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HomeMy WebLinkAboutC17-045 Community Health ServicesFIRST AMENDMENT TO AGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
COMMUNITY HEALTH SERVICES, INC.
FOR FAMILY PLANNING SERVICES
THIS FIRST AMENDMENT ("First Amendment") executed this 01/31/2017 , and
effective as of the 31" day of December, 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 12"' day of April, 2016
for certain Services (the "Original Agreement")(C16-116); and
WHEREAS, the term of the Original Agreement expires on the 31"' 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.
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 3 V day of
December, 2017.
2. 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.
3. 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.
4. This First Amendment shall be binding on the parties hereto, their heirs, executors,
successors, and assigns.
[Rest of Page Intentionally Left Blank]
C 17-045
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Original
Agreement the day and year first above written.
Attest:
Lo
COUNTY OF EAGLE, STATE OF COLORADO,
By and Through Its BOARD OF COUNTY
COMMI r>~ u c
UG�arza c'�L�✓�
�� 8b98B33e83fs�c� Jillian H. Ryan, Chair
Regina O'Brien, Clerk to the Board
{CONSULTANT:
COMMUNITY HEALTH SERVICES, INC.
By:
L4 -z-
Print Name: Liz Stark
Title: Liz Stark
2
Eagle Counry Amendment Ext Term Fina15114
CERTIFICATE OF LIABILITY INSURANCE R0
11/4/2016
THIS CERTI FI CATEI S 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 CON STITUTEA 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
HUB INTERNATIONAL INS SVCS INC/PHS
340887 P: (866) 467-8730 F: (888) 443-6112
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAM E
PHONAX
(AkC.NoE.Exy (866) 467-8730 ( ,Nn] (888) 443-6112
ADDRESS'
INSU RER(S) AFFORDING COVERAGE ,!Alco
INSURERA' Hartford Casualty Ins CO 20424
INSURED
COMMUNITY HEALTH SERVICES
0405 CASTLE CREED RD STE 6
ASPEN CO 81611
INSURER B
INSURERC'
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 SU13JECT TO ALL THE
TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPEOFINSURANCE
ADDL
INSR
SURR
UVD
POLICYNEWER
POLICYEFF
MMID
POLTCYEXP
LAfm
COW ERCIAL GENERAL LIABILITY
EACH OCCURRENCE $1, 000, 000
CLAIMS-MADEOCCUR$300,000
DAMAGE TO RENTED
PREMISES (Ea accurmoe)
X
X
MEDEXP (Anymepersm) $10, 000
A
General Liab
34 SBA PA6360
04/23/2016
04/23/2017
PERSONAL&ADV INJURY $1, 000, 000
GFN'L
AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE s2,000,000
POLICY PRO- � LOC
JECT
PRODUCTS - COM PICPAGG i
a-,000,000
OTHER:
S
AUTOMOBILE LIAMLITY
COMB INEDSINGLELIMIT $1, DOJO, 000
(Ea accident]
BODILY INJURY (Per person) S
ANY AUTO
A
OWNEDSCHEDULE❑
AUTOS ONLY AUTOS
34 SBA PA6360
04/23/2016
04/23/2017
BO DI LY INJURY (Per accident) g
PROPERTY DAMAGE
X HIRED X NON-DVNJED
AUTOS ONLY AUTOS ONLY
(Per accident) S
S
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE S
EXCESS LIAR
CLAIMS -MADE
AGGREGATE g
DE I RET@1TK]NS
a 19RKERSCOMPE,VS4TION
PER OTFF
AND EMPLOYERS' LL4BILf T
ISTATUTE ER
E. L. EACH ACCID ENT
ANY PROPRIETORlPARTNERIEXECUTIVE YM
O FFIG ERIMEMB E R EXC LU DE D?
(Mandatory It? NH)
NIA
E.L. DISEASE- EA EMPLOYEE
If yes, desaibe under
DESCRIPTION OF OPERATIONS below
E. L. DISEASE- POLICY LIMIT
DESCRIPTION OF OPERATIONS ILOCA TIONS I VEFIICLES (ACO Ra 101, Additional Remarks Schedkle, 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 SS0006 attached to this policy.
CERTIFICATE HOLDER CANCELLATION
C, 1988-2015 ACORD CORPORATION. All rights reserved.
ACIDRD 25 (2016/03) The ACORD name and Iogo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE V ITH THE POLICY PROVISIONS.
Eagle County
AUTHORIZED REPRESENTATIVE `
PO BOX 850
EAGLE, CO 81631
C, 1988-2015 ACORD CORPORATION. All rights reserved.
ACIDRD 25 (2016/03) The ACORD name and Iogo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMlDD/YYYY)
3/25/2017
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 eights to the certificate holder in lieu of such endorsement(s).
PRODUCER
HUB INTERNATIONAL INS SVCS INC/PHS
340887 P: (866) 467-8730 F: (888) 443-6112
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME:
NC,No,Exq (866) 467-8730 �(Ac`,N.y (888) 443-6112
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAICN
INSURER A: Hartford Casualty Ins Co
INSURED
COMMUNITY HEALTH SERVICES
0405 CASTLE yCREEK RD STE 6
ASPEN CO 81 611
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.
INSR
TYPE OF INSURANCE
ADDI
SUBA
POLICYNUMSER
POLICTEFF
POLICYEXP
LEWIS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $1, 000, 000
CLAIMS -MADE OCCUR
DAMAGE TO RENTED 5 3 0 0 0 0 0
PREMISES (Ea occurrence) r
X
MED EXP (Any one person) $10,000
A
X General Liab
34 SBA PA6360
04/23/2017
04/23/2018
PERSONAL BADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY [I PRO FXJ LOC
JECT
GENERAL AGGREGATE s2,000,000
PRODUCTS -COMP/OP AGG $2 , 0 0 0, 0 0 0
OTHER:
$
AUTOMOBILE LIABILRY
COMBINED SINGLE LIMIT $1,000,000
(Ea accident)
BODILY INJURY (Per person) $
ANY AUTO
A
OWNED SCHEDULE
AUTOS ONLY AUTOS D
34 SBA PA6360
04/23/2017
04/23/2018
BODILY INJURY (Per accident) $
PROPERTY DAMAGE
(Per accident) $
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
S
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAR
CLAIMS -MADE
DE RETENTION $
$
WORAERSCOWENNA77ON
AND F.MPLOYERB'LIABIIrIT
ANY PROPRIETOR/PARTNER/EXECUTIVEY/N
PER OTN-
STATUTE ER
E.L. EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH) ❑
wA
E.L. DISEASE -EA EMPLOYEE $
If yes, describe under
$
E.L. DISEASE -POLICY LIMIT
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHgWWRD 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
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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
AUTHORIZED REPRESENTATIVE `
PO BOX 850
EAGLE, CO 81631
/
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
HOB INTERNATIONAL INS SVCS INC/PHS
PO BOX 33015
SAN ANTONIO TX 78265
MB 01 006168 11225 B 24 A
Eagle County
PO BOX 850
EAGLE CO 81631-0850
ACORD 25 (2016103)