The URL can be used to link to this page

Browse Search

Home My WebLink About20161883.tiffCONTRACT AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND NORTH RANGE BEHAVIORAL HEALTH (Non -Core) This Agreement Amendment, made and entered into day o between the Board of Weld County Commissioners, on behalf of the Weld 2016, by and unty Department of Human Services, hereinafter referred to as the "Department", and North Range Behavioral Health, 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 Services (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2014-3107, approved on October 13, 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. 2015-2198, approved on July 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. Exhibit B -Scope of Services, Item 3b, hereby amended as follows: Services will be provided at the North Range Behavioral Health Crisis Stabilization Services facility in Greeley, Colorado, at 1140 M Street. ath-i-e-- 145D 2016-1883 3. Exhibit B -Scope of Services, Item 3c, is hereby amended as follows: Contractor will provide a qualified monitored sobriety collector 24 hours a day, 7 days a week, at the Crisis Stabilization Services facility located at 1140 M Street, Greeley, Colorado. • 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: ddriLIV '11 Weld C : • my Clerk to the Board By: Deputy Cle BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair JUN 2 0 2016 NTRA • R: !North Range Behavioral Health 1300 North 17th Avenue Greeley, Colorado 80634 (970) 347-2120 By: Date: ry D. Pot!•rff, Executive Dire /2144 2?"' -/iio NORTH12 OP ID: DP 4WRD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 06/24/2015 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 Rich 8 Cartmill Ins of CO of Colorado LLC 8213 W. 20th Street Greeley, CO 80634 Michael J Schmitt CIC INSURED North Range Behavioral Health 1300 N 17th Avenue Greeley, CO 80631 NAME: CT Michael J Schmitt CIC PHONE 970-356-8030 IA/C. No. E>R� E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE INSURER A : Philadelphia Insurance Co INSURER 8: Pinnacol Assurance INSURER c : Lloyds of London INSURER D : INSURER E : INSURER F : (N No): 970-356-8032 NAIC 23850 ERTIFICATE NUMBER: REVISION NUMBER: THIS IS INDICATED CERTIFICATE EXCLUSIONS ILT R' LTR � TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --- TYPE OF INSURANCEPOLICY ADDL JIM SUER WVD POLICY EFF NUMBER {MMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X - X ,--Professional '�. X GEN'L COMMERCIAL GENERAL LIABILITY , CLAIMS -MADE OCCUR Ei ab ! X PHPK1356673 07!01!2015 07/01/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 20,000 , HIPAA Inc! AGGREGATE LIMIT APPLIES PER POLICY j PE ( X I LOC OTHER PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE 5 3,000,000 LPRODUCTS - COMP/OP AGG Emp Ben. $ 3,000,000 $ 1,000,000 AUTOMOBILE LIABILITY A X I ANY AUTO ._ 1 SCHEDULED ALL OWNED 1 AUTOS 'I___ AUTOS , NON -OWNED _iHIRED AUTOS __ AUTOS AUTOS ( PHPK1356673 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ X I-- - { A ; { f UMBRELLA LIAR X I OCCUR i PHUB504760 07/01/2015 07/01/2016 EACH OCCURRENCE ----- - $ 2,000,000 -- 00 EXCESS LIAR 1 i CLAIMS -MADE AGGREGATE __. $ 2,000,000 X DED RETENTION$ 10,000 I $ WORKERS AND B ANY OFFICER/MEMBER (Mandatory If yes, 'DESCRIPTION COMPENSATION EMPLOYERS' YERS' LIABILITY Y / N PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED*, I N I Ai 4044331 07/01/2015 , 07/01/2016 Xj STATUTE , 1 FOR H E EACH ACCIDENT 1 100,000 LE L DISEASE - EA EMPLOYEE $ _ - 100,000 $ 500,000 in NH) describe under OF OPERATIONS be,cv. E L DISEASE - POLICY LIMIT C Privacy ;UCS2669550.15 07/01/2015, 07/01/2016 Each 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) State of Colorado is listed as additional insured as pertains to the general liability policy, per written contract. CERTIFICATE HOLDER CANCELLATION WEL-HUM Weld County Department of Human Services 315 N 11th Ave 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 Michael J Schmitt CIC © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) Hello