HomeMy WebLinkAboutC-7535-1 - Member Statement of Services ("SOS")EXHIBIT D-36
MEMBER STATEMENT OF SERVICES ("SOS")
This Statement of Services ("SOS") is entered into effective September 28, 2018 ("Effective Date") by and
between EXIGIS, LLC. a New York Limited Liability Company located at 12 E. 46`h Street, 6E, New York, NY
10017 ("EXIGIS"), and City of Newport Beach located at 100 Civic Center Drive, Newport Beach, CA 92660.
("Member").
The initial term of Services of this SOS shall be for a period of twelve (12) months commencing on the
Effective Date and renewing annually thereafter until otherwise terminated by Member pursuant to Section
9 of the Agreement.
PROJECT OVERVIEW
EXIGIS will provide Member with RiskWorks and the rm.Compliance and rm.Reports Application Modules
(the "Software"), and perform annual services in support thereof (the "Services").
Software will be used to administer and execute third party insurance compliance functions including:
distributing and receiving communications to/from Vendors and Insurance Brokers; processing and
validating incoming insurance certificates and defined policy endorsements; verifying compliance with
contractual insurance requirements; managing annual renewals of insurance documents and; maintaining
an electronic archive of insurance documentation and Vendor account information.
EXIGIS will use Software to: distribute process communications (including: insurance information requests,
reminders, notices, renewal requests, etc.); create and maintain Vendor account profiles; receive and
process Standard Insurance Documents; perform data extraction of pertinent insurance information;
evaluate compliance of insurance information with contractually mandated minimums and; maintain a
searchable and readily accessible archive of insurance records, related documentation and Vendor account
information.
Member will use Software to: monitor compliance status, progress, and activity; access Vendor account
information; view Vendor compliance evaluation(s), certificates of insurance, policy endorsements, and
process communications; review exceptions and respond to terminal compliance deficiencies (i.e. waive,
reject, return for further revision, etc.) and; search activity history and account archives.
Member will use Software to: run template reports; create ad-hoc reports and; export and save data,
Vendor account details, and compliance information from Software to MS Excel or Adobe PDF.
DESCRIPTION OF TECHNOLOGY
EXIGIS will configure and deliver Software per the standard specifications and scope allocations defined in
the Standard Project Template and in accordance with this SOS and accompanying Business Requirements
Document (the "Requirements Document").
EXIGIS, LLC. Exhibit D-36'Member Statement of Services' ("SOS")
City of Newport Beach
27 September 2018
Version: 2.0
Configuration
1. Workflows
Standard Business Rules configured to underpin the execution of process events
a. New Vendor -Account/Insurance Registration
b. Document Processing - Intake and Evaluation of Insurance Documentation
c. Compliant Vendor - Validation of Insurance Compliance
d. Noncompliant Vendor - Identification of Unresolved Insurance Deficiency
e. Compliance Exception -Escalation and Waiver of Terminal Deficiency
f. Notice of Default - Unaccepted Terminal Deficiency
g. Certificate of Insurance - Renewal of on -File Document
Page 2 of 10
2. Document Types
Standard Insurance Documents used to evaluate third party insurance and compliance with
specified contract minimums
a. Certificates of Insurance:
i. ACORD 25 - Certificate of Liability Insurance
ii. ACORD 101 - Additional Remarks
b. Endorsements:
i. ISO CG 20 10 - Additional Insured Endorsement
ii. ISO CG 24 04 - Waiver of Transfer of Rights of Recovery Endorsement
c. Other:
i. California State Workers' Compensation Certificates
ii. Carrier Issued Evidence of Insurance
iii. Performance Bonds
iv. Policy Declarations
3. Product Lines
Standard Product Lines required of third parties per specified Contract Type
a. Commercial General Liability
b. Automobile Liability
c. Workers' Compensation/Employers Liability
d. Professional Liability/ E&O
e. Umbrella/Excess Liability
f. Cyber Liability
g. Pollution Liability
h. Builders Risk
i. Longshoreman's Coverage
j. Theft Coverage
4. Contract Types
Standard Insurance Profiles used to evaluate and measure third party compliance with specified
contractual insurance requirements.
a. Type 1: Janitorial/Repair and Maintenance Agreement
b. Type 2: Professional Service Agreement
EXIGIS, LLC. Exhibit D-36 'Member Statement of Services' ("SOS")
City of Newport Beach
27 September 2018
Version: 2.0
c. Type 3:
Service Agreement
d. Type 4:
Recreation Instructor Agreement
e. Type 5:
Public Works Formal Agreement
f. Type 6:
Public Works Informal Agreement
g. Type 7:
Real Property Encroachment Agreement
h. Type 8:
Legal Services Agreement
i. Type 9:
Purchase and Installation Agreement
5. Report Templates
Standard System Report Templates preconfigured and available via rm.Reports
a. Active Vendor Account Report with Vendor Details
b. Vendor Activity Report
c. Compliance Vendor Report
d. Non -Compliant Vendor Report
e. Pending Registration (Vendor and/or Broker) Report
f. Vendor Policy Renewal Report - by Month
g. Terminal (Nonresponsive) Vendor Report
Page 3 of 10
Infrastructure
The following annual infrastructure allocations are included in this SOS:
1. Data Storage/Bandwidth: Up to twenty (20) GBs
2. Email Extension(s): Up to one (1) extension for submission of Insurance Documents
3. Telephone Line(s): Standard Toll Free
User Access
Users shall refer to those authorized individuals in the employ of Member including employees, agents, and
representatives. The following User Licenses and Access allocations are included in this SOS:
1. Member:
UD to fifteen (15) total Users
Type Description Allocation
j Administrator I Manager of Software and Application Permissions, Up to one (1)
_ Workflows and Business Rules Administrators
Reviewer Reviewer of Compliance Exceptions Up to two (2)�
Reviewers
Requestor --Standard User and Initiator of Compliance Up to seventeen (17)
---- ------i Requests-- -- ------------- - -.__— _._ Requestors�
EXIGIS, LLC. Exhibit D-36'Member Statement of Services' ("SOS")
City of Newport Beach
27 September 2018
Version: 2.0
DESCRIPTION OF SERVICES
Page 4 of 10
Messaging and Communications
EXIGIS will perform standardized recurring communication 'campaigns' targeting Vendors and/or Insurance
Brokers for the purposes of obtaining the submission of required insurance documentation (including
renewal information) or resolving any identified insurance deficiencies. The following annual messaging
allocations are included in this SOS:
Format and Description
Unit
Allocation
Email - Electronic Messages Generated by
Per Compliance
Up to thirteen (13)
RiskWorks to Vendors or Insurance Brokers
Evaluation
Emails, per annum
Telephone - Outbound Calls by EXIGIS Customer
Per Compliance
Up to one (1)
Services to Unresponsive Vendors or Insurance
Evaluation
Call, per annum
Brokers
Email
Standard Communication Plan
The below table outlines the annual communications plan included in this SOS. Plan components, message
timing, distribution sequence, and number of outreach attempts may be revised and refined according to
Member preferences, within the confines of the scope allotted in the Requirements Document and may be
subject to out of scope fees (where/if applicable).
Step
Description
Timing
Format
Process Introduction (Broker Registration Option) j
# 1
Welcome Notice to Vendor- Submit
!< 1 business day from Software launch
Email
Insurance Documents
or registration of new Vendor
# 2
Final Notice to Vendor
+ 5 days after issuance of #1
Email
(copy to Member contact)
Insurance Submission Request/Reminder
3
Notification to Vendor or Broker -
+ 2 days after issuance of #2
Email
Submit Insurance Documents
_
# 4 Final Notice to Vendor or Broker + 5 days after issuance of #3 Email
(copy to Member contact)
_---^�--�
Renewal Submission Request/Reminder
_
Notification to Vendor - Submit Renewal [—+_ 15 _da_ys_ prior to coverage expiration
I Email
I#5
Insurance Documents [pre -expiration] I
I
ls' Renewal Reminder to Vendor/Broker- I + 0 day from coverage expiration
Phone
#6
Submit Renewal Insurance Documents
[expiration day] —
Notification to Vendor/Broker - Submit + 15 days after issuance of #6�
i Email
# 7
Renewal Insurance Documents [post-
expiration]
1
2"d Renewal Reminder to Vendor/Broker + 21 days after issuance of #7
Email
# 8
Submit Renewal Insurance Documents
[post -expiration]
Email
�# 9
Final Notice to Vendor - Submit Renewal ! + 21 days after issuance of #8
EXIGIS, LLC. Exhibit D-36 'Member Statement of Services' ("SOS")
City of Newport Beach
27 September 2018 Page 5 of 10
Version: 2.0
Insurance Documents [post-expiration]-----�—�
(copy to Member contact)
Status Notification - Non -Compliant or Incomplete Submission
Notification to Vendor/Broker - <_ 1 business day from identification of Email
# 10
Complete/Revise Insurance Documents deficiencies
(Year -1 Only)
2"d Notification to Vendor/Broker -
+ 15 days after issuance of #10
Email
#11
Complete/Revise Insurance Documents
Web -to -Case
# 12
Final Notice to Vendor
+ 21 days after issuance of #11
Email
Monday to Friday
(copy to Member contact)
I
------ ------- ---.____----- ---- .----_._._--------I
Cancelled Coverage Notification
Notification to Vendor - Status Change,
+ 0 business days from receipt of
Email
# 13
Noncompliant Profile
Cancellation Notification
(copy to Member contact)
Compliance Evaluation
EXIGIS will perform up to 500 Insurance Compliance Evaluations per annum. Insurance Compliance will be
measured and maintained in accordance with the minimum requirements set forth in the specified Contract
Type (as defined herein) and includes the intake [via Electronic 'Drop -Box' or Email], processing, and imaging
of Certificates of Insurance and Endorsements.
Education and Training
EXIGIS will provide customized education and role -based training to Member for the purposes of acclimating
Users to Software and role/task responsibilities. The following standard training allocations are included in
this SOS:
Format and Description Parameters
Allocation
Web I 30 Minute Web
Up to two (2) Web Sessions
Segmented Application and Role Specific I Session
(Year -1 Only)
Webinar Session
I
In supplement to the above training, as part of the SOS, EXIGIS will publish and distribute User Manual
Brochure to Member.
User Support
EXIGIS will provide multichannel support available to Member and third party Vendors and Insurance
Brokers. The following channels and annual support allocations are included in this SOS:
Service
Parameters
Allocation
Telephone
Business Hours
5:00 am to 5:00 pm PST,
Live phone support by Customer
Monday through Friday
Monday to Friday
Support Representatives
Web -to -Case
_
— Business Hours
5:00 am to 5:00 pm PST,
Email to submit inquiries directly to
Monday through Friday
Monday to Friday
Customer Support desk
�—
I
------ ------- ---.____----- ---- .----_._._--------I
EXIGIS, LLC. Exhibit D-36 'Member Statement of Services' ("SOS")
City of Newport Beach
27 September 2018 Page 6 of 10
Version: 2.0
Chat Business HoursT—� 5:00 am to 5:00 pm PST, j
Integrated web chat providing 'live' Monday through Friday ! Monday to Friday
access to Customer Support
SCOPE AND FEES
The table below summarizes: (i) standard project services and resources included in the EIA Standard Project
Template; and (ii) Non -Standard additional or unique Member -specific requirements.
Project Scope Summary
Onetime Fees
The table below summarizes total Onetime Project Fees for Standard and Non -Standard (if applicable) Setup
and Configuration.
Base Estimate of Active Third Party Insurance Records for Upload: 1,000
Category Fee
Standard Project Setup and Configuration Fees --�
Fixed Configuration $ 2,500.00
Variable Setup $ 1.50 Per Active $ 1,500.00
1 Contract
Non -Standard Project Setup and Configuration Fees - Endorsements
• Performance Bond, Policy Declaration $1,640.00 Per $3,280.00
Non-standard
Endorsement
EXIGIS, LLC. Exhibit D-36'Member Statement of Services' ("SOS")
City of Newport Beach
EIA Standard Project Template
Standard Member
Non -Standard
#
Category
Allocations
Allocations
Allocations
1
Compliance
Variable (per Contract �
1 000 Contract
Compliance Evaluation (per �
N/A,
Evaluations
Compliance Evaluation) I
annum)
2
Process
7 Standard Workflows
7 Workflows
N/A
Workflows
3
Insurance
—v�-2
6 Standard Document Types
6 Document Types
Non-standard
Documents
—i
Document Types
4
Product Lines
9 Standard Product Lines
9 Standard Product Lines
1Non-standard
i
Product line
5
Contract Types
_
8 Standard Contract Types
8 Standard Contract Types
1 Additional Contract
Type
6
Reports
7 Standard Reports
v 7 Standard Reports
N/A
7
Data Storage
�'
Standard - 20 GBs
20 GBs I
Y --`
/v//A '
8
User Access
Standard - 20 Users
20 Users
N/A
9
Communications
Standard - 13 Emails / 1 Call ;
13 Emails / 1 Call
N/A
11
Training
2 Web Sessions (Year -1) i
2 Web Sessions (Year -1)
N/A
Onetime Fees
The table below summarizes total Onetime Project Fees for Standard and Non -Standard (if applicable) Setup
and Configuration.
Base Estimate of Active Third Party Insurance Records for Upload: 1,000
Category Fee
Standard Project Setup and Configuration Fees --�
Fixed Configuration $ 2,500.00
Variable Setup $ 1.50 Per Active $ 1,500.00
1 Contract
Non -Standard Project Setup and Configuration Fees - Endorsements
• Performance Bond, Policy Declaration $1,640.00 Per $3,280.00
Non-standard
Endorsement
EXIGIS, LLC. Exhibit D-36'Member Statement of Services' ("SOS")
City of Newport Beach
27 September 2018
Version: 2.0
Non -Standard Project Setup and Configuration Fees – Additional Contract Type
• One (1) Additional Contract Type in Excess of 8 $295.00 per
Allocated by CSAC EIA Master Customer Agreement Additional
Contract Type
Non -Standard Project Setup and Configuration Fees - Coverage Lines
• Longshoreman's Coverage $760.00 per
Non-standard
Coverage line
Total Estimated Onetime Setup and Configuration Fee.
Page 7 of 10
$295.00
$760.00
$8,335.00
Annual Fees
The table below summarizes total Annual Project Fees for Standard and Non -Standard (if applicable)
Software and Account Services.
Base Estimate of Annual Third Partv Insurance Compliance Evaluations: 1,000
Category
Fee
Standard Annual Fees for Software and Services
Total Estimated Onetime Setup and Configuration Fee:
$ 8,335.00
Variable Software and Services
Non -Standard Annual Fees for Software and Services
$ 12.50 Per Compliance
Evaluation
$12,500.00
• Document Processing for Non -Standard
Endorsement
$ 7.25 Per Non-
Standard Endorsement
TBD - Based on
Number
Processed
Total Estimated Annual Fee:
$12,500.00
Total Estimated Onetime Setup/Confieuration and Annual Software/Service Fees
Category
Fee
Total Estimated Onetime Setup and Configuration Fee:
$ 8,335.00
Total Estimated Annual Fee: �—
Total Onetime Setup/Corttiguration and Annual Software/Service Fees:
$ 12,500.00
$ 20,835.00
PROJECT CONTACTS
The following individuals have been designated as primary project contacts for the term of this SOS:
City of Newport Beach
Role Designated Contact
Primary Project Contact: Barbara Sahrini
Human Resources Director
100 Civic Center Drive
Newport Beach, CA 92660
Phone: (949) 644-3259
Email: bsaivini@newportbeachca.gov
EXIGIS, LLC. Exhibit D-36 'Member Statement of Services' ("SOS")
City of Newport Beach
27 September 2018
Version: 2.0
Page 8 of 10
Exigis
Role
Implementations Manager:
Designated Contact
Olga Moskatova
Project Implementation
Manager, Implementations j
12 E. 46th Street, 6E
New York, NY 10017
Phone: (646) 762-1524
Email: olga.mostkatova@exigis.com
Account Manager:
<TBD>
Account Services
Primary Accounts Contact:
Allison Shearer
Contracts and Accounts
Senior Associate, Business Development and Accounts
38975 Sky Canyon Dr., Suite 103
Murrieta, CA 92563
Phone: (646) 762-1525
Email: allison.shearer@exigis.com
Executive Operations Contact:
Robert Rodriguez, Partner
All Operations and Contracts
Chief Operations Officer
12 E. 46th Street, 6E
New York, NY 10017
Phone: (646) 762-1551
Email: robert.rodriguez@exigis.com
EXIGIS, LLC. Exhibit D-36 'Member Statement of Services' ("SOS")
City of Newport Beach
27 September 2018
Version: 2.0
Signature Page to Follow -----
EXIGIS, LLC. Exhibit D-36'Member Statement of Services' ("SOS")
City of Newport Beach
Page 9 of 10
27 September 2018
Version: i10
SIGNATURES
Page 10 of 10
Each party represents and warrants that on this date they understand and agree to the terms and conditions
of this SOS and are duly authorized to bind their respective principals by their signatures.
CSAC EXCESS INSURANCE AUTHORITY
By:
n
Name:
Title:
t D x , 2018
City of Newport Beach
(Member)
' r7 APPROVED AS TO FORM:
By: �u (�iw CITY ATT E
OFFIC
ARA
QRp Dat IU S d
Name: "k^✓A" j S� ail � i
Title: #4` 1�
By:
U� 3 lass
Aaron C. Harp, City Attorney uMMIoj%g
EXIGIS, LLC.
By:
Robert Rodriguez, Partner
Chief Operations Officer
October 5. 2018 pttes4t: jy
P
Leilani 1. Brown, MMC, City Clerk 1
Lutea `0 . ! - I�
0� �E,WPpR�
EXIGIS, LLC. Exhibit D-36 'Member Statement of Services' ("SOS")
City of Newport Beach ���PoaoWP