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HomeMy WebLinkAboutC16-480 Eagle River Youth Coalition Inc dba Integreat!FIRST AMENDMENT TO AGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
EAGLE RIVER YOUTH COALITION, INC. DBA INTEGREAT!
THIS FIRST AMENDMENT (“First Amendment”) is effective as of the _____ day of
December, 2016 by and between Eagle River Youth Coalition, Inc. a Colorado non-profit
corporation d/b/a InteGreat! (hereinafter “Contractor” or “Consultant”) and Eagle County,
Colorado, a body corporate and politic (hereinafter “County”).
RECITALS
WHEREAS, County and Consultant entered into an agreement dated the 2nd day of November,
2016, for certain Services (the “Original Agreement”)(C16-412); 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; and
WHEREAS, the parties desire to amend Exhibit A of the Original Agreement as set forth below.
FIRST 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. Exhibit A of the Original Agreement shall be amended as follows. Paragraph 2 under
Scope of Services shall hereby be deleted and replaced with the following language:
“Contractor shall provide high quality community navigation services on behalf of
the Women, Infant, and Children Supplemental Nutritional program (WIC).”
3. Capitalized terms in this First Amendment will have the same meaning as in the
Original Agreement. To the extent that the terms and provisions of the First
Amendment conflict with, modify or supplement portions of the Original Agreement,
the terms and provisions contained in this First Amendment shall govern and control
the rights and obligations of the parties.
4. Except as expressly altered, modified and changed in this First 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.
DocuSign Envelope ID: A72729E6-AD35-4667-9825-56EC1E16526D
C16-480
2
Eagle County Amendment Ext Term Final 5/14
5. This First Amendment shall be binding on the parties hereto, their heirs, executors,
successors, and assigns.
[REST OF PAGE INTENTIONALLY LEFT BLANK]
DocuSign Envelope ID: A72729E6-AD35-4667-9825-56EC1E16526D
3
Eagle County Amendment Ext Term Final 5/14
IN WITNESS WHEREOF, the parties hereto have executed this First 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
CONTRACTOR:
EAGLE RIVER YOUTH COALITION
DBA INTEGREAT!
By:________________________________
Michelle Hartel Stecher, Executive Director
DocuSign Envelope ID: A72729E6-AD35-4667-9825-56EC1E16526D
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
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).
CONTACTPRODUCERNAME:
FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVD
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:
COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident)
BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUR
EXCESS LIAB CLAIMS-MADE AGGREGATE $
$DED RETENTION $
PER OTH-WORKERS COMPENSATION STATUTE ERAND EMPLOYERS' LIABILITY Y / NANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
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.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2014/01)
EAGL420 OP ID: MC1
01/15/2016
Marilyn CoxNEISEN BORTH AGENCY
www.nbinsure.com333 W. Hampden Ave. Ste. 305Englewood, CO 80110
Todd Borth
303-781-6776 303-789-4409
mcox@nbinsure.com
Philadelphia Insurance Company
Eagle River Youth Coalition
P.O. Box 4613
Edwards, CO 81632
AX 1,000,000
X X PHPK1437219 03/01/2016 03/01/2017 100,000
5,000
AXProf Liab 1M/2M PHPK1437219 03/01/2016 03/01/2017 1,000,000
2,000,000
2,000,000
The State of Colorado is listed as Additional Insured with respect to theGeneral Liability. Coverage shall be primary and a waiver of subrogationshall apply in favor of The State of Colorado. 30 day notice ofcancellation, 10 day notice for nonpayment of premium.
COLORDO
Colorado Department of Public
Health & Environment
4300 Cherry Cr Dr South
Denver, CO 80246-1530
DocuSign Envelope ID: A72729E6-AD35-4667-9825-56EC1E16526D
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
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).
CONTACTPRODUCERNAME:
FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVD
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:
COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident)
BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUR
EXCESS LIAB CLAIMS-MADE AGGREGATE $
$DED RETENTION $
PER OTH-WORKERS COMPENSATION STATUTE ERAND EMPLOYERS' LIABILITY Y / NANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
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.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2014/01)
EAGL420 OP ID: MC1
01/15/2016
Marilyn CoxNEISEN BORTH AGENCY
www.nbinsure.com333 W. Hampden Ave. Ste. 305Englewood, CO 80110
Todd Borth
303-781-6776 303-789-4409
mcox@nbinsure.com
Philadelphia Insurance Company
Eagle River Youth Coalition
P.O. Box 4613
Edwards, CO 81632
AX 1,000,000
X X PHPK1437219 03/01/2016 03/01/2017 100,000
5,000
AXProf Liab 1M/2M PHPK1437219 03/01/2016 03/01/2017 1,000,000
2,000,000
2,000,000
Eagle County, its elected officials and employees are listed as AdditionalInsured with respect to the General Liability.
EAGLECY
Eagle County
PO Box 850
Eagle, CO 81631
DocuSign Envelope ID: A72729E6-AD35-4667-9825-56EC1E16526D
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
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).
CONTACTPRODUCERNAME:
FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
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.
ADDL SUBRINSR POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITSPOLICY NUMBERLTR (MM/DD/YYYY) (MM/DD/YYYY)INSD WVD
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT
$OTHER:
COMBINED SINGLE LIMITAUTOMOBILE LIABILITY $(Ea accident)
BODILY INJURY (Per person) $ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOSNON-OWNED PROPERTY DAMAGE $HIRED AUTOS (Per accident)AUTOS
$
UMBRELLA LIAB EACH OCCURRENCE $OCCUR
EXCESS LIAB CLAIMS-MADE AGGREGATE $
$DED RETENTION $
PER OTH-WORKERS COMPENSATION STATUTE ERAND EMPLOYERS' LIABILITY Y / NANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $N / AOFFICER/MEMBER EXCLUDED?
(Mandatory in NH)E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
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.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2014/01)
EAGL420 OP ID: MC1
01/15/2016
Marilyn CoxNEISEN BORTH AGENCY
www.nbinsure.com333 W. Hampden Ave. Ste. 305Englewood, CO 80110
Todd Borth
303-781-6776 303-789-4409
mcox@nbinsure.com
Philadelphia Insurance Company
Eagle River Youth Coalition
P.O. Box 4613
Edwards, CO 81632
AX 1,000,000
X X PHPK1437219 03/01/2016 03/01/2017 100,000
5,000
AXProf Liab 1M/2M PHPK1437219 03/01/2016 03/01/2017 1,000,000
2,000,000
2,000,000
The Town of Eagle is listed as Additional Insured regarding the GeneralLiability.
TOWNEAG
The Town of Eagle
PO Box 609
Eagle, CO 81631
DocuSign Envelope ID: A72729E6-AD35-4667-9825-56EC1E16526D