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HomeMy WebLinkAbout2021-487-E-Extraordinary Ventures-Laundry Services for IFC Residents at Quality InnRevised October 2020 ORANGE COUNTY THIRD AMENDMENT TO SERVICES AGREEMENT NORTH CAROLINA THIS AMENDMENT, made and entered into this the 2nd day of September, 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”), an Amendment to Services Agreement dated March 10, 2021 (“First Amendment”), and a Second Amendment to Services Agreement dated May 7, 2021 (“Second 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, First Amendment, and Second 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: 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 Nine Thousand and Seven Hundred Sixty Dollars ($79,760.00). Except for the changes made to Paragraph 5.a, Compensation for Basic Services, herein, the Original Agreement, First Amendment, and Second Amendment shall remain in full force and effect to the extent it is not inconsistent with this Third Amendment to Services Agreement. In the event that there is a conflict between the Original Agreement, First Amendment, or Second Amendment and this Third Amendment, this Third Amendment shall control. IN WITNESS WHEREOF, Orange County and the Provider have signed this Amendment, effective this the 2nd day of September, 2021. FOR: ORANGE COUNTY FOR PROVIDER: By: _________________________ By: _______________________ County Manager ____________________ Print Name, Title DocuSign Envelope ID: 596F9E1F-A69C-4774-BE6C-3D3B58898617 Revised October 2020 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 Elliott Road City Chapel Hill State: NC Zip: 27514 Department: Emergency Services Amount: $3,200.00 Purpose: Laundry Services for IFC Residents at Quality Inn Budget Code(s): 10750020-63000-95024 Vendor # 57543 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 09/02/2021 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: 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 of insurance standards, specifi cations, 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: 596F9E1F-A69C-4774-BE6C-3D3B58898617 9/7/2021 9/7/2021 9/13/2021 9/13/2021 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) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 5/5/2021 The Insurance Center of Durham 1920 Front Street,Suite 710 Durham NC 27705 Melissa Parker 919-471-4521 919-471-2132 melissa@insurancecenterofdurham.com Travelers Insurance (AWC)36137 EXTRVEN-01 The Cincinnati Insurance Co.10677ExtraordinaryVentures,Inc. 200 S.Elliott Road Chapel Hill NC 27514 680103614 B X 1,000,000 X 500,000 10,000 1,000,000 2,000,000 X Y ETD 0382315 4/30/2021 4/30/2022 2,000,000 B 1,000,000 X X ETD 0382315 4/30/2021 4/30/2022 A 6JUB4816P272 20 8/25/2020 8/25/2021 100,000 100,000 500,000 County of Orange PO Box 8181 Hillsborough NC 27278 DocuSign Envelope ID: 73E72264-CDF9-4A02-A200-62A1E2867775DocuSign Envelope ID: 596F9E1F-A69C-4774-BE6C-3D3B58898617