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HomeMy WebLinkAboutC18-360 Mitzi MarquezFIRST AMENDMENT TO AGREEMENT BETWEEN
EAGLE COUNTY, COLORADO
AND
MITZI MARQUEZ
THIS FIRST AMENDMENT (“First Amendment”) is effective as of the ______________by
and between Mitzi Marquez, a sole proprietor (hereinafter “Contractor”) and Eagle County,
Colorado, a body corporate and politic (hereinafter “County”).
RECITALS
WHEREAS, County and Contractor entered into an agreement dated the 27th day of June, 2018,
for certain Services (the “Original Agreement”); and
WHEREAS, the Original Agreement contemplated that the Contractor would perform certain
Services with compensation in an amount not to exceed $15,000; and
WHEREAS, the County desires to have Contractor perform additional Services for additional
compensation as set forth below; and
WHEREAS, the term of the Original Agreement expires on the 31st day of December, 2018, and
the parties desire to extend the term for an additional year.
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. Exhibit A to the Original Agreement shall be replaced and completely superseded by
Exhibit A-1, which is attached hereto and incorporated herein by reference.
2. Paragraph 5 regarding compensation shall be amended to reflect that compensation
shall not exceed a total maximum compensation of $35,000.
3. The term of the Original Agreement, described in paragraph 3, is hereby extended to
the 31st day of December, 2019.
4. 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.
5. 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: BE200A11-F77E-4418-A282-1C0AECA2B9E9
12/6/2018
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Eagle County Amend Term Scope Comp Final 5/14
6. This First Amendment shall be binding on the parties hereto, their heirs, executors,
successors, and assigns.
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: ______________________________
Jeff Shroll, County Manager
CONTRACTOR
By: _____________________________________
Print Name: Mitzi Marquez
Title: Owner
DocuSign Envelope ID: BE200A11-F77E-4418-A282-1C0AECA2B9E9
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Eagle County Amend Term Scope Comp Final 5/14
EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
1. PURPOSE:
Eagle County Department of Human Services (ECDHS) provides a wide array of State & Federally-mandated
services to ensure the safety and stability of the most vulnerable populations in Eagle County. It is also statutorily
required to provide services under the Colorado Child Care Assistance Program (CCCAP) with the purpose of
providing eligible households with access to high quality, affordable child care that supports healthy child
development and school readiness while promoting household self-sufficiency and informed child care choices.
With one of the priorities of the Eagle County Board of County Commissioners (BoCC) being early childhood,
ECDHS seeks to contract with aCCCAP Professional to provide services outlined below to ensure compliance with
program requirements and provide timely and appropriate client service delivery.
2. PROVIDER RESPONSIBILITIES:
Contractor will provide the following services for ECDHS programs:
a. CCCAP Provider Management Training to current Eagle County CCCAP Lead. Deliverables for these
services for the time period January 1, 2019 through March 31, 2019 include:
1. Train current Eagle County CCCAP Lead in all aspects of CCCAP Provider Management
including but not limited to:
a. Creating new or revising existing Provider Fiscal Agreements pursuant to program
regulations and procedures.
b. Issuing new Fiscal Agreements and any related documents to providers for review and
signature.
c. Issuing Rate Notifications
d. Updating CHATS with the new or revised fiscal agreement information pursuant to
program procedures
e. Researching Provider payment discrepancies
f. Setting up Qualified Exempt Providers
g. Conducting orientation for CCCAP providers
h. Maintaining ongoing CCCAP Provider Management
b. Secondary ongoing CCCAP Provider Management as requested to support high volume workload periods
and to cover staff absence due to training, vacation, etc. Deliverables for these services for the time period
April 1, 2019 through December 31, 2019 include:
1. Collaboration and communication with Eagle County CCCAP program staff to ensure seamless
delivery of provider services.
2. Manage provider fiscal agreement changes and rate notifications including:
o Bi-monthly review of the Colorado Shines report,
o Creating new or revising existing fiscal agreements pursuant to program regulations and
procedures,
o Issuing fiscal agreement to providers for review and signature,
o Updating CHATS with the new fiscal agreement information pursuant to program
procedures, and
o Maintain records of all documents and case actions and document all action in CHATS.
3. Respond to provider inquiries regarding fiscal agreements, payments, and authorizations for care.
4. Conduct provider orientation or training.
5. Provide outreach and education to CCCAP providers when system or program changes occur,
6. Provide timely updates and act upon any feedback or requested changes from ECDHS leadership
team to ensure continued alignment against the deliverables under this agreement for services.
DocuSign Envelope ID: BE200A11-F77E-4418-A282-1C0AECA2B9E9
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Eagle County Amend Term Scope Comp Final 5/14
c. Administrative support for DHS programs as requested. The period for this project is January 1, 2019
through December 31, 2019. Deliverables for this project include the following services for early
childhood related projects:
1. Conduct research and prepare reports based on the research findings
2. Plan, organize and implement events such as meetings and public presentations.
3. Produce reports, presentations and briefs
4. Maintain files and records
At the time of request for project based work, the Department and Contractor will agree on the specific
deliverables, associated time frames and number of hours for completion.
3. FEES AND COMPENSATION:
County shall pay Contractor:
a. Three (3) monthly installments for work performed as outlined in Section 2a. Compensation for the
months of January 2019 through March 2019 will be paid at $2,150 per month.
b. Nine (9) monthly installments for work performed as outlined in Section 2b. Compensation for the months
of April through December 2019 will be paid at $500 per month.
c. On an hourly basis for project specific work included in Section 2c. Compensation will be paid at $50 per
hour up to a total of 180 hours for the period January 1, 2019 through December 31, 2019.
Total compensation under this Amendment is not to exceed $20,000. Each installment will be paid upon receipt of
an invoice and satisfactory completion of Services performed. Each monthly service period begins on the 1st of each
month and ends on the last calendar day of each month. Project specific service periods will be established as the
beginning of each project. Detailed reports of tasks performed and activity progress and any additional information
requested by the County are due monthly on the 5th of each month following the monthly service period. The first
report is due on or about February 5, 2019. The final detailed report of tasks performed and any additional
information requested by the County is due on or about January 5, 2020 (following completion of the Agreement
term).
DocuSign Envelope ID: BE200A11-F77E-4418-A282-1C0AECA2B9E9
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Eagle County Amend Term Scope Comp Final 5/14
EXHIBIT B
INSURANCE CERTIFICATE
DocuSign Envelope ID: BE200A11-F77E-4418-A282-1C0AECA2B9E9
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS
AUTOSAUTOSNON-OWNEDHIRED AUTOS
SCHEDULEDALL OWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2014/01)
© 1988-2014 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
UDC-2292053-CGL-18
Eagle
Hiscox Insurance Company IncNew York, NY 10022
32nd Floor
520 Madison Avenue
1,000,000
100,000
5,000
1,000,000
2,000,000
S/T Gen. Agg.
Mitzi Marquez
06/21/2019
(888) 202-3007
700 Chambers Ave. , Bldg 2 Unit 1B
Hiscox Inc.
Y
Eagle County, its associated or affiliated entities, its successors and assigns,
effected officials,
500 Broadway PO Box 660
Eagle CO 81631
81631
06/21/2018
CO
A
contact@hiscox.com
06/21/2018
10200
Eagle County, its associated or affiliated entities, its successors and assigns, effected officials, employees, agents and volunteers are named as additional
insured subject to the policy terms and conditions.
DocuSign Envelope ID: BE200A11-F77E-4418-A282-1C0AECA2B9E9