HomeMy WebLinkAboutAgenda Report - January 19, 1983 (40)APPROVAL OF
CONTRACT WITH
ESIS FOR
ADMINISTRATION
OF THE CITY'S
WORKERS
COMPENSATION
PROGRAM
(1/1/83-1/1/83)
Following introduction of the matter by Staff, Council, on
motion of Councilman Pinkerton, Snider second , approved the
renewal of the Contract with ESIS for the administration of
the City's Workers Compensation Program from 1/1/83 to 7i
and authorized the Mayor and City Clerk to execute the Agree-
ment on behalf of the City.
h
01
One Embarcadcro Center
Sw1e 810
San Francisco CA 94111
1415) 954 4376
January 10, 1983
Mr. Jerry Glenn
Assistant City Manager
City of Lodi
PO Box 320
Lodi, CA. 95241
Dear Mr. Glenn:
This will confirm our telephone conversations in which
acceptance of a six month contract with ESIS was finalized.
I am sending for signature two copies of the ESIS contract
for the first six months of 1983. Please return one copy of
the signed contract to me retaining,the other for your own
records.
ESIS is looking forward to providing you with excellent service
during the next contract period. Should there be any problems
with the contract please do not hesitate to call me at
(415) 954-4378.
Very truly yours,
Jim DysI
Account Manager
JD/jf
Rak Managwrrnt Senrictis .... Worldwide
An INA Corporation CompoW
ESIS INC
c I CLAIMS SERME CONTL %tT
OCCURRENCE
(NOT AN INSURANCE POLICY)
r� SERVICE CONTRACT NO. 569
Specific Conditions
CONTRACT PERIOD:
This Agreemer.( is effective on the lst day of January , 19 _$3____
and termir►p.tes on the lat day of _July '19 83 .
SitY of I Qdi
i0ieno
221 Neat Pine Street
1 Addressl
T1111L. Crlifamia 952117
hereinafter called the "CLIENT " and ESIS, INC. a California Corporation, with an office at #1 IInbarcadero Center.
SZtite 810, San Francisco. CA. 94111
hereinafter called "ESIS," do hereby agree to the following terms and conditions:
1. This contract covers operations of the CLIENT in the State(s) of: California
2. This contract applies to the following type(s) of claims:
Workers' QgMM.Etim
3. (a) Except in the limited circumstances described in 3 (b) below, you agree that for claims reported to ESIS under
this contract, you will pay ESIS the W*~ of:
(i) Claim Transaction. Fees on a per claim basis as follows:
MCdJqAJ Only
$ . 25 per claim for each of the first 23 claims and
$ _ 25 per claim for each claim in excess of the first ---2.1- claims.
Statutory
$ _. 336, per claim for each of the first ��_ claims and
S 343 per claim for each claim in excess of the first claims.
or (ii) a Minimum Contract Fee of S 4.271
1b) In the event that prior to the end of the contract per stated above you cancel this contract with cause or
we cancel this contract without cause, then you agree that for claims reported to ESIS under this contract
you will pay ESIS Claims Transaction Fees on a per claim basis as follows:
Medical Only
$ 25 per claim for each of the first 23 claims and
$ 25 pe: claim for each claim in excess of the first 23 claims.
Siatutoxv
$ 336 per claim for each of the first 11 claims and
$ 346 per claim for each claim in excess of the first 11 claims.
(c) The entire Minimum Contract Fee must be deposited with ESIS no later than 1/1/83
When the number of claims reported to ESIS multiplied by the Claim Transaction Fees described above exceeds
the Minimum Contract Fee, ESIS will commence billing you for additional Claims Transaction Fees on a per claim
basis. Such additional fees must be paid to ESIS within 10 days after the billing date.
Id) In or disputes involving multiple parties claiming a right to recovery from the CLIENT, for purposes of
calculating total Claims Transaction Fees, a Claim Transaction Fee shall be charged for each individual claim, ex-
cept that the additional assertion by individuals of their rights as dependents or as the legal representative of the
same injured or deceased individual shall not be deemed to constitute an additional claim for purposes of deter-
mining total Claim Transaction Fees.
E1 -18M hdAnU.S.A. 10CCURRENCEbaedcontract$
4. CLIENT will make for__4% available to ESIS for allocated loss expen, Und claim payments and claim settlements as
follows: To maintain a S21. SOQ claim-tjd det2osit t)alance
5. Failure by you to pay ESIS Claims Transaction Fees or the Minimum Contract Fee as required or to maintain the
required claim fund or any other breach of this contract by you shall give ESIS the right to refuse to handle pend-
ing claims to conclusion and to refuse to handle any new claims including but not limited to tate reported claims.
If ESiS elects to exercise its rights under this paragraph 5, in addition to all other legal remedies, we will have the
right to charge a full claim transaction fee for each pending claim and any excess monies in your claim fund may
be retained by ESIS and set off against your indebtedness to ESIS so long as the amount of the excess retained
does not exceed the total amount of your indebtedness to ESiS.
6. CLIENT hereby gives ESIS Discretionary Settlement Authority up to and including: $ StatUtOrV limits
and $5.000 lucro sum authority. __,
7. ESIS will provide statistical reporting or processing services as followsClai! tLfund recap
lossdetail send loss MjgMrv��3ts ttmthly
Notwithstanding the provision of such services by ESIS, it shall be solely your responsibility to determine whether
and when claims handled on your behalf and allocated loss expenses incurred on your behalf under this contract
amount to or exceed or are likely to amount to or exceed any aggregate limitation with which you are concerned
or interested or by which you are bound.
8. Your claim tiles will be destroyed according to the following procedure: qeQ tached schedule
9. The General Conditions (ESIS Form No. Ei-18371) are made a part hereof as though fully set out herein.
10. tat This contract is for a period commencing January 1 , t9 83
and ending July 1 _ , 19 83
(b) ESIS and CLIENT agree, however, that unless one of them gives notice to the other in writing received at least
60 days in advance of the end of the contract period or unless the contract is cancelled by ESIS or CLIENT as pro-
vided for in Section IV of the General Conditions, then this contract will be automatically renewed for a new con-
tract period equal in duration to the contract period described in (a) above, commending on the last day of the
contract period set forth in (a) above.
11. No handwritten or typed amendments to this contract are enforceable unless initialled by all parties to the con-
tract.
ADDITIONAL CONDITIONS AND AGREEMENTS
IN WITNESS WHEREOF, the parties have caused this contract to be executed in their behalf by the undersigned duty
authorized persons.
Signed this day of
of
(CLIENT)
By
Fred M. Reid
Mayor
ITitlel
Attest: Alice M. Reimche
City Clerk
, 19 in the County
, State of
ESIS, INC.
By U P�'t Z_
ITitle) U
� . Y"COUNCIL HENRY A. CLAVES, Jr.
!` r CI Maoatw
fRkP,'h
tAlD. Ma•,or . CITY OF LO I ALICE M. WIMCHE
RO ERT G. MURlHY, City Clerk
Mgym Pre ?,spore
EVELYN M. OLSON
JAMES W. PINKERTON, It.
JOHN R. (Randy) SNIDER
Mr. Jim Dyson
Account Manager
ESIS
One Embarcadero Center
Suite 810
San Francisco, CA 94111
CITY HAIL, 221 WEST PIN[ STREET
POST OFFICE BOX 320
LODI, CALIFORNIA 95241
(209) 3345634
January 25, 1983
RONALD M. STEIN
City Attorney
Dear Mr. Dyson:
Pursuant to your January 10, 1983 letter enclosed herewith, please find
a fully executed copy of Service Contract No. 569 covering the first
6 months of 1983, which contract was approved by the Lodi City Council
at its regular meeting of January 19, 1983.
Should you have any questions regarding this matter, please do not
hesitate to call this office.
Very truly yours,
?r�.
Al ce M. Reimche
City Clerk
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