HomeMy WebLinkAbout2019-071-E DEAPR - Laura Phillips historical resources book Phase 2 amendment DocuSign Envelope ID:3F94B3E5-A2CD-4D74-AD70-D7D519FF67B2
NORTH CAROLINA
ORANGE COUNTY CONTRACT AMENDMENT#1
THIS CONTRACT AMENDMENT ("Amendment") is made and
entered into this 7th day of February 2019 by and between ORANGE
COUNTY (hereinafter referred to as "County") and Laura A. W. Phillips,
(hereinafter referred to as"Provider").
WITNESSETH:
THAT WHEREAS, the County and Provider entered into a contract dated
May 2, 2018 (internally designated as 2018-158-DEAPR), for the provision
of services to the County (hereinafter the "Original Agreement"); and
WHEREAS, the County and Provider desire to extend the Original Agreement
while keeping in effect all terms and conditions of the Original Agreement
not inconsistent with the terms and conditions set forth below.
NOW THEREFORE, for and in consideration for the mutual covenants and
agreements made in the Original Agreement and herein., the parties agree to
amend the Original Agreement as follows:
1. The Term of the Original Agreement is hereby extended through June
30, 2019.
2. Except for the changes made herein, the Original Agreement shall
remain in full force and effect to the extent it is not inconsistent with
this Amendment.
IN TESTIMONY WHEREOF, this Amendment has been executed by the
parties hereto, as of the date first above written.
ORANGE COUNTY: PROVIDER:
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.D,ocuSigned Icy: DocuSigned dy:
6WA.t, Rpl,w AAY, � 12019 �ct u n�c jW pk*7/2 019
0637994B755E477... 50C340E7FEOME6...
Bonnie Hammersley, County Manager Laura A. W. Phillips (Sole Proprietor)
CA 020719 jib
DocuSign Envelope ID:3F94B3E5-A2CD-4D74-AD70-D7D519FF67B2
�►� CERTIFICATE OF LIABILITY INSURANCE DATE
42107124 9
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.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATIONIS 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 CONTACT
USAA INSURANCE AGENCY INCIPHS NAME,
65$1284$ PHONE (888)242-1430 rF (888)443-6112
(AIC,No,Ext): ,No);
The Hartford Business Service Center
3600 Wiseman Blvd E-MAIL
San Antonio,TX 78265 ADDRESS:
INSURER(S)AFFORDING COVERAGE NiMCN
INSURED INSURERA: The Hartford Casualty Insurance Company 29424
I AURA A.W.PHILLIPS INSURER R:
59 PARK BLVD
INSURER C
WINSTON SALEM ,NC 27127-2000
INSURER D
INSURER E;
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS I$TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 18SUE1)TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00
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.
JNSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICYEFF POLICY EXP LIMITS
LTR INSR WV MMID
COMMERCIAL GENERAL LIABIL ITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE-1OCCUR DAMAGE TO RENTED $300.000
rrencel
X General Liability MED EXP{Anyone person) $10,000
A X 65 SBA NNO653 09/10/2018 09110/2019 PERSONAL&ADV INJURY $1,000,000
GE N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POUCY❑PRO ❑LOC PRODUCTS-COMPIOPAGG $2,000,000
JECT X
OTHER:
AUTOMOBILE LIABILITY COMB1 NEE)SINGLE LIMIT $1,000.000
(Ea acadeal)
ANY AUTO BODILY INJURY(Per person)
A ALL OMED SCHEDULED 65 SBA NNO653 09/10/2018 0911=019 BODILY INJURY(For acadaN)
AUTOS AUTOS
HIRED NON-0WNED PROPERTY DAMAGE
X AUTOS X AUTOS (Per accident)
UMBRELLA LIAR OCCUR EACH OCCURRENCE
EXCESS LIAR CLAIMS- AGGREGATE
HMADE
DE RETENTION$
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY TAT TE
ANY YIN E.L.EACH ACCIDENT
PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? NIA E.L.DISEASE-EA EMPLOYEE
(Mandatory In NMI
1f yes,describe under E.L.DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS below
A EMPLOYMENT PRACTICES 65 SBA NN0653 09/10/2018 0911 M019 Each Claim Limit $5,000
LIABILITY Aggregate Limit $5,000
DESCRIPTION OF OPERA nONS/LCCAn NS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
Those usual to the Insured's Operations.Certificate holder is an additional insured per the Bus ineSS Liability Coverage Form SS0008 attached to this
policy.
CERTIFICATE HOLDER CANCELLATION
Orange County Dept of Environment, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Agriculture,Parks&Recreation BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
PO BOX 8181 1N ACCORDANCE WITH THE POLICY PROVISIONS.
HILLSBOROUGH NC 27278-8181 AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:3F94B3E5-A2CD-4D74-AD70-D7D519FF67B2
R� CERTIFICATE OF LIABILITY INSURANCE 4/27/2018
THIS CERTINCATEIS 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 poilcy(les)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 endorsements.
PROBUC R 00WACT
NAME:
USAA .INSURANCE AGENCY INC/PHS PHONE FAX.
(888) 242-1430 (Arc.Na)i [888J 443-6112
812846 P: (888) 242-1430 F: (888) 443-6112 q DRESS:
P❑ BOX 33015 INSURER(S)AFFORDING COVERAGE NAICN
SAN ANTONI❑ TX 78265 INSVRERA: Hartford Casualty Ins Ce 29424
MrSURED INSURERS: Continental Casualty Co. 20443
INSURER C
LAURA A. W. PHILLIPS INSVReR P:
59 PARK BLVD INSURERE:
fn7INSTON SALEM NC 27127 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,
IN= TYPE OFLWTURAVCE AWDL SURR MUCI'NUMBER Fy11JIVRR VIM �Cy EFF paricy Elio, yly�
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,0 0 0,0 0 0
CLAIMS-MADE�OCCUR DAMAGE TO RENTED 5 3 0 0■O V O
PREMISES(Ea a=rrence]
A X General Liab X 65 SBA NNO653 09/10/2017 09/10/2018 MEDEXP(Any are perann) $10,000
PERSONALS ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: /� �'ylc� GENERAL AGGREGATE s2,000,000
POLICY�P nRO- LOC. See- V Fr+ PRODUCTS-CCMPIOP AGG s2,000,000
JECT 1
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,a a o 0 0 0
(Ea sec denr) r
ANY AUTO BODILY 1NJURY(Per person)
A OWNED SCHEDULED 65 SSA NNO653 09/10/2011 09/10/2018 EODILYINJURY(Per ocddenl)
AUTOS ONLY AUTOS
X HIRED X NON-OVANED PROPERTYDAMAGE S
AUTOS ONLY AUTOS ONLY �p i i
U1IERELLA LIAB OCCUR L EACH OCCURRENCE
EXCESS LIAR CLAIM"ADE AGGREGATE
DE I RETENTION S
"R%PRS COMPENSATION PER OTH-
ANU t,YF(p VENS,IJAN11.1TY STATUTE ER
ANY PROPRIETORIPARTNERIEXECUTIVE YIN F-L EACH ACCIDENT
OFFICERAAEMBER EXCLUDED?
(Mandatory In NH) ❑ wA E.L.DISEAS&EA EMPLOYEE
IF yes.describe under E.C.DISEASE-POLICY LIMIT $
OE SORIPTION OF OPERATIONS below
B Professional Liab 651992713 05/01/2018 05/01/2019 $1,000,GOO/51,000,000
OESCRIPT;ON Or OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Add Itional Remarks Schedrrle,may be attached If mom spa"1a required)
Those usual to the Insured's Operations. Certificate holder is an additional
insured per the Business Liability Coverage Farm SS0008 attached to this
policy.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE
Orange County Dept of Environment, DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Agriculture, Parks & Recreation AUTHORIZED REPRESENTATIVE
PO BOX 8181
HILLSBOROUGH, NC 27278
01988-2016 ACORD CORPORATION.All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD