Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC16-421 Community Health Services IncSECOND AMENDMENT TO AGREEMENT BETWEEN
EAGLE COUNTY, COLORADO
AND
COMMUNITY HEALTH SERVICES, INC.
FOR THE PROVISION OF PRENATAL HEALTH CARE SERVICES
THIS SECOND AMENDMENT (“Second Amendment”) is effective as of the _____ day of
________________, 2016 by and between Community Health Services, Inc., a Colorado
nonprofit corporation (hereinafter “Consultant” or “Contractor”) and Eagle County, Colorado, a
body corporate and politic (hereinafter “County”).
RECITALS
WHEREAS, County and Consultant entered into an agreement dated the 10th day of February,
2015, for certain Services (the “Original Agreement”) (C15-051); and
WHEREAS, by a First Amendment dated the 15th day of December, 2015, the parties extended
the term of the Original Agreement to December 31, 2016; and
WHEREAS, the term of the Original Agreement expires on the 31st day of December, 2016 and
the parties desire to extend the term of the Original Agreement for an additional year on the same
terms and conditions as set forth in the Original Agreement.
SECOND AMENDMENT
NOW THEREFORE, in consideration of the foregoing and the mutual rights and obligations as
set forth below, the parties agree as follows:
1. The Original Agreement shall be amended to extend the term to the 31st day of
December, 2017.
2. Capitalized terms in this Second Amendment will have the same meaning as in the
Original Agreement. To the extent that the terms and provisions of the Second
Amendment conflict with, modify or supplement portions of the Original Agreement,
the terms and provisions contained in this Second Amendment shall govern and
control the rights and obligations of the parties.
3. Except as expressly altered, modified and changed in this Second Amendment, all
terms and provisions of the Original Agreement shall remain in full force and effect,
and are hereby ratified and confirmed in all respects as of the date hereof.
4. This Second Amendment shall be binding on the parties hereto, their heirs, executors,
successors, and assigns.
[Rest of Page Intentionally Left Blank]
DocuSign Envelope ID: 076E63E9-4F82-4061-A3C1-6C924F46B13B
C16-421
2
Eagle County Amendment Ext Term Final 5/14
IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the
Original Agreement the day and year first above written.
COUNTY OF EAGLE, STATE OF COLORADO,
By and Through Its COUNTY MANAGER
By: _________________________________
Brent McFall, County Manager
COMMUNITY HEALTH SERVICES, INC.
By: _____________________________________
Print Name: ______________________________
Title: ___________________________________
DocuSign Envelope ID: 076E63E9-4F82-4061-A3C1-6C924F46B13B
CERTIFICATE.OF.LIABILITY.INSURANCE AHB DATE (MM/DD/YYYY)
R045 11/4/2016
THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or 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 CONTACT
NAME:
HUB INTERNATIONAL INS SVCS INC/PHS PHONE
(A/C, No, Ext):(866) 467-8730 FAX
(A/C, No):(888) 443-6112
340887 P:(866) 467-8730 F:(888) 443-6112 E-MAIL
ADDRESS:
PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAIC#
SAN ANTONIO TX 78265 INSURER A :Hartford Casualty Ins Co 29424
INSURED INSURER B :
INSURER C :
COMMUNITY HEALTH SERVICES INSURER D :
0405 CASTLE CREEK RD STE 6 INSURER E :
ASPEN CO 81611 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 ADDL
INSR
SUBR
WVD POLICY NUMBER POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR
34 SBA PA6360
DAMAGE TO RENTED
PREMISES (Ea occurrence)$300,000
A X General Liab X 04/23/2016 04/23/2017 MED EXP (Any one person)$10,000
PERSONAL & ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $2,000,000
POLICY PRO-
JECT X LOC PRODUCTS - COMP/OP AGG $2,000,000
OTHER:$
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident)$1,000,000
ANY AUTO
34 SBA PA6360
BODILY INJURY (Per person)$
A OWNED
AUTOS ONLY
SCHEDULED
AUTOS 04/23/2016 04/23/2017 BODILY INJURY (Per accident)$
X HIRED
AUTOS ONLY X NON-OWNED
AUTOS ONLY
PROPERTY DAMAGE
(Per accident)$
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
N/ A
PER
STATUTE
OTH-
ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
Y/N E.L. EACH ACCIDENT $
E.L. DISEASE- EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations. Eagle County, Its Associated Or
Affiliated Entities, Its Successors And Assigns, Elected Officials, Employees,
Agents And Volunteers are Additional Insured per the Business Liability
Coverage Form SS0008 attached to this policy.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Eagle County
PO BOX 850
EAGLE, CO 81631
AUTHORIZED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: 076E63E9-4F82-4061-A3C1-6C924F46B13B