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Home My WebLink About20162786.tiff0,ovO y d- f 1D L%c' CONTRACT AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND DEVEREUX COLORADO (Core) St This Agreement Amendment, made and entered into.Js day of ,qL19i/St , 2016, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Devereux Colorado, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Day Treatment Services, Individual Transition Services, and Mental Health Services (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2014-2816, approved on September 15, 2014. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement ended on May 31, 2015. • The Original Agreement was amended for an additional term of June 1, 2015 -May 31, 2016. This Agreement Amendment is identified by the Weld County Clerk to the Board of County Commissioners as document No. 2014-2816(1), approved on May 20, 2015. • The Amendment(s), together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. Term This agreement shall become effective on June 1, 2014, upon proper execution of this Agreement and shall expire May 31, 2017, unless sooner terminated as provided herein. 2. None • All other terms and conditions of the Original Agreement remain unchanged. 2016-2786 r‘..51 RTA0,, 831 - I1, IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTES&cy-iti, 0 ;ti Weld CotritieirePk to the Board By: (/(,! to D puty Clerk to the Bard BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Julie Cozad, Pro—Tem CONTRACTOR: Devereux Colorado 8405 Church Ranch Boulevard Westminster I.lorado 80021 (303) 438 By: erry W. May, Executive Director Date: 6(2//‘ UG 3 1 2016 Client#: 353510 DEVERFOUND ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/10/2016 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, 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 Conner Strong & Buckelew Two Liberty Place 50 S. 16th Street, Suite 3600 Philadelphia, PA 19102 CONTACT (NC,PHONE No, Ext): 877 861-3220 (NC. No): 8567959783 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC if INSURER A: Homeland Insurance Company of D 14231 INSURED Devereux Foundation 2012 Renaissance Blvd. King of Prussia, PA 19406 INSURER e: American Zurich Insurance Compa 40142 INSURER C: Zurich American Insurance Compa 16535 INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADDL INSR SUeR WVD POLICY NUMBER POLICY EFF (MM/DDM'YY) POLICY EXP (MMIDD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY MPP695316 07/01/201607/01/2017 EACHOCCURRENCE$10,000,000 $1,000,000 I,I . PREMSES(EsEoccou ence) CLAIMS -MADE X OCCUR MED EXP (My one person) S PERSONAL & ADV INJURY 510,000,000 GENERAL AGGREGATE $18,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER JECT n LOC PRODUCTS - COMP/OP AGG $18,000,000 $ C AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED _ SCHEDULED AUTOS NNON-OWNED BAP293636316 07/01/201607/01/2017 COMBINED COMBINEDSINGLE LIMIT 51,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ B WORKERS COMPENSATION ANDEMPLOYERS'UABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below V/N N N /A WC293636216 WC654108007 07/01/2016 07/01/2016 07/01/2017 07/01/2017 X 'Waifs IorH- UMITS ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 A Professional Liability MPP695316 07/01/2016 07/01/2017 Each Claim -$10,000,000 Aggregate -$18,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space s required) CERTIFICATE HOLDER CANCELLATION County of Weld 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 a 9--AT-4.e..-e 7 o f © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1562620/M 1537429 Q1R Hello