HomeMy WebLinkAbout1996-05-14; City Council; 13654; AGREEMENT TO PROVIDE AMBULANCE BILLING SERVICESTpF m 0
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AGREEMENT TO PROVIDE AMBULANCE
BILLING SERVICES DEPT: FIN
RECOMMENDED ACTION:
Adopt Resolution No. 9 ki - / '9v authorizing the Mayor to execute a contract wit1
Wittman Enterprises to provide ambulance billing services.
ITEM EXPLANATION:
Background - Firefightedparamedics in the Fire department provide necessaq
emergency ambulance services to City of Carlsbad residents, visitors and businesses. Ir
fiscal year 1994-95, Fire department paramedics transported approximately 1,50C
patients and through March 31, the department has served almost 1,250 citizens thi:
fiscal year. Patients are transported to Tri-City Medical Center in Oceanside or Scripp:
Hospital in Encinitas. Trauma patients are normally taken to Scripps Hospital in LE
The Finance department has previously provided billing services for ambulanct
transport. In fiscal year 1994-95, patients were billed $600,000 for ambulance services,
with $3 50,000 collected. Ambulance billing and collection services is accomplished by
Finance clerical personnel whose duties also include cashiering, providing business
license information, billing and collection for other City receivables, and receptionist
No private insurance billing is performed by the Finance department; only Medicare,
Secure Horizons, and Medical are billed directly by the City. Medicare patients
comprise about 50% of those transported, and almost all Medicare patients are residents
of Carlsbad. Beginning in 1996, the City accepted assignment from Medicare foI
ambulance services. This means that Medicare payments are paid directly to the City
and we agree to accept as payment in full the amount approved by Medicare.
Issues -
existing billing and collections process:
1) Customer service needs improvement - Patients expect ambulance services to be
expertise to perform this service. After receiving a bill for ambulance services, the
patient must forward it on to their insurance company. Insurance payments may be
made directly to the City or sent to the patient who would forward it to the City.
Additional billings and telephone calls ensue to explain this situation to patients or
responsible party. Staffing is not adequate to promptly respond to billing questions.
The Fire and Finance departments recognized several problems with the
billed directly to their insurance company and the Finance department does not have the
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PAGE TWO OF AGENDA BILL NO. /$, 6.5 ‘,
2) Slow pavment. low amounts collected, and lack of management reporting - Financc
collects approximately 60% of amounts billed for ambulance services and payments arc
received slowly. The ambulance billing program utilized by the Finance Departmen
was designed by Information Systems staff in 1988 as a data base program. It is no
adequate to process the almost 150 invoices each month, record payments, rebil
patients, and provide management reports. Invoicing is processed through the mai
instead of electronically billing insurance companies. With electronic billing tc
Medicare, Medical and insurance companies, payment is made within weeks rather tha
months.
3) Compliance with government regulations and laws - Regulations and othei
requirements associated with paramedic services and ambulance transport require i
thorough knowledge of the existing and changing environment. With current staffing
for ambulance billing and collections, it is difficult for Finance staff to keep up with tht
constant changes in governmental regulations, laws and pertinent information.
The Fire and Finance departments met to discuss these and other issues associated wit1
billing and collection of emergency ambulance transport. Mer investigating the merit!
of hrnishing the service internally versus outsourcing, the team distributed a request fo
proposal to provide ambulance billing service to the City.
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Selection process and recommended consultant - In January 1996, a request fo
proposal was sent to seven vendors, with four proposals received by the City.
Proposals were rated on qualifications and experience, adequacy of billing services,
management reporting, and cost. Wittman Enterprises was the unanimous choice of the
joint FireFinance selection team. Wittman clients are located throughout the state, and
local agencies include Ramona and El Cajon. Twenty-five agencies providing ambulance
services utilize Wittman Enterprises billing and collection service. References from
Wittman’s list of clients have been universally positive. In March, remaining staff issue!
were resolved by meeting with Wittman Enterprises principals.
Benefits - Staff expects the City to achieve many benefits by outsourcing ambulancc
billing and collections to Wittman Enterprises, including improved customer service
faster and greater collections, and improved management reporting. Customer servict
will be improved with Wittman Enterprises. The company provides nationwide toll-fret
telephone number access and will be an extension of City service to ambulance patients
requiring information. The Finance department will have computer access to Wittman’s
data bank to also answer patient queries.
Multilingual billing representatives will be available to patients and other parties
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PAGE THREE OF AGENDA BILL NO. ’3 b 5 y
Private insurance companies, secondary carriers, and government agencies paying foi
medical services will be billed directly by Wittman. Patients will be billed after thesc
collection efforts are complete. Wittman also acts as a patient advocate and wil
intercede with insurance companies on behalf of patients. Because of the firm’:
extensive knowledge and experience with ambulance billing, Wittman will be able tc
maximize amounts paid by private insurance companies and governmental payers foi
services rendered to patients,
The firm will obtain quicker payments by utilizing electronic data transfer of billings tc
private insurance companies and governmental payers. For example, Medicare will pa3
in two weeks instead of two months. Greater collections are expected througl
consistent follow up on unpaid accounts and direct billing to insurance companies.
Standard management reports and ad hoc reports on requested information will bc
available to the Fire and Finance departments. The reports will assist both department!
in analyzing staffing requirements, supplies utilized, billing and collection information.
FISCAL IMPACT:
Outsourcing ambulance billing and collections will allow the City to quickly collec
payment at a relatively low cost. The contracted rate with Wittman Enterprises is 5.7%
of net collections. Wittman’s average collection rate for its other clients is 79% o
amounts billed. Through expert billing, processing and collections, amounts received by
The City for ambulance services are expected to increase significantly. Annual receipts
for ambulance transport are estimated to rise to $475,000, from the current $350,000,
at a cost to the City of $27,000 each year. The cost of the ambulance billing service
will be included in the General Fund 1996-97 Operating budget with a corresponding
increase in revenues. For the remainder of fiscal year 1995-96, the cost of the billing
service is estimated to be $5,000 which will be absorbed in the current budget.
Revenues are expected to rise in excess of the cost of the contracted services, so there
will be an annual net benefit to the City.
EXHIBITS:
1. Resolution No. 9b -1 ’1 Y
Wittman Enterprises to provide ambulance billing services.
2. Agreement for ambulance billing service with Wittman Enterprises.
, authorizing the Mayor to execute a contract wit1
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RESOLUTIONNO. 96 174
RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF CARLSBAD, CALIFORNIA, AUTHORIZING
THE MAYOR TO EXECUTE A CONTRACT WITH
WITTMAN ENTERPRISES TO PROVIDE AMBULANCE
BJLLING SERVICES
WHEREAS, it is desirous to contract with an ambulance billing
service to invoice fees to members of the public for emergency ambulance
billing transport service; and
WHEREAS, proposals fiom ambulance billing providers were
solicited and evaluated by staff and Wittman Enterprises was determined tc
best meet the needs of the City; and
WHEREAS, the cost of contracting for ambulance billing servicc
is expected to. be offset by the increase in total receipts,
NOW, THEREFORE, BE IT RESOLVED by the City Council c
the City of Carlsbad, California, as follows:
I. That the above recitations are true and correct.
2. That the Mayor of the City of Carlsbad is authorized to sign the
contract between the City of Carlsbad and Wittman Enterprises for
ambulance billing services.
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3. That the fees and compensation for such services shall not exceed
5.7% of net amounts collected by Wittman Enterprises for City of Carlsba
emergency ambulance transport.
PASSED, APPROVED AND ADOPTED at a regular meeting of the City
Council heldonthe 14th day of MAY , 1996, by the following
vote, to wit:
AYES:
NOES: None
ABSENT: None
Council Members Lewis, Nygaard, Kulchin, Finnila, Hall
ATTEST:
A1,ETHA L. (SEAL)
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AGREEMENT
THIS AGREEMENT, made and entered into as of the 20th day
MAY , I9 96, by and between the CITY OF CARLSBAD, a municii
corporation, hereinafter referred to as "City", and Wittman Enterprises, a s
proprietorship, hereinafter referred to as "Contractor."
RECITALS
City requires the services of a Billing and Collection Contractor to provide t
necessary consulting services for preparation of invoices for emergency ambulan
transport, to be sent to private insurance companies, government agencies, a
patients; delinquent claim handling; receipts processing; and monthly reports; a
Contractor possesses the necessary skills and qualifications to provide the servic
required by the City;
NOW, THEREFORE, in consideration of these recitals and the mutual covenar
contained herein, City and Contractor agree as follows:
1. CONTRACTORS OBLIGATIONS
Contractor will provide all forms and supplies necessary to administer billing
emergency ambulance transport and will maintain duplicate copies. Billings will be irl
self-contained envelope, sealed and mailed, postage prepaid from Contractor's officc
Initial invoicing with both English and Spanish instructions will be on 8x1 1 inch paper
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and will be placed in an envelope, sealed and mailed, postage prepaid. Initial invoici
will occur within two (2) days of receipt of ambulance transport tickets. Contractor ’
provide a toll free 800 telephone number to patients.
A. Medicare, Medi-Gal, Medi-Medi - Contractor will prepare all invoices a
electronically convey to Medicare and Medi-Cal fiscal intermediaries. Contractor \
transfer all secondary and coinsurance billing to the appropriate secondary pay sour
and promptly bill that source.
B. Worker’s Compensation and Private Insurance - Contractor will bill priva
insurance, supplemental insurance, secondary insurance, and worker‘s compensatic
according to specific requirements. Any correspondence for additional information
fOllOW-Up necessary to secure insurance payments will be performed by Contractor.
C. Private Billing - Contractor will issue billings for private patients accordin!
to the following schedule: Initial Invoice within 2 days; statement after 30 days; past dl
after additional 20 days; and final demand after additional 10 days.
D. Delinquent Claim Handling - Contractor will contact patients with claims
aging over 45 days by telephone for payment arrangements. Contractor will continu
telephone follow-up until payment in full is received or account is dismissed by City 1
an outside collection agency. Contractor will utilize installment billing in cases (
financial hardship as allowed by City.
E. Receipts Processing - Contractor will receive direct payment and will post
and deposit cash receipts within one (1) day of receipt.
F. Reports - Monthly reports detailing deposits, adjustments, refunds and
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balances will be faxed to the City within three (3) working days of month-en(
Contractor will provide the following reports within ten (IO) days of month-end: mont
ticket survey, monthly sales journal, monthly cash receipts journal, monthly receivab
aging, management accounts receivable analysis, and additional statistical reports
requested by City.
G. Source Documents - Contractor will retain all source documents for six (
years. All source documents are returned to City upon termination of contract.
2. CITY OBLIGATIONS
The City shall:
A. Provide the proper documentation necessary to prepare claims and rez
final adjudication. Forward to Contractor all necessary information relating to patit
transports, services, payments, and patient eligibility. Submit necessary transp
information, including pay source information and patient condition, to Contractor .
billing purposes.
B. Obtain patient signature or patient representative signature on trip ticke
or indicate why unable to obtain signature.
C. Provide any correspondence from the fiscal intermediaries, insuranc
attorneys, patients in order to perform proper follow up of outstanding billings a
proper posting and tracking of accounts receivables.
D. Notify Contractor of any accounts that require special attention.
3. PROGRESS AND COMPLETION
The work under this contract will begin within ten (IO) days after receipt
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notification to proceed by the City. Extension of time deadlines for monthly activity n-
be granted if requested by the Contractor and agreed to in writing by the Finar
Director. The Finance Director will give allowance for documented and substantial
unforeseeable and unavoidable delays not caused by a lack of foresight on the pad
the Contractor, or delays caused by City inaction or other agencies' lack of tim
action.
4. FEES TO BE PAID TO CONTRACTOR
The total fee payable for the services to be performed shall be 5.7% of collect
revenue, less refunds or adjustments. Contractor guarantees fee will not increase
two (2) years. Contractor and Finance Director will negotiate for fee increase for yc
three (3) of contract. A decrease to the fee may be negotiated by the Contractor a
Finance Director at any time if appropriate. No other compensation for services will
allowed except those items covered by supplemental agreements per Paragraph
"Changes in Work."
5. DURATION OF CONTRACT
This agreement shall extend for a period of three (3) years from date therec
The contract may be extended by the City Manager for two (2) additional one (I) YE
periods or parts thereof, based upon a review of satisfactory performance and the Cit
needs. The parties shall prepare extensions in writing indicating effective date a
length of the extended contract.
6. PAYMENT OF FEES
Payment of approved items on the invoice shall be mailed to the Contractor pi
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to the 30th day of the month the invoice was submitted.
7. FINAL SUBMISSIONS
Contractor shall deliver to the City reports as described in Paragraph
“Contract o r‘ s 0 b I i g at i o n s ” , Pa rag rap h F , ”Reports ” .
8. CHANGES IN WORK
If, in the course of the contract, changes seem merited by the Contractor or tl
City, and informal consultations with the other party indicate that a change in tl
conditions of the contract is warranted, the Contractor or the City may request a chang
in contract. Such changes shall be processed by the City in the following manner:
letter outlining the required changes shall be forwarded to the City by Contractor
inform them of the proposed changes along with a statement of estimated changes
charges or time schedule. A Standard Amendment to Agreement shall be prepared t
the City and approved by the City according to the procedures described in Carlsba
Municipal Code Section 3.28.172. Such Amendment to Agreement shall not rend(
ineffective or invalidate unaffected portions of the agreement.
9. COVENANTS AGAINST CONTINGENT FEES
The Contractor warrants that their firm has not employed or retained an
company or person, other than a bona fide employee working for the Contractor, t
solicit or secure this agreement, and that Contractor has not paid or agreed to pay an
company or person, other than a bona fide employee, any fee, commissior
percentage, brokerage fee, gift, or any other consideration contingent upon, or resultin
from, the award or making of this agreement. For breach or violation of this warranty
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the City shall have the right to annul this agreement without liability, or, in its discretic
to deduct from the agreement price or consideration, or otherwise recover, the '
amount of such fee, commission, percentage, brokerage fees, gift, or contingent fee.
IO. NONDISCRIMINATION CLAUSE
The Contractor shall comply with the state and federal laws regard
nondiscrimination.
11. TERMINATION OF CONTRACT
In the event of the Contractor's failure to prosecute, deliver, or perform the w(
as provided for in this contract, the City Manager may terminate this contract
nonperformance by notifying the Contractor by certified mail of the termination of t
contractor. The Contractor, thereupon, has five (5) working days to deliver s:
documents owned by the City and all work in progress to the Finance Director. T
Finance Director shall make a determination of fact based upon the documei
delivered to City of the percentage of work which the Contractor has performed whicl-
usable and of worth to the City in having the contract completed. Based upon tl
finding as reported to the City Manager, the Manager shall determine the final paymc
of the contract.
This agreement may be terminated by either party upon tendering thirty (f
days written notice to the other party. In the event of such suspension or terminatic
upon request of the City, the Contractor shall assemble the work product and put sar
in order for proper filing and closing and deliver said product to City. In the event
termination, the Contractor shall be paid for work performed to the termination da
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however, the total shall not exceed the fee payable under paragraph 4. The C
Manager shall make the final determination as to the portions of tasks completed a
the compensation to be made.
12. DISPUTES
If a dispute should arise regarding the performance of work under tl
agreement, the following procedure shall be used to resolve any question of fact
interpretation not otherwise settled by agreement between parties. Such questions
they become identified as a part of a dispute among persons operating under t
provisions of this contract, shall be reduced to writing by the principal of the Contrac
or the City Finance Director. A copy of such documented dispute shall be forwarded
both parties involved along with recommended methods of resolution which would be
benefit to both parties. The City Finance Director or principal receiving the letter SI-
reply to the letter along with a recommended method of resolution within ten (IO) da3
If the resolution thus obtained is unsatisfactory to the aggrieved party, a letter outlini
the dispute shall be forwarded to the City Council for their resolution through the Off
of the City Manager. The City Council may then opt to consider the directed solution
the problem. In such cases, the action of the City Council shall be binding upon 1
parties involved, although nothing in this procedure shall prohibit the parties seek
remedies available to them at law.
13. CLAIMS AND LAWSUITS
The Contractor agrees that any contract claim submitted to the City must
asserted as part of the contract process as set forth in this agreement and not
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anticipation of litigation or in conjunction with litigation. The Contractor acknowledg
that if a false claim is submitted to the City, it may be considered fraud and t
Contractor may be subject to criminal prosecution. The Contractor acknowledges tt
California Government Code sections 12650 et seq., the False Claims Act, provides 1
civil penalties where a person knowingly submits a false claim to a public entity. The
provisions include false claims made with deliberate ignorance of the false informati
or in reckless disregard of the truth or falsity of information. If the City of Carlsbad see
to recover penalties pursuant to the False Claims Act, it is entitled to recover
litigation costs, including attorney's fees. The Contractor acknowledges that the filing
a false claim may subject the Contractor to an administrative debarment proceedit
wherein the Contractor may be prevented to act as a Contractor on any public work
improvement for a period of up to five years. The Contractor acknowledges debarme
by another jurisdiction is grounds for the City of Carlsbad to disqualify the contract1
from the selection process. p Tf(Initia1)
The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.02
3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference
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14. STATUS OF THE CONTRACTOR
The Contractor shall perform the services provided for herein in Contractor's oh
way as an independent contractor and in pursuit of Contractor's independent callin!
and not as an employee of the City. Contractor shall be under control of the City on
as to the result to be accomplished, but shall consult with the City as provided for in th
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request for proposal. The persons used by the Contractor to provide services under tl
agreement shall not be considered employees of the City for any purposes whatsoevc
The Contractor is an independent contractor of the City. The payment made
the Contractor pursuant to the contract shall be the full and complete compensation
which the Contractor is entitled. The City shall not make any federal or state '
withholdings on behalf of the Contractor or hidher employees or subcontractors. 1
City shall not be required to pay any workers' compensation insurance
unemployment contributions on behalf of the Contractor or hidher employees
subcontractors. The Contractor agrees to indemnify the City within 30 days for any t
retirement contribution, social security, overtime payment, unemployment payment
workers' compensation payment which the City may be required to make on behall
the Contractor or any employee or subcontractor of the Contractor for work done unc
this agreement or such indemnification amount may be deducted by the City from E
balance owing to the Contractor.
The Contractor shall be aware of the requirements of the Immigration Refc
and Control Act of 1986 and shall comply with those requirements, including, but
limited to, verifying the eligibility for employment of all agents, employe
subcontractors and Consultants that are included in this agreement.
15. CONFORMITY TO LEGAL REQUIREMENTS
The Contractor shall cause all drawings and specifications to conform to
applicable requirements of law: federal, state and local. Contractor shall provide
necessary supporting documents, to be filed with any agencies whose approva
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necessary .
Contractor agrees to allow City or its representative to monitor, audit, review, a
examine the methods, procedures, and results of billing and collection methods used.
16. OWNERSHIP OF DOCUMENTS
All plans, studies, sketches, drawings, reports, and specifications as her4
required are the property of the City, whether the work for which they are made
executed or not. In the event this contract is terminated, all documents, plai
specifications, drawings, reports, and studies shall be delivered forthwith to the Cit
Contractor shall have the right to make one (1) copy of the plans for hisher records.
17. REPRODUCTION RIGHTS
The Contractor agrees that all copyrights which arise from creation of the w[
pursuant to this contract shall be vested in City and hereby agrees to relinquish
claims to such copyrights in favor of City.
18. HOLD HARMLESS AGREEMENT
Contractor agrees to indemnify and hold harmless the City of Carlsbad and
officers, officials, employees and volunteers from and against all claims, damag
losses and expenses including attorney fees arising out of the performance of the w
described herein caused in whole or in part by any willful misconduct or negligent ac
omission of the contractor, any subcontractor, anyone directly or indirectly employed
any of them or anyone for whose acts any of them may be liable, except where caul
by the active negligence, sole negligence, or willful misconduct of the City of Carlsba
Contractor shall at his own expense, upon written request by the City, deft
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any such suit or action brought against the City, its officers, officials, employees a
volunteers. Contractor's indemnification of City shall not be limited by any prior
subsequent declaration by the contractor.
19. ASSIGNMENT OF CONTRACT
The Contractor shall not assign this contract or any part thereof or any moni
due thereunder without the prior written consent of the City.
20. SUBCONTRACTING
If the Contractor shall subcontract any of the work to be performed under t
contract by the Contractor, Contractor shall be fully responsible to the City for the ai
and omissions of Contractor's subcontractor and of the persons either directly
indirectly employed by the subcontractor, as Contractor is for the acts and omissions
persons directly employed by Contractor. Nothing contained in this contract sh
create any contractual relationship between any subcontractor of Contractor and t
City. The Contractor shall bind every subcontractor and every subcontractor of
subcontractor by the terms of this contract applicable to Contractor's work unle
specifically noted to the contrary in the subcontract in question approved in writing I
the City.
21. PROHIBITED INTEREST
No official of the City who is authorized in such capacity on behalf of the City
negotiate, make, accept, or approve, or take part in negotiating, making, accepting,
approving of this agreement, shall become directly or indirectly interested personally
this contract or in any part thereof. No officer or employee of the City who is authorizf
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in such capacity and on behalf of the City to exercise any executive, supervisory,
similar functions in connection with the performance of this contract shall becor
directly or indirectly interested personally in this contract or any part thereof.
22. VERBAL AGREEMENT OR CONVERSATION
No verbal agreement or conversation with any officer, agent, or employee of tl
City, either before, during or after the execution of this contract, shall affect or mod
any of the terms or obligations herein contained nor entitle the Contractor to a
additional payment whatsoever under the terms of this contract.
23. SUCCESSORS OR ASSIGNS
Subject to the provisions of Paragraph 18, "Hold Harmless Agreement,"
terms, conditions, and provisions hereof shall inure to and shall bind each of the partic
hereto, and each of their respective heirs, executors, administrators, successors, ai
assigns.
24. EFFECTIVE DATE
. This agreement shall be effective on and from the day and year first writtc
above.
25. CONFLICT OF INTEREST
The City has determined, using the guidelines of the Political Reform Act and th
City's conflict of interest code, that the Contractor will not be required to file a conflict (
interest statement as a requirement of this agreement. However, Contractor heret
acknowledges that Contractor has the legal responsibility for complying with tl-
Political Reform Act and nothing in this agreement releases Contractor from thi
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responsibility.
26. fNSURANCE
Contractor shall obtain and maintain for the duration of the contract and any a
all amendments insurance against claims for injuries to persons or damage to prope
which may arise out of or in connection with performance of the work hereunder by 1
contractor, his agents, representatives, employees or subcontractors. Said insuran
shall be obtained from an insurance carrier admitted and authorized to do business
the State of California. The insurance carrier is required to have a current Best's K
Rating of not less than "A-:V" and shall meet the City's policy for insurance as stated
Resolution No. 91 -403.
A. Coveraqes and Limits.
Contractor shall maintain the types of coverages and minimum limits
indicated herein, unless a lower amount is approved by the City Attorney or C
Manager:
1. Comprehensive General Liability Insurance. $1,000,000 combinc
single-limit per occurrence for bodily injury, personal injury and property damage. If t
submitted policies contain aggregate limits, general aggregate limits shall apy
separately to the work under this contract or the general aggregate shall be twice tl
required per occurrence limit.
2.
contractor's work for the City). $? ,000,000 combined single-limit per accident for bod
injury and property damage.
Automobile Liability (if the use of an automobile is involved for
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3. Workers' Compensation and Employer's Liability. Workers'
Compensation limits as required by the Labor Code of the State of California a
Employer's Liability limits of $1,000,000 per accident for bodily injury.
4. Professional Liability. Errors and omissions liability appropriate to
the contractor's profession with limits of not less than $250,000 per claim. Cover2
shall be maintained for a period of five years following the date of completion of t
work.
B. Additional Provisions.
Contractor shall ensure that the policies of insurance required under t
agreement contain, or are endorsed to contain, the following provisions.
1. The City shall be named as an additional insured on all policies
excluding Workers' Compensation and Professional Liability.
2. The contractor shall furnish certificates of insurance to the City
before commencement of work.
3. The contractor shall obtain occurrence coverage, excluding
Professional Liability which shall be written as claims-made coverage.
4. This insurance shall be in force during the life of the agreement a
any extension thereof and shall not be canceled without 30 days prior written notice
the City sent by certified mail.
5. If the contractor fails to maintain any of the insurance coverages
required herein, then the City will have the option to declare the contractor in breach,
may purchase replacement insurance or pay the premiums that are due on existi
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policies in order that the required coverages may be maintained. The contractor
responsible for any payments made by the City to obtain or maintain such insurani
and the City may collect the same from the contractor or deduct the amount paid fro
any sums due the contractor under this agreement.
IS
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27. RESPONSIBLE PARTIES
The name of the persons who are authorized to give written notices or to recei,
written notice on behalf of the City and on behalf of the Contractor in connection w
the foregoing are as follows:
For City: Title: Fin an ce Director
Name: Lisa Hildabrand
Address: 1200 Carlsbad Village Drive
Carlsbad, CA 92008
For Contractor: Title: Owner
Name: Dona Wittman
Address: 8611 Folsom Blvd, Suite G
Sacramento, CA 95826
28. BUSINESS LICENSE
Contractor shall obtain and maintain a City of Carlsbad Business License for t
duration of the contract.
29. ENTIRE AGREEMENT
This agreement, together with any other written document referred to
contemplated herein, embody the entire agreement and understanding between t
parties relating to the subject matter hereof. Neither this agreement nor any provisi
hereof may be amended, modified, waived or discharged except by an instrument
writing executed by the party against which enforcement of such amendment, waiver
discharge is sought.
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5 Executed by Contractor this 23 day of AP-'C. , 19-
CONTRACTOR:
Wittman Enterprises
,'-I . ,, / /+z+?:. d' ATTEST:
(print name/t i t le)
Dona Wittman, Owner odzi.&4. Q& (print namehit le) ALETHA L. RAUTENKRANZ City Clerk
(Proper notarial acknowledgment of execution by Contractor must be attached.)
(President or vice-president and secretary or assistant secretary must sign for corporations
only one officer signs, the corporation must attach a resolution certified by the secretary
assistant secretary under corporate seal empowering that officer to bind the corporation.)
APPROVED AS TO FORM:
RONALD R. BALL
City Attorney
BY JBeputy City Attorney
H:\Library\Finance\Wpdata\Cheryl\Wittrnan Ent Con
17
e . CALIFORNIA ALL-PURPO q E ACKNOWLEDGMENT
State of CALIFORNIA
County Of SACRAMENTO
On APRIL 23, 1996 before me, TAMMI WILLIAMS
personally appeared DONA WITTMAN
DATE NAME TITLE OF OFFICER E G JANE DOE NOTARY puecic
NAME(S) OF SIGNER(S)
0 personally known to me - OR - [?il proved to me on the basis of satisfactory evide
to be the person(s) whose name(s) is/
subscribed to the within instrument and
knowledged to me that he/she/they execL
the same in his/her/their authori,
capacity(ies), and that by his/her/tt
signature(s) on the instrument the persor
or the entity upon behalf of which
personts) acted, executed the instrumt
WITNESS my hand and official seal.
Though the data below IS not required by law, it may prove valuable to persons relying on the document and could pr
fraudulent reattachment of this form
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMEi
CORPORATE OFFICER CONTRACT
TITLE OR TYPE OF DOCUMENT TITLE(S)
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01993 NATIONAL NOTAfjY ASSOCIATION * 8236 Rcnirncl Avc P 0 Lhx 1184 * C.ir1ocj.i I) irk CP