Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC20-355 Pueblo PlanningFIRST AMENDMENT
EAGLE COUNTY, COLORADO
AND
PUEBLO PLANNING LLC
THIS FIRST AMENDMENT (“First Amendment”) is effective as of the______________, by and Pueblo
Planning, LLC, a Foreign Limited Liability Company (hereinafter “Contractor”) and Eagle County,
Colorado, a body corporate and politic (hereinafter “County”).
RECITALS
WHEREAS, County and Contractor entered into an agreement with an effective date of September 20,
2020, for certain Services (the “Original Agreement" C20-342) with a term to expire June 30, 2021; and
WHEREAS, the term contained an inadvertent error; and
WHEREAS, County and Contractor desire to revise the term to correctly reflect June 30, 2021 through
this First Amendment.
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.Paragraph 3 of contract shall be revised to reflect that the Agreement shall be in full force and
effect through June 30, 2021.
2.Capitalized terms in this First Amendment will have the same meaning as in the First
Amendment. To the extent that the terms and provisions of the First Amendment conflict
with, modify or supplement portions of the First Amendment, 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 First Amendment 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.
DocuSign Envelope ID: 3E9E8F09-5DE8-40C1-8E24-B22C0AF54ECE
9/29/2020
C20-355
2
Eagle County Amend Term Scope Comp Final 5/14
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Original
Agreement the day and year above written.
COUNTY OF EAGLE, STATE OF COLORADO, By
and Through Its COUNTY MANAGER
By: ______________________________
Jeff Shroll, County Manager
CONSULTANT
By: _____________________________________
Print Name: ______________________________
Title: ___________________________________
DocuSign Envelope ID: 3E9E8F09-5DE8-40C1-8E24-B22C0AF54ECE
Monique Lopez
Social Justice Planner
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 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).
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 ONLY
AUTOSAUTOS ONLY NON-OWNED
SCHEDULEDOWNED
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 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
05/14/2019
Novus Insurance Services
2601 Main Street Ste 720
Irvine CA 92614
Pueblo
5056 Tijunga Avenue #1
Los Angeles CA 91601
Remy Bickoff
949-701-4613
bickoff@novusinsurancebrokers.com
Underwriters at Lloyds of London
AmGuard Insurance Company
A
4
4
4 4 1,000,000
250,000
5,000
PSH011079823 01/18/2020 01/18/2021 1,000,000
2,000,000
2,000,000
B PUWC059275 08/24/2019 08/24/2020 4
1,000,000
1,000,000
1,000,000
A Professional Liability 4 4 Limit of liability: 1,000,000 per occ/aggregate
PSH011079823 01/18/2019 01/18/2020
Certificate Holder is added as an additional insured and loss payee per the terms and conditions of the above referenced policies.
30 days notice of cancellation applies.
Emma Sloan- Health Policy Planner
Eagle County Government
551 Broadway
P.O. Box 660
Eagle, Colorado 8163
Remy Bickoff
Produced using Forms Boss Web software. www.FormsBoss.com; ý Impressive Publishing 800-208-1977
DocuSign Envelope ID: 3E9E8F09-5DE8-40C1-8E24-B22C0AF54ECE