HomeMy WebLinkAbout102641 POUDRE VALLEY HOSPITAL - CONTRACT - RFP - 8037 PFA EMERGENCY MEDICAL SERVICE PROVIDER (4)Amendment #3 - 8037 PFA Emergency Medical Services Page 1 of 3
Amendment #03 to the Service Agreement
between Poudre Fire Authority
and Poudre Valley Health Care, Inc. d/b/a Poudre Valley Hospital
This Third Amendment (“Amendment #03”) is entered into by and between The Poudre Fire Authority
(“PFA”) and Poudre Valley Health Care, Inc. d/b/a Poudre Valley Hospital (the “Service Provider”).
WHEREAS, PFA and the Service Provider mutually entered into a Services Agreement with an
effective date of June 1, 2015 (the “Agreement”); and
WHEREAS, the parties previously executed Amendment #01 (“Amendment #01”) on July 14,
2016 to revise certain definitions and procedures; and
WHEREAS, the parties previously executed Amendment #02 (“Amendment #02) on July 14,
2016 to make additional changes to allow for consistent administration and eliminate potential ambiguity;
and
WHEREAS, the parties wish to make additional changes to incorporate revised insurance
requirements; and
WHEREAS, both parties agree to the changes;
NOW, THEREFORE, in consideration of the foregoing recitals and the mutual promises herein
contained, the parties agree as follows:
1. Term
Pursuant to Section 2, Contract Period, of the Agreement, and as previously agreed by the parties
by the executed Contract Renewal letter dated May 10, 2017 PFA has elected to extend the
Agreement for an additional one-year period, commencing June 1, 2017 and continuing through
May 31, 2018.
2. Exhibit D, Insurance
Exhibit D is replaced in its entirety with the attached new Exhibit D.
Except as expressly amended by this Amendment #03, all other terms and conditions of the Agreement,
as previously amended by Amendments #01 and #02, shall remain in full force and effect.
DocuSign Envelope ID: 5215EB30-73D0-4FF6-9601-AB6EB965D8E3
Amendment #3 - 8037 PFA Emergency Medical Services Page 2 of 3
IN WITNESS WHEREOF, the parties have executed this Amendment #03 the day and year shown.
POUDRE FIRE AUTHORITY
By:
Tom DeMint
Fire Chief
DATE:
ATTEST:
PFA Secretary
APPROVED AS TO FORM:
POUDRE VALLEY HEALTH CARE, INC.
d/b/a POUDRE VALLEY HOSPITAL
By:
Printed:
Title:
CORPORATE PRESIDENT OR VICE PRESIDENT
Date:
DocuSign Envelope ID: 5215EB30-73D0-4FF6-9601-AB6EB965D8E3
Kevin Unger
President/CEO
7/25/2017
Assistant City Attorney
7/26/2017
Amendment #3 - 8037 PFA Emergency Medical Services Page 3 of 3
EXHIBIT D
INSURANCE REQUIREMENTS
A. The Contractor including the Medical Director shall maintain and pay for all of the following
insurance coverages during the term of the contract and all renewals thereof:
(a) Medical Professional liability coverage with limits of $5 million per claim and $5 million
aggregate via a primary policy and/or through umbrella/excess coverage.
(b) General liability coverage including Products, Completed Operations, Personal and
Advertising Injury with limits of $5 million per claim and $5 million aggregate via a primary
policy and/or through umbrella/excess coverage.
(c) Auto liability coverage with underlying limits of $1 million and confirmation that the auto
liability coverage is on the schedule of underlying coverage to access the full excess limit of
$15 million through umbrella/excess coverage.
(d) Umbrella/excess liability insurance covering professional and general liability with limits of
$15 million per claim and $15 million aggregate.
(e) Network Security and Privacy Liability Coverage related errors and omissions liability
coverage including media liability with limits of $5 million per claim and $5 million
aggregate.
(f) Property and casualty coverage for its materials, equipment, furnishings, supplies, and all
owned personal and/or business property and improvements located on Client’s premises
under the standard “Special Form” coverage to its full replacement cost, without depreciation,
adjusted yearly.
(g) Workers’ compensation and other statutory insurances as required.
(h) Employer’s liability coverage with underlying limits of $1 million and confirmation that the
employers liability coverage is on the schedule of underlying coverage to access the full
excess limit of $15 million through umbrella/excess coverage.
B. The insurance coverages Contractor and its subcontractors shall be with insurers duly licensed or
approved to do business in the State of Colorado and that have an “A.M. Best” rating of not less
than A-VII. The coverages required in subparagraphs (a), (b), (c) and (d) above must be written
on a “per-occurrence basis”, or if written on a “claims-made basis”, provide for continuous “tail
coverage” of at least three (3) years beginning at the time this Agreement terminates. The Client
and its officers and employees shall be named as “Additional Insureds” under the coverages
required under paragraphs (b), (c) and (d) of Section 11.5 and these policies shall be written on a
primary basis, non-contributory with any other insurance coverages and self-insurance carried by
the PFA. Prior to providing any of the services, Contractor must submit to the PFA and the PFA
must approve certificates of insurance evidencing all the insurance coverages Contractor is
required to maintain under Section 11.5. For those policies on which the Client is to be named as
an Additional Insured, the certificates of insurance shall state that the policy carrier will provide
the Client at least thirty (30) days advance written notice for the cancellation, non-renewal or
material changes to the policy. On all other policies, Contractor shall provide the PFA with at
least thirty (30) days advance written notice for the cancellation, non-renewal or material changes
to such policies. Failure of Contractor to fully comply with the requirements of Section 11.5 shall
be considered an Event of Default under Article VII of this Agreement.
DocuSign Envelope ID: 5215EB30-73D0-4FF6-9601-AB6EB965D8E3