HomeMy WebLinkAboutCM Employment Agr.; Janey Pendoley; Finance Director; AmendmentCITY OF Agenda Item No: 3 i
Meeting Date: August 15, 2011
SAN RAFAEL CITY COUNCIL AGENDA REPORT
Department: Management Services
Prepared by:
Leslie Loomis, Human Resources Director (SG) City Manager Approval:
SUBJECT: AMENDMENT TO AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND
JANET PENDOLEY TO PROVIDE INTERIM SERVICES AS A FINANCE DIRECTOR
RECOMMENDATION: Adopt resolution
BACKGROUND: At the May 16, 2011 the City Council approved an agreement with Janet
Pendoley to provide Interim Finance Director services to fill the position left vacant after former
director Cindy Mosser accepted a position in another City. The City has been recruiting for a
permanent candidate for the Finance Director position since May. Final interviews have been
conducted and a final appointment will be made in the coming weeks.
ANALYSIS / SUMMARY: The City has a need to maintain the Finance Director position staffed
while it completes the recruitment process. The City's current contract with Ms. Pendoley will
expire on August 31, 2011. The City would like to extend the contract until September 30, 2011
or until such time a Finance Director has been appointed.
FISCAL IMPACT: The Finance Director contract is expected to run through September 30,
2011, at an hourly rate of $120. These costs will be paid from the budgeted salary for this
position until it is filled. The term of the agreement can be shortened or extended by mutual
agreement to meet the needs of the City.
Adopt the proposed resolution
Deny or request changes to the appointment
Direct staff to develop alternatives for directing the Finance functions
ACTION REQUIRED: Adopt the resolution as presented
FOR CITY CLERK ONLY
File No.: t4 - --
Council Meeting:
Disposition: TI0
n.*101 ILI] 11150 ki E ki RX BYA
AMENDMENT TO AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND JANET
PENDOLEY TO PROVIDE INTERIM SERVICES AS A FINANCE DIRECTOR
WHEREAS, the City is in the final stages of a Finance Director recruitment that has
been ongoing since May 2011; and
WHEREAS, The City entered into an Agreement with Janet Pendoley dated May
18, 2011, to provide Interim Finance Director Services during the recruitment period; and
WHEREAS, the City would like to retain Ms. Pendoley's services until a Finance
Director has been appointed.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
DOES RESOLVE, DETERMINE AND ORDER AS FOLLOWS:
The CITY MANAGER and CITY CLERK are authorized to execute, on behalf of
the City of San Rafael, the Amendment to an Agreement with Janet Pendoley to
Provide 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 City Council of the City of San Rafael, held on Monday, the 15th of
August, 2011, by the following vote, to wit:
AYES: Councilmembers: Brockbank, Connolly, Heller, Levine & Mayor Boro
NOES: Councilmembers: None
ABSENT: Councilmembers: None
Esther C. Beirne, City Clerk
AMENDMENT TO AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND
JANET PENDOLEY TO PROVIDE INTERIM SERVICES AS A FINANCE DIRECTOR
This Amendment to Agreement is made and entered into this 15"' day of August, 2011 by and between the
CITY OF SAN RAFAEL (hereinafter "CITY"), and JANET PENDOLEY (hereinafter "CONTRACTOR").
RECITALS
WHEREAS, the CITY and CONTRACTOR entered into an Agreement dated May 18, 2011 (attached
hereto) by which CONTRACTOR agreed to provide CITY with certain professional services; and,
WHEREAS, the term of the original agreement shall run through August 31, 2011; and,
WHEREAS, the CITY wishes to enter into an agreement for CONTRACTOR to extend the term of the
original agreement as outlined below;
AGREEMENT
NOW, THEREFORE, the parties hereby agree as follows:
The term of this Agreement shall be extended through September 30, 2011. The City Manager
shall have the additional authority to shorten or extend the term of this Agreement to meet the
needs of the CITY by mutual agreement with the CONTRACTOR.
2. The CITY shall pay the CONTRACTOR at a rate of $120 per hour, inclusive of expenses for the term
of the agreement.
All other covenants, terms and conditions of the original Agreement shall remain unchanged and 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
NANCY MACKL, , City Manager
ATTEST:
ESTHER BEIRNE, City Clerk
CONTRACTOR
JAN T PENDOLEY l
APPROVED AS TO FORM:
.a
ROBERT F. EPSTEfNl,,City At rney
�'�
ORIGINIAL
AGREEMENT
BETWEEN THE CITY OF SAN RAFAEL
AND JANET PENDOLEY
TO PROVIDE MANAGEMENT AND ADMINISTRATIVE SERVICES AS AN INTERIM
FINANCE DIRECTOR
.04
This Agreement is made and entered into this May of May, 2011, by and between the CITY
OF SAN RAFAEL (hereinafter "CITY"), and Janet Pendoley (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:
PROJECT COORDINATION.
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 Janet Pendoley 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 "N' and
incorporated herein.
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Version 2-15-11
4. COMPENSATION.
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, in a total amount not to
exceed $66,000.
Payment will be made monthly upon receipt by PROJECT MANAGER of itemized
invoices submitted by CONTRACTOR
5. TERM OF AGREENIENT.
The term of this Agreement shall commence upon May 21st, 2011 and shall run through
August 31 st, 2011.
6. TERMINATION.
A. Discretionary. Either parry may terminate this Agreement without cause upon
thirty (30) days written notice mailed or personally delivered to the other parry.
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 CONTRACTOWs 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.
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.
2
9. ASSIGNABILITY.
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.
3
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
five years.
7. The insurance policies shall provide for a retroactive date of placement
coinciding with the effective date of this Agreement.
& 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 CONTRACTOWs officers and employees.
D. Any deductibles or self-insured retentions in CONTRACTOWs 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. MEMNIRCATION.
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.
0
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
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.
14. NO THIRD PARTY BENEFICIAREES.
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 CM: Nancy Mackle
Project Manager
City of San Rafael
1400 Fifth Ave. (P.O. Box 151560)
San Rafael, CA 94915-1560
TO CONTRACTOR: Janet Pendoley
Project Director
31 Tan Oak Circle
San Rafael, CA 94903
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.
5
A. The terms and conditions of this Agreement, all exhibits attached, and all documents
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.
19. WAIVERS.
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.
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.
CONTRACTOR shall obtain and maintain during the duration of this Agreement, a CITY
8
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
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 MkCKLE, City Manager
ATTEST:
ESTBER C. BEIRNE, City Clerk
APPROVED AS TO FORM:
ROBERT F. EPSTEIN, City Attorney
7
CONTRACTOR
By: _
Printed Nine: Janet Pendoley
EXHIBIT A
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, pay roll, 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 f iscal year audit and participate in the re view 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 developm ent 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.
° Communicate clearly and concisely,both orally and in writing.
* Establish, maintain, and foster positive and harmonious working relationships with those
contacted in the course ofwork.
EDUCATION AND/OR EXPERIENCE:
Any combination of experience and education that would likely provide the required knowledge
and abilities. Atypical way toobtain 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
orpublic administration. AMaster's degree is desirable.
Experience — Seven years of responsible accounting experience inc luding two years of
management and supervisory experience.
License or Certificate — Possession of a valid California drivers license and a satisfactory
driving record. Possession mfoCPA iadesirable.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must bemet by an
employee hosuccessfully perform the essential functions ofthis kjob. 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 tosit; use hands to
finger, handle, orfeel; reach with hands and arms; and talk orhear. The employee im
occasionally required bostand and walk. The employee must frequently lift and/or move upbz
1Opounds and occasionally lift and/or move upto25pounds. Specific vision abilities required
by this job include close vision, distance vision, color vision, peripheral vision, depth perception.
and ability tmadjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee
encounters while performing the essential functions mfthis job. Reasonable accommodations
may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties ofthis job, theemokoveoragukxdvvvorkoinin-dooroonditkonsond
regularly works near video display. The employee isoccasionally expected touse evehicle hu
travel todifferent work sites and locations. The employee may work inthe evenings oron
weekends. The noise level in the work environment is that of an office environment.
FL8AdeaignaUon: Executive exempt
Prepared by: Human Resources
Prepared date: August 2006
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A 5DATE
Q CERTIFICATE OF LIABILITY INSURANCE R054
(M2 _ 2 0W)
05-12-2011
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 ADDITIONALINSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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
MCNAMARA INSURANCE SVCS
110567 P:(866)467-8730 F:(877)905-0457
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME:
PHONE
CNo, Ext: (866)467-8730 FAX -0457 (877)905-045
PRO ILIC
CUSTOMER ID X:
INSURER(S) AFFORDING COVERAGE NAIC I'
misu FD
JANET PENDOLEY JMP CONSULTING
31 TAN OAK CIR
SAN RAFAEL CA 94 903
INSURER A: Sentinel Ins Co LTD
INSURER 8
INSURER C
INSURER D :
INSURER E:
INSURER F:
rnveowr_CC CERTIFICATE NUMBER, REViSiGri 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.
LTR
TYPE OF NYS01114A E
POLICY NLMBER
(MMgw/YYYY1
(MNVDO/YYyYI
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DAMAGE tURENIET_
PREMISES Me occurrence) $ l , 000,000
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COMMERCIAL GENERAL LIABILITY
MED EXP (Any one Person) s 10,000
CLAIMS -MADE a OCCUR
PERSONAL &ADV INJURY $ 1, aoo, aao
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X General Liab
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05/10/2011
05/10/2012
GENERAL AGGREGATE $ 2,000,000
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BODILY INJURY (Par accident) $
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SCHEDULED AUTOS
57 SBM BA0495
05/10/2011
05/10/2012
PROPERTY DAMAGE
(Peracckient) a
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HIRED AUTOS
$
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Those usual to the Insured's Operations. City of San Rafael, it officers,
agents, employees, and volunteers are named as Additional Insured, per the
Business Liability Coverage Form SS0008, attached to this policy.
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CERTIFICATE HOLDER CANCELLATION
City of San Rafael
PO BOX 151560
SAN RAFAEL, CA 94915
ACORD 25 (2009/09)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHM21M AIEPfE'SAWATME
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0 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
prConfirmation of Liability Coverage
CSAR Members Car Policy
California State Automohile Association Inter -Insurance Bureau
PO Box 22221, Oakland,CA 94623-2221
NAME AND ADDRESS
PENDOLEY,JANET M,ROBERT
31 TAN OAK CIR.
SAN ARFAEL, CA
94947
TO POLICY NUMBER
E879142
EFFECTIVE DATE
10/31/2010
(EXPIRATION DATE
10/31/2011
® Additional insured for Bodily Injury and Property Damage is:
CITY OF SAN RAFAEL,PO BOX 151560, SAN RAFAEL,CA 94915-1560
which, subject to all terms and conditions of the CSAA Members Car Policy, shall have those rights of coverage
and defense granted to organizations by subpart (3) of the section entitled "Additional Definition Used in this
Part Only" under Part 1 -Liability, but only while a vehicle described in the declarations, forming part of the
policy, is being operated by the named insured in the course and scope of the business.
❑ The Bureau will give 10 days Notice of Cancellation for non-payment of premium, 20 days notice o
Cancellation for any other reason or lapse of policy to:
® Coverages are extended to:
CITY OF SAN RAFAEL
which, subject to all terms and conditions of the CSAA Members Car Policy, shall have those rights of coverage
and defense granted to organizations by subpart (3) of the section entitled "Additional Definition Used in this
Part Only" under Part 1 -Liability.
Named Insured: JANET M PENDOLEY/ROBERT J
The policy of automobile insurance includes the coverages and limits of liability as shown below. The policy will
expire on the date shown unless canceled by the Insured or by the Bureau prior thereto.
DESCRIPTION OF AUTOMOBILE(S)
LIABILITY COVERAGES
MAKE
YEAR
VIN
BODILY INJURY LIABILITY
LIMITS OF LIABILITY
Each Person/Each Occurrence
PROPERTY DAMAGE
LIMIT
Each Occurrence
TOYO
1998
4TAVL52N4WZ079689
LEXUS
2004
JTJGA31 U140003491
INFIN
2003
JNKCV54E44M828549
$1 million/$1 million
$50,000
PREPARED BY DISTRICT OFFICE DATE
C. ABEL I SAN RAFAEL 1 5/9/2011
T1211CO399
CITY OF SAN RAFAEL
h'h' GWNII
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: August 15, 2011
FROM: Leslie Loomis, Human Resources Director
DEPARTMENT: Human Resources / Management Services
r'
.,ATE: August 8, 2011
TITLE OF DOCUMENT: AMENDMENT TO AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND
JANET PENDOLEY TO PROVIDE INTERIM SERVICES AS A FINANCE DIRECTOR
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Department Head (signature) 4,G 0 8, 22 001 1
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(LOWER HALF OF FORM FOR APPROVALS ONLY)
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APPROVED AS TO FORM:
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