Loading...
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: Ee .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