HomeMy WebLinkAbout20162038.tiffCONTRACT AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND LARRY P. KERRIGAN, PH.D. (Core)
This Agreement Amendment, made and entered into %T day •f ' 016, by and between
the Board of Weld County Commissioners, on behalf of the Weld Co qty Department of Human
Services, hereinafter referred to as the "Department", and Larry P. Kerrigan, Ph.D., hereinafter
referred to as the "Contractor".
WHEREAS the parties entered into an Agreement for Sexual Abuse Treatment (Safe -T Program),
(the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners
as document No. 2014-2476, approved on August 11, 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. 2014-2476, 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 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.
7 /�O -�� 17
2016-2038
0a7
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month,
and year first above written.
daVitIV
COUNTY: ATTEST:v:JeL;e4. BOARD OF COUNTY COMMISSIONERS
Weld C. ;Ay Clerk to the :oard WELD COUNTY, COLORADO
By: - d
Deputy CI
Mike Freeman, Chair
CONTRACTOR:
JUN 2 7 2016
Larry P. Kerrigan, Ph.D.
1015 37th Avenue Court, #102
Greeley, Colorado 80634
(970) 353-7526
By:
Date:
Larry P. Krngan Ph.D.
�O/� - oWi
Account Number: CO KERL 1750
Date: 6/06/16 Initials: LL
CERTIFICATE OF INSURANCE
DARWIN NATIONAL ASSURANCE COMPANY
C/O: American Professional Agency, Inc.
95 Broadway, Amityville, NY 11701
800-421-6694
This is to certify that the insurance policies specified below have been Issued by the company indicated
above to the insured named herein and that, subject to their provisions and conditions, such policies afford
the coverages indicated insofar as such coverages apply to the occupation or business of the Named insured(s)
as stated.
THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR
ALTERS THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE.
Name and Address of Insured:
LAURENCE P. KERRIGAN, PH.D.
1015 37TH AVE CT
UNIT 102
GREELEY CO 80634
Type of Work Covered: PROFESSIONAL PSYCHOLOGIST
Location of Operations:
(If different than address listed above)
Claim History:
Retroactive date i
Additional Named Insureds:
Coverages
Policy
Number
Effective
Date
Expiration
Date
Limits of
Liability
PROFESSIONAL/
LIABILITY
5010-6485
12/01/15
12/01/16
1,000,000
3,000,000
NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED, WHO SHALL
ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF
CANCELLATION.
Comments:THE FOLLOWING IS AN ADDITIONAL INSURED ON THIS POLICY:
COUNTY OF WELD, COLORADO
This Certificate Issued to:
Name: LAURENCE P. KERRIGAN, PH.D.
1015 37TH AVE CT
Address: UNIT 102
GREELEY CO 80634
Aut) orized Representative
APA 00138 00 (06/2014)
Hello