Resolution No. 94021
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RESOLUTION NO. 9402
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
VERNON APPROVING AND AUTHORIZING THE EXECUTION OF
AN AMENDMENT TO AGREEMENT FOR WORKERS' COMPENSATION
CLAIMS ADMINISTRATION SERVICES BY AND BETWEEN THE
CITY OF VERNON AND ADMINSURE, INC. (FORMERLY COLEN
& LEE) AND AMENDING RESOLUTION NO. 5333 REGARDING
WORKERS' COMPENSATION INSURANCE TRUST ACCOUNT FOR
THE ADMINISTRATION OF THE CITY OF VERNON WORKERS'
COMPENSATION SELF-INSURANCE PROGRAM
WHEREAS, the City of Vernon is self -insured in its workers'
compensation program; and
WHEREAS, on August 21, 1990, the City Council of the City of
Vernon adopted Resolution No. 5791 approving a Workers' Compensation
Self -Insurance Service Agreement with Colen & Lee, Inc. ("Colen"), the
City's administrator for the workers' compensation self-insurance
program; and
WHEREAS, on October 7, 1986, the City Council of the City of
Vernon adopted Resolution No. 5333 authorizing Colen to establish a
City of Vernon Workers' Compensation Trust Account (the "Account") with
First Interstate Bank and authorizing the execution of checks or other
instruments necessary for the administration of the City of Vernon
workers' compensation self-insurance program; and
WHEREAS, since the inception of the Account, First Interstate,
Bank merged with Wells Fargo Bank, and thereafter the City moved the
Account to Bank of America; and
WHEREAS, the City Council of the City of Vernon desires to
iratify the actions taken in establishing the Account at Bank of
America; and
WHEREAS, effective September 1, 2007, Colen will begin doing
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business under the name AdminSure, Inc., ("AdminSure") and has filed a
fictitious name statement for Colen so that it can legally continue to
do business under that name for a transition period; and
WHEREAS, the City Council of the City of Vernon desires (a)
to ratify the actions taken in establishing the Account at Bank of
America; (b) to approve an Amendment to Agreement for Workers'
Compensation Claims Administration Services evidencing the change of
name from Colen to AdminSure; and (c) to amend Resolution No. 5333 to
authorize modifications to the Account.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF VERNON AS FOLLOWS:
SECTION 1: The City Council of the City of Vernon hereby
(finds and determines that the recitals contained hereinabove are true
and correct.
SECTION 2: The City Council of the City of Vernon hereby
ratifies the actions taken in the establishment of the Account at Bank
of America including, but not limited, to the execution of any account
agreement, facsimile signature authorization form or deposit account
documentation signature card.
SECTION 3: The City Council of the City of Vernon hereby
approves the Amendment to Agreement for Workers' Compensation Claims
Administration Services with AdminSure, in substantially the same form
as the copy which is attached hereto as Exhibit A and incorporated by
reference.
SECTION 4: The City Council of the City of Vernon hereby
authorizes the Mayor or Mayor Pro-Tem to execute the Amendment with
AdminSure for, and on behalf of, the City of Vernon and the City Clerk
is hereby authorized to attest thereto.
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SECTION 5: The City Council of the City of Vernon hereby
directs the City Clerk, or her designee, to send a fully executed
Amendment to:
Colen & Lee
Attention: Alithia Vargas -Flores, Vice President
1470 S. Valley Vista Drive, Suite 230
Diamond Bar, CA 91765
SECTION 6: The City Council of the City of Vernon hereby
amends Resolution No. 5333 to select and designate Bank of America as
the depository of funds of the City of Vernon for accounts established
and maintained in the name of the City and that all checks, drafts,
orders, receipts, and other instruments drawn, accepted, authorize, or
given by the City of Vernon for payment from any such accounts or at
such office be signed on behalf of the City of Vernon by the following
named persons:
Gary Lee, President - AdminSure, Inc., Administrators
Alithia Vargas -Flores, Vice President - AdminSure, Inc.,
Administrators
SECTION 7: The City Council of the City of Vernon hereby
authorizes and empowers the City Administrator, or his designee, to
execute such documents and to take such actions as may be necessary or
convenient to carry out the City's obligations hereunder and to effect
the purposes of the Amendment and the transactions therein authorized.
SECTION 8: The provisions of Resolution No. 5333 not
consistent with or in conflict with this resolution are hereby
repealed; in all other respects, Resolution No. 5333 shall remain in
full force and effect.
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SECTION 9: The City Clerk of the City of Vernon shall
certify to the passage of this resolution, and thereupon and
thereafter the same shall be in full force and effect.
APPROVED AND ADOPTED this 4th day of September, 2007.
AT EST:
MA UELA GIRO , ity Clerk
Name: Leonis C. Malburg
Title: Mayor /
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STATE OF CALIFORNIA )
) ss
COUNTY OF LOS ANGELES )
I, MANUELA GIRON, City Clerk of the City of Vernon, do hereby
certify that the foregoing Resolution, being Resolution No. 9402, was
duly adopted by the City Council of the City of Vernon at a regular
meeting of the City Council duly held on Tuesday, September 4, 2007,
and thereafter was duly signed by the Mayor or Mayor Pro-Tem of the
City of Vernon.
t
MANUELA GIRON, City Clerk
(SEAL)
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EXHIBIT
AMENDMENT TO AGREEMENT FOR
WORKERS' COMPENSATION
CLAIMS ADMINISTRATION SERVICES
The City of Vernon, hereinafter referred to as the "Client," and AdminSure, Inc.
(Colen & Lee), herein referred to as the "Administrator," hereinafter collectively referred
to as the "Parties," previously entered into a Workers' Compensation Self -Insurance
Service Agreement for Workers' Compensation Claims Administration Services
("Agreement") on September 4, 1990.
WHEREAS, the parties are desirous of amending said Agreement to reflect
Administrator's new business name.
NOW, THEREFORE, the Agreement is hereby amended as follows:
The Administrator is now named AdminSure, Inc. The Secretary of State and the State
of California's Department of Industrial Relations/Self-Insurance Plans recognize the
name change.
All other provisions of the Agreement shall remain unchanged.
IN WITNESS WHEREOF, this Amendment to Workers' Compensation Self -
Insurance Service Agreement for Workers' Compensation Claims Administration
Services is entered into this day of , 2007.
CITY OF VERNON:
Title: Mayor / Mayor Pro-Tem
ATTEST:
LOW
Manuela Giron, City Clerk
APPROVED AS TO FORM:
Jeff A. Harrison, City Attorney
ADMINSURE, INC.:
Alithia Vargas -Flores, Vice President
ADMINSURE, INC.:
Gary Lee, President
SUPPORTING
DOCUMENTS
4305 Santa Fe Avenue, Vernon, California 90058
Telephone (323) 583-8811
September 12, 2007
AdminSure, Inc. (Formerly Colen & Lee)
Attn: Alithia Vargas -Flores, Vice President
1470 S. Valley Vista Drive, Suite 230
Diamond Bar, CA 91765
Re: Workers' Compensation Claims Administration Services Amendment
Dear Ms. Vargas -Flores:
Transmitted herewith is a fully executed amendment as referenced
above, approved by City Council on September 4, 2007, through
Resolution No. 9402.
If you have any questions regarding this matter, please call Mr.
Willard Yamaguchi, at (323) 583-8811 ext. 175.
NG:dr
c: Willard Yamaguchi
Resolution No. 9402
Agreement No. 07-092
_1
ery truly yours,
�Ne ' ly G
City Clerk
Excfusivefy Industriaf
AMENDMENT TO AGREEMENT FOR
WORKERS' COMPENSATION
CLAIMS ADMINISTRATION SERVICES
The City of Vernon, hereinafter referred to as the "Client," and AdminSure, Inc.
(Colen & Lee), herein referred to as the "Administrator," hereinafter collectively referred
to as the "Parties," previously entered into a Workers' Compensation Self -Insurance
Service Agreement for Workers' Compensation Claims Administration Services
("Agreement") on September 4, 1990.
WHEREAS, the parties are desirous of amending said Agreement to reflect
Administrator's new business name.
NOW, THEREFORE, the Agreement is hereby amended as follows:
The Administrator is now named AdminSure, Inc. The Secretary of State and the State
of California's Department of Industrial Relations/Self-Insurance Plans recognize the
name change.
All other provisions of the Agreement shall remain unchanged.
IN WITNESS WHEREOF, this Amendment to Workers' Compensation Self -
Insurance Service Agreement for Workers' CMnpensation Claims Administration
Services is entered into this %%T�f day o �a1 �2, , 2007.
CITY OF VERNON: ADMINSURE, INC.:
ByBy
to s C. Mal bur , Mayo Alithia Vargas -Flores, Vice President
ADMINSURE, INC.:
By
ro)o/� a � �
Gary Vee, Presi t
fT
TEST:
x,
MANUELA GIRON, it fferk
1 � ,I I I•
i
i/% W
SON, City Attorney
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RESOLUTION NO. 9402
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
VERNON APPROVING AND AUTHORIZING THE EXECUTION OF
AN AMENDMENT TO AGREEMENT FOR WORKERS' COMPENSATION
CLAIMS ADMINISTRATION SERVICES BY AND BETWEEN THE
CITY OF VERNON AND ADMINSURE, INC. (FORMERLY COLEN
& LEE) AND AMENDING RESOLUTION NO. 5333 REGARDING
WORKERS' COMPENSATION INSURANCE TRUST ACCOUNT FOR
THE ADMINISTRATION OF THE CITY OF VERNON WORKERS'
COMPENSATION SELF-INSURANCE PROGRAM
WHEREAS, the City of Vernon is self -insured in its workers'
compensation program; and
WHEREAS, on August 21, 1990, the City Council of the City of
Vernon adopted Resolution No. 5791 approving a Workers' Compensation
Self -Insurance Service Agreement with Colen & Lee, Inc. ("Colen"), the
City's administrator for the workers' compensation self-insurance
program; and
WHEREAS, on October 7, 1986, the City Council of the City of
Vernon adopted Resolution No. 5333 authorizing Colen to establish a
City of Vernon Workers' Compensation Trust Account (the "Account") with
First Interstate Bank and authorizing the execution of checks or other
instruments necessary for the administration of the City of Vernon
workers' compensation self-insurance program; and
WHEREAS, since the inception of the Account, First Interstate
(Bank merged with Wells Fargo Bank, and thereafter the City moved the
Account to Bank of America; and
WHEREAS, the City Council of the City of Vernon desires to
ratify the actions taken in establishing the Account at Bank of
lAmerica; and
WHEREAS, effective September 1, 2007, Colen will begin doing
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business under the name AdminSure, Inc., ("AdminSure") and has filed a
fictitious name statement for Colen so that it can legally continue to
do business under that name for a transition period; and
WHEREAS, the City Council of the City of Vernon desires (a)
to ratify the actions taken in establishing the Account at Bank of
America; (b) to approve an Amendment to Agreement for Workers'
Compensation Claims Administration Services evidencing the change of
name from Colen to AdminSure; and (c) to amend Resolution No. 5333 to
authorize modifications to the Account.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF VERNON AS FOLLOWS:
SECTION 1: The City Council of the City of Vernon hereby
finds and determines that the recitals contained hereinabove are true
and correct.
SECTION 2: The City Council of the City of Vernon hereby
ratifies the actions taken in the establishment of the Account at Bank
of America including, but not limited, to the execution of any account
agreement, facsimile signature authorization form or deposit account
documentation signature card.
SECTION 3: The City Council of the City of Vernon hereby
approves the Amendment to Agreement for Workers' Compensation Claims
Administration Services with AdminSure, in substantially the same form
Ias the copy which is attached hereto as Exhibit A and incorporated by
Ireference.
SECTION 4: The City Council of the City of Vernon hereby
authorizes the Mayor or Mayor Pro-Tem to execute the Amendment with
AdminSure for, and on behalf of, the City of Vernon and the City Clerk
is hereby authorized to attest thereto.
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SECTION 5: The City Council of the City of Vernon hereby
directs the City Clerk, or her designee, to send a fully executed
Amendment to:
Colen & Lee
Attention: Alithia Vargas -Flores, Vice President
1470 S. Valley Vista Drive, Suite 230
Diamond Bar, CA 91765
SECTION 6: The City Council of the City of Vernon hereby
amends Resolution No. 5333 to select and designate Bank of America as
the depository of funds of the City of Vernon for accounts established
and maintained in the name of the City and that all checks, drafts,
orders, receipts, and other instruments drawn, accepted, authorize, or
given by the City of Vernon for payment from any such accounts or at
such office be signed on behalf of the City of Vernon by the following
named persons:
Gary Lee, President - AdminSure, Inc., Administrators
Alithia Vargas -Flores, Vice President - AdminSure, Inc.,
Administrators
SECTION 7: The City Council of the City of Vernon hereby
authorizes and empowers the City Administrator, or his designee, to
execute such documents and to take such actions as may be necessary or
convenient to carry out the City's obligations hereunder and to effect
the purposes of the Amendment and the transactions therein authorized.
SECTION 8: The provisions of Resolution No. 5333 not
consistent with or in conflict with this resolution are hereby
repealed; in all other respects, Resolution No. 5333 shall remain in
full force and effect.
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SECTION 9: The City Clerk of the City of Vernon shall
certify to the passage of this resolution, and thereupon and
thereafter the same shall be in full force and effect.
APPROVED AND ADOPTED this 4th day of September, 2007.
ATTEST:
MANUELA GIRON, City Clerk
Name: Leonis C. Malbura
Title: Mayor / r ro-
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STATE OF CALIFORNIA )
) ss
COUNTY OF LOS ANGELES )
I, MANUELA GIRON, City Clerk of the City of Vernon, do hereby
certify that the foregoing Resolution, being Resolution No. 9402, was
duly adopted by the City Council of the City of Vernon at a regular
meeting of the City Council duly held on Tuesday, September 4, 2007,
and thereafter was duly signed by the Mayor or Mayor Pro-Tem of the
City of Vernon.
(SEAL)
r
if
4 L--111A &&g z
MANUELA GIRON, City Clerk
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