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Home My WebLink About20161884.tiffCONTRACT AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND INTERVENTION, INC. (Non -Core) This Agreement Amendment, made and entered into 016Tday of 2016, by and between the Board of Weld County Commissioners, on behalf of the Weld Coutitlty Department of Human Services, hereinafter referred to as the "Department", and Intervention, Inc., LCSW, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Monitored Sobriety Services, (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(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 • All other terms and conditions of the Original Agreement remain unchanged. 2016-1884 4_PoY7 a"2"-1-4 m/: at,e,,a4-/sp - ate- /L b-02o-/� IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. , L COUNTY: ATTEST: ddr,41) v• LO;�,C, BOARD OF COUNTY COMMISSIONERS Weld Co - ty Clerk to the Boar• WELD COUNTY, COLORADO By: Deputy Cle Mike Freeman, Chair ONTRACTOR: ntervention, Inc, 1333 West 120th Avenue, #101 Westminster, Colorado 80534 (303) 450-6000 JUN 2 0 2016 By: Kelly Sen: - berger, Chief tive Officer Date: 5 20/ tp 0.1")/--/ �f `f INTER -2 OP ID: EH '4` cRL . CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/17/2015 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 The WrightGroup Services (PC) g Property & Casualty Division 1873 S. Bellaire St., Ste. 600 Denver, CO 80222 Roger Forystek CONTACT NAME: Ellen Heeney - -- -- PNONE FAX _LA/�No, Ext): 303-863-7788 (ac, Nod -__---- 303-861-7502 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: THE HANOVER INSURANCE GROUP 002225 INSURED Intervention, Inc. 1333 W. 120th Ave., Ste. 101 Westminster, CO 80234 INSURER e : PINNACOL ASSURANCE 41190 INSURER C : 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 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. INSR LTR ADDL'SUBR TYPE OF INSURANCE I )NSD. WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POUCY EXP (MM/DD/YYYY) LIMITS A X X GEN'L " COMMERCIAL GENERAL LIABILITY J CLAIMS -MADE I X OCCUR Professional Liab _ X ZH4-A730058-00 ZH4-A730058-00 $1,000,000/83,000,000 09/17/2015 09/17/2015 ' 09/17/2016 09/17/2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence) $ 1,000,00 MED EXP (Any one person) $ 20,00 PERSONAL s ADV INJURY $ 1,000,00 AGGREGATE LIMIT APPLIES PER POLICY T I Te-r I X LOC OTHER GENERAL AGGREGATE I $ 3,000,00 PRODUCTS - COMP/OP AGG $ 3,000,00 Emp Ben. $ 1,000,00 A I-- AUTOMOBILE r X, _I !� LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS 1 X I NON -OWNED � AUTOS ! AW4-A730139-00 09/17/2015 09/17/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB ,OCCUR EXCESS UAB '' CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ rI WORKERS AND B ANY OFFICER/MEMBER (Mandatory I If yes, DESCRIPTION COMPENSATION EMPLOYERS' LIABILITY Y / N N / A ( 2019722 10/01/2015 I ' 10/01/2016 PER I OTH- _X 1 STATUTE ' I ER PROPRIETOR/PARTNER/EXECUTIVE N EXCLUDED? EL. EACH ACCIDENT ---- --- -- $ 100,00 in NH) describe under OF OPERATIONS below E L DISEASE - EA EMPLOYEEI $ 100,00 E.L. DISEASE - POLICY LIMIT I $ 500,00 A Property Section I IZH4-A730058-00 09/17/2015 09/17/2016 Building Contents 6,200,00 1,965,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Certificate Holder as additional insured with respects to General Liability. CERTIFICATE HOLDER CANCELLATION WLDCDHS Weld County Department of Human Services Division of Child Welfare 315 N. 11th Avenue ,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 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD:. HOLDER CODE WLDCDHS INTER -2 INSURED'S NAME Intervention, Inc. OP ID: EH Policy AHH001929 Eff 7/1/14-7/1/15, QBE Insurance Corp., Medical Expense Benefit $25,000, Accident Death Benefit $15,000, Accidental Dismemberment $50,000, Aggregate Limit $500 000. Cyber Liability Policy PHSD952066, Philadelphia Ins. Co. 7/15/2014-7/15/2015 $1,000,600 Network Security/Privacy. 9/17/2014-9/17/2015 Abuse & Molestation $250K/$500K. PAGE 2 Date 09/17)2015 Hello