HomeMy WebLinkAbout20161934.tiffCONTRACT AGREEMENT AMENDMENT BETWEEN
THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND MICHAEL A. LAZAR, ATTORNEY AT LAW (Core)
This Agreement Amendment, made and entered into, 2 1 day of 016, by and
between the Board of Weld County Commissioners, on behalf of the Weld C my Department of
Human Services, hereinafter referred to as the "Department", and Michael A. Lazar, Attorney at Law,
hereinafter referred to as the "Contractor".
WHEREAS the parties entered into an Agreement for Mediation Services, (the "Original
Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document
No. 2014-2816, approved on September 15, 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. 2014-2816(71, 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.
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2016-1934
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IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month,
and year first above written.
r� _ COUNTY:
ATTEST: ddrAkiK
v• f�;eik. BOARD OF COUNTY COMMISSIONERS
Weld • n Clerk to the Bo. rd WELD COUNTY, COLORADO
By:
Deputy Cle' to th :u�a��.� Mike Freeman, Chair
JUN 2 2 2116
CONTRACTOR:
Michael A. Lazar, Attorney at Law
710 11th Avenue, Suite 205
Greeley, Colorado 80631
(970) 353-0 44
By:
Michael A. Lazar, Attorne
Date: `a " zc
Insured's Name and Address
Donald Janklow
/10 11th Ave Ste 205
Greeley, CO 80631
CERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company ❑
American Family Mutual Insurance Company if selection box is not checked
6000 American Pky Madison. Wisconsin 53783-0001
Agent's Name. Address and Phone Number (Agt./Dist.)
Lesa Ringkjob Agency, Inc.
375 E Horsetooth Rd Bldg 6100
Foil Collins, CO (30525
(970)223-0940 (031/309)
This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder.
This certificate does not amend, extend or alter the coverage afforded by the policies listed below.
COVERAGES
This is to certify that policies of insurance listed below have heerr issued !o the insured named above for the policy period indicated, notwithstanding any requirement, term or condition el 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 ail the terms, exclusions, and condd,ons of soot posoes
TYPE OF INSURANCE
POLICY DATE
POLICY NUMBER
EFFECTIVE EXPIRATION
{Mo Day Yr) (Mo, Day, Yr)
LIMITS OF LIABILITY
Homeowners/
Mobitehomeowners Liability
?
(
Bodily injury and Properly Damage
Each Occurrence S .000
Boatowners Liability
I
Bodily Injury and Property Damage
Each Occurrence S ,000
Personal Umbrella Liability
Bodily Injury and Property Damage
Each Occurrence S .000
Farm/Ranch Liability
Farm Liability & Personal Liability
Each Occurrence S .000i
4
Farm Employer's Liability
E.irn Occiiarnco S .000
Workers Compensation and
Employers Liability t
Statutory
Each Accident $ .000
Disease - Each Employee 5 ,000
Disease - Policy Limit S ,000
General Liability
❑ Commercial General
Liability (occurrence)
LI
El
I General Aggregate S ,000'
' Products - Completed Operations Aggregate $ ,000
Personal and Advertising Injury $ ,000'
I al Occurrence $ ,000'..
Damage to Premises Rented to You $ ,000
Medical Expense (Any One Person) 5 ,000
Businessowners Liability
06-X66837-01
07/09/2015
Each Occurrencott $ l 1)00,000
07/09/2016 Aggregatett 5 2.000,000
Liquor Liability
Common Cause Limit $ ,0001
Aggregate Limit S ,0001
Automobile Liability
El Any Auto
:: All Owned Autos
oday ini ni - Each Person S 000 I
Bodily Injury - Each Accident $ ,000
El Scheduled Autos
❑ Hired Auto
a
Property Damage S 000 I
❑ Nonowned Autos
Qodiiy Injury and Properly Damage Combined $ .000
Excess Liability
❑ Commercial Blanket Excess
CI
Each Occurrence/Aggregate S .000
Other (Miscellaneous Coverages)
DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES! REST"RICTIONS / SPECIAL ITEMS
Weld County is named as additional Insured
-t-The mdivoduat or partners
shown as insured elected to
re covered under this policy L] crane not
ttProducts-Completed Operations aggregate
iS equal to each occurrence trim! aad is
uteruded m policy aggregate
CERTIFICATE HOLDER'S NAME AND ADDRESS
Weld County
PO Box 1167
Greeley, CO 80632
U-201 Ed. 5/00
CANCELLATION
(J Should arty of the above described policies be cancelled before the expiration date
thereof, the company will endeavor to mail -( days) written notice to the Certificate
Holder named, but failure to mail such notice shall impose no obligation or liability of any kind
upon the company, is agents or representatives. '10 days unless different number of days
shown.
u This certifies coverage on the date of issue only. The above crlbed pa ' iris are
subject to cancellation in conformity with their terms by the laws ' stale of
DATE ISSUED
)6/01(331(3
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