration, attorney's fees and defense expenses. 11. INDEMNIFICATION. A. Except as provided in Paragraph B., CONTRACTOR shall indemnify, release, defend and hold harmless CITY, its officers, and employees, against any claim, demand, suit, judgment, loss, liability or expense of any kind, including attorney's fees, arising out of or resulting in any way, in whole or in part, from any acts or omissions, intentional or negligent, of CONTRACTOR or CONTRACTOR's officers, agents and employees in the performance of their duties and obligations under this Agreement. B. Where the services to be provided by CONTRACTOR under this Agreement are design professional services to be performed by a design professional as that term is defined under Civil Code Section 2782.8, CONTRACTOR shall, to the fullest extent permitted by law, indemnify, release, defend and hold harmless CITY, its officers, and employees, against any claim, demand, suit, judgment, loss, liability or expense of any kind, including attorney's fees, that arises out of, pertains to, or relates to the negligence, recklessness, or willful misconduct of CONTRACTOR in the performance of its duties and obligations under this Agreement. 12. NONDISCRIMINATION. CONTRACTOR shall not discriminate, in any way, against any person on the basis of age, sex, race, color, religion, ancestry, national origin or disability in connection with or related to the performance of its duties and obligations under this Agreement. 13. COMPLIANCE WITH ALL LAWS. CONTRACTOR shall observe and comply with all applicable federal, state and local laws, ordinances, codes and regulations, in the performance of its duties and obligations under this 0 Agreement. CONTRACTOR shall perform all services under this Agreement in accordance with these laws, ordinances, codes and regulations. CONTRACTOR shall release, defend, indemnify and hold harmless CITY, its officers, agents and employees from any and all damages, liabilities, penalties, fines and all other consequences from any noncompliance or violation of any laws, ordinances, codes or regulations. CITY and CONTRACTOR do not intend, by any provision of this Agreement, to create in any third party, any benefit or right owed by one party, under the terms and conditions of this Agreement, to the other party. 15. NOTICES. All notices and other communications required or permitted to be given under this Agreement, including any notice of change of address, shall be in writing and given by personal delivery, or deposited with the United States Postal Service, postage prepaid, addressed to the parties intended to be notified. Notice shall be deemed given as of the date of personal delivery, or if mailed, upon the date of deposit with the United States Postal Service. Notice shall be given as follows: TO CITY: Nancy Mackle Project Manager City of San Rafael 1400 Fifth Ave. (P.O. Box 151560) San Rafael, CA 94915-1560 TO CONTRACTOR: Mark Moses Project Director 4420 Columbine Drive Pleasanton, CA 94588 16. INDEPENDENT CONTRACTOR. For the purposes, and for the duration, of this Agreement, CONTRACTOR, its officers, agents and employees shall act in the capacity of an Independent Contractor, and not as employees of the CITY. CONTRACTOR and CITY expressly intend and agree that the status of CONTRACTOR, its officers, agents and employees be that of an Independent Contractor and not that of an employee of CITY. 17. ENTIRE AGREEMENT -- AMENDMENTS. A. The terms and conditions of this Agreement, all exhibits attached, and all documents 5 expressly incorporated by reference, represent the entire Agreement of the parties with respect to the subject matter of this Agreement. B. This written Agreement shall supersede any and all prior agreements, oral or written, regarding the subject matter between the CONTRACTOR and the CITY. C. No other agreement, promise or statement, written or oral, relating to the subject matter of this Agreement, shall be valid or binding, except by way of a written amendment to this Agreement. D. The terms and conditions of this Agreement shall not be altered or modified except by a written amendment to this Agreement signed by the CONTRACTOR and the CITY. E. If any conflicts arise between the terms and conditions of this Agreement, and the terms and conditions of the attached exhibits or the documents expressly incorporated by reference, the terms and conditions of this Agreement shall control. 18. SET-OFF AGAINST DEBTS. CONTRACTOR agrees that CITY may deduct from any payment due to CONTRACTOR under this Agreement, any monies which CONTRACTOR owes CITY under any ordinance, agreement, contract or resolution for any unpaid taxes, fees, licenses, assessments, unpaid checks or other amounts. The waiver by either party of any breach or violation of any term, covenant or condition of this Agreement, or of any ordinance, law or regulation, shall not be deemed to be a waiver of any other term, covenant, condition, ordinance, law or regulation, or of any subsequent breach or violation of the same or other term, covenant, condition, ordinance, law or regulation. The subsequent acceptance by either party of any fee, performance, or other consideration which may become due or owing under this Agreement, shall not be deemed to be a waiver of any preceding breach or violation by the other party of any term, condition, covenant of this Agreement or any applicable law, ordinance or regulation. 20. COSTS AND ATTORNEY'S FEES. The prevailing party in any action brought to enforce the terms and conditions of this Agreement, or arising out of the performance of this Agreement, may recover its reasonable costs (including claims administration) and attorney's fees expended in connection with such action. 21. CITY BUSINESS LICENSE / OTHER TAXES. CONTRACTOR shall obtain and maintain during the duration of this Agreement, a CITY business license as required by the San Rafael Municipal Code. CONTRACTOR shall pay any and all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for 6 any work performed under this Agreement, until CONTRACTOR has provided CITY with a completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and Certification). 22. APPLICABLE LAW. The laws of the State of California shall govern this Agreement. IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month and year first above written. CITY OF SAN RAFAEL NANCY MACKLE, City Manager ATTEST: §. ESTHER C. BEIRNE, City Clerk APPROVED AS TO FORM: 0-4ROBERT F. EPSTEIN, 0, Atfor y 0 CONTRACTOR By: Printed Name: Mark Moses City of San Rafael Job Class Specification Job Title: Finance Director SUMMARY: Under general administrative direction, manages and oversees the activities and operations of the Finance Department including financial reporting, general accounting, payroll, budget preparation, treasury function, debt administration, revenue management, business licensing and purchasing; to coordinate assigned activities with other City departments and outside agencies; and to provide highly responsible and complex administrative support to the City Manager. DISTINGUISHING CHARACTERISTICS: This is an exempt, executive level position in the Finance Department. Administrative direction is provided by the City Manager; responsibilities include the direct supervision over professional, management, technical and administrative support personnel. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. This list is meant to be representative, not exhaustive; other related duties may also be assigned: • Assume full management responsibility for all Finance Department services and activities including financial reporting, general accounting, payroll, budget preparation, debt administration, treasury function, revenue management, business licensing and purchasing. • Manage the development and implementation of Finance Department goals, objectives, policies, and priorities for each assigned serve area; establish, within City policy, appropriate service and staffing levels; allocate resources accordingly. • Continuously monitor and evaluate the efficiency and effectiveness of service delivery methods and procedures; assess and monitor workload, administrative and support systems, and internal reporting relationships; identify opportunities for improvement; direct the implementation of changes. • Oversee the annual fiscal year audit and participate in the review of the results of the annual audit with external auditors. • Represent the Finance Department to other City departments, elected officials, and outside agencies; explain and interpret Finance Department programs, policies, and activities; negotiate and resolve sensitive, significant, and controversial issues. • Select, train, motivate, and evaluate Finance Department personnel; provide or coordinate staff training; work with employees to correct deficiencies and motivate staff to excel. • Plan, direct, and coordinate the Finance Department's work plan; meet with management staff to identify and resolve problems; assign projects and programmatic areas of responsibility; review and evaluate work methods and procedures. • Manage and participate in the development and administration of the Finance Department and City budgets; direct the forecast of additional funds needed for staffing, equipment, materials, and supplies; direct the monitoring of and approve expenditures; direct the preparation of and implement budgetary adjustments as necessary. • Coordinate Finance Department activities with those of other departments and outside agencies and organizations. Attachment A • Provide staff assistance to the City Manager and City Council prepare and present staff reports and other necessary correspondence. • Conduct a variety of organizational studies, investigations, and operational studies; recommend modifications to Finance programs, policies, and procedures as appropriate. • Participate in the issuance of debt; ensure timely and accurate debt services payments. • Manage the City's investments and serves as the City's Treasurer. • Prepare financial statements in accordance with generally accepted accounting standards. • Stay abreast of new trends and innovations in the field of municipal finance. • Respond to and resolve difficult and sensitive inquiries and complaints. KNOWLEDGE OF: • Operational characteristics, services, and activities of a comprehensive finance program. • Pertinent Federal, State and local laws, codes, and regulations. • Organization and management practices as applied to the analysis and evaluation of finance programs, policies, and operational needs. • Modern and complex principles and practices of finance program development and administration. • Principles and practices of accounting, financial reporting, auditing and bond financing. • Information sources and research techniques in the fields of public administration, financial planning, accounting, annual budget, capital budget, and annual audit preparation and procedures. • Advanced principles and practices of municipal budget preparation and administration. • Principles of supervision, training, and performance evaluation. ABILITY TO: • Provide administrative and professional leadership and direction for the Finance Department. • Develop, implement, and administer goals, objectives and procedures for providing effective and efficient finance services. • Plan, organize, direct, and coordinate the work of management, supervisory, professional, technical, and administrative support personnel; delegate authority and responsibility. • Select, supervise, train, and evaluate staff. • Identify and respond to community and City Council issues, concerns, and needs. • Analyze problems, identify alternative solutions, project consequences of proposed actions, and implement recommendations in support of goals. • Research, analyze, and evaluate new service delivery methods, procedures, and techniques. • Prepare and administer large and complex budgets; allocate limited resources in a cost effective manner. • Prepare clear and concise administrative and financial reports. • Interpret and apply the policies, procedures, laws, codes, standards, and regulations pertaining to finance programs and functions. WWanagement Services- WorkFile\HR- WorkFile\Human Resources\Job Specs most current\Word Doc's\Finance Director.docAttaChment A Page 2 of 3 • Communicate clearly and concisely, both orally and in writing. • Establish, maintain, and foster positive and harmonious working relationships with those contacted in the course of work. EDUCATION AND/OR EXPERIENCE: Any combination of experience and education that would likely provide the required knowledge and abilities. A typical way to obtain the knowledge and abilities would be: Education — Equivalent to a Bachelor's degree from an accredited college or university with major course work in directly related fields such as business administration, finance, accounting or public administration. A Master's degree is desirable. L-xpenence — Seven years of responsible accounting experience including two years of management and supervisory experience. License or Certificate — Possession of a valid California driver's license and a satisfactory driving record. Possession of a CPA is desirable. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand and walk. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee regularly works in in -door conditions and regularly works near video display. The employee is occasionally expected to use a vehicle to travel to different work sites and locations. The employee may work in the evenings or on weekends. The noise level in the work environment is that of an office environment. FLSA designation: Executive exempt Prepared by: Human Resources Prepared date: August 2006 W Wanagement Services- WorkFlle\HR- WorkFiletHuman ResourcesUob Specs most current\Word Doc'sTinance Director do cAttachment A Page 3 of 3 This f.— off. pr p&& of CSAA kger-bs�exe 8n WYM9Yb- -dordymCMWxt1Mwffh ft busy ss. AnY I f&=. use oftrbus =, inr. s (s Endorsement Caltiornia State Automobile Association Inter4risurance Bureau or P.O. Box 429186, San Frandscu, CA 94142-9180 TO NANCY MACKLE PROJECT MANAGER CITY OF SAN RAFAEL 1400 5 TH AVE (PO BOX 151560) SAN RAFAEL CA 94915 NAMEDINSURrD MOSES,MARK L OR ANNELI 4420 COLUMBINE DR PLEASANTON CA94588 The Policy identified above is changed only as follows: 1. The following person or organization: Name: CITY OF SAN RAFAEL Address: 1400 5 TH AVF (PO BOX 151560) SAN RAFAEL CA 94915 11! !11 111 !1 111 'Fill TO BE COMPLETED WHEN THIS ENDORSEMENT IS ISSUED ATTACHES TO AND FORMS A PART OF POLICY NUMBER P3-01-86-7 ENDORSEMENT EFFECTIVE DATE 02-22-2012 POLICY EXPIRATION 02-08-2013 2. For an additional premium, subpart (3) of the section entitled "ADDITIONAL DEFINITION USED IN THIS PART ONLY", under PART I - LIABILITY, COVERAGE A - LIABILITY COVERAGE, on page 4 of the Policy, is added to the Policy: (3) any other person or organization with respect only to legal liability for acts or omissions of. (a) any person covered under this Part while using your insured car, or (b) you or any relative covered under this Part while using any car or util" bailer other than yow irtsured car if the car or utility trailer is not owned or hired by that person or organiz:ation. 3. Prior to cancellation of this poky, we will give to the person or organization shown above 10 days' notice of cancellation for no payment of premium, 20 days' notice of cancellation for any other reason or lapse of the PoficyI 1 .0 P-MMIRMOTT-WIT-30 13��M 55 ixi lio- AAA Northern California, Nevada & Utah Insurance Exchange PO Box 22221, Oakland CA 94623-2221 NAME AND ADDRESS OF INSURED MOSES MARK L OR ANNELI 4420 COLUMBINE DR PLEASANTON CA 94588-4813 ALTERNATE ADDRESS OCCUPATION 39550 LIBERTY ST FREMONT I ITEM MAKE MODEL YR BODY TYPE VEHICLE IDENTIFICATION NUMBER uj 05 VOLVO 2004 4D SED YVIRS61'F642320165 06 FORD 2002 41) WAG IFMDU63E322B26170 Automobile Policy Declarations RIM Please keep with your policy - See Important Notice on Reverse For questions or changes call 1-900-922-9228 DECLARATIONS TYPE Amended Declarations 0 POLICY TYPE Member POLICY NUMBER P3-01-86-7 Itz 0 FROM L6 z >_ Your 02-22-2012 Policy Period 0 CL TO 02-08-2013 ALTERNATE NUMBER 980-6379 NAME Drivers do not :MARK CC necessarily uj > correspond to :ANNELIE j2 principally operated KRISTOFF C1 vehicles- :LUCAS Premium Summary THIS IS NOT A Bit L SCHEDULE, OF CHANGES uJ Name and/or Address Change ILD z 3: U &A ITEM RATED DRIVER DSR YDF PRIOR ANN MILES FUTURE ANN MILES GARAGE ZIP uj 05 MARK 0 34 10,000 94588 < 06 LUCAS 0 3 6,000 94588 Lu ILA - - - ------ Enhanced Transportation Experts e Coverage: ftem/s 05, 06. Z DISCOUNTS: Mat Dry: None MultiPolicy H03 Homeowners. Item/s Oh 06 M 0 Multi Car. Item/s OLI 06 Good Driver Itends 05 06 U Student: Item/s 06 Multipolicy Life. All Items. ITEM - HEM UABILIfy I IM1111 I I LIM 05 ITEM 06 COVERAGE EACH I PERSON EACH OCCURRENCE PREMIUM DEDUCT PREMIUM Bodily 100,000 300,000 [,2EDI�I Injury.... ----- -- ITEM Medical 10,000 $6- ,Pay-ents -------- - Uninsured 100,000 300,000 Motorists ----------------- ---------- Property 100,000 $5 Damage ----------- --------------- uj comprehensive 100 100 Actual Cash Value Less Deductible Collision 1000 1000 LU Actual Cash Value Less Deductible ID- - I -- -------- < All Risks W - I ----------- -- -- Actual Cash Value Less Deductible No Coverage No Coverage LU 0 TOTAL PREMIUM PER VEHICLE 4 Automobile Death EXPLANATION OF A-$15,000 first named insured. B=515,000 each first named insured and spouse. Benefits LIMIT CODES C=$15,000 each additional named insured %hon on endorsement 1329. CA Surcharge: $0.00 Premium Summary THIS IS NOT A Bit L SCHEDULE, OF CHANGES uJ Name and/or Address Change ILD z 3: U &A ITEM RATED DRIVER DSR YDF PRIOR ANN MILES FUTURE ANN MILES GARAGE ZIP uj 05 MARK 0 34 10,000 94588 < 06 LUCAS 0 3 6,000 94588 Lu ILA - - - ------ Enhanced Transportation Experts e Coverage: ftem/s 05, 06. Z DISCOUNTS: Mat Dry: None MultiPolicy H03 Homeowners. Item/s Oh 06 M 0 Multi Car. Item/s OLI 06 Good Driver Itends 05 06 U Student: Item/s 06 Multipolicy Life. All Items. ITEM - HEM 1512 C- 1eDi20t0 PAGE 1 of 1 PROCESS DATE 02-22-2012 INSURED SINCE 1983 12:01 A.M. Standard Time at the address of the Named Insured, but not prior to the time applied for or, if this is a replacement declarations, not prior to the time coverage change was requested. 12:01 A.M. Standard Time at the address of the Named Insured TELEPHONE NUMBER 462.8102 ITEM ITEM DEDUCT PREMIUM DEDUCT. PREMIUM LIMIT CODE PREMIUM B Premium: $1.00 VEHICLE USAGE • GENDER MARITAL, Business M M :SEE REVERSE Occasional M S :FOR -EXPLANATION OF CODES. Office Use Only IM 175 13MM 31 0 8 34 06 3 10 06 K 75 IMS 15 0 H 03 03 A 06 048 030 N Uj Lu ITEM ILA LA O 1512 C- 1eDi20t0 PAGE 1 of 1 PROCESS DATE 02-22-2012 INSURED SINCE 1983 12:01 A.M. Standard Time at the address of the Named Insured, but not prior to the time applied for or, if this is a replacement declarations, not prior to the time coverage change was requested. 12:01 A.M. Standard Time at the address of the Named Insured TELEPHONE NUMBER 462.8102 ITEM ITEM DEDUCT PREMIUM DEDUCT. PREMIUM LIMIT CODE PREMIUM B Premium: $1.00 VEHICLE USAGE • GENDER MARITAL, Business M M :SEE REVERSE Occasional M S :FOR -EXPLANATION OF CODES. Office Use Only IM 175 13MM 31 0 8 34 06 3 10 06 K 75 IMS 15 0 H 03 03 A 06 048 030 N CITY OF SAN RAFAEL INSTRUCTIONS: USE THIS FORM WITH EACH SUBMITTAL OF A CONTRACT, AGREEMENT, ORDINANCE OR RESOLUTION BEFORE APPROVAL BY COUNCIL /AGENCY. SRRA / SRCC AGENDA ITEM NO. DATE OF MEETING: March 5, 2012 FROM: Anil Comelo, Human Resources Director DEPARTMENT: Human Resources / Management Services DATE: February 15, 2012 TITLE OF DOCUMENT: RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE AN AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND MARK MOSES TO PROVIDE INTERIM SERVICES AS A FINANCE DIRECTOR Department Head (signature) (LOWER HALF OF FORM FOR APPROVALS ONLY) APPROVED AS COUNCIL AGENCY APPROVED AS TO FORM: AGENDA ITEM: City Manager (signature) City Attorney (signatur J�