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9/30/2015 11:21:03 PM
Official Document Type
Agenda Item Number
Johns Eastern Company
Addendum No.II Workers Compensation Claims
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tIT <br /> ONNS EASTERN COMPANY, INC. dj k „- <br /> cairn Adjusters and Third party Ad[nill iStIaten <br /> ADDENDUM NUMBER II <br /> TO SERVICE CONTRACT FOR <br /> AUTOMOBILE LIABILITY, GENERAL LIABILITY, PROPERTY AND <br /> WORKERS' COMPENSATION CLAIMS HANDLING <br /> This is the Second Addendum to the Agreement entered into between Johns Eastern Company, Inc., <br /> hereinafter called the SERVICE AGENT, and INDIAN RIVER BOARD OF COUNTY COMMISSIONERS, <br /> hereinafter called the EMPLOYER, dated the 24th day of October. <br /> This Addendum affects the remuneration to be paid by the EMPLOYER to the SERVICE AGENT for <br /> the handling of claims with a date of loss of October 1, 2007 through September 30, 2008. All other terms of the <br /> original Contract remain unchanged. <br /> The remuneration to be paid to the SERVICE AGENT under this Agreement by the EMPLOYER for <br /> workers' compensation claims handling and safety services during the term of this Agreement shall be as follows: <br /> 5 . Compensation for the Service Agent: For performing its services under this Agreement. the Service Agent <br /> shall be entitled to the following compensation: <br /> a. Fees for workers' compensation exposures whose dates of loss fall between October 1 . 3007 and <br /> September 30, 2008 will he a minimum and deposit of $62 ,350. 00. We will bill this minimum and <br /> deposit in four quarterly installments of S 15 ,587 .50. with the first payment due on October 1 , 2007 . <br /> This fee contemplates handling 150 workers ' compensation exposures. If the number of exposures <br /> exceeds 150, then the fees will be 5150.00 per medical only exposure and $995 .00 per indemnity <br /> exposure . <br /> b. Fees for non- workers' compensation exposures whose dates of loss fall between October 1 , 2007 and <br /> September 30. 2008 will be a minimum and deposit of S13 .400.00. We will bill this minimum and <br /> deposit in four quarterly installments of $3.350. 00, with the first payment due upon program inception. <br /> This fee contemplates handling 22 non-workers ' compensation exposures. If the number ofcxposures <br /> exceeds 22 . then the fees wilt be : <br /> General Liability/Bl $649 . 00/exposure <br /> General Liability/PD $449 . 00/cxposure <br /> Law EnforcemendProf Liah. $950. 00/exposure <br /> Auto Liability/BI $649 . 00/exposure <br /> Auto Liability/PD 5449 .00/exposure <br /> Physical Damage $295 .00/exposure <br /> Errors & Omissions $950.00/exposure <br /> Commercial Property 5495 . 00/exposure <br /> c . The Arthur J . Gallagher administration fee will he $5 .000.00 covering October 1 . 2(X)7 through September <br /> 30- 2008 . <br /> d. Information Services — Optional programs available. If selected by Employer, Service Agent will bill <br /> accordingly . <br /> • Online NOI ( Pre- till) $ 1 ,000.0, per year <br /> • Adhoc Report Library $ 1 ,000.00 Setup Fee Pone time charge) <br /> $250.00 per login & password ( per year) <br /> • Adhoc Report Library $ 1 ,500.(X) Setup Fee ( one time charge ) <br /> $400.00 per login & password ( per year) <br /> All other service fee terms and rates outlined in the original contract remain unchanged. <br />
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