HomeMy WebLinkAbout2019-369-E Aging - Lorraine Lewis wellness instructor DocuSign Envelope ID:088E9D73-6D60-4316-99EB-19302C74139C
[Departmental Use Only]
TITLE Wellness Instructor
FY 2019-20
ORANGE COUNTY
CONTRACT UNDER$5,000.00
NORTH CAROLINA
THIS AGREEMENT, made and entered into this first day of July, 2019, ("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 Lorraine Lewis (the "Provider"), party 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 and/or construction (hereinafter referred to collectively as "Services")
to be furnished under this Agreement are as follows: Trager massage
The term of this agreement rendered shall be from July 1, 2019 to June 30,2020.
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 two-
thousand dollars, ($49.50 per hour). 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.
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 County's Risk Manager as such insurance requirements are described in the Orange County
Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is
Revised 12/18 1
DocuSign Envelope ID:088E9D73-6D60-4316-99EB-19302C74139C
incorporated herein by reference and may be viewed at
http://www.orangecountync.gov/departments/purchasing division/contracts.php). If County's Risk
Manager determines additional insurance coverage is required such additional insurance shall be designated
here 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
County's Risk Manager.
5. Indemnity: The Provider agrees, without limitation, 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 in carrying out Provider's duties and obligations related to the Services to be
provided in this Agreement.
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. County may suspend this Agreement upon
reasonable notice to Provider.
7. Entire Agreement and Signatures:ate: The parties have read this Agreement and agree to be
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. Modifications
may be evidenced by telefacsimile signature. This Agreement together with any amendments or
modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent
of the Parties to utilize electronic signatures and the intent of the parties to comply with Article I IA and
Article 40 of North Carolina General Statute Chapter 66.
8. Governing Law and Priority: Both parties agree that this Agreement shall be governed by
the laws of the State of North Carolina and Orange County. 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 state
and federal anti-discrimination laws, policies, rules, and regulations and the Orange County Non-
Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by
reference and may be viewed at
http://www.oran ecountyne. og v/departments/purchasing_division/contracts.php.). Any violation of this
requirement is a breach of this Agreement and County may immediately terminate this Agreement without
further obligation on the part of the County. This paragraph is not intended to limit and does not limit the
definition of breach to discrimination. By executing this Agreement Provider certifies that Provider has not
been identified, and has not utilized the services of any agent or subcontractor identified, on the list created
by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that
Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on
the list created by the State Treasurer pursuant to G.S. 147-86.81. By executing this Agreement Provider
affirms Provider is and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina
General Statutes. 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.
9. Dispute Resolution: Neither party may initiate binding arbitration. Any disputes shall be
resolved by nonbinding mediation. If such mediation fails either party may initiate litigation to resolve the
dispute. 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.
Revised 12/18 2
DocuSign Envelope ID:088E9D73-6D60-4316-99EB-19302C74139C
10. 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.
IN WITNESS WHEREOF, Orange County and the Provider have signed this Agreement, effective
as of the day first written above.
ORANGE COUNTY PROVIDER
DocuSigned by: Dacu5igned by:
By: .� iG By: Q -�
67E962616F454FA.. C Tltl SOF1AC576CF04dC .
200 S. Cameron St. Lorraine Lewis
P.O. Box 8181 107 Morningside Drive
Hillsborough,NC 27278 Carrboro,NC 27510
Revised 12/18 3
DocuSign Envelope ID:088E9D73-6D60-4316-99EB-19302C74139C
Healthcare Professional Liability Libe-rty
lnterrudonA
lb�'Uudcrwrltcm
LIBERTY INSURANCE UNDERWRITERS INC.
(A Stock Insa=ce C:nmp my,hereini ter the"Comp=3e)
55 Water Street,18d,Floor
New York,NY 10041
CERTIFICATE OF INSURANCE
HEALTHCARE PROFESSIONAL LIABILITY
CLAIMS-MADE INSURANCE POLICY FOR MEMBERS OF THE FEDERATION
Item CERTIFICATE NUMBER: AHX-102357008 RENEWAL OF: AHX-102357007
1. NAIYIED INSURED Lorraine Lewis
2. ZYLULING ADDRESS 107 Morningside Drive
Carrboro,NC 27510-1254
3 Policy Period 12:01 A.M,Standard Time From: 06/01/2019 To: 06/01/2020
At Location of Designated Premises
4, Prior Acts Date: 06/13/1993
5. COVERAGE LIMITS OF LIABILITY PREMIUM
Professional Liability $1,000,000 each Incident 1$3,000,000 Aggregate $93.00
Terrorism Risk Insurance Act 0 00
$0.00
6. Deductible(if applicable) $0 each Incident Total: $95.00
7. The Named Insured is: X Sole Proprietor(including Independent Contractors) ❑Partnership ❑Corporation
❑Other. Affiliation: 3410-Trager Approach Prof.Liability
$ Business or Occupation of the Named Insured:AS STATED IN THE MASTER POLICY DECLARATIONS OR,IF
APPLICABLE,AS ENDORSED HEREON
9. This policy is made and accepted subject to the printed conditions of tl-ds policy together with the provisions,stipulations and
agreements contained in the following form(s)or endorsement(s):
HCPL-2026(11/09),HCPL-2038(11/09),HCPL-8002 (11/09),HCPL-8004(11/09)
HCPL-8005 (11/09),HCPL-8086(12110),HCPL-8001 (11/09),
OFAC (08/09),HCPL-2026-9000-NC(4110)
REPRESENTATINT:
Mercer Consumer,a service of
Agent. Mercer Health&Benefits Administration LLC
Office Address: P,O•Box 14576
Des Moines,IA 50306-3576
IRE
I ICPL-2026D(11/09)
DocuSign Envelope ID:088E9D73-6D60-4316-99EB-19302C74139C
Client # 073937
EMORANDUM OF INSURANCE ate Issued 06/03/2019
Producer This memorandum is issued as a matter of information
only and confers no rights upon the holder. This
Mercer Consumer, a service of memorandum does not amend, extend or alter
Mercer Health & Benefits Administration LLC coverages afforded by the Certificate listed below.
P.O. Box 14576
Des Moines, IA 50306-3576
1-800-503-9230 ompany Affording Coverage
nsured Liberty Insurance Underwriters Inc.
Lorraine Lewis
107 Morningside Drive
Carrboro, NC 27510-1254
This is to certify that the Certificate Iisted below has been issued to the insured named above for the policy period indicated, not
withstanding any requirement, term or condition of any contract or other document with respect to which this memorandum may he
issued or may pertain,the insurance afforded by the Certificate described herein is subject to all the terms, exclusions and conditions of
such Certificate.The limits shown may have been reduced by paid claims.
The Memorandum of Insurance and verification of payment are your evidence of coverage.No coverage is afforded unless the premium
's successfully paid in full.
Type of Insurance Certificate Number Effective Date Expiration Date Limits
Professional Liability AHX-102357008 06/0112019 06/01/2020 Per Incident/ $1 000 000
Federation
occurrence
AnnualAggregate $3,000,000
PROOF OF INSURANCE
Memorandum Holder; Should the above describe Certificate be cancelled
PROOF OF COVERAGE ONLY before the expiration date thereof,the issuing company
will endeavor to mail 30 days written notice to the
Memorandum Holder named to the left, but failure t
mail such notice shall impose no obligation or liability
of any kind upon the company, its agents o
representatives.
Authorized Representative
Mark Brostowitz
Mercer Consumer,a service of Mercer Health&Benefits Administration LLC.In CA dlbla Mercer Health&Benefits Insurance Services LLC.CA License#OG39709