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HomeMy WebLinkAboutC17-381 Community Health ServicesTHIRD AMENDMENT TO AGREEMENT BETWEEN EAGLE COUNTY, COLORADO AND COMMUNITY HEALTH SERVICES, INC. FOR THE PROVISION OF PRENATAL HEALTH CARE SERVICES THIS THIRD AMENDMENT ("Third Amendment") is effective as of 11/16/2017 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 10'h day of February, 2015, for certain Services (the "Original Agreement") (C15-051); and WHEREAS, by a First Amendment dated the 15`i' day of December, 2015, the parties extended the term of the Original Agreement to December 31, 2016; and WHEREAS, by a Second Amendment dated the 14'h day of November, 2016, the parties extended the term of the Original Agreement to December 31, 2017; and WHEREAS, the term of the Original Agreement expires on the 31' day of December, 2017 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. . : R - ►► ►I1 ►►I 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 31$' day of December, 2018. 2. Capitalized terms in this Third Amendment will have the same meaning as in the Original Agreement. To the extent that the terms and provisions of the Third Amendment conflict with, modify or supplement portions of the Original Agreement, the terms and provisions contained in this Third Amendment shall govern and control the rights and obligations of the parties. 3. Except as expressly altered, modified and changed in this Third 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 Third Amendment shall be binding on the parties hereto, their heirs, executors, successors, and assigns. C17-381 IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to the Original Agreement the day and year first above written. COUNTY OF EAGLE, STATE OF COLORADO, By and Through Its COUNTY MANAGER Bryan Treu, Interim County Manager COMMUNITY HEALTH SERVICES, INC. Print Name: Liz Stark Title: Executive Director 2 Eagle County Amendment Ext Term Final 5/14 CERTIFICATE OF LIABILITY INSURANCE DA C F. (MbN"MrY I 3/25/2017 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONIFERS 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 pollry(ias) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATIDN 15 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). yNxxx:fx HUB INTERNATIONAL INS SVCS INC/PHS 340B87 P: (866) 467-8730 F.- (888) 443-5112 PO BOX 33015 SAN ANTONIO TX 78265 CUWACT �..rrutrxrr 16661 467-8730 (888) 443-6112 mss. 1FMUF4C;kP)AFFORarrc COVERArx IJAILJ! 1wmFIFRA Hartford Casualty Ins CD owsen w COMMUNITY HEALTH SERVICES 0405 CASTLE CREEK RD STE 6 ,ASPEN CO 81611 INWREfl e INSURER C INWRERD INMRERE INWRER F COVERAGES CERTIFICATE NUMBER: REVISIUN riUIr IUt:K: THIS 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW 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 SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB.iECT TO ALL THE TERMS,EXCLUSIDNS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LV.rDLfCe'EFF tTR nP�EUFL'YSUR.1lY4E .1bU 11WR SL HIM lroc.Ic's'.ti7J.�If3EN 7.7l-►rrDL1'I'i7"1 FOL&I'Ea7' uxfrs CD1eMIERC IAL [iENERAL LUSS M.fiY EACH D=URRENCE 71, 000,000 DAAAAI'ETDRENT8300, 000 PREAAI36 occurrrr ence CLAIMS -MADE OCCUR A X General Liab X 34 SBA PA6360 04/23/2017 04/23/2019 MEDERP(AM mrePe—) s10, 000 PERSONAL A ADV INJURY sl, 000, 000 GENL AGGREGATE OMIT APPLIES PER: POLICYEJ PRO- M LOC JECT GENERAL AGGREGATE g2, 000, 000 PRODUCTS - COMPIOP AGG *2, 000,000 e OTHER AUTOMlOSILE LIABILITY COMBINE (EA wccida SINGLE LIMIT s 1, 0 0 0, 0 0 0 LClderdl BODILY INJURY (Per person) s ANY AUM A OWNEDSCHEDULED AUTOS ONLY AUTOS X HIRED] NCIN43VVWD AUTOS ONLY x AUTOS ONLY 34 SPA PA6360 04/23/2017 04123/2019 ed BODILY INJURY (Per sdent) $ PROPERTY DAMAGE (Per et tiderdl S 3 UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 AWREGAiELd g SWESS LIAS d CLAIMS -MADE RCMUT10N !: 5 Y'011FldCrl,YrFl1'Sd7'�lCY . -Vn FMFW S L&Sa= PEA DTrI- QYATVTE EA E.L EACH ACCI DEW ANY PROP RIETORMARTNERIEXECUTIVDNN OFFICERIWM13EREXCLUDED 7E]ww (MR -M -Y in NH) E.L.DISEASE- EA EMPLOYEE s If yes, dr=dhe ender DESCRIPTION OF 0 PERATIO N S below E.L MSEASE -POLICY LIMIT 8 DE=ffl KWQcQPERATr WS 1LOCRUA.5I VVjCWWM101. A&RtIonel Remorks Schuck uq may ba al>aeesld Ir mora Spam IS "traA 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 Farm 550008 attached to this policy. rmvTpe,Ai une nGea CONCFI_ULTION ACORD 25 (2016103) Q 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and [one are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DA'T'E THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. "'""ORJZEDRE)P'ESENT"T11W - Eagle County PO BOX 850 EAGLE, CO 81631 ACORD 25 (2016103) Q 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and [one are registered marks of ACORD 04/03/2017 12:03:43 PM -0600 FAXCOM PAGE 2 OF 3 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATEIMLVDDiYYYY] aRCOUCER 6a A 3x2017 Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 75D1 E LowryStvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230.7006 CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Nti"Eo Community Health Services, Inc. 0405 Castle Creek Road Ste 201 Aspen. 00 81611 COVERACE6 INSURERS AFFORDING COVERAGE INWRERA Pinnacol Assurance INIVRER B I NSURER C. NA" 41190 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMMENT 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. LILT ITR RFI[7TA1M mAM uAwc OLL:M DC rNI Lr CM Iry DRIn — -n IN6R ADM POJLYEFFECTIVE POLICYEJXPIRATION LTi[ INERD SYPEOFINSLPANCE POU CY NUM B=_R OATEMMADWfYYY oATE(MU0MY UNTS OENWAL LNASPUTT EACH O=UPPENCE DAMAGE TO RENTED GOMME RCIAL GENERAL LLABI LJ TY CLAIMS MADE [] OCCUR Pp MISER MED ExPramane eM1pn) PERISONAL B ADV ImjWY GENERALAGGREGITE GE.VLAGCREGATE LIMITAPPLIERS PER. PRODUCTS-CampffiP ACHY. POLICY PROUECT n LOC AUTOM0011.I LIMLITY COMBINED TINGLE LIMIT ANYAUTD Ea Acd pmt ALL GydNED AUKS B MILY INJURY ECNEDULEDAU105 per mom •IRED AAITOE B DOILY IN.Jl1RY W44WPLED AUTDB er aed PROPERTYDAMAGE IPeracdaent) OA RA GE LIA IILRY AUTO ONLY - EA ACCI DEN T OTHER TRW EA ACC AMY AUTO AU i0 ONLY ERCEEBAIMBMLLALIABW7Y EACH OCCURRENCE AGGREGATE OCCUR CLAWS MADE DELUCTIBL E RETENTION f WORRIRICOWEr1a MM&NO WC STATLL OTHER Ij A EArLOTER7 LIAITLM ANY PRORRI ETC"of TNEMECLJ TIVE 2190342 04/012017 04/01!2018 TCRYUMFM ELEACH ACCIDENT �1d7,dOO OFPICERINEMB E R ExC UAED7 1100000 I[ELOSEASE•EAEMPLOYEE I'n, p:eatie oexno! unplrE PECIAL PRONBION5 hltan ELDISEASE- FOUCYIIMT 6 R CERTIFICATE HOLDER COmmunityHealth services 0405 Castle Creek Rd Suite 201 Aspen. CC 81611 rn,— ^�wa P. a+ ueu m pmu VH St mtN NzRpt: GIPL eta" B 1 PHI CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE; THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NOTIFY 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO NOTIFY SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OFANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Jeff Bunn ACORD 2312001108} Undelwrier ACORD CORPORATION 151118 312412017 11:54:04 AM Fax5erver Fa rver003 Page 4 CNAORGANIZATION HEALTHCARE PROVIDERS SERVI6 PURCHASING GROUP Certificate of nIA T�l mnso nurses i OCCURRENCE POLICY FORM Print Date: 3/24/2017 Producer Branch Prefix Policy Number Policy Period 018098 970 HPG 0265550879 from 04/29/17 to 04/29/18 at 12:01 AAA Standard Time Named Insured and Address: Program Administered by: Community Health Services, Inc. Nurses Service Organization 405 Castle Creek Rd Ste B 158 E. County Line Roar! Aspen, CO 81611-3125 Hatboro, PA 19040-1218 1-888-288-3534 www.nso.com Medical Specialty: Code: Insurance is provided by: Nurse Practitioner Firm 80965 American Casualty Company of Reading, Pennsylvani Excludes Cosmetic Procedures 333 S. Wabash Avenue, Chicago, IL 80604 Professional Liability $1,000,000 each claim $6,000,000 aggregate Your professional liability limits shown above include the following: Good Samaritan Liability " Malplacement Liability Personal Injury Liability Sexual Misconduct Included in the PL limit shown above subject to $ 25.000 aggregate sublimit Coverage Extensions License Protection $ 25,000 per proceeding S 25. DOD aggregate Defendant Expense Benefit $ 1,000 per day limit S 25 DOD aggregate Deposition Representation $ 10,0110 per deposition S10-000 aggregate Assault S25,000 per incident S 25. DOD aggregate Includes Workplace Violence Counseling Medical Payments $ 25,0110 per person S100,000 aggregate First Ald $ 10,000 per Incident 510,000 aggregate Damage to Property of Others $10,000 per incident S-10'.000 aggregate Enterprise Privacy Protection - Claims Made $ 25,000 per incident S 25,000 aggregate Retroactive Date: 4/29/2016 (Defense inside limits) Workplace Liability Workplace Liability Included in Professional Liability Limit shown above Fire & Water Legal Liability Included in the PL limit shown above subject to $150,000 aggregate sublim t Total: $ 8,740.00 Base Premium $8,740.0 Policy Forms & Endo rsements(Please see attached list for a general description of many common policy forms and endorsements.) G -121500-D G-1 21503-C G -121501-C G -145184-A G-1 47292-A GSL15564 GSL15565 GSL17101 GSL13424 GSL13425 CNAB0052 G-123846-CO5 CNA81753 CNA81758 CNA82011 CNA79575 CNA79516 GSL 5589 GSL -6076 Chairman of th Board G -141241-l3 (0312010) Keep this document in a sate place. ft and proof or payment are your proof of coverage. There is no coverage in fora unless the premium is pain' in fLW-In ord. Secretary to activate your coverage, please reraft premium in fid by the effective date of this Cerfirrcate of Insurance. Master Policy # 188711433 Coverage Change Date: Endorsement Change Date,