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Home My WebLink About20161891.tiffiP CONTRACT AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND IDEA FORUM, INC. (Non -Core) This Agreement Amendment, made and entered int T/4 day o 16 by and between the Board of Weld County Commissioners, on behalf of the Weld County`separtment of Human Services, hereinafter referred to as the "Department", and Idea Forum, Inc., hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Anger Management Evaluation and Treatment, Domestic Violence Evaluation and Treatment, and Monitored Sobriety, (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 renewed for the term of June 1, 2015 -May 31, 2016. The Agreement Amendment is identified by the Weld County Clerk to the Board of County Commissioners as document No. 2014-2816(2), approved on May 20, 2015. • The Amendment, 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 became 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 2016-1891 OAte-Q- 4sD ge-Dog7 • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: G J1+d0;gi Weld Co my Clerk to the Bo. rd By: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO a ►iLe. Mike Mike Freeman, Chair JUN 2 0 2016 IDEA Forum, Inc. 2560 West 29th Avenue Denver, Colorado 80211 By: Marce . Paiz, Chief Executive S fic: r Date: .5 37/ ,901 oZo/� - /19/ Ac R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 8/17/2015 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 Van Wagner Agency PO Box 9017 Woodbury NY 11797 CONTACT NAME: � rim Fes). 800-735-1588 FAX Not 888-290-0302 EMAIL request@sterlingrisk.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Granite State Ins. Co. 23809 INSURED IDEAF-1 Idea Forum, Inc. 2560 W. 29th Avenue Denver CO 80211 INSURER 8:Beazley Insurance Company, Inc. 37540 INSURERC: INSURER D INSURER E : INSURER F : COVERAGES LICK IIr1VHIC IVUITIOGR. ••••••••• .. ""'- "--'-----'- 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 1MTH 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. INSR', LTR •TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF (MAI/DD/TYYTI POLICY EXP (MMIDEI/YYYTI LIMITS A x COMMERCIAL GENERAL LIABILITY Y 02LX00738386811 8/14/2015 8/14/2016 EACH OCCURRENCE $1,000,000 DAMAGE 1 U RENTED PREMISES (Ea occurrence) $100,000 CLAMS -MADE OCCUR MED EXP (Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ( PO -CT LOC I 1 JE OTHER: PRODUCTS- COMP/OP AGO 51,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALLOWNED HIRED AUTOS — SCHEDULED MS NUN -OWNED AUTOS COMBINE) SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA UAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DEO I I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFiCER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA I PERSTATUTE i I ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ ' E.L. DISEASE - POLICY LIMIT $ p' Professional Liability 02LX00738386811 8/14/2015 8/14/2016 Occurence $1,000,000 Aggregate $3,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) As required by written contract, The City and Weld County Department of Human Services, its elected and appointed officials,employees and volunteers are included as additional insureds, as respects to Commercial General Liability ABUSE AND MOLESTATION ENDORSEMENT - CLAIMS MADE Limits of Insurance: $100,000 Each Incident Limit, $100,000 Aggregate Limit Retroactive Date: 8-14-2004 CERTIFICATE HOLDER CANCELLATION 30 days Weld County Department of Human Services 315 North 11th Ave Greeley CO 80601 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 26 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Hello