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Home My WebLink About20203041.tiffRESOLUTION RE: APPROVE AGREEMENT FOR PROFESSIONAL SERVICES FOR VARIOUS COVID-19 COMMUNITY SERVICES AND AUTHORIZE CHAIR TO SIGN - WELD FOOD BANK WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Agreement for Professional Services for Various COVID-19 Community Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Weld Food Bank, commencing June 1, 2020, and ending December 30, 2020, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement for Professional Services for Various COVID-19 Community Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Weld Food Bank, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 7th day of October, A.D., 2020, nunc pro tunc June 1, 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ddrif44)( ��o;ok. EXCUSED Mike Freeman, Chair Weld County Clerk to the Board BY: APP Deputy Clerk to the Board County Attorney Date of signature: 1O/13 Cc: HSD V fiG/20 Stev Moreno, Pro -Tern t K. James Kevin D. Ross 2020-3041 HR0092 BC0054 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: September 29, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement for Professional Services with the Weld Food Bank Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Agreement for Professional Services with the Weld Food Bank. The Department is requesting to enter into a new agreement with the Weld Food Bank to provide four (4) community services, including: COVID-19 Backpack Program, COVID-19 Kids Caf� Meal Program, COVID-19 Summer Feeding Meal Program, and COVID-19 Mobile Food Pantry Program. Under this Agreement the Weld Food Bank will provide food to approximately 1,800 individuals between August and December 2020 and to 12,808 individuals between June and July 2020 as COVID-19 relief. Funding for this Agreement is through the Colorado Coronavirus Aid, Relief, and Economic Security (CARES) Act awarded to Weld County. The total amount of this agreement is $316,200.00. The Rate Schedule is as follows: COVID-19 Food and Supplies $4.28/Backpack $3.86/Meal (COVID-19 Kids Caf�) $1.07/Snack (COVIDI9 Kids Caf�) $4.20/Person (COVID-I9 Summer Feeding Lunch) $2.44/Person (COVID-19 Summer Feeding Breakfast) $5.00/Person (COVID-19 Mobile Food Pantry) COVID-19 Staff Salary and Overtime $750.00/Month (Kitchen Assistant I Salary) $800.00/Month (Kitchen Assistance II Salary) $1,667.00/Month (Volunteer Assistant Salary) $470.00/Month (Part Time Volunteer Assistant Salary) $2,400.00/Month (Truck Driver I Salary) $2,400.00/Month (Truck Driver 11 Salary) $20.00/Month (Children's Program Assistant Overtime) $100.00/Month (Volunteer Manager Overtime) The term of this new agreement shall be from to June 1, 2020 through December 30, 2020. Pass -Around Memorandum; September 29, 2020 - CMS 4134 /©/O7 2020-3041 kigeoct PRIVILEGED AND CONFIDENTIAL. 1 do not recommend a Work Session. I recommend approval of this Agreement and authorize the Chair to sign. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Approve Schedule Other/Comments: Recommendation Work Session Pass -Around Memorandum; September 29, 2020 — CMS 4134 Page 2 WELD COUNTY AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN WELD COUNTY AND WELD FOOD BANK THIS AGREEMENT is made and entered into this 7� day of ' ' 2020, by and between the County of Weld, a body corporate and politic of the State of Colorado, by and through its Board of County Commissioners, whose address is 1150 "O" Street, Greeley, Colorado 80631 hereinafter referred to as "County," and Weld Food Bank, who whose address is 1108 H Street, Greeley, CO 80631, hereinafter referred to as "Contractor". WHEREAS, County desires to retain Contract Professional as an independent Contract Professional to perform services as more particularly set forth below; and WHEREAS, Contract Professional has the ability, qualifications, and time available to timely perform the services, and is willing to perform the services according to the terms of this Agreement. WHEREAS, Contract Professional is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the services as set forth below; NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibit A, Scope of Services and Rate of Services, which forms an integral part of this Agreement. Exhibit A is specifically incorporated herein by this reference. 2. Service or Work. Department of Human Services will provide payment as outlined in this Agreement and Exhibit A, and the Contractor agrees to provide all services, labor, and materials as described in this Agreement and Exhibit A. 3. Term. The term of this Agreement shall be from June 1, 2020, through December 30, 2020, or Contractor's completion of the responsibilities described in Exhibit A. This Agreement may be extended annually upon written agreement of both parties. 4. Termination. County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice. Furthermore, this Agreement may be terminated at any time without notice upon a material breach of the terms of the Agreement. 5. Extension or Modification. Any amendments or modifications to this agreement shall be in writing signed by both parties. No additional services or work performed by Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by County for such additional services. 6. Compensation/Contract Amount. County agrees to pay an amount no greater than $316,200.00 for the term of this Agreement, as set forth in Paragraph 3. County agrees to pay Contractor through an invoice process during the course of this Agreement in accordance with the Scope of Services as described in Exhibit A. Contractor agrees to submit invoices which detail the work completed by Contractor. The County will review each invoice and if it agrees Contractor has completed the invoiced items to the County's satisfaction, it will remit payment to Contractor. 1 Contractor agrees to work within the confines of the Scope of Services outlined in Exhibit A. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. 7. Independent Contractor. Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. 8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this Project without County's prior written consent, which may be withheld in County's sole discretion. 9. Ownership. All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. 10. Confidentiality. Contractor agrees to keep confidential all of County's confidential information. Contractor agrees not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking written permission from the County. Contractor agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this agreement. 11. Warranty. Contractor warrants that the services performed under this Agreement will be performed in a manner consistent with the standards governing such services and the provisions of this Agreement. Contractor further represents and warrants that all services shall be performed by qualified personnel in a professional and workmanlike manner, consistent with industry standards, and that all services will conform to applicable specifications. 12. Acceptance of Services Not a Waiver. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contractor. Acceptance by the County of, or payment for, the services completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Insurance and Indemnification. Contractor shall procure at least the minimum amount of automobile liability insurance required by the State of Colorado for the use of any personal vehicle. Proof of said automobile liability insurance shall be provided to County prior to the performance of any services under this Agreement. 14. Professional Liability (Errors and Omissions Liability). The policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Services of this contract. Contract Professional shall maintain limits for all claims covering wrongful acts, errors and/or omissions, including design errors, if 2 applicable, for damage sustained by reason of or in the course of operations under this Contract resulting from professional services. In the event that the professional liability insurance required by this Contract is written on a claims -made basis, Contract Professional warrants that any retroactive date under the policy shall precede the effective date of this Contract; and that either continuous coverage will be maintained or an extended discovery period will be exercised for a period of two (2) years beginning at the time work under this Contract is completed. Minimum Limits: Per Loss Aggregate $ 1,000,000 $ 2,000,000 15. Indemnity. The Contractor shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, or claims of any type or character arising out of the work done in fulfillment of the terms of this Contract or on account of any act, claim or amount arising or recovered under workers' compensation law or arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, law or court decree. 16. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. 17. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 18. Compliance with Law. Contractor shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. 19. Non -Exclusive Agreement. This Agreement is nonexclusive, and County may engage or use other Contractors or persons to perform services of the same or similar nature. 20. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 21. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 22. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement state that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. 23. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 3 24. Governmental Immunity. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 25. No Third -Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 26. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 27. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 28. Public Employment Retirement Program. Contractor is responsible for notifying Weld County of any previous participation in the Colorado Public Employee Retirement Program. Contractor must notify Weld county of the most recent employment for a PERA contributing employer. 29. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and County within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contractor shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5- 101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. 4 Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-103 prior to the effective date of the contract. 30. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibit A, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. � ►►�� COUNTY: ATTEST. d,, 41,! '�' "��//x'41 BOARD OF COUNTY COMMISSIONERS Weld By. ty Clerk to the Deputy Cle e Bo and WELD COUNTY, COLORADO Steve Moreno, Pro-Tem NTRACTOR: eld Food Bank 1108 H Street Greeley, CO 80631 OCT 0 7 2020 Obett OCoirirot By: Robert O'Connor (Sep 23, 2020 13:36 MDT) Bob O'Connor, Chief Executive Officer Date: Sep 23, 2020 5 o2Oo�o - �30�1 EXHIBIT A SCOPE OF SERVICE I. Contractor's Roles and Responsibilities The Contractor will provide services as indicated below, to children and families who have been identified by community partners as high risk for hunger due to the public health emergency identified as Coronavirus Disease 2019 (COVID-19). 1. COVID-19 Backpack Program. a. The Backpack Program is to provide food to children who otherwise might not have access. i. Contractor will work with teachers, counselors, and nurses in approximately 61 elementary schools in Weld County to identify children at risk of hunger related to the COVID-19 pandemic. ii. Contractor will distribute approximately 2,000 backpacks a week during the months of June and July 2020 and anticipates distributing approximately 1,000 - 1,500 additional backpacks a week between August and December 2020. iii. Contractor will work with school districts to distribute backpacks to children if the school closes due to COVID-19. 2. COVID-19 Kids Caf� Meal Program. a. The Kids Caf� Program provides snacks as well as "drop & go" prepacked, microwavable meals to children for afterschool. i. Contractor will work with the community partners and school districts to distribute afterschool meals. ii. Contractor will provide approximately 8,500 meals between August and December 2020. iii. Contractor will provide approximately 10,000 snacks between August and December 2020. 3. COVID-19 Summer Feeding Meal Program. a. The Summer Feeding Meal Program provides breakfast and lunch to children in need. i. Contractor will provide 38,552 breakfast meals between June and July 2020. ii. Contractor will provide approximately 41,878 lunch meals between June and July 2020. 4. COVID-19 Mobile Food Pantry Program. a. The Mobile Food Pantry Program takes food directly to areas of high need and distributes perishable foods including produce, meat, and diary. 1 i. Contractor will provide food to approximately 1,800 individuals a month between August and December 2020. ii. Contractor will provide food to 12,808 individuals between June and July 2020. II. County's Role and Responsibility County will work closely and collaboratively with the Contractor to identify outreach methods for food distribution in an effort to meet the needs of the community during this public health emergency. III. Payment for Services 1. County shall reimburse the Contractor in consideration of work and services performed under the agreement an amount not to exceed $316,200.00. 2. Contractor shall submit an itemized monthly invoice monthly certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of the Agreement. 3. Rate Schedule: COVID-19 Food and Supplies $4.28/Backpack $3.86/Meal (COVID-19 Kids Caf�) $1.07/Snack (COVIDI9 Kids Caf�) $4.20/Person (COVID-19 Summer Feeding Lunch) $2.44/Person (COVID-19 Summer Feeding Breakfast) $5.00/Person (COVID-19 Mobile Food Pantry) COVID-19 Staff Salary and Overtime $750.00/Month (Kitchen Assistant I Salary) $800.00/Month (Kitchen Assistance II Salary) $1,667.00/Month (Volunteer Assistant Salary) $470.00/Month (Part Time Volunteer Assistant Salary) $2,400.00/Month (Truck Driver I Salary) $2,400.00/Month (Truck Driver II Salary) $20.00/Month (Children's Program Assistant Overtime) $100.00/Month (Volunteer Manager Overtime) 4. Expenses incurred by the Weld Food Bank prior to the term of this Agreement are not eligible County expenditures and shall not be reimbursed by the County. 2 5. Payment pursuant to the Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. If said funds, or any part thereof, become unavailable as determined by the County, the County may immediately terminate the Agreement or amend it accordingly. 3 BUSINESS AUTO SCHEDULE POLICY NUMBER: PHPK2143150 SCHEDULE OF COVERED AUTOS YOU OWN Covered Auto No. DESCRIPTION TERRITORY Year Model; Trade Name; Body Type Serial Number (S); Vehicle Identification Number (VIN) Town or City & Zip where the Covered Auto will be principally garaged 1 2006 GMC C5500 C5C042, 1GDJ5C1226F408427 110 Greeley, CO 80631 2 2012 ISUZU NRR, JALE5W162C7300209 110 Greeley, CO 80631 3 2012 FREIGHTLINER M2 106 MEDIUM DUTY, 1FVACWDT3CDBC9854 110 Greeley, CO 80631 4 2013 INTERNATIONAL 4000 SERIES 4300, 1HTMMAANXDH329126 110 Greeley, CO 80631 5 2016 FREIGHTLINER M2 112 MEDIUM DUTY, 1FVAC4DX9GHGY8836 110 Greeley, CO 80631 6 2012 CHEVROLET MALIBU 1LT, 1G1ZC5E03CF283413 110 Greeley, CO 80631 Covered Auto No. CLASSIFICATION PURCHASED Ra�dws or Seedless Use 5 service Size GVw, COW or Vehicle Age Prirna / Rating Factor Sec. Rating Factor Code Chiuinal Cost New Stated Amount Operation retail c - come''. Seating Capacity Goup Hat, Phy. Dam. Liab- Phy Dam. 1 LOCAL S 30,000 12 1.100 0.750 31499 35,805 2 LOCAL S 15,000 9 1.050 0.750 21499 30,000 3 LOCAL S 15,000 9 1.050 0.750 21499 113,147 4 LOCAL S 30,000 8 1.100 0.750 31499 127,388 5 LOCAL S 15,000 5 1.050 0.750 21499 75,000 6 9 1.000 1.000 7398 23,355 Total Premium Covered Auto No. LIABILITY s. AUTO. MED. MEDICAL EXPENSE AND INCOME LOSS BENEFITS (VA ONLY) Limit (in thousands) Premium Limit Premium Limit Stated In Each Med. Exp. And Inc. Loss Ben. End. For Each Person Premium 1 1,000 1,098.00 5,000 54.00 2 1,000 987.00 5,000 54.00 3 1,000 987.00 5,000 54.00 4 1,000 1,098.00 5,000 54.00 5 1,000 987.00 5,000 54.00 6 1,000 801.00 5,000 29.00 Total Premium 5,958.00 299.00 Covered Auto No. PERSONAL INJURY PROTECTION P.P.I. (Mich, Only) UNINSURED/UNDERINSURED Limit stated in each P.I.P end. Premium Limit stated in each P.P.I. end. Premium Limit (in thousands) Premium UM UIM 1 1,000 87.00 X X 2 1,000 87.00 X X 3 1,000 87.00 X X 4 1,000 87.00 X X 5 1,000 87.00 X X 6 1,000 136.00 X X Total Pramium 571.00 Page 1 of 4 BUSINESS AUTO SCHEDULE POLICY NUMBER: PHPK2143150 SCHEDULE OF COVERED AUTOS YOU OWN (Cont'd Covered Auto No. COMPREHENSIVE SPEC. CAUSES OF LOSS COLLISION Deductible Premium Premium Deductible Premium 1 500 43.00 1,000 149.00 2 500 65.00 1,000 223.00 3 500 93.00 1,000 555.00 4 500 98.00 1,000 670.00 5 500 102.00 1,000 674.00 6 500 98.00 1,000 222.00 total Premium 499.00 2,493.00 Covered Auto No. TOWING & LABOR Except for lowing all physical damage loss is payable to you and the loss payee named below as interests may appear at the time of the loss. TOTAL Limit per disablement Premium Premium 1 1,431.00 2 See Schedule(s) 1,416.00 3 1,776.00 4 2,007.00 5 1,904.00 6 1,286.00 Tolal Premium 9, 820 . 00 Page 2 of 4 BUSINESS AUTO SCHEDULE POLICY NUMBER: PHPK2 143150 SCHEDULE OF COVERED AUTOS YOU OWN Covered _ DESCRIPTION TERRITORY Auto No. Year Model; Trade Name; Body Type Serial Number (S); Vehicle Identification Number (VIN) Town or City & Zip where the Covered Auto will be principally garaged 7 2019 ZSUZU FTR, 54DK6S167KSG00218 110 Greeley, CO 80631 8 2019 GMC SAVANA, 1GTZ7HFB0K1213215 110 Greeley, CO 80631 Covered CLASSIFICATION PURCHASED Auto NO. Radius of Business Use s = service Size GVW', COW , or Vehicle Aye Primary Rating Facto, Sec, Rating Factor Code Original Cnsi New Slated Amount Gpe .anon = retail C, = COMM., .Seating Capacity Group Liab Play Darn Liab Pny, Darn 7 LOCAL S 15,000 2 1.050 0.750 21499 121,486 8 LOCAL S 5,000 2 1.000 1.000 01499 64,027 rutal Premium Covered LIABILITY AUTO. MED. MEDICAL EXPENSE AND INCOME LOSS BENEFITS (VA ONLY) Auto No. Limit (in thousands) Premium Limit Premium Limit Stated In Each Med, Exp. And Inc. Loss Ben. End. For Each Person Premium 7 1,000 987.00 5,000 54.00 8 1,000 940.00 5,000 54.00 I Total Premium 7,885.00 407.00 Covered PERSONAL INJURY PROTECTION P.P.I. (Mich, Only) UNINSURED/UNDERINSURED Auto No. Limit stated in each P.I.P. end. Premium Limit stated in each P.P.I. end. Premium Limit (in thousands) Premium UM UIM 7 1,000 87.00 X X 8 1,000 67.00 X X Total Premium 745. 00 Page 3 of 4 BUSINESS AUTO SCHEDULE POLICY NUMBER: PHPK2143150 SCHEDULE OF COVERED AUTOS YOU OWN (Cont'd Covered Auto No. COMPREHENSIVE SPEC. CAUSES OF LOSS COLLISION Deductible Premium Premium Deductible Premium 7 500 128.00 1,000 987.00 8 500 137.00 1,000 717.00 Total Premium 764.00 4 , 197 . 00 Covered Auto No. TOWING & LABOR Except for towing all physical damage loss is payable to you and the loss payee named below as interests may appear at the time of the loss. TOTAL Limit per disablement Premium Premium 7 2,243.00 8 See Schedule(s) 1,935.00 Total Premium 13, 998.00 Page 4 of 4 ACORO® AC� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/02/2020 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 BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the po icy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT Teresa Berry, CIC,CISR,CLCS NAME: PHONE (970) 356-0123 I FAX (970)330-1867 (A/C, No, Extl: (A/C, No): E-MAIL TBerry@FloodPeterson.com ADDRESS: ry@ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insurance 18058 INSURED Weld Food Bank 1108 H Street Greeley CO 80631 INSURER B : Pinnacol Assurance. INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CL2061135125 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR TYPE OF INSURANCE NSD S W VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y PHPK2143150 06/25/2020 06/25/2021 EACH OCCURRENCEDAMAGE $ 1,000,000 TO PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE X POLICY OTHER: LIMITAPPLIES PRO- JECTLOC PER: PRODUCTS - COMP/OPAGG $ 2'000'000 $ A AUTOMOBILE X _ LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED Y PHPK2143150 06/25/2020 06/25/2021 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y PHUB725781 06/25/2020 06/25/2021 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED I XI RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N N/A 4066719 03/01/2020 03/01/2021 XI STATUTE I I OTH- ER E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 500,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured: Board of County Commissioners of Weld County and its Officers/Employees CERTIFICATE HOLDER CANCELLATION Weld County 1150 O Street Greeley CO 80631 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Contract Form New Contract Request Entity Information Entity Names WELD FOOD BANK Entity ID* ofzO0003404 Contract Name* WELD FOOD BANK AGREEMENT FOR PROFESSIONAL SERVICES (CARES ACT FUNDING) Contract Status CTB REVIEW ❑ New Entity? Contract ID 4134 Contract Lead* CULLI NTA Contract Lead Email cu inta.Ico.we Id. co, us;cobb xxlkco,weld.co.us Parent Contract ID Requires Board Approval YES Department Project # Contract Description * WELD FOOD BANK AGREEMENT FOR PROFESSIONAL SERVICES FOR FOOD ASSISTANCE. TERM DATE: JUNE 30, 2020 TO DECEMBER 30, 2020 FUNDING: CARES ACT Contract Description 2 Contract Type* AGREEMENT Amount S0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HurnanServicesweldgov.co rT Department Head Email CM-HumanServices- DeptHead.T veldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEYWELDG OV.COM Requested BOCC Agenda Date* 10'07.2020 Due Date 10'03,"2020 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are riot in On Base Contract Dates Effective Date Review Date* 10,30 2020 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 09;24 2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 10'07 2020 Originator COBBXXLK Committed Delivery Date Contact Type Contact Email Finance Approver BARB CONNOLLY Expiration Date* 12 30:2020 Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 09 29:2020 Tyler Ref # AG 100720 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 09,29?2020 Hello