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HomeMy WebLinkAbout2021-159-E Housing-Extraordinary Ventures emergency sheltering amendment DocuSign Envelope ID:OB401C69-A141-4378-A5B8-33AC09CDCF23 ORANGE COUNTY AMENDMENT TO SERVICES AGREEMENT NORTH CAROLINA THIS AMENDMENT,made and entered into this the 10'day of March,2021,by and between the County of Orange, a body politic and corporate of the State of North Carolina, ("County"),and Extraordinary Ventures ("Provider"); WITNESSETH: WHEREAS, the County and Provider entered into a FEMA Emergency Sheltering Non-Congregate Care Services Agreement dated November 23, 2020 to provide services to be rendered by Provider to County ("Original Agreement"); and WHEREAS,the County and Provider desire to amend 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 herein, the parties agree to amend the Original Agreement as follows: The second sentence of Paragraph 5.a, Compensation for Basic Services, is hereby revised as follows: The maximum amount payable for Basic Services shall be Fifty-Five Thousand and Three Hundred Thirty-Two Dollars($55,332.00). Except for the changes made to 5.a, Compensation for Basic Services, herein, the Original Agreement shall remain in full force and effect to the extent it is not inconsistent with this Amendment. In the event that there is a conflict between the Original Agreement and this Amendment,this Amendment shall control. IN WITNESS WHEREOF,Orange County and the Provider have signed this Amendment, effective this the IOth day of March ,2021. FOR: OREd�OUNTY �oOrig 9PO By: F�6' VIDER: KIVU(, lkA. mt,Vsbt By: 11� rust of wlffhfiager JD4 Rust Aoao3... chief operations officer Print Name, Title Revised October 2020 DocuSign Envelope ID:OB401C69-A141-4378-A5B8-33AC09CDCF23 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Extraordinary Ventures Party/Vendor Contact Person: JD Rust Contact Phone: 828-964-2160 Party/Vendor Address: 200 South Elliot Road City Chapel Hill State:NC Zip: 27514 Department: Housing and Community Development Amount: $45,588.00 Purpose: Laundry Services for IFC Residents at Quality Inn Budget Code(s): 10750020- 63000-95020 Vendor#57543 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date March 10,2021 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: DocuSigned by: fmt,(.A. sw�bvl 3/12/2021 Department Director's Signature Date: Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency ; ,red"" �' gandards, specifications,and requirements: guso, C,bvv� ff6 3/12/2021 Office of the Risk Management Officer Date: Financial Services This instrument has been pre-audited in thebm ►ggg Wquired by the Local Government Budget and Fiscal Control Act: ,� . 3/12/2021 Office of the Chief Financial Officer ('� Date: Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: 3/12/2021 Office of the County Attorney Egwat, Aurit. Tmo Date: 079A4D525COF4FB... Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised October 2020 DocuSign Envelope ID:OB401C69-A141-4378-A5B8-33AC09CDCF23 Revised October 2020 DocuSign Envelope ID:OB401C69-A141-4378-A5B8-33AC09CDCF23 EXTRVEN-01 PARME1 ,4coR0 CERTIFICATE OF LIABILITY INSURANCE 7DATE(MMIDD/YYYY) 12/9/2020 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 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). PRODUCER CONTACT NAME: The Insurance Center of Durham PHONE FAX 1920 Front Street,Suite 710 (A/C,No,Ext): (919)471-2541 (A/C,No):(919)471-2132 Durham,INC 27705 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:The Cincinnati Indemnity Co. 23280 INSURED INSURER B:Travelers Insurance(AWC) 36137 Extraordinary Ventures,Inc. INSURER C: Paige Morrow 200 S.Elliott Road INSURER D: Chapel Hill, INC 27514 INSURER E: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM DD YYY MM DD YYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � OCCUR ETD 0382315 4/30/2020 4/30/2021 DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICYEl PECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO ETD 0382315 4/30/2020 4/30/2021 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N 6JUB4816P272 20 8/25/2020 8/25/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Count of Orange THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough,INC 27278 AUTHORIZED REPRESENTATTI VE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD