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Home My WebLink About20162043.tiffCONTRACT AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND DENVER CHILDREN'S HOME (Core) This Agreement Amendment, made and entered into day o 2016, by and between the Board of Weld County Commissioners, on behalf of the Weld unty Department of Human Services, hereinafter referred to as the "Department", and Denver Children's Home, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Day Treatment 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 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. 2015-1848(3), approved on June 24, 2015. • The Original Agreement was further amended to add Mental Health Services. This Agreement Amendment is identified by the Weld County Clerk to the Board of County Commissioners as document No. 2014-2476, approved on June 1, 2016. • 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. 2016-2043 Gc: ca,66t,-� the a 7 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: dirAti1) ATTEST: v• ;(4- BOARD OF COUNTY COMMISSIONERS Weld C• . ty Clerk to the BordWELD COUNTY, COLORADO By: Deputy Cle /' to 'iY�.R4. 1 Mike Freeman, Chair NTRACT • R: enver Children's Home 501 Albion Street Denver, Colorado 80220 (303) 399-;1 90 By: Rebecca A. Hea, Psy.D. Date: Ll/ .1(a Executive Director ACOREP CERTIFICATE OF LIABILITY INSURANCE �� DATE(MMIDDIYYYY) 09/25/2015 THIS CERTIFICATg 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 1-303-534-4567 Inc. - Colorado Division CONTACT NAMEINA, PHONE ! �F�A�X. pj 1705 17th Street MAIL EA DRESS. denaccounttechsQiaacorp.com Suite 100 Denver, C CO 80202 INSURERS) AFFORDING COVERAGE __ _ -_ _._ .__._.--_--_- NAIC • INSURER A MASSACHUSETTS BAY INS CO (Hanover) 22306 INSURED Denver Children's Home INgusERB. ALLNERICA FIN BENEFIT INS CO(Hanover) — — 41840 INSURERC. HANOVER INS CO 22292 1501 Albion St. INSURERD. PINNACOL ARBOR 41190 Denver, CO 80220 INSURERS: PHILADELPHIA IND INS CO 18058 INSURER F COVERAGES CERTIFICATE NUMBER: 45084673 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 WHIUH'ir11S 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. MR LTR TYPE OF INSURANCE INSE SUER WED __- POLICY NUMBER POLICY EFF... (MWDD/YYYY) POLICY EXP (MMIDO/YYVY) UNITS A GENERAL LIABILITY ZD4A10217504 10/01/15 10/01/16 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea oocurrencej $ 100,000 $ 5, 000 - CLAIMS -MADE I X- J OCCUR MED EXP (Any one person) - PERSONAL 8 ADV INJURY $ 1,000,000 $ 3,000,000 $ INCLUDED GENERAL AGGREGATE - GEN'L AGGREGATE LIMIT APPLIES PER: —1 PRODUCTS - COMPIOP AGG I POLICY r JFCT r LOC $ B AUTOMOBILEUABILITY _ AW4A10217204 10/01/15' 10/01/16 COMBINED SINGLE LIMIT ALAacciderin $1,000,000 - X _ ANY AUTO ALL OWNED AUTOS _^ SCHEDULED AUTOS BODILY INJURY (Per person) BODILY INJURY (Per acadent( S S S X _-- HIRED AUTOS )( NON -OWNED AUTOS PROPERTY DAMAGE -' (Per acudenll S C X UMBRELLALIAB I OCCUR UH4A10217204 10/01/15 10/01/16 EACH OCCURRENCE $ 2,000,000 EXCESS MB CLAIMS -MADE AGGREGATE $ 2,000,000 S DED I RETENT ON $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 1854282 10/01/19 10/01/16 X L WCSTATU- I 0TH - TORY LIMIT_@f__ ER $ 1,000,000 - $ 1,000,000 S 1, 000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N N l A E.L. EACH ACCIDENT -------- - OFFICER IEMBER EXCLUDED? (Mandatery In NH) S underdescribe und DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE -- -- -- E.L. DISEASE - POLICY LIMIT A Sexual and/or Phys Abuse ED4A10217504 10/01/15 10/01/16 Each Occurrence t 1,000,000 Aggregate $ 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, V more ewe Is required) Weld County Human Services is included as Additional Insured on the General, Automobile, and Umbrella Liability Policies if required by written contract or agreement subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of Additional Insured on the General, Autcmobile Liability and Workers Compensation Policies if required by written contract or agreement subject to the policy teraa and conditions. CERTIFICATE HOLDER CANCELLATION Weld County Human Services 315 N. 11th Avenue Greeley, CO 80631 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORQED REPRESENTATIVE ACORD 25 (2010/05) aebmcclain 45084673 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORO name and logo are registered marks of ACORD SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 09/25/2015 NAME OF INSURED: Denver Children• s Home Additional Description of Operations/Remarks from Page 1: Additional Information: Professional Liability Coverage: Policy 1ZD{A10217504 Bff Date: 10/01/15-10/01/16 Insurer A: See Above $1,000,000 Bach Occurrence; $3,000,000 Aggregate Cyber Coverage: Policy *PH8D1000383 aft Date: 10/01/15-10/01/16 Insurer H: Sea Above $1,000,000 Privacy Liability Hello