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CORRESPONDENCE - CONTRACT - TALX SERVICE AGREEMENT
August 25, 2022 Template EWS AMENDMENT Page 1 of 1 CUS – 22 – 28783 Execution 09.26.22 FIRST AMENDMENT TO THE SERVICES AGREEMENT This First Amendment (“Amendment #01”) is by and between Equifax Workforce Solutions LLC formerly know as TALX Corporation (“EWS”) and THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation (“City”), and is effective as of this October 1, 2022 (“Effective Date”). This Amendment is entered into with the express agreement that except as addressed herein, all terms, conditions and stipulations contained in the Services Agreement between EWS and City, with an effective date of October 1, 2021, (the “Agreement”) shall remain in full force and effect and without any change or modification whatsoever. For the purposes of this Amendment #01, all capitalized terms used herein and not otherwise defined shall have the meaning set forth in the Agreement. WHEREAS, the parties desire to amend the Agreement, as set forth herein and hereby reaffirm and ratify each of the terms and conditions in the Agreement. NOW, THEREFORE, in consideration of the premises and mutual covenants set forth herein, and for other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree to amend the Agreement as follows: 1. Contract Period. The contract period shall be extended for an additional one (1) year term, October 1, 2022 through September 30, 2023 2. Compensation. The table in Section 5 of the Agreement is hereby deleted and replaced with the following. Effect of Amendment; Entire Agreement . This Amendment #01 together with the Agreement shall be the complete and exclusive statement of the Agreement between the parties as to the subject matter of the Agreement, and shall be binding upon each of the parties hereto, their respective successors and to the extent permitted their assigns. In the event of a conflict between the terms and conditions hereof, and the te rms and conditions of the Agreement, the specific terms and conditions set forth in this Amendment #01 shall govern. Miscellaneous; Other Terms. Neither this Amendment #01 nor the Agreement can be amended or otherwise modified, except as agreed to in writing by each of the parties hereto. This Amendment #01 is accepted and agreed to by the following authorized representatives of the parties and each person signing below represents and warrants that he or she has the necessary authority to bind the principal set forth below. IN WITNESS WHEREOF, the parties have executed this Amendment effective as of the Effective Date written above. The City of Fort Collins, Colorado Equifax Workforce Solutions LLC By: By: Name: Gerry Paul Name: Title: Purchasing Director Title: Date: Date: Transaction Fee / Type Annual Fee Number Included in Annual Fee Excess Fee Excess Fee Invoice Frequency Excess Fee Invoice Timing Unemployment Claims $3,265 (Invoiced in advance in four (4) equal quarterly payments) 100 $32/per Claim Monthly In Arrears Hearing Representation Not included in Annual Fee $230/per Hearing Monthly In Arrears Management of State Unemployment Insurance (SUI) Accounts 4 $115/per SUI Monthly In Arrears DocuSign Envelope ID: C27BF2A0-665C-4356-A000-0653D0037C78 Craig Beck 10/14/2022 VP, Strategy and Execution 10/14/2022 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 B 1,000,000 05/01/2023 GLSA-8741P758-TIA-22 ATL-005495205-01 1,000,000 5,000,000 UB-7R024282-22-51-R (AZ,MA,WI) X 25674 5,000,000 ATLANTA, GA 30326 N X05/01/2022 2 05/01/2023 25658 05/01/2023 CAP8F997819IND22 C 2,000,000 1,000,000 25666 Travelers Property Casualty Company Of America 1,000,000 X X 10/14/2022 05/01/2022 X 05/01/2022 215 North Mason Street Fort Collins, CO 80521 City of Fort Collins The Travelers Indemnity Company C Travelers Indemnity Co Of America CN101920890-EQUFX-GAWU-22- 10,000 05/01/2023 1,000,000 CUP9P52958522I3 D 2,000,000 N/A 1,000,000 1,000,000 UB-7R071781-22-51-K (AOS) TWO ALLIANCE CENTER *MARSH USA, INC. X 3560 LENOX ROAD, SUITE 2400 Attn: Atlanta.CertRequest@marsh.com / Fax: 212-948-4321 Employers Edge Equifax Inc. & All Subsidiaries Denver, CO 80202 717 17th St Suite 2700 X 05/01/2022 Attn: Beth Diven 05/01/2022 B 05/01/2023 N/A DocuSign Envelope ID: C27BF2A0-665C-4356-A000-0653D0037C78