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SERVICE AGREEMENT
THIS AGREEMENT, entered into this /0 day of TUL Y
19 gy , by and between City of Seal Beach , hereinafter
' called "PRINCIPAL" and Carl Warren and Company, hereinafter called
"CONTRACTOR ", for certain services as outlined in connection with the
duties and responsibility of administering a program of self- insurance.
WITNESSETH:
NOW, THEREFORE, PRINCIPAL and CONTRACTOR mutually understand and
agree as follows:
1. GENERAL. CONTRACTOR shall:
A. Supervise and administer the Self- Insurance Liability Program
for PRINCIPAL and
B. Represent PRINCIPAL in all matters related to the investigation,
adjustment, processing, supervision and resolution of claims
for money damages asserted by third parties against PRINCIPAL;
and
C. Provide to PRINCIPAL during the term of this Agreement all the
services more particularly set forth hereinafter.
2. INVESTIGATIVE.SERVICES:
A. CONTRACTOR shall provide complete investigative services
including, but not limited to:
(1) Receipt of and examination of all reports of accident,
incidents, claims, or cases which are or may be the
subject of such liability claims.
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(2) The investigation of such accidents, incidents, claims
or cases where examination warrants such investigation,
or when requested by PRINCIPAL; such investigation to
include on -site investigation, photographs, interviewing
witnesses, determination of losses, and other such
investigative services necessary to determine liability
and losses but not to include extraordinary professional
services as set forth in Paragraph 2 -B herein.
(3) CONTRACTOR shall provide the herein - described services
on a 24 -hour, seven day -a -week basis, to receive telephone
reports of any incident or accident which may be the
subject of a liability claim, and shall provide immediate
investigation services, if the incident or accident so
requires, to the extent necessary to provide a complete
investigation.
B. Allocated Expenses are all reasonable and supportive extraordinary
services where expert and professional assistance is required,
such as professional photography, independent medical examinations,
professional engineering services and :laboratory services.
3. CLAIMS ADJUSTMENT SERVICES. CONTRACTOR shall provide complete
claims adjustment_services on each accident or incident which is or
may the subject of a liability claim against PRINCIPAL.
Such services shall include, but not be limited to:
A. The maintenance of a claim file on each potential or actual
claim reported to CONTRACTOR.
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B. Whenever its investigation results in a determination that
PRINCIPAL has sustained a-.liability to a third party, CONTRACTOR
shall process any such claim or potential claim for settlement
in accordance with PRINCIPAL'S instructions for settlement of
such claims.
C. Notification of PRINCIPAL'S primary and excess carriers of all
claims which exceed the PRINCIPAL'S self - insurance limit.
Retention and maintenance of liaison between the insurance
carriers and the PRINCIPAL on matters affecting the adjustment
of such claims.
D. Obtain all Release Agreements on settlement of any claim or
potential claim.
4. ADMINISTRATIVE SERVICES. CONTRACTOR shall provide at least the
following administrative services.
A. Assignment of a Principal Account Adjuster to PRINCIPAL to
provide liaison between PRINCIPAL and. CONTRACTOR.
B. Provide PRINCIPAL with tabulated Monthly Status Report on all
reported claims during the term of this Agreement, indicating
the status of each reported open claim assigned to CONTRACTOR,
the details of each such claim, the outstanding reserves for
each claim and details of all claim payments during the month.
The Status Report shall be delivered to PRINCIPAL within
twenty (20) days the close of each calendar month.
C. Periodically review and adjust reserves on all open claims.
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S. LEGAL SUPPORT SERVICES. CONTRACTOR shall provide at least the
following legal support services on each claim wherein the claimant
has commenced litigation.
A. Upon notification by PRINCIPAL that litigation has been filed
on an open claim, CONTRACTOR shall contact PRINCIPAL'S trial
attorney assigned to handle the case by PRINCIPAL and provide
such trial attorney with all information and files concerning
claim. •
B. Maintain liaison with PRINCIPAL'S trial attorney and provide
such investigation services as are required by such attorney
during pre -trial and trial stages.
C. Assist PRINCIPAL'S. trial attorney in answering any interrogatories
filed by the claimant.
D. Assist PRINCIPAL'S personnel in Small Claims actions filed
against PRINCIPAL on open claims handled by CONTRACTOR by
providing PRINCIPAL with (1) names of any witnesses to be
subpoenaed, (2) necessary evidence, and (3) assistance at the
trial, including appearance as a witness, if necessary.
6. PERIOD OF AGREEMENT. This Agreement is for a period of twelve
(12) months, commencing at 12:01 A.M., "TOO/ / 1941Y
and ending CAVAAr 30 , 19 fS.
7. CONSIDERATION.
A. PRINCIPAL hereby agrees to pay to CONTRACTOR and CONTRACTOR
hereby agrees to accept in full satisfaction for its services
provided hereunder, compensation in the following amounts:
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(1) CONTRACTOR shall be - !ompensated in the amount of •
$ 100.00 per month for its claims supervision and ,
other necessary administrative duties and the computerized
Monthly Status Reports.
(2) CONTRACTOR shall be compensated for its claims handling
services, other than those in subsection (1) above, at
• the rate of $ 26.00 Per hour. In'addition, CONTRACTOR
shall be reimbursed for its expenses, excluding expenses
incurred in the performance of subsection (1) above, and
including 35 cents per mile, $ 2.00 per print for
color photographs, typing at $3.50 per page, photocopy
expenses at 20 cents per page, telephone expenses at
4 percent of services, and office expense calculated
at $ 13.00 for file makeup plus 10 percent of
CONTRACTOR'S service charge.
(3) CONTRACTOR shall be reimbursed for the Allocated Expenses
as set forth under Paragraph 2 -B above. CONTRACTOR 511,111
order such services only after obtaining prior written
authorization from PRINCIPAL, except that such authorizatio)
may be given orally where such services are urgently requir(
8. TIME OF PAYMENT. Upon execution of this Agreement by both parties,.
PRINCIPAL shall remit to CONTRACTOR the sum of $ 300.00 as
payment for the first three (3) months of theCONTRACTOR'S services
hereunder, and will remit a payment of $ 300.00 for each following
three (3) months period by the first day of each such period.
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Payments shall be transmitted to CONTRACTOR at P. O. Box 116,
Glendale, California 91203.
A. If requested by PRINCIPAL, CONTRACTOR will interim bill all
charges incurred at the end of each quarter.
9. PRINCIPAL'S RESPONSIBILITIES. PRINCIPAL shall provide CONTRACTOR
with copies of all relevant documents upon request and without charge
and shall make available any PRINCIPAL' employee for interviews by
CONTRACTOR at reasonable times concerning any investigation of a
claim or incident pursuant to this agreement.
10. CONFLICT OF INTEREST. In the event a claim or incident is reported
to CONTRACTOR by PRINCIPAL and it is determined that the actual or
potential claimants therein are also clients of CONTRACTOR, then
CONTRACTOR shall immediately notify PRINCIPAL of such potential
conflict of interest. if PRINCIPAL elects to have an independent
investigator and adjuster, CONTRACTOR shall provide such an
investigator and adjuster.
11, CANCELLATION OF AGREEMENT. The Agreement may be terminated by
PRINCIPAL with or without cause upon giving CONTRACTOR written notice
at least thirty (30) days prior to the date of termination. In case
of termination by PRINCIPAL a prorata adjustment will be made on any
sum paid under Section 8 of this Agreement.
12. DISPOSITION OF FILES ON TERMINATION OF AGREEMENT.
A. All files on each claim shall be the property of PRINCIPAL.
B. In the event of expiration of the Agreement, and non - renewal
thereof, CONTRACTOR shall bill PRINCIPAL, subject to the rates
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quoted in Provision 7 -A hereinabove, for work completed by
CONTRACTOR on each claim, and also promptly forward all
completed and pending claim files to PRINCIPAL.
C. In the event of cancellation of this Agreement by PRINCIPAL,
CONTRACTOR shall return all files to PRINCIPAL, unless PRINCIPAL
requests CONTRACTOR to continue to process any files., in which
event CONTRACTOR shall continue to process such files on a
time - and - expense basis as are provided in the CONTRACTOR'S Rate
Manual at the time such services are rendered.
13. HOLD HARMLESS.
A. PRINCIPAL agrees to defend any legal action commenced against
CONTRACTOR caused directly or indirectly by the wrongful or
negligent acts of PRINCIPAL'S officers, employees, agents or
others engaged by PRINCIPAL; and indemnify CONTRACTOR against
any liability, loss, cost or damage including attorneys' fees
resulting therefrom
B. CONTRACTOR agrees to defend any legal action commenced against
PRINCIPAL caused directly or indirectly by the wrongful or
negligent acts of the CONTRACTOR, employees, agents or others
engaged by CONTRACTOR and to indemnify PRINCIPAL against any
liability, loss, cost or damage including attorneys' fees
resulting therefrom.
14. INSURANCE
In order to secure CONTRACTOR'S. obligation to hold harmless and
and indemnify the CITY, CONTRACTOR shall procure and maintain
the following insurance:
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A. Workers' Compensation Insurance as prescribed by the
laws of the State of California.
B. Comprehensive Automobile Bodily Injury Liability and
Property Damage Liability Insurance with limits of
Three Hundred Thousand Dollars ($300,000.00) for bodily
injury or death of any one person, Five Hundred Thousand
Dollars ($500,000.00) for bodily injury or death of two
or more persons in any one accident, and One Hundred
Thousand Dollars ($100,000.00) for property damage in
any one accident.
C. Comprehensive General Bodily Injury Liability and
Property Damage Liability Insurance, with limits of
Five Hundred Thousand Dollars ($500,000.00) for bodily
injury or death of two or more persons in any one
accident, and One Hundred Thousand Dollars ($100,000.00)
for property damage in any one accident.
D. Errors and Omissions Insurance in a minimum amount of
One Million Dollars ($1,000,000.00).
CONTRACTOR shall furnish CITY a Certificate of Insurance
evidencing such coverage and an endorsement to said policies
referred to in 14.B and 14.C, hereof, naming CITY, its officers,
agents and employees as an additional insured and providing a
forty -five (45) day written notice of cancellation or termination.
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IN WITNESS WHEREOF, the parties hereto have caused these present
to be signed by their duly authorized officers as of the day and year
first above written.
By: j/
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ATTEST:
J
CARL WARREN AND COMPANY
A California Corporation
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By: a r'�. °"`. Vat_
o. 7
Certificate of Insuranc
m on" THIS CERTIFICATE IS ISSUED A MATTER OF INFORMATION ONLY AND CONFERS N RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
NAME AND ADDRESS OF AGENCY
Ashbrook - Clevidence, Inc.
COMPANIES AFFORDING COVERAGES
One Wilshire Bldg., #202 COMPANY
Los Angeles, CA 90017 LETTER A Federal Insurance Company
213/624 -4023 COMPANY B
LETTER
NAME AND ADDRESS OF INSURED
COMPANY C
Carl Warren & Co. LETTER
P. 0. Box 116 - COMPANY D
Glendale, CA 91209 LETTER
COMPANY E
i LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. 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.
COMPANY TYPE OF POLICY NUMBER POLICY Limits of Liability in Thousands (000)
LETTER EXPIRATION DATE OCCURRENCE AGGREGATE
. GENERAL LIABILITY
' BODILY INJURY $ $
❑ COMPREHENSIVE FORM .
❑ PREMISES - OPERATIONS PROPERTY DAMAGE $ - $
❑ EXPLOSION AND COLLAPSE
HAZARD
❑ UNDERGROUND HAZARD .
❑ PRODUCTS /COMPLETED
OPERATIONS HAZARD BODILY INJURY AND
❑ CONTRACTUAL INSURANCE PROPERTY DAMAGE $ $
❑ BROAD FORM PROPERTY COMBINED
DAMAGE
❑ INDEPENDENT CONTRACTORS
❑ PERSONAL INJURY
PERSONAL INJURY $
AUTOMOBILE LIABILITY BODILY INJURY $
(EACH PERSON)
❑ COMPREHENSIVE FORM BODILY INJURY $
❑ OWNED (EACH ACCIDENT)
❑ HIRED PROPERTY DAMAGE $
❑ NON -OWNED BODILY INJURY AND
PROPERTY DAMAGE $
COMBINED
EXCESS LIABILITY
A fl }}��.. o o BODILY INJURY AND
UMBRELLA FORM (85) 7961 -13 -29 4/15/85 PROPERTY DAMAGE $ 5,000 $5,000
❑ OTHER THAN UMBRELLA COMBINED
FORM
WORKERS' COMPENSATION STATUTORY
and
EMPLOYERS' LIABILITY $
atio n omN
OTHER
I
DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES
I
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing corn-
,
pany will endeavor to mail 95_ days written notice to the below named certificate holder, but failure to
I mail such notice shall impose no obligation or liability of any kind upon the company.
1
I NAME AND ADDRESS OF CERTIFICATE HOLDER:
City of Seal Beach DATE ISSUED: _all
ly 11 1984
i1 211 Eighth Street �' •
Seal Beach, CA 90740 / / //
Att: Daniel P. Joseph, ' - •1TR R
1 Asst. City Manager
I Ashbrook - Clevidence, Inc.
ACORD 25 (1 -79) '
I
, SET TAB STOPS AT ARROWS
0 r • • • • • • r
Certificate of Insuranc
Ccord THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS N RIGHTS UPON THE CERTIFICATE HOLDER. '
I THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.
NAME AND ADDRESS OF AGENCY ,
COMPANIES AFFORDING COVERAGES
Ashbrook- Clevidence, Inc.
One Wilshire Building, #202 COMPANY A Aetna Casualty & Surety Co.
Los Angeles, CA 90017 .
213/624 4023 COMPANY B
. LETTER
NAME AND ADDRESS OF INSURED .
' COMPANY C '
LETTER
■
' Carl Warren & Co. .
• P. 0. Box 116 COMPANY D
Glendale, CA 91209 • LETTER
COMPANY E
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. 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.
.— POLICY TYPE OF POLICY NUMBER POLICY Limits of Liabili in Thousan.s rrr
LETTER EXPIRATION DATE EACH AGGREGATE
OCCURRENCE
NCE
' GENERAL LIABILITY
BODILY INJURY $ $
❑ COMPREHENSIVE FORM
❑ PREMISES — OPERATIONS PROPERTY DAMAGE $ $
❑ EXPLOSION AND COLLAPSE
HAZARD
❑ UNDERGROUND HAZARD
+ ❑ PRODUCTS /COMPLETED
OPERATIONS HAZARD BODILY INJURY AND
' ❑ CONTRACTUAL INSURANCE PROPERTY DAMAGE $ $
' ❑ BROAD FORM PROPERTY COMBINED
DAMAGE
• ❑ INDEPENDENT CONTRACTORS
' ❑ PERSONAL INJURY
PERSONAL INJURY $
' AUTOMOBILE LIABILITY BODILY INJURY $
(EACH PERSON)
❑ COMPREHENSIVE FORM BODILY INJURY $
❑ OWNED (EACH ACCIDENT)
•
■
❑ HIRED PROPERTY DAMAGE $
❑ NON -OWNED BODILY INJURY AND
• PROPERTY DAMAGE $ •
' COMBINED
EXCESS LIABILITY
BODILY INJURY AND
❑ UMBRELLA FORM $ $
PROPERTY DAMAGE
❑ OTHER THAN UMBRELLA COMBINED
FORM
_ _ WORKERS' COMPENSATION STATUTORY _
and 83 CK 956742 CPA 1/1/85 1 / 85
EMPLOYERS' LIABILITY $ 10
/ (EACH ACCIDENT)
■ OTHER •
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DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail _3D_ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
• NAME AND ADDRESS OF CERTIFICATE HOLDER:
City of Seal Beach DATE ISSUED: :
C
211 Eighth Street
Seal Beach, CA 90740 _ / lie if
1 Att: Daniel P. Joseph_. r A •ORIZED REPRESENTATI I
Asst. City Manager Ashbrook– Clevidence, Inc.
ACORD 25 (1 -79)