HomeMy WebLinkAboutPR 11966:RISK MANAGEMENT SVS.CITY OF PORT ARTHUR
SAFETY & RISK MANAGEMENT
MEMORANDUM
TO:
FROM:
DATE:
SUBJECT:
Stephen B. Fitzgib _b~._., City Manager . ,.,~/,, .
Lisa Colten, Safety & RIsk Management Coordinator (~-, ~,...~
October 1, 2002
Resolution Approving the Renewal of RWL Group RIsk Management
COMMENT
RECOMMENDATION:
Service
I recommend approval of Proposed Resolution No. 11966 authorizing the renewal of.the City's contract
with RWL & Associates for Risk Management Consulting Services at the not-to-exceed cost of $18,000
for the 2002 - 2003 Fiscal Year. This represents a rollover of the existing contract with RWL &
Associates. The RWL Group houdy rate is $175.00 per hour.
It should be noted that the City only expended $5,374.25 on services from RWL dudng the 2001 - 2002
Fiscal Year.
BACKGROUND:
Mr. Lazarus' first risk management services contract with the City dates beck to 1983. Since that time Mr.
Lazarus and his staff have consistently provided all departments of the City with quality risk management
services. Some of the services provided by Mr. Lazarus and his staff include assisting with
claims/lawsuits wherein coverage is in dispute, preparing bid specifications for the City's liability, property
and casualty insurance lines, reviewing bids received and subsequently recommending the carrier to
provide insurance coverage, assisting with difficult worker's compensation claims, responding to
insurance questions from all City departments, etc.
BUDGETARY/FISCAL EFFECT:
The proposed funding is as follows:
General Liability Insurance Fund ....... 612-1702-581.52-00 ......$18,000.00
There was $18,000 appropriated in the 2002 - 20~3 Fiscal Budget for Risk Management Services.
STAFFING/EMPLOYEE EFFECT,:
No effect on staffing levels:
SUMMARY:
I recommend approval of Proposed Resolution No. 11966 authorizing the renewal of the City's contract
with RVVL & Associates for Risk Management Consulting Services at the not-to-exceed cost of $18,000
for the 2002 - 2003 Fiscal Year. This represents a rollover of the existing contract with RWL &
Associates..The RWL Group hourly rate is $175.00 per hour.
"REMEMBER, WE ARE HERE TO SERVE THE CITIZENS OF PORT ARTHUR"
P.R. No. 11966
10/1102 LJC
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE CITY MANAGER TO ENTER INTO A
CONTRACT WITH RWL & ASSOCIATES FOR RISK MANAGEMENT CONSULTING
SERVICES AT THE NOT TO EXCEED COST OF $18,000
FOR THE 2002 - 2003 FISCAL YEAR
FUNDING BY:
General Liability Insurance Fund
612-1702-581.52-00
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR:
THAT the City Manager of the City of Port Arthur, Texas is hereby authorized to
enter into a contract for risk management consulting services with RWL & Associates for
the 2002-2003 fiscal year, in accordance with the attached contract describing services
made part hereof as Exhibit "A"; and,
THAT said contract is an exact duplicate of a City Standard Form Contract except
for the changes described in the Certificate of Standard Form Contract, a copy of which is
attached hereto as Exhibit "B" and is hereby incorporated by reference, and said changes
are hereby approved; and,
THAT the City Manager is hereby authorized to expend funds from General Fund
Reserves for said contract not to exceed the amount of Eighteen Thousand and no/100
Dollars ($18,000); and,
THAT a copy of the caption of this Resolution be spread upon the Minutes of the
City Council.
P.R. No. 11966
10/2/02 LJC
Page 2 of 2
READ, ADOPTED, AND APPROVED this day of , A.D., 2002, at a
Meeting of the City Council of the City of Port Arthur, Texas, by the following
vote: AYES: Mayor , Councilmembers
NOES:
Oscar G. Ortiz, Mayor
A'Iq'EST:
City Secretary
APPROVED AS TO FORM:
City Attomey
APPROVED FOR AVAILABILITY Of FUNDS:
Director of Finance
APPROVED FOR ADMINISTRATION:
Stephen B. Fitzgibbons, City Manager
THE STATE OF TEXAS
COUNTY OF JEFFERSON
Exhibit "A"
CONTRACT
FOR PROFESSIONAL RISK MANAGEMENT SERVICES
THIS AGREEMENT, entered into as of this day of . , AD,
20__, by and between the City of Port Arthur, Port Arthur, Texas, (hereinafter called
the "CITY" or "OWNER") acting herein by its Mayor, duly authorized by Resolution of
the City Council, the City of Port Arthur and RWL GROUP (hereinafter called the
"CONSULTANT") acting herein by Robert W. Lazarus its President (Name and
Office or Position) hereunto duly authorized:
WITNESSETH THAT:
WHEREAS, the CITY desires to engage the CONSULTANT to (1) render
certain technical and professional services hereafter described in "Scope of
Services" or (2) perform certain work hereafter described in "Scope of Services":
NOW, THEREFORE, the parties hereto do mutually agree as follows:
1. Employment of CONSULTANT
The CITY hereby agrees to engage the CONSULTANT and the
CONSULTANT hereby agrees to perform the "Scope of Services" hereinafter set
forth.
Scope of Services
Consulting services shall be provided as follows:
BASIC SERVICES
I. Monitoring:
I1.
CONSULTANT will review all of the renewal
property and casualty insurance coverage for compliance with
CITY's specifications and will provide a written description of any
discrepancies.
Risk Management Administration: CONSULTANT will provide
technical assistance to the CITY for the purpose of developing,
implementing and monitoring an appropriate risk management
administrative plan. Services to include:
a. Communication of underwriting
financial, statistical, insurance,
bo
claims, loss control,
exposure, and other
information to appropriate internal and external persons
and organizations.
Assist CITY in preparing administrative controls and
monitoring of claims, loss control, insurance purchasing,
subrogation, contractual risk transfer, purchases of self-
insurance and related services from .extemal providers,
(i.e. claims, loss control, statistical, etc.)
Assist CITY in formulating record keeping practices that
impact upon such things as claims, losses, premiums,
expenses, coverage, certificates of insurance, and loss
control activities, etc.
Assist CITY in developing forms and formats to be
considered for information storage and management.
Assist CITY in developing and advising on important
administrative functions pertaining to internal cost
allocation, budgeting, self-insurance decisions, self-
II1.
insurance funding and accounting, agent selection,
insurance purchasing, utilization of extemat services
provided by carriers and agents, as well as other related
services purchased from extemal sources, plus
effectiveness of using internal resources in conjunction
with risk management programs ncc. ds, etc.
f. Assist in developing organizational policies and
procedures, plus staff and resource considerations relative
to establishing a more effective and formal climate for
managing the dsk management function. This element will
include specific recommendations with respect to the
requisite management disciplines to be utilized by the
CITY in conjunction with the administration of its dsk
programs.
g. The CONSULTANT also agrees, at request of CITY, to
making office visits and prepare reports pertaining to these
visits to accomplish tasks identified in (a) through (f).
Preparation of Insurance Specifications and Evaluations of Bid
Proposals. CONSULTANT agrees to rebid any insurance
coverage deemed necessary by CITY Management; provided,
however, that the parties intend that specifications be written only
once for any line of i~surance; in the event that it is necessary to
rebid a particular line, the parties shall agree in writing to an
additional fee, which shall not exceed $175 per hour, to the extent
that the CONSULTANT's time exceeds the maximum allowance
provided in the contract for preparation of bid specifications. In
connection with the evaluation of bid proposals, CONSULTANT
agrees to provide a recommendation for City Council
consideration.
IV. Compensation: Consultant's compensation for Basic Services
shall be as set forth in Paragraph 5.
ADDITIONAL SERVICES
I. Description of Work: All work performed by CONSULTANT at
request of OWNER which is either described in this paragraph or
not included in the Basic Services defined above, shall constitute
Additional Services. These shall include:
a. Any work undertaken as an exper[ witness or in connection
with litigation or other controversies, such as preparation of
.' data and reports, waiting to testify, testifying in court or by
deposition, and consulting with OWNER or attorneys.
b. Preparation of any special reports not included in Basic
Services, applications for permits or grants, and
appearances before regulatory agencies.
c. Any revision of previously approved reports, data or
specifications.
d. All travel and subsistence to points other than
CONSULTANT's or OWNER's offices at OWNER's
request.
e. Making copies of final reports and other documents
provided under Basic Services in excess of five sets.
f. Providing any other service not otherwise included in this
Agreement or not customarily furnished in accordance with
the generally accepted consulting practice.
II. Compensation: Consultant's compensation for Additional
Services shall be as set forth in Paragraph 5.
3. Time of Performance
CONSULTANT will proceed immediately upon execution of this Contract with
performance of the services called for under the Basic Services. CONSULTANT
services shall be for a period of one (1) year, whereupon this Contract shall terminate
one (1) year from execution thereof.
4. Information and Services to be Furnished CONSULTANT
It is agreed that the CITY will furnish, without charge, for the use of the
CONSULTANT,., information, data, reports, records, and maps as are existing,
available, and necessary for the carrying out of the work of the CONSULTANT as
outlined under "Scope of Services." The CITY and its agencies will cooperate with
the CONSULTANT in every way possible to facilitate the performance of the work
described in this Contract.
Compensation and Method of Payment
CITY will pay CONSULTANT for work performed and services rendered as
follows:
A.
BASIC SERVICES
I. Monitoring: CONSL~LTANT shall be paid the sum of $2,000 for
performance of said services as outlined in Paragraph 2A-I.
II. For any visit to CITY in connection with items listed in
Paragraphs 2A-I, 2A-II, or 2A-III, CONSULTANT will be paid fiat
rate of $1,850 per visit, at request of OWNER, in lieu of $175 per
5
II1.
IV.
hour rote. Said fiat rate includes travel and related expenses,
and each visit contemplates 10 hours of consulting time.
Reports and retainer work performed under Paragraph 2A-II will
be paid at the rate of $175 per hour.
CONSULTANT shall bill CiTY at the rate of $175 per hour for
services rendered under Paragraph 2A-III; however, service fees
in connection with specifications and bidding shall not exceed
$5,500.00, except in connection with authorized travel per
Provision 5A-II.
ADDITIONAL SERVICES
I.
CONSULTANT shall bill CITY at the rate of $175 per hour for
services rendered under Paragraph B ~ Additional Services.
IT IS AGREED THAT TOTAL FEES FOR SERVICES UNDER
THIS CONTRACT, SHALL NOT EXCEED THE SUM OF
EIGHTEEN THOUSAND AND 00/100 ($18,000.00) DOLLARS,
nor shall the CONSULTANT be obligated to render services after
his combined travel time, office time, and expenses amount to
$18,000.00. Notwithstanding any other provisions in the within
Contract, the CITY does not guarantee the CONSULTANT
$18,000.00 unless he, in fact, accrues same in accordance with
the terms of the within Contract. This amount contemplates the
following: (a) under' (2A-1) $2,000 for monitoring services, (b)
under (2A-II) and (B) a maximum of 60 hours consulting time, and
(c) under (?.A-Ill) a maximum of $5,500 for all work in connection
with bid specifications preparation and evaluation, exclusive of
travel time and expenses. (However, this is not to be construed
as guaranteeing CONSULTANT 60 hours consulting time.) Fee
arrangements and consulting time may be changed if mutually
agreed to in writing.
PAYMENTS
CONSULTANT will invoice OVVNER every other month.
OVVNER agrees to promptly pay CONSULTANT at his office in
Richardson, Texas, the full amount of each such invoice upon
receipt. A charge of 1% per month will be added to the unpaid
balance of invoices within 30 days after date of invoice.
6. Records
CONSULTANT shall keep accurate records, including time sheets and travel
vouchers, of all time and expenses allocated to performance of Contract work. Such
records shall be kept in the offices of the CONSULTANT for a pedod of not less than
five (5) years and shall be made available to the CITY for inspection and copying
upon reasonable request.
7. Ownership of Documents
All documents, reports, and specifications are property of OVVNER.
CONSULTANT may retain reproducible copies of same. The CONSULTANT shall,
at his own expense, purchase, maintain and keep in force insurance that will protect
against injury and/or damages which may adse out of or result from operations under
this contract, whether the operations I~ by himself or by any subcontractor or by
anyone directly or indirectly employed by any of them, or by anyone for whose acts
any of them may be liable, of the following types and limits [no insurance policy or
certificate of insurance required below shall contain any aggregate policy year limit
unless a specific dollar amount (or specific formula for determining a specific dollar
amount) aggregate policy year limit is expressly provided in the specification below
which covers the particular insurance policy or certificate of insurance.]
A. Standard Workers Compensation Insurance (with Waiver of
Subrogation in favor of the City of Port Arthur, its officers, agents, and
employees.)
B. Commercial General Liability occurrence type insurance ("XCU" and
products/completed operations coverage must be included, and the City
of Port Arthur, its officers, agents and employees must be named as an
additional Insured):
I. Bodily injury $500,000 single limit per occurrence or $500,000
each person/S500,000 per occurrence.
I1. ~' Property Damage $100,000 per occurrence.
III. Minimum aggregate policy year limit $1,000,000.
C. Commercial Automobile Liability Insurance (including owned, non-
owned and hired vehicles coverage.)
I. Minimum combined single limit of $500,000 per occurrence, for
bodily injury and property damage.
I1. If individual limits ara provided, minimum limits are $300,000 per
person, $500,000 per occurrence for bodily injury and $100,000
per occurrence for property damage.
D. Contractual Liability Insurance covering the indemnity provision of this
contract in the same amount and coverage as provided for Commercial
General Liability Policy, specifically referring to this Contract by date,
job number and location.
E. CONSULTANT also agrees to maintain Professional Liability Insurance
coverage of $100,000 minimum per occurrence/policy year aggregate
limit to cover claims against CONSULTANT for damages arising in the
course of, or as a result of, work performed under this Contract.
Coverage shall continue for a minimum of two (2) years after the
CONSULTANT's assignment under this Contract is completed.
Additional Professional Liability required is not required ..
8. CONSULTANT shall cause CONSULTANT's insurance company or insurance
agent to fill in all information required (including names of insurance agencies,
CONSULTANT and insurance companies, and policy numbers, effective dates and
expiration dates) and to date and sign and do all other things necessary to complete
and make into a valid certificate of insurance the CERTIFICATE OF INSURANCE
Form attached to and made a part of this Contract, and pertaining to the above listed
Items A, B, C, D, and E; and before commencing any of bhe work and within the time
otherwise specified, CONSULTANT shall file said completed Form with the Owner.
None of the provisions in said Form shall be altered or modified in any respect
except as herein expressly authorized. Said CERTIFICATE OF INSURANCE Form
contains a provision that coverages afforded under the policies will not be altered,
modified or cancelled unless at least f~een (15) days prior written notice has been
given to the Owner. CONSULTANT shall also file with the Owner valid
CERTIFICATE OF INSURANCE on like form covering all Subcontractors. Said
completed CERTIFICATE OF INSURANCE Form(s) shall in any event be filed with
Owner not more than ten (10) days after ~xecution of this Contract.
Deductible on policy for Professional Liability shall not excccd $5,000 unless
specifically approved by the Owner.
9
9. Professional Liability
CONSULTANT shall be responsible for the use and employment of
reasonable skill and care befitting the profession in the specifications and date
provided by CONSULTANT for the project covered by this Contract. Approval by
CITY shall not constitute nor be deemed a release or waiver of the responsibility and
liability of CONSULTANT for the accuracy and competency of such specifications
and data.
10. Indemnification
CONSULTANT shall comply with the requirements of all applicable laws, rules
and regulations in connection with the services of CONSULTANT and shall
exonerate, indemnify and hold harmless the CITY, its officers, agents and all
employees from any and all liability, loss or damage adsing out of noncompliance
with such laws, rules and regulations, without limitation. CONSULTANT shall
assume full responsibility for payments of Federal, State and Local taxes or
contributions imposed or required under the Social Security, Workers'
Compensation, and Income Tax Laws with respect to CONSULTANT's employees.
Further, CONSULTANT shall exonerate, indemnify and hold harmless the CITY, its
officers, agents and ali employees in connection with any of the work performed or to
be performed under this Contract by CONSULTANT or as a result of
CONSULTANT's failure to use and employ reasonable skill and care befrtting the
profession in accordance with Paragral~h 9 hereof. Further, CONSULTANT shall
exonerate, indemnify and hold harmless the CITY, its officers, agents, and all
employees from any and all liability, loss, damages, expenses or claims for
infringement of any copyright or patent arising out of the use of any plans, designs,
drawings, or specifications furnished by CONSULTANT in the performance of this
Contract.
lO
11. Address of Notices and Communications
OWNER:
City of Port Arthur
P.O. Box 1089
Port Arthur, Texas 77641
CONSULTANT:
RWL Group
300 N. Coit Road
Suite 810
Richardson, Texas 75080
All notices and communications under this Cor~'u-aCt shall
delivered to OWNER and CONSULTANT at the above addresses.
be mailed or
12. Captions
Each paragraph of this Contract has been supplied with a caption to serve only
as a guide to the contents. The caption does not control the meaning of any
paragraph or in any way determine its interpretation or application.
13. Successors and Assignments
The OWNER and the CONSULTANT each binds himseff and his successors,
executors, administrators, and assigns to the other party of this Contract and to the
successors, executors, administrators and assigns of such other party, in respect to
all covenants of this Contract. Except as above, neither the OWNER nor the
CONSULTANT shall assign, sublet or transfer his interest in this Contract without the
w~itten consent of the other. Nothing herein shall be construed as creating any
personal liability on the part of any officer or agent of any public body which may be a
party hereto.
14. Termination of Contract for Cause
If, through any cause, the CONSULTANT shall fail to fulfill in timely and proper
manner his obligations under this Contract, or if the CONSULTANT shall violate any
of the covenants, agreements, or stipulations of this Contract, the City shall
'thereupon have the right to terminate this Contract by giving written notice to the
CONSULTANT of such termination and specifying the effective date thereof, at least
five (5) days before the effective date of such termination. In such event, all finished
or unfinished documents, data and reports prepared by the CONSULTANT under this
Contract shall, at the option of the CITY, become its property and the CONSULTANT
shall be entitled to receive just and equitable compensation for any work satisfactorily
completed hereunder.
Notwithstanding the above, the CONSULTANT shall not be relieved of liability
to the CITY for damages sustained by the CITY by virtue of any breach of the
Contract by the CONSULTANT and the City may withhold any payments to the
CONSULTANT for the purpose of set-off until such time as the exact amount of
damages due the CITY from the CONSULTANT is determined.
15. Termination for Convenience of the City
The CITY may terminate this Contract at any time by giving at least thirty (30)
days notice in writing to the CONSULTANT. If the Contract is terminated by the
CITY as provided herein, the CONSULTANT will be paid for the time provided and
expenses incurred up to the termination ~iate. If this Contract is terminated due to the
fault of the CONSULTANT, Paragraph 14 hereof relative to termination shall apply.
16. Changes
The CITY may, from time to time, request changes in the scope of the services
of the CONSULTANT to be performed hereunder. Such changes, including any
increase or decrease in the amount of the CONSULTANT's compensation, which are
mutually agreed upon by and between the CITY and CONSULTANT, shall be
incorporated in written amendments to this Contract.
'17.
Personnel
A. The CONSULTANT represents that he has, or will secure at his own
expense, all personnel required, in performing the services under this
Contract. Such personnel shall not be employees of or have any
contractual relationship with the CITY.
B. All of the services required hereunder shall be performed by the
CONSULTANT or under his supervision and all personnel engaged in
the~work shall be fully qualified and shall be authorized or permitted
under State and local law to perform such services.
C. None of the work or services covered by this Contract shall be
subcontracted without the prior written approval of the City. Any work or
services subcontracted hereunder shall be specified by written Contract
or agreement and shall be subject to each provision.of this Contract.
18. Reports and Information
The CONSULTANT, at such times and in such forms as the CITY may require,
shall furnish the CITY such periodic reports as it may request pertaining to the work
or services undertaken pursuant to this'Contract, the costs and obligations incurred
or to be incurred in connection therewith, and any other matters covered by this
Contract.
13
19. Civil Rights
Under 106.001 et.seq. Civil Practice & Remedies Code of the Revised Civil
Statutes of Texas, no person shall, on the grounds of race, religion, color, sex, or
national odgin, be excluded from participation in, be denied the benefits of, or be
subjected to discrimination under any program or activity of the CITY.
The CONSULTANT will carry out its work under this Contract in a manner
which will permit full compliance by the CITY with the Statute.
20. Interest of CONSULTANT and Employees
The CONSULTANT covenants that he presently has no interest and shall not
acquire any interest, direct or indirect, in the study area or any parcels therein or any
other interests which would conflict in any manner or degree with the pen'ormance of
his services hereunder.
The CONSULTANT further covenants that in the performance of this Contract,
no person having such interest shall be employed.
21. Incorporation of Provisions Required by Law
Each prevision and clause required by law to be inserted into the Contract
shall be deemed to be enacted herein and the Contract shall be read and enforced
as though each were included herein. If through mistake or otherwise any such
provision is not inserted or is not correctly inserted, the Contract shall be amended to
make such insertion on application by ei;,her party.
EXECUTED IN two (2) counterparts (each of which is an original) on behaff of
CONSULTANT by Robert W. Lazarus (Name and Office or Position) shown below,
and on behaff of OWNER by its City Mana.qer (thereto duly authorized) this day of
, A.D., 20_.
ACCEPTED:
OWNER:
PROPOSED AND AGREED TO:
CONSULTANT:
· CITY OF PORT ARTHUR, TEXAS
City Manager
Date Date
ATTEST: ,
City Secretary
APPROVED AS TO FORM:
City Attorney
APPROVED AS TO AVAILABILITY OF FUNDS:
Director of Finance
15
(City of Port Arthur)
(Law Department)
(Required Form)
(7/8/88)
(10/5/89).
(3/15/90)
(9-8-94)
(p,2 Revised 9/18/90)
Exhibit "B"
CERTIFICAIE OF STANDARD FORM CONTRACT FOR LAW
DEPARIMENT REVIEW AND CITY COUNCIL AGENDA
I certify that the contract (hereinafter called "said contract") affixed to the attached proposed City Council Resolution
No. 11966 is an exact duplicate of an applicable standard form contract (the title of which is shown below)
previously approved by the Law department and adopted as a standard form by City Council Resolution, except for the
blanks that have been filled in with all necessary information and except for the changes described below.
The title of tbe applicable standard form contract is:
] Federally Funded Construction Contract, Revised 1/5/88, 7/89, 8/89; 4/28/94
] Non-Federally Funded Construction Contract, Revised 1/5/88, 7/89, 8/89; 4/28/94
] Federal- Professional Services - Engineering Contract, Revised 1/5/88, 5/89 (§10) 7/89/(§8); 10/89; 2/91 (~8)
] Non-Federal - Professional Services - Engineering Contract, Revised 1/5/88, 5/89(§10), 7/89(§8), 10/89; 2/91(§8)
] CDBG - Professional Services - Engineering Contract, Revised 1/5/88, 5/89 (§10), 7/89(§8), 10/89; 2/91 (~8)
Federal - Professional Services -
Non-Engineering (Consultant) Contract, Revised 1/5/88, 5/89 (§10), 7/89 (~8); 10/89; 2/91 (§8)
[ ] Non-Federal - Professional Services -
Non-Engineering (Consultant) Contract, Revised 1/5/88, 5/89 (§10), 7/89 (§8); 10/89; 2/91 (§8)
[ ] CDBG - Professional services -
Non-Engineering (Consultant) Contract, Revised 1/5/88, 5/89 (§10), 7/89 (§8); 10/89; 2/91 (§8)
[:~ Other Standard Form Contract, described as follows:
RISK MANAGEMENT CONSULTING SERVICES
The changes are as follows: (Put an "X" in the appropriate [ ])
None.
[ ] The following described provisions at the indicated page, section, etc. of the standard fom~ have been deleted
from said contract:
DELETIONS
Page Number
Where
Deleted Provision
Is
Found On Standard Form
Section or Paragraph No.
and Caption
Which
Contains Provision
Deleted From Form
Subsection or
Subparagraph No.
and Caption
Which Contains Provision
Deleted From Form
Description of
Provision Deleted
(p.2 Revised 9/18/90)
(Certificate of Standard Form Contract, page 2)
[ ] The following described provisions et the indicated page, section, etc. of the standard form have been altered,
modified, replaced or otherwise changed:
ALTERATIONS, MODIFICATIONS, REPLACEMENTS, ETC.
Sub § or Sub ¶ No.
Page No. § or ¶ No. & Caption & Caption Description
Where of of of
Provision Found Standard Form Standard Form Provision
on which which in
Standard Form Contains Provision Contains Provision Standard Form
Page § & caption
sub § & caption, etc.
of said contract
which contains
altered, etc.
provision; &
Description of
Alteration etc.
[ ] The following provisions have been added to Said Contract:
Page, Section and Caption
Subsection and Caption, etc. of Said Contract Which
.Contains the Added Provision and Description Thereof
further certify that said attached proposed City Council Resolution contains the following provision:
"That said contract is an exact duplicate of a City Standard Form Contract except for the changes described in the
Certificate of Standard Form Contract, a copy of which is attached hereto as Exhibit "B" end is hereby incorporated by
reference, and said changes are hereby approved."
I understand that this certificate will be relied on by the Law Department in 'reviewing and approving (or rejecting)
~s to form and by the City Council in reviewing and adopting (or rejecting) said Resolution and Contract.
Signed this day of ,19
Department Head or
Assistant City Manger
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