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Home My WebLink About32284COOPERATIVE FIRE PROGRAMS F=IRE f'~OTECTIQN REIMBURSEMENT AGREE:MENT LG-1 REV. 0112015 Agreement }To. 15-543 AGREEtJ!eNr NUMJJER 4CA02,740 REGISTRATION NUMBER: 1. ·ThisAgreementisenteted into between;the State Agency and the Local Agency named below: California Department of Forestry and Fire Protection ..... (CAL FIRE) lOCAL AGENCY'S NAME. COUNTY OF FRESNO 2. The·term of this Agreement is: JULY 1, 2015 through JUNE 30, 2016 $ 999,866.00 3. The maximum amount of this Agreement is: Nine Hundred and Ninety Nine Thousand Eight Hundred and Sixty Six. Dollars and Zero cents. 4. The patties agree to.compiY with the tenns and conditions ofthe following exhibits which C!r& by·this. referel')ce made a paitofthe·Agreement · Exhibit A.._ SCope ofWork. -Includes page 2 {contact page). in count for Exhibit A Exhibit B-Budget Detail and· Payment Provisions Exhibit-C-General Tenns and Conditions Exhibit o·.,...·Additlonal Provisions Exhibit E_ .... Description·ofQther Services IN Wi'rtU:Ss WHEREoF this reement has been executed LOCAl AGENCY'S NAME COUNTY OF FRESNO LOCAL AGENCY 5 pages 2 pages 6 pages 6 pages 0 pages. C811fomlaDiipa~t.~Geneial SeMces use amy ATTEST: BERNICE E. SEIDEL, Clerk Board of SupervisorS . By Su_ S1;yr0 __ e>i ~s1=1t>f? DeputY Contractor Name: County of FresnoContract No: 4CA02740Page 17PERSONAL SERVICESFire Control & Emergency ServiceEDWCSalary EDWC EDWCPay Monthly Benefits Diff. BenefitsNo. Class Period Mos. Periods Salary81.25%Rate41.51%Total Station 1 3 Firefighter lI 7 21 22.5 $3,547 $2,882 $1,668 $692 $188,109 Station 2 2 Firefighter lI 7 14 15.5 $3,547 $2,882 $1,668 $692 $126,586 Station 3 2 Firefighter lI 7 14 15.5 $3,547 $2,882 $1,668 $692 $126,586 Station 4 3 Firefighter lI 7 21 22.5 $3,547 $2,882 $1,668 $692 $188,109 Subtotal Personnel Services$629,390 $629,390Overtime$19,955Overtime Benefit %1.45%$289Uniform Allowance 10 Uniforms 7 70 $69 $4,830 $2,005 $6,835 Subtotal Miscellaneous Costs$27,079 $27,079SUBTOTAL COSTS 4142 $656,46912.59%Admin Charge$82,649TOTAL COSTS SCHEDULE A 4142$739,118DEMONSTRATES FOUR FIRE STATIONS STAFFED WITH TWO PERSONNEL DAILY FOR A 7 MONTH PERIOD.COUNTY OF FRESNO-Page 1SCHEDULE A - 4142INDEX 4300 PCA 47501THIS IS THE SCHEDULE A - 4142 OF THE COOPERATIVE AGREEMENT. THIS SPREADSHEET Certificate of Self-Insurance Risk Management Division,2220 Tulare St,16th Fl.,Fresno,CA 93721 Coverage: The County of Fresno is self-insured for the following coverage: Type of Coverage Self-Insured Limit General &Auto Liability: Personal injury,bodily injury,property damage,errors and omissions $5,000,000 Professional Liability $1,000,000 per occurrence $3,000,000 annual aggregate Workers Compensation $2,000,000 2. Terms,Conditions and Special Items The certification of self-insurance provided by this document conforms to the policies of the County of Fresno,which do not permit the assumption of liability arising from the negligence of individuals who are not officers or employees of the County. This document is to be used to support indemnification agreements that do not extend to the negligence of others. The provisions included in the General Liability section shall apply only with respect to claims arising out of the negligent acts or omissions of the County of Fresno,or its officers and employees. Cancellation Should any of the above described self-insurance coverages be modified or cancelled before the expiration date shown below,the County of Fresno will provide 30 days written notice to the named certificate holder. Certificate Holder: Department of Forestry and Fire Protection P.O.BOX 94426 Sacramento.CA 94244 Date Issued:September 21,2015 Certificate expiration date June 30.2016 Agreement No. #4CA02740 2015/2016 Amador Agreement Tracy Meador___ Personnel Services Manager ^n CERTIFICATE NO.ISSUE DATE (MM/DD/YYYY) GL1-5699 Al CERTIFICATE OF COVERAGE 09/21/2015 CSAC Excess Insurance Authority C/O ALLIANT INSURANCE SERVICES,INC. PO BOX 6450 NEWPORT BEACH,CA 92658-6450 PHONE (949)756-0271 / FAX (619)699-0901 LICENSE #0C36861 Member: FRESNO COUNTY ATTN:TRACY MEADOR 2220 TULARE STREET,16TH FLOOR FRESNO,CA 93721-2108 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THISCERTIFICATEDOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S).AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holderisan ADDITIONAL INSURED and/or requesting a WAIVER OF SUBROGATION,the Memorandums ofCoveragemustbe endorsed.Astatementonthis certificate does notconferrightsto the certificateholderinlieuofsuch endorsement(s). COVERAGE AFFORDED COVERAGE AFFORDED COVERAGE AFFORDED COVERAGE AFFORDED A -CSAC Excess Insurance Authority B D Coverages THIS IS TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE COVERAGE AFFORDED BY THE MEMORANDUMS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDITIONS OF SUCH MEMORANDUMS.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF COVERAGE MEMORANDUM NUMBER COVERAGE EFFECTIVE DATE (MM/DD/YYYY) COVERAGE EXPIRATION DATE (MM/DD/YYYY)LIABILITY LIMITS [xl Excess General Liability EIA 15 EL-03 07/01/2015 07/01/2016 $5,000,000 Limits inclusive of the Member's Self-Insured Retention of $750,000 Description of Operations/Locations/Vehicles/Special Items: AS RESPECTS COOPERATIVE FIRE PROGRAMS FIRE PROTECTION REIMBURSEMENT AGREEMENT NUMBER 4CA02740 BETWEEN FRESNO COUNTY AND CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION TO PROVIDE MUTUALLY ADVANTAGEOUS FIRE AND EMERGENCY SERVICES. CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION,STATE OF CALIFORNIA,ITS OFFICERS,AGENTS,EMPLOYEES AND SERVANTS ARE INCLUDED AS ADDITIONAL COVERED PARTIES,BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS CONTRACT ARE CONCERNED. Certificate Holder CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION PO BOX 944246 SACRAMENTO,CA 94244-2460 Cancellation SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUMS OF COVERAGES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WIL BE DELIVERED IN ACCORDANCE WITH THE MEMORANDUMS OF COVERAGE PROVISIONS AUTHORIZED REPRESENTATIVE CSAC EXCESS INSURANCE AUTHORITY PAGE 1 OF 2 ENDORSEMENT NO.M. CSAC EXCESS INSURANCE AUTHORITY GENERAL LIABILITY I ADDITIONAL COVERED PARTY AMENDATORY ENDORSEMENT It is agreed that the 'Covered Party,Covered Persons or Entities"section of the Memorandum is amended to include the person or organization named on the Certificate of Coverage,but only with respect to liability arising out of premises owned by or rented to the Member,or operations performed by or on behalf of the Member or such person or organization so designated. Coverage provided under this endorsement is limited to the lesser of the limits stated on the Certificate of Coverage or the minimum limits required by contract. ADDITIONAL COVERED PARTY: NAME OF PERSON OR ORGANIZATION SCHEDULED PER ATTACHED CERTIFICATE OF COVERAGE AS RESPECTS: PER ATTACHED CERTIFICATE OF COVERAGE Itis further agreed that nothing herein shall act to increase the Authority's limit of liability. This endorsement is part of the Memorandum and takes effect on the effective date of the Memorandum unless another effective date is shown below.All other terms and conditions remain unchanged. Effective Date: Memorandum No.:PER ATTACHED CERTIFICATE OF COVERAGE Issue Date:June 26,2015 Authorized Representative CSAC Excess Insurance Authority PAGE 2 OF 2 CERTIFICATE NO.ISSUE DATE (MM/DD/YYYY) WC-2136 CERTIFICATE OF COVERAGE 09/21/2015 CSAC Excess Insurance Authority C/O ALLIANT INSURANCE SERVICES,INC. PO BOX 6450 NEWPORT BEACH,CA 92658-6450 PHONE (949)756-0271 / FAX (619)699-0901 LICENSE #0C36861 Member: FRESNO COUNTY ATTN:TRACY MEADOR 2220 TULARE STREET,16TH FLOOR FRESNO,CA 93721-2108 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BELOW.THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITITUE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: Ifthe certificate holder is requesting a WAIVER OF SUBROGATION,the Memorandums of Coverage must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) COVERAGE AFFORDED BY:A -See attached schedule of insurers COVERAGE AFFORDED BY:B COVERAGE AFFORDED BY:C COVERAGE AFFORDED BY: D Coverages THIS IS TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE AND POLICIES LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE COVERAGE AFFORDED BY THE MEMORANDUMS AND POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDITIONS OF SUCH MEMORANDUMS AND POLICIES. CO LTR TYPE OF COVERAGE WORKERS' COMPENSATION & EMPLOYERS'LIABILITY MEMORANDUM/ POLICY NUMBER See attached Schedule of Insurers for policy numbers COVERAGE EFFECTIVE DATE (MM/DD/YYYY) 07/01/2015 COVERAGE EXPIRATION DATE (MM/DD/YYYY) 07/01/2016 LIMITS APPLY PER OCCURRENCE FOR ALL PROGRAM MEMBERS COMBINED. LIABILITY LIMITS WORKERS'COMPENSATION: Statutory EMPLOYERS'LIABILITY: $5,000,000 Description of Operations/Locations/Vehicles/Special Items: AS RESPECTS EVIDENCE OF COVERAGE FOR COOPERATIVE FIRE PROGRAMS FIRE PROTECTION REIMBURSEMENT AGREEMENT NUMBER 4CA02740 BETWEEN FRESNO COUNTY AND CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION TO PROVIDE MUTUALLY ADVANTAGEOUS FIRE AND EMERGENCY SERVICES. Certificate Holder CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION PO BOX 944246 SACRAMENTO,CA 94244-2460 Cancellation SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUMS OF COVERAGE/POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE MEMORANDUMS OF COVERAGE/POLICIES PROVISIONS AUTHORIZED REPRESENTATIVE •^i^l^L CSAC EXCESS INSURANCE AUTHORITY Page 1 of 2 CSAC EXCESS INSURANCE AUTHORITY EXCESS WORKERS'COMPENSATION PROGRAM 2015/2016 SCHEDULE OF INSURERS Fresno County PROVIDER MEMORANDUM/POLICY NUMBER LIMIT CSAC Excess Insurance Authority EIA15EWC-04 Workers'Compensation: $50,000,000 each accident/each employee for disease (Difference between $50,000,000 and the individual member's retention) Employers'Liability: $5,000,000 each accident/each employee for disease (Difference between $5,000,000 and the individual member's retention) Statutory each accident/each employee for disease excess of $50,000,000 National Union Fire Insurance Company of Pittsburgh,PA (AIG) EWC 91-0614 PAGE 2 of 2