ADDENDUM TO SERVICE AGREEMENTADDENDUM TO SERVICE AGREEMENT
THE SERVICE AGREEMENT (the "Agreement") DATED December 22, 2022, and
effective as of January 1, 2023, made and entered into by and between COMMERCIAL RISK
MANAGEMENT, INC. (referred to herein as the "Company") and the CITY OF CLEARWATER
(referred to herein as the "SELF-INSURED") is hereby amended to include the administration of
the Cancer Coverage for Firefighters Florida Statute 112.1816 to the self-insured program. The
Service Fee for the administration of 112.1816 for the period 7-16-2024 to 12-31-2024 will be
$625.00 per month.
Commercial Risk Management, Inc. will review, research and determine if diagnosis falls under
Section 112.1816 Florida Statutes for entitlement of benefits (copy of Cancer Coverage for
firefighters 112.1816 is, attached and is part of this addendum). Commercial Risk Management,
Inc. will issue payments =-in accordance with Statute 112.1816, as approved by the City of
Clearwater.
Any renewal of the term of this Agreement shall be documented by an instrument in writing signed
on behalf of both the Company and the Self -Insured.
IN WriNESS WHEREQf , the Company has caused this Addendum to be executed by its
undersigned o ficis= ally authorized this 15« day of August, 2024 but effective as of July 16,
2024.
ATTEST:
By: Leu2- T Z7•91A4.
Lorie Dove
Its Chief Operations Officer
COMMERCIAL RISK MANAGEMENT, INC.
By: suaalL
Susan E Theis
Its President/CEO
CITY OF CLEARWATER, FLORIDA
nnif=Poirrier
City Manager
Approved as to form: Attest:
wen Kohler
Lead Assistant City Attorney
04.Le
Rosemarie CaII
City Clerk