HomeMy WebLinkAbout2015-374-E Aging - Kathleen Hammon for wellness instructor $4,000 DocuSign Envelope ID: D3A3FB7GF3D5-4390-A335-E1 D1DF068BE6
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[Departmental Use Only]
TITLE Wellness Instructor
FY 2015-16
ORANGE COUNTY
CONTRACT UNDER$15,000.00
NORTH CAROLINA
THIS AGREEMENT,made and entered into this 20th day of July,2015, ("Effective Date")by and
between Orange County,North Carolina, a body politic and corporate organized under the laws of the State
of North Carolina, (the "County"), party of the first part; and Kathleen "Kacky" Hammon (the "Provider"),
parry of the second part;
WITNESSETH: '
For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby
contracts for the services of the Provider, and the Provider agrees to provide the following services to the
County in accordance with the terms of this Agreement,time being of the essence:
The services and/or materials (hereinafter referred to collectively as "Services") to be furnished
under this Agreement are as follows: two Arthritis Foundation exercise classes weekly at the Seymour
Center
The term of this agreement rendered shall be from July 20,2015 to June 30, 2016.
Provider represents and agrees that Provider is qualified to perform and fully capable of performing and
providing the services required or necessary under this Agreement in a fully competent, professional and
timely manner to the satisfaction of the County. Provider shall be responsible for all errors or omissions, in
the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies,
ambiguities, mistakes or conflicts at no additional cost to the County. Provider agrees that Provider shall not
sub-contract any of the services to be provided in this Agreement, nor shall Provider assign any right or
responsibility granted or required by this Agreement,without the prior written approval of the County.
SPECIFIC TERMS
1. Payment: The County agrees to pay at the rates specified for Services satisfactorily
performed in accord with this Agreement. The amount to be paid by the County shall not exceed @$20.00
per hour, four-thousand dollars, ($4,000). Payment shall be made within thirty (30) days of an invoice
properly submitted to County. Should Provider fail to perform its duties under the terms of this Agreement,
County may, without fault or penalty, withhold any payment associated with the work to be performed until
such time as said work is completed.
2. Non—waiver: Failure by County at any time to require the performance by Provider of any
of the provisions hereof shall in no way waive or affect the County's right hereunder to enforce the same,nor
shall any waiver by the County of any breach be held to be a waiver of any succeeding breach or a waiver of
this Non-Waiver Clause.
3. Independent Contractor: The Provider shall operate as an independent contractor and the
County shall not be responsible for any of the Provider's acts or omissions. The Provider shall not be treated
as an employee with respect to the Services performed hereunder for federal or state tax, unemployment or
workers' compensation purposes. The Provider understands that neither federal, nor state, nor payroll tax of
any kind shall be withheld or paid by the County on behalf of the Provider or the employees of the Provider.
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4. Insurance: Provider shall obtain, at its sole expense, Commercial General Liability
Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may
be required by Owner's Risk Manager as such insurance requirements are described in the Orange County
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DocuSign Envelope ID: D3A3FB7C-F3D5-4390-A335-E1 D1DF068BE6
Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is
incorporated herein by reference and may be viewed at http://orangecouniync.gov/purchasing/contracts.asp).
If Owner's Risk Manager determines additional insurance coverage is required such additional insurance
shall consist of personal liability insurance (if no additional insurance required mark N/A as being not
applicable). Provider shall not commence work until such insurance is in effect and certification thereof has
been received by the Owner's Risk Manager.
5. Indemni : The Provider agrees to defend, indemnify, and hold harmless Orange County
from all losses liabilities claims demands suits costs damages or expenses (including reasonable
attorney's fees) arising from bodily injury, including death, to any person or persons or damage to or
destruction of any property caused in whole or in part by any negligent or intentional act or omission on the
part of the Provider. (;
6. Termination: This Agreement may be terminated at any time by mutual written agreement of
the parties or by the County upon written notice to the Provider.
7. Entire Agreement and Signatures: The parties have read this Agreement and agree to be r
bound by all of its terms, and further agree that it constitutes the complete and exclusive statement of the
Agreement between the parties unless and until modified in writing and signed by the parties. This
Agreement together with any amendments or modifications may be executed electronically. All electronic
signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of
North Carolina General Statute Chapter 66.
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8. Priori : In determining the basic services to be provided, should any documents be
referenced in or attached to this Agreement, the terms herein shall have priority in any conflict between the
terms of referenced documents and the terms of this Agreement.
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9. Governing Law: Both parties agree that this Agreement shall be governed by the laws of the
State of North Carolina. Should either party initiate litigation to settle any dispute involving the terms of this
Agreement such litigation shall be initiated in the General Court of Justice of North Carolina seated in
Orange County, North Carolina. Provider shall at all times remain in compliance with all applicable local,
state, and federal laws,rules, and regulations including but not limited to all anti-discrimination laws.
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10. Dispute Resolution: Any and all suits or actions to enforce, interpret, or seek damages with
respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in
the General Court of Justice of North Carolina sitting in Orange County,North Carolina. It is agreed by the
parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding
arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of
any dispute prior to the bringing of such suit or action.
11. Non Appropriation: Provider acknowledges that County is a governmental entity, and the
validity of this Agreement is based upon the availability of public funding under the authority of its statutory
mandate. In the event that public funds are unavailable and not appropriated for the performance of County's
obligations under this Agreement, then this Agreement shall automatically expire without penalty to County
immediately upon written notice to Provider of the unavailability and non-appropriation of public funds.
[SIGNATURE PAGE TO FOLLOW]
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DocuSign Envelope ID: D3A3FB7C-F3D5-4390-A335-E1 D1DF068BE6
IN WITNESS WHEREOF,County and the Provider have signed this Agreement,effective as of
the day first written above.
ORANGE COUNTY PROVID
by:By.
(—�DOCUSIgned
6VUL i- ( M MC.V S By: 7,
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200 S. Cameron St. 1102 E Franklin Street
P.O.Box 8181 Chapel Hill,NC 27514
Hillsborough,NC 27278
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Revised 10/14
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DocuSign Envelope ID: D3A3FB7C-F3D5-4390-A335-E1 D1DF068BE6
ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 12/22/2014 )
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 INSURERS), AUTHORIZED
.PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
10RTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the
ms 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 CONTACT
NAME Mass Merchandising Underwriting
:
K&K Insurance Group, Inc. PHONE` 1-800-506-4856 FAX:(A/C,No): 1-260 459-5590
1712 Magnavox Way e AIL Ext
Fort Wayne IN 46804 ADDRESS: info @fitnessinsurance-kk.com
INSURER(S)AFFORDING COVERAGE NAIC#
MINSURERB: Nationwide Mutual Insurance Company 23787
INSURED Kathleen C Hammon 1102 E Fran klin St.Chapel Hill,NC 27514
A Member of the Sports,Leisure&Entertainment RPG INSURER F:
COVERAGES CERTIFICATE NUMBER:W00570821 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 ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YY MM/DD/YY LIMITS
A X COMMERCIAL GENERAL LIABILITY 6BRPG0000005527100 01/01/2015 01/01/2016 EACH OCCURRENCE $1,000,000
CLAIMS-MADE occuR 12:01 AM ED 12:01 AM DAMAGE TO RENTED $300,000
PREMISES Ea occurrence)
MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE
GEN';AGGREGATE LIMIT APPLIES PER:
$5,000,0001
PRO-
OTHER❑ JECT ❑ LOG PRODUCTS-COMP/OP AGG $1 000'000
OTHER PROFESSIONAL LIABILITY $1,000,000
LEGAL LIAB TO PARTICIPANTS $1,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea Accident
ANY AUTO BODILY INJURY(Per person)
SCHEDULED BODILY INJURY Per accident
ALL OWNED AUTOS UTOS ( )
HIRED AUTOS NON-OWNED PROPERTY DAMAGE
UTOS Per accident
Not provided while in Hawaii
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
I—IDED RETENTION
WORKERS COMPENSATION PER OTHER
AND EMPLOYERS'LIABILITY Y/N STATUTE
ANY PROPRIETORSHIP/PARTNER/ � E.L.EACH ACCIDENT
EXECUTIVE OFFICERIMEMBER
EXCLUDED? N/A E.L,DISEASE—EA EMPLOYEE
(Mandatory In NH)
If yes,describe under E.L.DISEASE—POLICY LIMIT
DESCRIPTION OF OPERATIONS below
MEDICAL PAYMENTS FOR PARTICIPANTS PRIMARY MEDICAL
EXCESS MEDICAL
DESCRIPTION F OPERATIO LO ATI VEHICLES ACORD 101,Additional Remarks Schedule,may be attached if more space is require
Abuse,Molestation,Harassment or Sexual Conduct Defense Cost Reimbursement—Limit$100,000
Non-certified Instructor of.,Exercise
CERTIFICATE HOLDER CANCELLATION
Evidence of Coverage 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
Coverage is only extended to U.S.events and activities.
**NOTICE TO TEXAS INSUREDS:The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD @ 1988-2014 ACORD CORPORATION. All rights reserved.