The URL can be used to link to this page

Browse Search

Home My WebLink About20162412.tiff/D CONTRACT AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GOLDSCHMIDT AND ASSOCIATES (Non -Core) This Agreement Amendment, made and entered into ,20 day of 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 Goldschmidt and Associates, hereinafter referred to as the "Contractor WHEREAS the parties entered into an Agreement for Polygraph 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, 2O14 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. 2014-2476(5 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 ozic- ils-D 7- a74, aice 2016-2412 4/21)&1 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: Weld + my Clerk to the Band WELD COUNTY, COLORADO By d,driuki v.eito;,1 Deputy CI ; rk to the B BOARD OF COUNTY COMMISSIONERS Mike Freeman, Chair "fJUL 2 7 ZO13 NTRA Goldschmidt and Associates 824-B 9" Street Greeley, Colorado 80631 (970) 371-1321 By: Date. Bradley Goldschmidt, Owner (32,0 i6, - /z) A RL CERTIFICATE OF LIABILITY INSURANCE DATE (MWOONYYY) 6/23/2016 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 COMPLETE EQUITY MARKETS INC 1190 Flex Court Lake Zurich, IL 60047 CONTACT NAME - PHONE AX (847)541-0900 �(FA/eNo),(B47)541-0444 (E- ANo,EXt> IL ADDRESS: INSURERIS) AFFORDING COVERAGE NAICA INSURER A Underwriters at Lloyds, London INSURED Goldschmidt & Associates 1901 25th Avenue Greeley, CO 80634 INSURER B INSURER C INSURERD. INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADM INSD SUER wvo POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY I OCCUR EACH OCCURRENCE $ CLAIMS -MADE DAMAGE 10 RENTED PREMISES (Ea occurrence) $ GEN'L MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT PRO - POLICY i JECT OTHER: APPLIES PER: I LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE __(Ea LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT accident) $ BODILY INJURY (Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE . (per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ I ' CLAIMS -MADE AGGREGATE $ DED j I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE I I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- __ STATUTE 1 _ ER_ E L EACH ACCIDENT $ E L. DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ A Professional Liability 209078 6/20/2016 6/20/2017 $1,000,000 Each Claim $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule. may be attached if more space is required) 'Please see page two for additional information. CERTIFICATE HOLDER CANCELLATION Weld County 1150 O Street Greeley, CO 80634 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 © 1988-2014 ACORD CORPORATION. All rights reserved ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD 2 Certificate of Insurance GOLDSCHMIDT & ASSOCIATES Policy Number: 209078 Subject to all policy terms, conditions, exclusions and endorsements of the policy. Weld County is listed as an additional insured but only per the terms & conditions of the endorsement generated and subject to all policy terms, conditions, exclusions, and endorsements. This contract is delivered as a surplus line coverage under the 'Nonadmitted Insurance Act'. The insurer issuing this contract is not licensed in Colorado but is an eligible nonadmitted insurer. There is no protection under the provisions of the 'Colorado Insurance Guaranty Association Act'. This policy is a claims -made policy which provides liability coverage only if a claim is made during the policy period or any extended reporting period. Licensee: Lawrence T. P. Molloy By Lawrence T.P. Molloy binders138 Hello