HomeMy WebLinkAboutPR 16061: RWL GROUP RISK MANAGEMENT SERVICES CONTRACT RENEWAL CITY OF PORT ARTHUR
SAFETY & RISK MANAGEMENT
MEMORANDUM
TO: Stephen B. Fitzgibbons, City Manager
FROM: Lisa Colten, Safety & Risk Management Coordinator
DATE: August 25, 2010
SUBJECT: Resolution Approving the Renewal of RWL Group Risk Management Service
Contract
COMMENT
RECOMMENDATION:
I recommend approval of Proposed Resolution No. 16061 authorizing the renewal of the City's
contract with RWL Group for Risk Management Consulting Services at the not to exceed cost of
$18,000 for the 2010 -2011 Fiscal Year.
This represents essentially a rollover of the existing contract with RWL Group. Two years ago,
the hourly rate increased from $175 per hour to $200 per hour, which represented the first hourly
rate increase in approximately twenty years.
It should be noted that the City expended only $9,536.00 on services from RWL Group during the
2009 -2010 Fiscal Year (through August 25, 2010).
BACKGROUND:
Mr. Lazarus' first risk management services contract with the City dates back 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.
Two years ago, RWL Group requested a raise in the hourly rate from $175 per hour to $200 per
hour. This was the first increase in the hourly rate in almost twenty years. City staff reviewed and
concurred with this reasonable request.
BUDGETARY /FISCAL EFFECT:
The proposed funding is as follows:
General Liability Insurance Fund 612 - 1702 - 581.52 -00 $18,000
There was $18,000 appropriated in the 2010 -2011 Fiscal Budget for Risk Management Services.
"REMEMBER, WE ARE HERE TO SERVE THE CITIZENS OF PORT ARTHUR"
Stephen B. Fitzgibbons, City Manager
August 25, 2010
Page 2 of 2
STAFFING /EMPLOYEE EFFECT:
No effect on staffing levels.
SUMMARY:
I recommend approval of Proposed Resolution No. 16061 authorizing the renewal of the City's
contract with RWL Group for Risk Management Consulting Services at the not to exceed cost of
$18,000 for the 2010 -2011 Fiscal Year.
This represents essentially a rollover of the existing contract with RWL Group. Two years ago,
the hourly rate increased from $175 per hour to $200 per hour, which represented the first hourly
rate increase in approximately twenty years.
It should be noted that the City expended only $9,536.00 on services from RWL Group during the
2009 -2010 Fiscal Year (through August 25, 2010).
"REMEMBER, WE ARE HERE TO SERVE THE CITIZENS OF PORT ARTHUR"
P.R. No. 16061
8/25/10 LJC
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE CITY MANAGER TO ENTER INTO A
CONTRACT WITH RWL GROUP FOR RISK MANAGEMENT CONSULTING
SERVICES AT THE NOT TO EXCEED COST OF $18,000
FOR THE 2010 -2011 FISCAL YEAR
FUNDING BY: General Liability Insurance Fund
612- 1702- 581.52 -00
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR:
THAT the City Manager of the City of Port Arthur, Texas is hereby authorized to
enter into a contract for risk management consulting services with RWL Group for the
2010 -2011 fiscal year, in accordance with the attached contract describing services made
part hereof as Exhibit "A "; and,
THAT said contract is an exact duplicate of a City Standard Form Contract except
for the changes described in the Certificate of Standard Form Contract, a copy of which is
attached hereto as Exhibit "B" and is hereby incorporated by reference, and said changes
are hereby approved; and,
THAT the City Manager is hereby authorized to expend funds from the General
Liability Insurance Fund for said contract not to exceed the amount of Eighteen Thousand
and no /100 Dollars ($ 18,000); and,
THAT said agreement is contingent on the availability of funds in the 2010 -2011
fiscal year budget, to be approved by the City Council; and,
THAT a copy of the caption of this Resolution be spread upon the Minutes of the
City Council.
P.R. No. 16061
8/25/10 LJC
Page 2of2
READ, ADOPTED, AND APPROVED this day of , A.D., 2010, at
a Meeting of the City Council of the City of Port Arthur, Texas, by the
following vote: AYES: Mayor , Councilmembers
NOES:
Deloris "Bobbie" Prince, Mayor
ATTEST:
City Secretary
APPROVED A S TO FORM:
City Attorney 4 .
APPROVED FOR AVAILABILITY OF FUNDS:
didz-vzidi
Director of Finance
APPROVED FOR ADMINISTRATION:
City Manager
EXHIBIT "A"
THE STATE OF TEXAS Exhibit "A"
COUNTY OF JEFFERSON
CONTRACT
FOR PROFESSIONAL RISK MANAGEMENT SERVICES
THIS AGREEMENT, entered into as of this 1 day of October , AD,
2010, 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.
2. Scope of Services
Consulting services shall be provided as follows:
A. BASIC SERVICES
I. Monitoring: 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.
li. 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 claims, loss control,
financial, statistical, insurance, exposure, and other
information to appropriate internal and external persons
and organizations.
b. Assist CITY in preparing administrative controls and
monitoring of claims, Toss control, insurance purchasing,
subrogation, contractual risk transfer, purchases of self -
insurance and related services from external providers,
(i.e. claims, Toss control, statistical, etc.)
c. 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.
d. Assist CITY in developing forms and formats to be
considered for information storage and management.
e. Assist CITY in developing and advising on important
administrative functions pertaining to internal cost
allocation, budgeting, self- insurance decisions, self -
insurance funding and accounting, agent selection,
insurance purchasing, utilization of external services
provided by carriers and agents, as well as other related
services purchased from external sources, plus
effectiveness of using internal resources in conjunction
with risk management programs needs, 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 risk 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 risk 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).
III. 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 insurance; 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 $200 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.
3
B. ADDITIONAL SERVICES
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 expert 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.
5. Compensation and Method of Payment
CITY will pay CONSULTANT for work performed and services rendered as
follows:
A. BASIC SERVICES
Monitoring: CONSULTANT 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 flat
rate of $1,850 per visit, at request of OWNER, in lieu of $200
per hour rate. Said flat rate includes travel and related expens-
es, and each visit contemplates 10 hours of consulting time.
III. Reports and retainer work performed under Paragraph 2A -II will
be paid at the rate of $200 per hour.
IV. CONSULTANT shall bill CITY at the rate of $200 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.
B. ADDITIONAL SERVICES
I. CONSULTANT shall bill CITY at the rate of $200 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 CONSUL-
TANT $18,000.00 unless he, in fact, accrues same in accor-
dance 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 (2A -III) 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 guarantee-
ing CONSULTANT 60 hours consulting time.) Fee arrange-
ments and consulting time may be changed if mutually agreed
to in writing.
C. PAYMENTS
CONSULTANT will invoice OWNER every other month.
OWNER agrees to promptly pay CONSULTANT at his office in
Richardson, Texas, the full amount of each such invoice upon
E
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 period 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 OWNER.
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 arise out of or result from
operations under this contract, whether the operations be 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 Worker's 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):
Bodily injury $500,000 single limit per occurrence or $500,000
each person /$500,000 per occurrence.
I!. 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.)
Minimum combined single limit of $500,000 per occurrence, for
bodily injury and property damage.
II. If individual limits are 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
8
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 the 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
fifteen (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
execution of this Contract.
Deductible on policy for Professional Liability shall not exceed $5,000 unless
specifically approved by the Owner.
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.
9
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 arising 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 all 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 befitting the
profession in accordance with Paragraph 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.
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
10
All notices and communications under this Contract shall be mailed or
delivered to OWNER and CONSULTANT at the above addresses.
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 himself and his
of this
successors, executors, administrators, and assigns to the other party och
Contract and to the successors, executors, administrators and assigns of such
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 written 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
11
CONSULTANT shall be entitled to receive just and equitable compensation for any
work satisfactorily completed hereunder. shall not be relieved of
Notwithstanding the above, the CONSULTANT
bilit to the CITY for damages sustained by the CITY by virtue of any breach of
lia y menu to the
the Contract by
the CONSULTANT and the City may withhold any pay
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 Cif n time by giving at least thirty
The CITY may terminate this Contract at any Y
(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 date. If this Contract is terminated
due to the fault of the CONSULTANT, Paragraph 14 hereof relative to termination
shall apply.
16. Chan es
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 CONSULTAN
compensation, which are mutually agreed upon by
and between the CITY and
CONSULTANT, shall be incorporated in written amendments to this Contract.
17. Per=
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.
12
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.
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 origin, 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
13
or any other interests which would conflict in any manner or degree with the
performance 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 provision 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 either party.
CITY OF PORT ARTHUR
SIGNED AND AGREED TO ON THE DAY OF , 2010.
City Manager
CONSULTANT
SIGNED AND AGREED TO ON THE
DAY OF , 2010.
RWL Group
14
(City of Port Ar Our) Exhibit '8'
(Law Dcpuitmcrt) - • •
(Rcqukcd Form)
( / /
(10/5/8
(3/15/00)
(9 -0.04)
0i.2 Revised 8/10/00) . -
CERTIFICATE OF STANDARD FORM CONTRACT FOR LAW •
DE?ARTivIENT VIEYY •
f cartiry that•thc conitnct (hereinafter c,lled'scid contmcr) iffi Qd to the attached proposed City Cabncil Rcsaluticn
No. 1; an exact dupticala of an applicable standard term contract (the title of which Is sho':n1 below)
preincusIy approved by the Law department and adopted as a standard form by City Council Resolution, except for the
blanks that have been fitted In with art necessary information and except for the changes described below.
Tho Ulla of the applicable standard form coniractis :
11 Federally Funded Construction Contract, Revised 1/5/08, 7/89, 8109; 4/20194
[) Non - Federally Funded. Construction Contract, Fetiis8d 1/5/80, 7/89; 8/09; 4/20/94
• 4
() Federal - Professional Services - Engineering Contrac Revised 1/5/08, 5/89 (510) 7/00/(50); 10/09; 2/01 (50)
(1 Nan - Federal - Professional Services - Engineering Contract, Revised 1/5/83, 5/89(510), 7/80(58), 10/89; 2191(50)
() COBG - Professional Services - Engineering Contract; Revised 1/5/80, 5/09 (510), 7/09(50), 10(09; 2191 (50) •
(1 Federal - Professional Services - '
Non- Engineering (Consultant) Contract, Revised 1/5/00, 5/89 (510), 7/09 (58); 10/00; 2/91 (50) •
[) Non - Federal - Professional Services -
Non- Engineering (Consultant) Contract, Revised 1/5/30, 5/09 (510), 7/89 (50); 10/09; 2/91 (50)
•
(1 CDSG Professional services - 10/89; 2/91 (50
Non- Engineering (Consultant) Contract, Revised 1/5/88, 5/00 (510), 7/89 (r0 ; ); 1 89; )
[:( .Other Standard Form Contract, described as follows:
'-.RISK HANAGE•MEUT CONSULTING SERVICES
Tho changes are as follows; (Put rn 'X' in the appropriate [))
pr None.
O The following described provisions at the Indicated page, section, etc. of the standard form have been deleted
, ' Rom said contract:
DELETIONS
Page Number Section or Paragraph No. Subsection or
•
Where and Caption Subparagraph No
Deleted Provision Which and Caption
(; Contains Provision Which Contains Provision Description of
Found Cn Standard Form Deleted From Form Deleted From Form Provision Deleted
•
•
PAnclnf2
•
•
♦ n : .. ,
(p2 Revised 9 /10/9o)
•
' (Certifcato of Standard Form Contract, page 2)
•
() Jho following described provisions at the Indicated page, section, etc. of the standard form have been altered,
modified; replaced or otherH(se changed:
•
•
ALTERATIONS, MODIFICATIONS, REPLACEMENTS, ETC.
•
•
•
T Pcgc § & cation
Sub § or Sub' q No. sub 5-& caption, etc.
P N of said contract
age a. § °
1 s e Il N o. & $ Caption Caption Description
of of of Mich contain:. Provision Found Standard Form Standard Form Provision a etc,
on which which , povisioo; &
Standard Form Description or
-- - — T __�_ Contains Provision Contains Provision Standard Form
Allernlion
•
•
•
•
•
•
•
•
(j 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
•
•
•
•
•
•
•
•
I 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 flip changes described in the
. Certificate of Standard Form Contract, 0 copy or which is attached hereto as Exhibit '8' and is hereby incorporated by
reference, and said changes are hereby approved.
N
•
I understand that this certificate will be relied on by the taw Department in reviewing and approving (or rejecting)
•
as to form and by the City Council In reviewing and adopting (or rejecting) said Resolution and Contract,
Signed his day of •
.
Department Head or •
•
1.
. i
•
•
. Page 2of2 -
•
•
•