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HomeMy WebLinkAbout2019-630-E DSS - CNC Access ResCare in home services contract amendment DocuSign Envelope ID: B7EA7F20-FBF8-4080-B439-2B07E37432E0 Contract 968-2032 CNC Access/Res-Care Inc. Contract Amendment Orange County Department of Social Services Fiscal Year Begins July 1, 2018 Ends .tune 30, 2019 Contract#68-2032 Amendment#1 SECTION I Agency: Orange County Department of Social Services Program: In-Home Aide Services Effective Period of the Contract. July 1, 2018-June 30, 2019 This Contract Amendment amends the contract between the Orange County Department of Social Services(the"County")and CNCIAccess, Inc. dlbla ResCare HomeCare(the"Contractor"). As provided for under the terms of the contract, The County and Contractor agree to amend the provision(s) indicated in Section If below. SECTION Il Justification/Change to Contract: 3. Effective Period: This Agreement shall be effective July 1, 2018 through September 30, 2019. SECTION III All other terms and conditions set forth in the original contract shall remain in effect for the duration of the contract. The contract specified above is amended by this Contract Amendment effective May 20, 2019, Contractor County CN Gocusigned by: Care HomeCare Or Docu5igned by: S fir} rt wi�a[,Y'�"bw �76inJln it, Rm�tyYS By. 027A 05CiB3145A By' O6i379946755E477.. Title: VP HomeCare Contracts & Sales Title; County Manager Date: 9/6/2019 Date: 9/14/2019 This agreement has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act. Attest, D1ocu5igned by, County: Orange County NC Si nature: ` � 4 � g 7NE5181ACC1400. Title: Finance Director Date: 9/9/2019 Contract-Amendment (07108) Page 1 of 1 DocuSign Envelope ID: B7EA7F20-FBF8-4080-B439-2B07E37432E0 ACdRD° CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY) 7/1/2020 1 6/13/2019 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 WSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 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). CONTACT PRODUCER LOCKTON COMPANIES NAME: 2100 ROSS AVENUE,SUITE 1400 PHONE DALLAS TX 75201 Arc,No,Ext: Arc No E-MAIL 214-96M700 ADDRESS: INSURER(Sl AFFORDING COVERAGE NAIC# INSURER At ACE American Insurance Company 22667 INSURED ReS-Care,Inc. INSURER B: endurance American Insurance Company 10641 1078748 805 N.Whittington Parkway INSURER c; See Attached Louisville ICY 40222 INSURER D INSURER E INSURER F: COVERAGES *RESCAOI P* CERTIFICATE NUMBER. 12696764 REVISION NUMBER: XXXXXXx 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 Sl1RR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MIDn1YYYY (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY N N XSL G71567242 7/I/2C19 7/1/2020 EACH OCCURRENCE s 4,00U 000 A CLAIMS-MADE❑OCCUR (CLAIMS MADE) DAEMAGE TO RENTED 300 D00 x MISES Ea occurrence x Praf.l.sability MED EXP Any oneperson) Xxxxxxx X SexAbuse/Molestation _ PERSONAL&ADV INJURY s 4,000,000 GEN'LAGGRE.GATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6,000 000 ]f POLICY❑JECT LOC PRODUCTS-COMPIOPAGG $ 4,000 000 OTHER: $ A AUTOMOWLE LIABILITY N N ISAH25296953 7/1/2019 7/l/2020 CO aBINEDDISINGLE LIMIT $ 2,OOQ 000 X ANYNAUTO SCHED BODILY INJURY(Per person) $ XXXI ALTOS ONLY AUTOSULED BODILY INJURY{Par accident $ }MxxxX Hl T%D NON-OWNED PROPERTY 7AMAGE x ALIT S ONLY x AUTOS ONLY Per accident $ xxx-xxxx $ xxxxxxx B UMBRELLA LIAB x OCCUR N N XSC30000119103 7/1/2019 7/1/2020 EACH OCCURRENCE $ 3 000,000 B EXCESS LIAR CLAIMS-MADE (AUTO&EL ONLY) AGGREGATE $ XXxxxxx DED I I RETENTION$ s xxxxxxx C AND EMPLOYERS'LIABILITY YIN N SEE ATTACHED x STATUTE E R OFFICERIMEM Eft EXCLUDE{ANY 7 C�1 N7 N f A VE E.L.EACH ACCIDENT $ 2,000,000 IManda"In NHl E.L.DISEASE-EA EMPLOYEE 2,000,000 If yes,descdbe uMer 11 ran DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 2,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is requi red I Retro Date f'or Policy NXSL G71567242 is 7/1/01.CNCIAccess,Inc dba ResCare 11onicCarc a stibsidiary of ResCare,Inc. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULI)ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12696764 AUTHORIZED REPRESENTATIVE Orange County 113 Mayo St. Hillsborough NC 27278 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: B7EA7F20-FBF8-4080-B439-2B07E37432E0 Miscellaneous Attachment : M488826 Master ID: 1078748,Certificate ID: 12696764 RES-CARE, INC.AND ALL OF ITS SUBSIDIARIES CERTIFICATE CONTINUATION WORIL£RS'COMPENSATION POLICIES WLR C65895602(AlI Other States)-Indemnity Insurance Co.of North America, NAIC#43575; Eff.7/1/2019-7/1/2020 WLR C6589564A(CA)-ACE American Insurance Co., NAIC#22667; Eff.7/1/2019-7/1/2020 5CF C65895687(WI)-ACE Fire Underwriters Insurance Co., NAIC#20702; Eff.7/1/2019-7/1/2020 ❑HIO EXCESS WORKERS'COMPENSATION SP 4059590-Safety National Casualty Corporation,NAIC#15105;Eff 12/1/2018-12/1/2019 Cov.A-Statutory Cov. B-$1,000,000 Each Accident/$1,000,000 Each Employee(Disease)/$1,000,000 Agg. (Disease) WASHINGTON EXCESS WORKERS'COMPENSATION WCU C65895729-ACE American Insurance Co., NAIC#22667; Eff. 7/1/2019-7/1/2020 Maximum Liability of Excess Insurer:$2,000,000/Retention:$1,100,000 TEXAS NON-SUBSCRIBER(EMPLOYER'S EXCESS INDEMNITY) EPGO00007608-North American Specialty Ins.Co., NAIC#29874; Eff.6/27/2019-6/27/2020 $25,000,000 per Occurrence/$25,000,000 Aggregate Miscellaneous Attachment:M488826