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2021-221-Housing-Extraordinary Ventures-Laundry Services for IFC Residents at Quality Inn
DocuSign Envelope ID:73E72264-CDF9-4A02-A200-62A1 E2867775 ORANGE COUNTY SECOND AMENDMENT TO SERVICES AGREEMENT NORTH CAROLINA THIS AMENDMENT, made and entered into this the 7'day of May, 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 ("Original Agreement") and an Amendment to Services Agreement dated March 10, 2021 ("First Amendment")to provide services to be rendered by Provider to County; and WHEREAS,the County and Provider desire to amend the Original Agreement while keeping in effect all terms and conditions of the Original Agreement and First Amendment 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: Paragraph 4.a.,Term, is hereby revised as follows: The term of this Agreement shall be from November 23, 2020 to June 30,2021,unless sooner terminated in accordance with Section 10 of this Agreement. 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 Seventy Six Thousand and Five Hundred Sixty Dollars ($76,560.00). Except for the changes made to Paragraphs 4.a,Term and 5.a, Compensation for Basic Services, herein,the Original Agreement and First Amendment shall remain in full force and effect to the extent it is not inconsistent with this Second Amendment. In the event that there is a conflict between the Original Agreement and this Second Amendment,this Second Amendment shall control. IN WITNESS WHEREOF,Orange County and the Provider have signed this Amendment, effective this the 7th day of May ,2021. FOR 1� P�COUNTY OROVIDER: �jbin.ln.tt, l�awtwtt,V'S� LvrustBy 0637994B755E477... By. 7R4MC.9ARRAn4m County Manager 7D Rust Chief operations officer Print Name, Title Revised October 2020 DocuSign Envelope ID:73E72264-CDF9-4A02-A200-62A1 E2867775 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: 21,228.00 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 5/07/2021 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: e44Aa B*a►401 5/10/2021 Department Director's Signature ,Fr.RrAQr AQ43Pt 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 sufflcienc lfgh'IPO ' ' tandards, specifications,and requirements: &0. (h uN 5/10/2021 Office of the Risk Management Officer 7FDCF917s800498... Date: Financial Services This instrument has been pre-audited in 00quired by the Local Government Budget and Fiscal Control Act: el,N 0.116. 5/10/2021 Office of the Chief Financial Officer 7D4E5181ACC1409... Date: Legal Services This agreement is approved as to b ;►,wW:sufficiency: Qb kul Awil, U(h 5/10/2021 Office of the County Attorney Date: 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:73E72264-CDF9-4A02-A200-62A1E2867775 Revised October 2020 DocuSign Envelope ID:73E72264-CDF9-4AO2-A200-62A1E2867775 75/5/2021 E(MM/DDYYY) A�" CERTIFICATE OF LIABILITY INSURANCE /Y 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: Melissa Parker The Insurance Center of Durham PHONE FAX 1920 Front Street, Suite 710 A/C No Ext: 919-471-4521 A/C No:919-471-2132 Durham NC 27705 ADDRESS: melissa@insurancecenterofdurham.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Travelers Insurance(AWC) 36137 INSURED EXTRVEN-01 INSURER B:The Cincinnati Insurance Co. 10677 Extraordinary Ventures, Inc. 200 S. Elliott Road INSURERC: Chapel Hill NC 27514 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:680103614 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 EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY B X COMMERCIAL GENERAL LIABILITY Y ETD 0382315 4/30/2021 4/30/2022 EACH OCCURRENCE $1,000,000 TED CLAIMS-MADE � OCCUR PREMISES(Ea o DAMAGE TO ccurrence) $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO- JECT ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: $ B AUTOMOBILE LIABILITY ETD 0382315 4/30/2021 4/30/2022 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS 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$ $ A WORKERS COMPENSATION 6JUB4816P272 20 8/25/2020 8/25/2021 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County of Orange PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD