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HomeMy WebLinkAbout2021-291-Health-Logistics Health Inc-Facility Use Agreement ORANGE COUNTY GOVERNMENT STATEMENT OF AGREEMENT FOR THE USE OF COUNTY FACILITIES FOR COVID-19 TESTING AND VACCINATIONS The Orange County Government, by and through its Orange County Health Department (hereinafter, “Orange County”) is dedicated to ensuring the appropriate and efficient distribution of COVID-19 tests and vaccinations throughout Orange County. Logistics Health Inc. (hereinafter, “Provider”) has been contracted by the State of North Carolina to distribute COVID- 19 tests and vaccinations in North Carolina. Orange County has agreed to permit Provider to perform testing and vaccination distribution services at the Orange County facilities identified in this Agreement, and Provider wishes to cooperate with Orange County for such purposes. The parties hereto mutually desire to reach an understanding that will result in making the aforesaid Orange County facilities available to Provider for the aforesaid use. Now, therefore, it is mutually agreed between the parties as follows: 1. Orange County agrees that it will permit the use of its physical facilities located at 300 West Tryon Street, Hillsborough, North Carolina (hereinafter, the “Whitted Building”) and at 2501 Homestead Road, Chapel Hill, North Carolina (hereinafter, the “Southern Human Services Building”) by Provider as vaccination distribution sites. Orange County further agrees that it will permit use of the Southern Human Services Building by Provider as a COVID-19 testing site. Orange County and Provider shall work together in good faith to establish the specific dates and times during which Provider will provide testing and vaccination distribution services throughout the term of this Agreement. 2. The term of this Agreement shall be June 2, 2021 until September 30, 2021. Thereafter, t his Agreement may be extended on a monthly basis by duly executed written amendment. 3. Provider shall conduct its activities at the Whitted Building and the Southern Human Services Building in accordance with the terms of State of North Carolina Contract #30- 21232 and in accordance with applicable federal, state and local laws and regulations. 4. Provider will have primary responsibility for operation of the testing and vaccination distribution sites and will designate an official, the Site Manager, to manage the testing and vaccination distribution activities. Orange County will designate an individual, the Facility Coordinator, to coordinate with the Site Manager regarding use of the facility by Provider. Orange County and the Provider should remain in contact during operation of the facilities. 5. Provider is an independent contractor. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. 6. Provider agrees without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except DocuSign Envelope ID: 3972E6CB-2728-4F85-9405-C3827B138ABF to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnif y the County to the fullest extent permitted under North Carolina law for all injuries or damages occurring to persons or property in conjunction with the use of County buildings, grounds and parks. 7. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. 8. Orange County and the Provider will complete a walk-through of the facility before it is opened for use, noting any previous damages or issues. Before the Provider vacates the facility, Orange County and the Provider will compete a walk-through of the facility to make note of any damages caused as a result of Provider’s operation of the facility that were not previously present. 9. The Provider may post signs identifying the testing and vaccination distribution sites in locations approved by the Facility Coordinator and will remove such signs when the vaccination distribution site is closed. The Provider will not issue press releases or other publicity concerning the testing and vaccination distribution sites without the express written consent of the Facility Coordinator. The Provider will refer all media questions about the testing and vaccination distribution sites to the Facility Coordinator. 10. 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 incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php). The County’s Risk Manager has further determined additional insurance coverage is required, and such additional insurance shall consist of Professional Liability Insurance (1M/5M). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. County shall be named as additional insured on Provider’s General Liability policy. Signatures to the Agreement: Orange County Government Logistics Health Inc. ______________________________________ ___________________________________ Bonnie Hammersely, County Manager Brian Hafner, COO ______________________________________ ___________________________________ Date Date DocuSign Envelope ID: 3972E6CB-2728-4F85-9405-C3827B138ABF 6/2/20216/4/2021 Revised 07/20 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Logistics Health Inc. Party/Vendor Contact Person: Clifford Guest Contact Phone: 860-978- 1830 Party/Vendor Address: 328 Front Street South City La Crosse State: WI Zip: 54601 Department: Health Amount: $0 Purpose: Facility Use Agreement Budget Code(s): N/A Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 6-2-21 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content and I as Department Director affir matively state work on this project has not been initiated prior to execution of the agreement: 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 specifica tions: Office of the Chief Information Officer___________________________________ Date: ________ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: 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:_________ DocuSign Envelope ID: 3972E6CB-2728-4F85-9405-C3827B138ABF 6/2/2021 6/3/2021 6/4/2021 6/4/2021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Manashi Mukherjee CHI-009853064-01 AGGREGATE of Marsh USA Inc. Attn: Healthcare.AccountsCSS@marsh.com Fax: 212-948-1307 1 05/01/2020 eis@uhg.com CYBER LIABILITYA 05/28/2021 10,000,000 10,000,000 RE: STATE OF NORTH CAROLINA VACCINATION AGREEMENT ORANGE COUNTY, NC, PO BOX 8181 HILLSBOROUGH, NC 27281-8181 ORANGE COUNTY GOVERNMENT CN101631729--Cyber-20-22 EACH CLAIM 24147 05/01/2022 333 South 7th Street, Suite 1400 Marsh USA Inc. Minneapolis, MN 55402-2400 328 FRONT STREET SOUTH LOGISTICS HEALTH, INC. LA CROSSE, WI 54601 MWZZ315407 ATTN: RISK MANAGER Enterprise Risk Financing & Insurance 952 936-1172 Old Republic Insurance Company DocuSign Envelope ID: 3972E6CB-2728-4F85-9405-C3827B138ABF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 2,000,000 05/01/2022 Manashi Mukherjee HWXJ-UB-472M4779-21 (XWC OH) CHI-009853058-01 2,000,000 UB-6R80648A-21-NC-R (MA & WI) X N/A Annual Aggregate of Marsh USA Inc. Attn: Healthcare.AccountsCSS@marsh.com Fax: 212-948-1307 N 05/01/2020 X05/01/2021 1 05/01/2020 A 05/01/2022 eis@uhg.com Managed Care Professional Liab C 4,000,000 MWZY315405 2,000,000 (SIR $2M - XWC OH) 25674 N/A 2,000,000 X A X 05/28/2021 10,000,000 10,000,000 05/01/2021 RE: STATE OF NORTH CAROLINA VACCINATION AGREEMENT / ADDITIONAL INSURED: ORANGE COUNTY GOVERMENT THE GENERAL LIABILITY POLICY INCLUDES A BLANKET ADDITIONAL INSURED ENDORSEMENT FOR PERSONS OR ORGANIZATIONS WHERE THE NAMED INSURED IS OBLIGATED TO PROVIDE X 05/01/2021 ORANGE COUNTY, NC, PO BOX 8181 HILLSBOROUGH, NC 27281-8181 ORANGE COUNTY GOVERNMENT SUCH STATUS BY WRITTEN CONTRACT OR AGREEMENT, ONLY TO THE MINIMUM EXTENT REQUIRED AND SUBJECT TO POLICY TERMS AND CONDITIONS. C Travelers Property Casualty Company of America CN101631729-ALL-GAWUP-21-22 Each Claim 2,500 05/01/2022 5,000,000 05/01/2022 Retro Date: 1/1/77 C MWTB315404 4,000,000 24147 1,000,000 2,000,000 05/01/2022 UB-6R864629-21-NC-T (AOS) 333 South 7th Street, Suite 1400 Marsh USA Inc. Minneapolis, MN 55402-2400 328 FRONT STREET SOUTH LOGISTICS HEALTH, INC. LA CROSSE, WI 54601 MWZZ315406 ATTN: RISK MANAGER 05/01/2020 Enterprise Risk Financing & Insurance 05/01/2022 A 952 936-1172 Old Republic Insurance Company DocuSign Envelope ID: 3972E6CB-2728-4F85-9405-C3827B138ABF