HomeMy WebLinkAboutInsurance Services Agreement - Gibson Insurance Agency - Advisory and Brokerage Property and Casualty Insurance1316 COUNTY -CITY BUILDING
227 W. JEFFERSON Bow,EVARD
SOUTH BEND. fN[)IANA 46601-1830
CITY OF SOUTH BEND PETE BUFFIGIEG, MAYOR
BOARD OF PUBLIC WORKS
January 23, 2018
Brian Kubicki
Gibson Insurance Agency
130 S. Main Street, #400
South Bend, IN 46634
RE: Insurance Services Agreement
Dear Mr. Kubicki:
PHONE 574/235-9251
FAX 574/ 23 5-'9171
The Board of Public Works, at its meeting held on January 23, 2018, approved the above
referenced agreement regarding advisory and brokerage property and casualty insurance in
the amount of $59,500, paid in quarterly installments.
Enclosed please find the original of the agreement for your signature. Please sign and return
the original agreement to our office and retain a copy for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
V -� (( ti
Linda M. Martin, Clerk
Enclosure
c: Jen Hockenhull, Administration and Finance
GARY A, Gii,oi' SUZANNA A FRITZBERG ELIZABETH A. MARADIK JAMi:7s A. MUELLER Tj*-'�Rfsh' J. DORAU
INSURANCE SERVICES AGREEMENT
THIS AGREEMENT is made as, of January 1, 2018, by and between Gibson Insurance
Agency, Inc. ("Agent") and
City of South Bend ("Client").
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Client hereby engages Agent to provide advisory and brokerage services to Client for the
purposes of assistance in the procurement and placement of Client's property and casualty
Insurance needs with appropriate insurers, and/or other services as needed.
TERM OF AGREEMENT
This Agreement shall terminate upon thirty (30) days written, notice by either party to the
other.
3, STATUTORY COMPLIANCE
Agent shall comply with all applicable Insurance laws, including but not limited to
Indiana Code § 27-1-15.6.
4. AGENT'S DUTIES
Agent shall serve with objectivity and complete loyalty solely the insurance interests of
Client however, all decisions related to Client's business shall be made by Client in its sole and
absolute discretion, for which Client hereby assumes the sole responsibility, Agent shall receive
and have access to information that is considered proprietary and confidentialto Client. Both
during and after the term of this Agreement, Agent agrees to preserve and protect reasonably the
confidential nature of this information,
AGENT'S COMPENSATION AND EXPENSES
For all services rendered by the Agent under this Agreement, Client shall pay the Agent
the fees identified on Exhibit "A" attached hereto and made a part hereof.
IN WITNESS WHEREOF, this Agreement has been duly executed by the parties hereto
as of the date first written above.
APPROVED
"Client" Board of P?,thlic Nvcl"Agent"
By: F,By:
Printed: Printed:
Title: Tlitle�
Attachment:
Exh LL&--L=p
Date Printed: December 18, 2017
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 1/8/18
Name Jen Hockenhull
Department A/F
BPW Date 1/23/18 Phone Extension 9822
Required Prior to Submittal to Board
Legal Attorney Name Clara McDaniels
Controller review is required for all Contracts $5,000.00 or more
Controller and greater than one year in length per the City Purchasing
Policy
Purchasing [Z
- Check the Appropriate
Item Type - Required for All Submissions
Agreement
El Contract 0 Proposal
El Addendum
Z Professional Services
F-1 Amendment
F-1 Bid Opening
El Bid Award El Req. to Advertise
E] Title Sheet
F-1 Quote Opening
F-1 Quote Award
E] Chg, Order No.
E] C/O & PCA No. F-1 PCA
El Ease./Encroach.
El Traffic Control F-1 Resolution
El Other:
[:] Claim
Re aired Information
Company or Vendor Name
Gibson Insurance Agency, Inc.
New Vendor
Ell Yes ❑ If Yes, Approved by Purchasing
E No
M'BE/WBE Contractor
❑ MBE Completed E-Verify Form Attached
❑ WBE
El Yes
No
Project Name
Advisory & Brokerage Services
Project Number
n/a
Funding Source
Liabi.lity Insurance Reserve
Account No.
226-0417-672.31-0�6
Amount $59,500
Terms of Contract Quarterly Installments
Purpose/Description 2018 advisory and brokerage services relating to property &
casualty insurance needs.
For Change Orders Only
Amount of ❑ increase $
❑ Decrease $
Previous Amount $
Current Percent of Change: %
New Amount
Total Percent of Change
Time Extension:
Copy
Original
E
F-1
F]
El
11
F]
Jennifer Hockenhull