LODESTAR DAY RESOURCE CENTER AMEND 1.PDF

C-22-15-063-3-4 Amendment No. 1
AMENDMENT TO THE
CONTRACT
BETWEEN MARICOPA COUNTY
ADMINISTERED BY ITS HUMAN SERVICES DEPARTMENT
AND
LODESTAR DAY RESOURCE CENTER
I. Mancopa County entered in to Contract C-22-15-063-3-00 with Lodestar Day Resource Center for the
provision of homeless emergency shelter and coordination of social services. The purpose of the contract
Amendment No. 1 to Contract C-22-15-063-3-00 is to increase the total contract amount by $47,108 from
$302,892 to $350,000 and modify payment processes.
IL Therefore, the following Sections are hereby amended:
A. Delete Attachment "A" to the Contract in its entirety.
B. Delete paragraph 14.0 in its entirety and replace with the INSURANCE clause attached as
Attachment A.
C. Amend section 5.0 Funding as follows:
5.0 Funding
5.1 April 15, 2015 to May 14, 2015 available funds shall be $26,907.
5.2 May 15, 2015 to November 15, 2015 available funds shall be a total of $323,093.
5.3 Expenditures beginning May 15, 2015 to June 30, 2015 for the LDRC shelter
operating costs will be for a total payment of $168,681.
5.4 Expenditures beginning July 1, 2015 to November 15, 2015 for the LDRC shelter
operating costs will be for 4 equal payments of $38,603 for a total of $154,412.
5.5 Contractor shall submit monthly Payment Requests by the last calendar day of the
month.
5.6 IISD will pay Monthly Payments to LDRC upon receipt, review and approval of
the following documentation:
5.6.1 A monthly Payment Request Exhibit I; and
5.6.2 Copy of Monthly Ledger or detailed Expenditure Report, supporting
charges applied towards the contract.
5.7 Monthly Payment Requests and supporting documents to be submitted
electronically to the following individual: Amy Jacobson, Community
Development Assistant Director at jacobson: _{`E.p.mail, ma ricopa.gov
D. Include Attachment B as part of the contract Agreement.
The foregoing paragraphs contain all the changes to the Amendment. All other terms of the original agreement
not amended hereby, remain in full force and effect.
IN WITNESS THEREOF, the Parties have signed this Amendment:
FOR AND ON BEHALF OF LODESTAR DAY FOR AND ON BEHALF OF MARICOPA
RESOURCE CENTER: COUNTY:
Steve Chucri, Chairman of the Board
JUL 0 8 2015
Date Date
/74 -I I/1z JUL 08 2015
Fran McCarron, Clerk of the Board Date
This Amendment has been reviewed by the undersigned Attorney who has determined that is proper in form
and within the power and authority granted under the laws of the State of„.Arpa.
'CZ€JP 7' 7-
Deputy County Attorney Date

C-22-15-063-3-04 Amendment No. 1
ATTACHMENT A
INSURANCE
LDRC, shall purchase and maintain the herein stipulated minimum insurance from a company or companies
duly licensed by the State of Arizona and possessing a current A.M. Best, Inc. rating of B +6. In lieu of State
of Arizona licensing, the stipulated insurance may be purchased from a company or companies who are
authorized to do business in the State of Arizona, provided that said insurance companies meet the approval of
County. The form of any insurance policies and forms must be acceptable to County.
All insurance required herein shall be maintained in full force and effect until all work or service required to be
performed under the terms of the Contract is satisfactorily completed and formally accepted. Failure to do so
may, at the sole discretion of County, constitute a material breach of this Contract.
LDRC's insurance shall be primary insurance as respects County, and any insurance or self-insurance
maintained by County shall not contribute to it.
Any failure to comply with the claim reporting provisions of the insurance policies or any breach of an
insurance policy warranty shall not affect coverage afforded under the insurance policies to protect County.
The insurance policies may provide coverage that contains deductibles or self-insured retentions. Such
deductible and/or self-insured retentions shall not be applicable with respect to the coverage provided to
County under such policies. LDRC shall be solely responsible for the deductible and/or self-insured retention
and County, at its option, may require LDRC to secure payment of such deductibles or self-insured retentions
by a surety bond or an irrevocable and unconditional letter of credit.
County reserves the right to request and to receive, within 10 working days, certified copies of any or all of the
herein required insurance certificates. County shall not be obligated to review policies and/or endorsements or
to advise LDRC of any deficiencies in such policies and endorsements, and such receipt shall not relieve TDRC
from, or be deemed a waiver of County's right to insist on strict fulfillment of LDRC's obligations under this
Contract.
The insurance policies required by this Contract, except Workers' Compensation, shall name County, its agents,
representatives, officers, directors, officials and employees as Additional Insured's.
The policies required hereunder, except Workers' Compensation, shall contain a waiver of transfer of rights of
recovery (subrogation) against County, its agents, representatives, officers, directors, officials and employees for
any claims arising out of LDRC's work or service.
The LDRC's policies shall stipulate that the insurance afforded the LDRC shall be primary insurance and that
any insurance carried by the Department, its agents, officials, employees or the State of Arizona shall be excess
and not contributory insurance, as provided by A.R.S. 5 41-621 (E).
Coverage provided by the LDRC shall not be limited to the liability assumed under the indemnification
provisions of this Contract.
Commercial General Liability:
Commercial General Liability insurance and, if necessary, Commercial Umbrella insurance with a limit of not
less than $2,000,000 for each occurrence, $2,000,000 Products/Completed Operations Aggregate, and
$4,000,000 General Aggregate Limit The policy shall include coverage for premises liability, bodily injury,
broad form property damage, personal injury, products and completed operations and blanket contractual
coverage, and shall not contain any provisions which would serve to limit third party action over claims. There
shall be no endorsement or modifications of the CGL limiting the scope of coverage for liability arising from
explosion, collapse, or underground property damage.
Workers' Compensation:
Workers' Compensation insurance to cover obligations imposed by federal and state statutes having jurisdiction
of LDRC's employees engaged in the performance of the work or services under this Contract; and Employer's
Liability insurance of not less than $1,000,000 for each accident, $1,000,000 disease for each employee, and
$1,000,000 disease policy limit.

C-22-15-063-3-0$ Amendment No. -1
Maricopa County Human Services Department
Community Development Division
Payment Request Claim Form
'TIME STAMP ABOVE
Subrecipient: Lodestar Day Resource Center Month & Year
Address: 1125W. Jackson Contract # C•22-15.1163.3.00
City/State/Zip: Phoenix, AZ 85007 Contract Start Date April 15, 2015
Contact Person: David Bridge Contract End Date November 15, 2015
Phone Number: 602-223-3419 Date Submitted
E-mail Address: dbridoeahsc-az.org
B. Amount D. New Total
A. Contract Budget Requested YID C. Amount of this E. New Balance in
Line Item Expenditures Requested YTD
Amount (from D. previous Request Budget(A-D)
(B+C)
claim)
Shelter Operations (4115-5/19) $26,907 26,907
Shelter Operations (5115-6130) $168,681 168,681
Shelter Operations (711-11/15) $154,412 159,412
TOTALS: 350,000 0.00 350,000
Signature certifies that all activities performed with contracted funds have been carried out in accordance with the contract to the
best of the signer's knowledge.
Authorized Signature Title Date
pavniont : Requirements An authorized . signature is:reqUirecLAfter . : signature p lease SCAN . AND form Anlbcomplele or incorrect
payment request will be returned for 6OrreOtion arid may delay peyrnent: :
Supporting documentation MUST be Submitted with this claim From 4/15-5111:aimilaNe funds Shell be $26,907, :Starting :5/15-6/80/15 Operating
0iists total of $165,681.:Storting 07/01-11/15/15 operating costs will be in four Ojai payments of:$85,608/mohth.
NICHSD/CD USE ONLY
Project Manager Date
Assistant Director Date
Grants Accountant Date