HomeMy WebLinkAbout2012-061 AMS - Brown Brothers Plumbing & Heating Co for Jail Kitchen RenovationNORTH CAROLINA
ORANGE COUNTY
,Zo /2 •o G I
Ales
CONSTRUCTION SERVICES
AGREEMENT UNDER $25,000
THIS CONSTRUCTION AGREEMENT (hereinafter "Agreement"), is made and entered
into this 9th day of March, 2012 by and between Orange County, North Carolina (hereinafter the
"Owner ") party of the first part; and Brown Brothers Plumbing & Heating Co., Inc. (hereinafter
the "Contractor "), party of the second .part;
WITNESSETH:
For the purpose and subject to the terms and conditions hereinafter set forth, the Owner
hereby contracts for the construction services of the Contractor, and the Contractor agrees to
provide the construction services to the Owner in accordance with the terms of this Agreement.
1. TERM
Beginning and ending dates of contract:
Commencement Date shall be 3/9/2012.
3/9/2012 through 4/30/2012. The Project
2. MAXIMUM AMOUNT PAYABLE
Dollar Amount Not to Exceed: Fourteen Thousand Five Hundred Dollars ($14,500.00)
3. SERVICES
Contractor agrees to provide the following construction services (the "Work"): Provide
plumbing construction and installation services for the grease interceptor replacement according
to the attached proposal dated 3/6/2012.
Contractor shall not sub - contract all or any part of the construction services provided for in
this Agreement without prior written approval of the Owner. Contractor shall be responsible for
all errors or omissions, in the performance of the Agreement. Contractor shall correct any and all
errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to Owner.
4. PAYMENT
Contractor shall submit an invoice for construction services provided. The invoice shall
contain Contractor's name and federal tax identification number and shall be signed and dated by
an officer of Contractor. It shall detail all construction services provided in payment requests.
The Owner will make payments to Contractor within thirty (30) days after receipt of and approval
of the invoice by the contracting department.
In the event the amount stated on an invoice is disputed by Owner, then Owner may
withhold payment of all or a portion of the amount stated on an invoice until the parties resolve
the dispute. In addition, should Contractor fail to perform its duties under the terms of this
Agreement, Owner may, without fault or penalty, withhold any payment associated with the Work
to be performed until such time as said work is completed.
5. RELATIONSHIP OF PARTIES
Contractor is an independent Contractor of the Owner. Contractor represents that it has or
will secure, at its own expense, all personnel required in performing the construction services
Revised November 2011 1
under this Agreement. Such personnel shall not be employees of or have any contractual
relationship with the Owner. All personnel engaged in work under this Agreement shall be fully
qualified and shall be authorized or permitted under state and local law to perform such
construction services. It is further agreed that Contractor will obey all State and Federal statutes,
rules and regulations which are applicable to provisions of the construction services called for
herein. Neither Contractor nor any employee of the Contractor shall be deemed an officer,
employee or agent of the Owner.
6. TERMINATION
This Agreement may be terminated by Contractor upon thirty (30) days' written notice to the
Owner, and the Owner may terminate this agreement upon thirty (30) days' written notice to
Contractor.
7. INSURANCE REQUIREMENTS
Contractor shall obtain, at its sole expense, all insurance as required in the Owner's risk
management policy and shall not commence construction work until such insurance is in effect
and certification thereof has been received by the Owner's Risk Manager. Such insurance shall
name the Owner as Additional Insured under both General Liability and Auto Liability policies.
8. INDEMNIFICATION
Contractor agrees to defend, indemnify, save and protect Owner and Owner's lender, if any,
harmless from and against any and all claims, liens, liabilities, losses, damages, causes of action,
and expenses (including court costs and reasonable attorney's fees related thereto) arising out of,
in connection with, or resulting from any negligence, act or failure to act by the Contractor, the
Contractor's agents, assigns or employees related to the Work.
It is the intent of this section to require Contractor to indemnify the Owner to the extent
permitted under North Carolina law.
9. NON - ASSIGNMENT
Contractor shall not assign all or any part of this Agreement, including rights to payments, to
any other party without the prior written consent of the Owner.
10. NON — APPROPRIATION
Contractor acknowledges that Owner is a governmental entity, and the validity of this
Agreement is based upon the availability of public funding under the authority of its statutory
mandate.
In the event that public funds are unavailable and not appropriated for the performance of
Owner's obligations under this Agreement, then this Agreement shall automatically expire without
penalty to Owner immediately upon written notice to Contractor of the unavailability and non-
appropriation of public funds. It is expressly agreed that Owner shall not activate this non-
appropriation provision for its convenience or to circumvent the requirements of this Agreement,
but only as an emergency fiscal measure during a substantial fiscal crisis.
In the event of a change in the Owner's statutory authority, mandate and/or mandated
functions, by state and/or federal legislative or regulatory action, which adversely affects Owner's
Revised November 2011 2
authority to continue its obligations under this Agreement, then this Agreement shall
automatically terminate without penalty to Owner upon written notice to Contractor of such
limitation or change in Owner's legal authority.
11. ENTIRE AGREEMENT
The parties have read this Agreement and agree to be bound by all of its terms, and further
agree that it constitutes the complete and exclusive statement of the Agreement between the
parties unless and until modified by a written amendment to this Agreement signed by the parties.
Modifications may be evidenced by telefacsimile signatures.
12. GOVERNING LAW
Both parties agree that this Agreement shall be governed by the laws of the State of North
Carolina and any action brought under this Agreement shall be brought in the General Court of
Tustice of the State of North Carolina in Orange County.
IN WITNESS WHEREOF Orange County and the Contractor have signed this agreement,
effective as of the day and date first above written.
ORANGE COUN CONTRACTOR
By � Y
Frank W. Clifton, anager
200 S. Cameron S . Brown Brothers Plumbing & Heating Co., Inc.
P.O. Box 8181 PO Box 15668
Hillsborough, NC 27278 Durham, NC 27704
This instrument has been approved as to technical content.
Pam Jones, artment Director
This instrument has been pre - audited in the manner required by the Local Government Budget
and Fiscal Control Act.
Office of the Finance Officer
This instrument has been approved as to legal form and sufficiency-
Office of the Ounty Attorney
Revised November 2011 1
21101
FAX QUOTE FROM:
BROWN BROTHERS pLXAMING & HEATING, CO. INC.
Pg.#919-220-2554.. N.C. LIC. #282.. FAX #919-220-2531
DATE: March 6, 2012
----------------------------------------------------------
JOB NAME: Orange County Jail
Attn: Jeff Thompson
Email: jethomp n@co.ora S
Phone: (919)245-2658
JOB LOCATION: Hillsborough
Ref: Jail Kitchen Renovations Sanitary and Grease Waste
Improvements
scope of Work:
Demolition of existing sanitary waste lines.
Provision and installation of one Trapzilla TZ-600 grease
interceptor.
Replacement of under slab drainage using pVC pipe and
fittings.
Add two floor sinks for indirect sink waste.
FOR THE PRICE NOT TO EXCEED OF: 00
Labor rates are based on working hours of 7:30 am to 4:00
pm, weekdays.
EXCLUSIONS: Bond
Conditions of estimate are based on final engineered
design.
G!!,roposai may be withdrawn if not accepted within 30 days
PAYMENTS TO BE MADE AS FOLLOWS: Monthly
AUTHORIZED SIGNATURE:
Project Manager
PO Box 15668 - 2820 North Roxboro Road - Durham, NC 27704-0668 Telephone (91()) 220-2554 Fax (919) 220-2511
- -
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PRODUCER CONTACT
NAME:
Tvson Insurance SeMtes, Ifici PHONE FAX
Durban!, NC.27704-
Diane S., . L-041g
INS•URED 13town Brdthbft Plumbing
Heating Company
2820,A.'R-Qxb,er,D Road
DUfhatfi, N 0-277.04,
ADDRESS:
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EXCLUSIONS NDITJ . DNS OF SUCH.POLICI.ES: LIMITS SHOWN MAY :HAVE
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Job: Orange Cc)uhiy Jail
0 County, North Garolina.(OWnbr) is4dditi A insured per the atwched
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THE WtRA-nON DATE THEREOF, NOVICE: WILL BE DELIVERED IN .
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fhe v lowing rris:app y req d y wri en execute contraot, :be or -
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!c,nnal Insured for Gerteral;.L-abllt : Orr Bingg Operations: and P rim
aryi $;
i Gontnbutoiy wording PCG0013 2J0 . ana PCG0022 (011085
iitional insured for General-Liabilit . Com 'le1ed Operafions and Primary,
on Co.ntributory wording :G:G7024(03/09f
ignated.<Insured.for•Auto Liability:.CA20 ,: {071.90:
er:cif Subrogation for'GenerofLbability: CG2404` (1D/93)7
iket Waiver of .5ubrogati0n id-
It #2: WokerCompensatr NC 000313(041,84)
irella follows 6rm:
. Best Hating A
CbWERCIAL GENERAL LIABIOTY
THE POLICY.. -PILF-A-S.E READ IT CAFtt-r-OLLY.
BuiLDERS PREMIER IN.
SURANCEA., OM
PANY
ADDITIONAL 1, . NSURED ENDORSEMENT
This <endtrse rrtent. modl�tqs fNttrance PrOVided u . ndeT t
COMMERCIAL GENERAL UM14LITY c.Q-VERAGE PART
Except as ot.
.h"
Se. stated in this endorsement, tra thai prem-1s'
the tdfms and cqndlfh ri of the
:Ooliw,appjy to
the linsiuranae stated b-&'l
b.-
POW
A. The follbWinq is gdd40.d t6-..the.:;Comm.,ercjaj 10 or
operations -peribrrri6o by or 0
Gelidral Uabilh n 1.1 befialf-of t.b n
V Coverage Forr.n—Sect'vo �e
WHO It A.N '114WRED�- Whom person or. or on
from Wh.om you tease property.
S. The peesbn(s) or :,qr.q#n .1 6 tiors( G) front
wham oquipmelitj
., has .been feaSO4i. tint
only with -respect to their liabilit y ari
s�jhg
Out of t. v7m ain. gnanDe., operation
..4y :yGu of equipm
I . , . I . . . ent [eased to' you by
sdich Pdrs-on.W,,-Yot'prga,n, "
to: tfie following iddd i1i Oil a) exclusions:
This
To any "c)
place after
lease
i j , "property
b. To "bodily or "property
d�m e qg arising out 61 the
negligence . . of than pe'r-.son
or
vrganiiatfon. from Wh
equipment;
has']aeen leased.
G. Tie persorji(s) At !6r§4jnIzattor.jt ►W
in ilia Dep
.assignee; or receiver,
:hut only, with
rezpect:ta thelf, IiWky. a.s Mqr ga - tA,
gep-W:
assignee, rr receiver and aising out
,.
ownership, maiiiiteriiinca.i, or ij§d of
tho Or ises by youi
This lm4ueance does not a**ppl.y to
structural alterations:; new construction
and demol.w.lon'perf
or
,me by or for that
perton.:or brzganizadon,
7.
The persqri(t) �.D r ocganization.(sj
wtsom
Ypi-I lease Property b. ut .6ply. With
re;#� ect, to II&Wt: it of th)§'
p. Y Arising
anos. or use 6, tiaat
POrt of the premises leased ased* to you and
subject to the fou"awitIg additional
P, The PeT9Dn( . s) or organizations) from
rli
-who. ;i-.*s i",aQ but, only with
respect to rt-abllfty arising out. of the
.
ownership:,, maintenance Or Use of that.
hat.
Tblsins.uranee* d'd0s not.ap t
p qy.
:a.
cease td .lease that
b.
Structural alterations,
)Gbns't'r-u- 6tion or demolitiv ,
operatio-ris 0'6ffbrmed by or on
behalf of the person organization
from whom land has. iolren leased.
:9:,. Any state -or Politicil. subdivision stibjeq
to; the following: .oddf*tIona'1 prov4sidn
S,
This i., .. UrAilce applies paly with respect
to the i6ilowin.g hazards for whit.fi the.
WW bf P61mkf al sub vlsidh Nsks.uad
:a- Permit ohnei;-iiion', .with
*
Y.du0Wh,. •ent, or control: control: acid to: which
this. insurance Applies*
The
.*Or
tqnM, maintenance, repa ir,
bonstruction, -erection, or re'ova(
of edveitising s nz; awnings.,
oprio.pies, cellbr antr nces coal
holes, driveways, manholes,
rn,arqU048s, hoistawi$Y oPem ngs-,
Sidew4k ve[PIU, streat banntrs-V or
decdrap6ns.:an d similar ar P.K
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os
b: Th , a construvtibh, erection, or
removail"bf Mevatbrs;. or.
6. The ownership, i 1 1' " t
a
min snanoe, or use
This' insurance does not apply. ia< Of any eievatbrs: covered by this
a. - Any "otcurr6hpa
which takes
Pfacs=after You c:Q.aso.to be t tenant
Any architect, engineer or surveyor
PCG 001,t 02:05
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Office Inc. wlili it's Ott 14
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Page 1 of .2
engaged by You but only with respect to
liYOUr
ork-; out of your Premises or
"your work";
a- When "your work° under the "work:
1-his insurance., respect.
contract" (other than service,
rnaintenaoce or repairs) has
to sucti
archtte:cts, engrne.e s
camp7eted, been
does t r .- surveyors,
nfl apply to „bodily injury ",
damage ",
:b When that ;..
"Property "petsotial rn U ;'
advertising tr1`U N 1 ry or
rendering Jfailt�re using out of
under the Portion of ynuT .work"
work cQlltracf" outof
uuhtc , a.n. in°t,i
Y `
or .the
.Professional .se to render any
rYtces by
J ar
rY damage arises
has been :put to its intended use by
traeludtng; or for you
any person or organization other
than
a• The preparing, approving: or faillhg
to peeper$
an.otlier
subcot�tr noth contractor or
perfarmin in
9 operat
or aPprovet .trap$, .sho
dra�nnngs. aplrtions, A
ens
Principai as a for a
part of the same
surva s repn;rts,
Y i"teid orejer, "all a
pro }ect:
orders,
or drawrngs and :,sp:ecrFcai ions; erit3
q When our coverage fioF
b,. Su peters ry;. Inspection-
this you :vrir3er
#�o #icy or a rene.wat of this
Policy tsrmrnates
architectural
actrvrties. °'r' engineering.
continued b and 1s not
y other
provide. d b rntUrance
Y us,
71 • Any person or organization other than
an architect; er►gi.neer surveyor,
„WOrk. contract" rr eans a written
agreement
or
uvhlch requires. in a "wor1c contract" that
s,Uch person or organ3zatic3.n
rnto which you enter for
be rk: performed by you or on
be .made. an
insured Urider this polio Y 1- Ibwlly
behalf. your
Person 01' ar a , such
Organization shat{ be an
insured ahly With respect to
.
'
Ill. An g
Y person or or aniza�tion to whom
YPu are.. obligated 1
biddy !n n „ .covered
iurY' , p:rapsrty: damags�,
°personal lrilury`' apd "�a.dvert sin. "
}y .virtue of a written.
ensured contract to Provide insurantre
s.uch -as is affo "rded i
caised,;in whoE.eor'ii1 part, by: g 1rjury
'
:y this
only with respect to :liability art�sr g put 1.
a• Your acts oc om'issions; or
of the ownership, ma'ir7tenarice or rise of
that part of an Y prises .or land: leased
b. The:: acts or ornissiorls ,of those
to yau;
acting an Your behalf;
This does not a l roc
pp y.. .
In the performance of your ongoing
operations for ths. ad.cli'tio'nat
a�Y "occurrence" that takes place
after you ; cease to be
insured(s)..only at the location
designated by tine "work .contract"
a tenant on
tho .e prettiises, or cease to lease
the land; or
71i'e coverage afEordeci to such 1. s
or organization does
. 'Structural alterations; new
corstrUction
not apply to
„ " "
bodily injury , 1�rppertY ..damage ",
"personal ury" and "adverti:sing
or demolition
operations E?arformed: by or on
behalf of such
injury" occurring after the earliest :- of the
following times;:
insured-,,
PGG 0013 02 b'5
Includes copyrighted material of insurance Services'L3ffiice, Inc,, with Rs permission,
COW'ght, Insurance Services office; Inc., 1.997
Page 2 of 2
COMMERCIAL GENERAL LI-ABILiTY
TH1$ ENDORSEM.tNT CHANGES THE POLICY`. PLEA SE ' D: t; REA M ARE FULLY.
BUILDERS. RAEMIER INSUAAANCE.WIMPANY
ADDITIONAL INSURED PRIMARY AND :NT
This '
RFSEME
T14h d t
0 em orsemen., m.q. I les, insurance Provided under the. followin
CQUIMERCIAL GENERAL LIA.81UTY'COVERAGE T
i PA.
The following addij
n0l provisionsap'ply to Additional tnturdd En dorsament ECG OGMaitached to:yoUr pofiqy.
13. It an-:a.d.ditldhal imsuredi s Porm has an Other I r�.urancg prov on Mald-q.the additional in ured
IS policy excess, and a Named`
Insured'has agreed*
in, a. written contract or written. o9rpetn"ent to
1. Perfor*m work; andlor
2- 'have scmeOrid Oerforf.n work an the Named Insured.'s behalf
for -the benefit of the oddl popai 1 nsured.ed 6h, ritten contract
or writte
the. Nwed: hit�d e4'
y requires_ r to Provide 111d 'additional insured
and DOn-contribu 0 baste:, this insurance shall
'0 1 d o. p. rinm ry arid we :nog
th.0 additlonaf insu policy Far damages Are vpbl er--
of the or Pe
e or. the Named IlYsured, or any per6oyi
workon:'the. Named i zqirisd's be�liaff, was: reqt1ired: to .perform f6r- the oddi
YMItan contract. 111s.exoressly understood than: our agreement to;
I agreement
overage on a primary
allrZaTiOn ,
.perTOrMing
irisured under such
1. haVe this insurande be -primary.; -and
2. not seek odiAribullon from the additional insureWs policy
as outlined above under 'th is 2. AddWron To BCG 007 Endorserilent Ad4tionat Insured
on
Primary And Non_CdntributQry provision of this endorsement, does not apply to nbodity. injury or
.&
nProperty damq�': included tAfthir! ti 6 "products - completed operations hizard� unless there is
this Uranc.e th
al. agrees to;
0#�V.[Oeppveragea to the
:O_ddi566attnsured fbr*14.. 0
0ilit y f
or 'bodfly frrjU. tr -or"'15ro'pOrty da
MaIncluded h "products PemI R hazirc "for. -W p4'4 rrred by.-the Named
Insured -Jvr someone -.'.P.Orf iormli;4 wqrl(6n i&l N'6m ed: insur e
&'i behalf} aj- j-d performed und-d-t 4
"tten Th ti -16 is t� ydo4esn: t provide. t1'W.-
wd - 'contravit fbit' * at; ad6i lol. 1..'Ii tired. This Insurance expr6, sl
insured Hazard" coverage: :
Ex4pept as prbvidecl in Paragraph 4,a, of 'Sectign IV - Ca
mmerolatl Gpneeal. Liability C6nditiorts'.8hy
coverage provided .b , this section 1Z:Shall be 'inv_uranoe.
� Y dve� any 6.�her valid and r-b* 14octible
available t6the additional insv*red
*vh6ther primary, excess.,.. co:ntthgent, or on any other basis. In the
event .an additional insured has other cover- i il' ble for-Ootowrenceo by virtue of also be*in'q
age avam
an ad itl!znal: o! I I 'Is excess .over hose other- policies.'
ther
PCTOG21 0108
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cqpyri t, (nsurtn�i
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page. 11 of i
_PCP 000055 02;'
THIS TENboR, E.. , . -T. OOMMERCIAL QENER-,kL PABIUTy.
M�N CHANGES T.jj:EPOL1-CY: PLEASE 'A
IT -CARE-F
G.O.,h kjLLy'.
tt�a� Blanket Add' itional Ins U red En
Produe'ts CC)M Wbrseni ent
pleted GRerations-A,
This endorsement Modifies insurance provided under the following:
COMIVERCIAL GENERAL LIABILITY COVERAGE PART
A.
"lei' vieuinsurea 1.8 required to a
dd--:an.:addi�fonaI:jn5u;
written agreement mui§tbe- Ted:onthi
P'Q T, the Written contractor
11. CurrentY -in- -effector be.cornihg effective
during the term of this policy;.
2. Executed Prior to ip.
a!"bodily injury* 'DbWrren1W or 'property damage—
this Insurance would apply; and
occurrence- to which
3. BetWeen aNarned
Ins red and fheadditiondl insured
S Tire Insurahcb,-Orovided.to
the additional insured is sirb�eet :to the fORCIVYIng, provisions;.
i-
2.
3.
specifically l'ha. pers.on or OrR..an1'7_8ifJbn is an additional I' ''. d 114441tY 6edby,y%jr t
w nsureo only 61
.. . igence
ingfrbm "your: work" for the addit nal insured 4s.-detaij9d in . e wa#Q
contract or *'tt
prwn, bn.�agre. t. th
The UMfts of Insurance (section, 111) is amended toinolu
de.,
The limits'aPPlicable to the additional � insured are the ' lesser of tfi0s6*pecff
-eerlyou and theaddifibnal Ins* --the -DeOldrat! n
contract or agreement eAcuted b 1w specified, in the written
of this Coverag ured or In.
I a artj whichpver Is less. These Lihijt on
not id addition .to,. the Unifts of insurance sho s; of I nsurance� are 1nq1uWvb .
f Ins� n If, and are.
[I);-- Limits o ..Wrfin the Declaration
rance . s and defined in Section
The lnsurance �pi ovided to {he additional jhsured d.008 not I "bolt
damag47 arising out of the r6h apply to or
or dering of. or the faildre to rer 4r any pedfe' prop rty
on Yoar behalf, b6t:c)nl 'Ah f6llbw[ng qpj��rt you
y W.X:TgS-000t to ss!6na servite by
a.. 'Providing e.n.g' tions.
th6 * OflJ, architectur.01 of sUrVeYlng services to others in
a 'hi rve - .9nd yourcapaofty
as :,an %Ogitjdjr, rt J.'ect orsu ' '
be Pro dl YQr,:
Ing, or,hldng independent Professional firmS t6p.rovide, engInc-orin
architectural or su�v6
Perform. Yfrig services in. corihe�otj�.6n'Witfi construictioh'
ork: you
Professional services include:,
G. The preparing, approving 'failin
to prepare., approve, Maps, shop drawings,
opinions, reports, surveys, fieldgorders,. change orders,or. drawings and
specifications, and
d. Super ' viser or Inspection activities performed as pad of. anyTelated architectural or
6. Howewar.
CG, 70 24 *03 09 Indudes copyrighted tnateriaj of Insuranoe,
... Services,Office, inc-, Vth its permission: . cop ytight, nsurancp services
Off'o,' Inc., 1997 Page :1 of 2
4. The following replaces Exctusion I under 2 Ex'ctusro - s .of. Section 1.— CO- ERAG}~.P► i?Oflll
ilrlJOR1FP:i�it) PRQPERTS( DIYtAGE LlAi3iLtrY
. Damage to XoW Work
Thls insurance does not ;apply to.. "property damage" #o "yau,r v+rorl�".arising:out of it nr .any
part :of It and ihdvded In the. "'products- eotripleted operations hazard "..
5 When a wrl#ien Eontrac# or written agreement requ%res coverage to be provlded for "bodily
injury" or" roppeita/ darr]a e" vs�r thin the ° odUoel ornppt�eted operations hazard ", coverage will
not apply o 'bodily. injury or property damage w'hlch occurs after:
a. The .per`iod of tirrte required. by iha written contract or written; agreomeh. V, or
b. Five years from. the Completion of 'your Work' on the project That is the sublec#`.af the
written contract or written .agreement.
6.; Any coverage pnovlded -ta t be. 'acdditlorlal insured . by this .endorsement shall be excess over ari�i
other insurance namrrtg the addltional.�ngured as an insured wheil 6r printary, 8 cesS, con6gent
or ion ahjcoaher basis,_uNess the wrltert contract or wrltten agreei�Ient rrs effset dclrirlg this
t - nee a prove e _ on et er a pr rnary or err a prtDrary and,nc ricprltrlhutot basis
T. The insuranee'j�xovkded in this endorsement does lczt apply to "bodl(y ih)Ury ", ar`'� ro e
P p rY .
darrtagep ansingg out of. "xour v(Au for whJCh a cohsolldated (wrap -upj insurance program has
i?.een prove led by the .prime contr_cLor, .project Manager.or owner of a corlsinrciton project: n..
whlch:.you are tnvolveci.
Thef'rillowing is added.to secTTON IV 60-M ERC{AL GEPtEFt�,t. LtA$1#~tT1r GOt1DITIONS,
;Parag.raph:2.,; Du 4 S In the Errant of :Occurrence, Oft i$ Claim or Suit:
:e. An adOltional'insured under this endorsement rnust.compfywitFi, aliprovisions of this
sectlan, — - --
f. The cornpany -imp+ audit ot'require a' copy of the contract.
CG 70 :24 03 09 1.neludesoopyrighted materl_al of InsuranceSeiNres Office, Inc.., with hs;peralasiom Page 2 of 2
Copyright; Insurance Se Inc.,, 1:997
POLICY NUMBER:
001WIVICRGIAL'GENERAL LI-ABILITY
THIS. E' CG :24 04 1093
"OOR'SEMENT PHANGES THE PoLlcy., PL5ASEREAD (T CAREFULLY.
IVER 0,
Q
RIGHT"
F TMUNSFER"
A
.. Al OTHERS.- .ro.us
This endor.s
ifiles it sU> ance r Yidea thelf6llb%mbg,.
COMMERCIAL GENERAL L[A8ILITY-CQvERA(3E_
RAFT
Name of Parsdri r: SCHEDULE
0 Orgarazat.tom. arown
KTOP1156ST'lumbing & Heating Co . 1-ne
.(If,nb entry *appears abavei inforin at-
- .M 'req8sappli cbbl b to 't h is endorse ment) uitedlo com piete this end
Orsernentwill be zhpwrl in the Declarations
The TRANSFER OF RIGHTS .
OF REGtOV-
ERY A G:AINST: OTHERS
TO U
s
C
on'.d.,itb l
6-
CIAL GENERAL L 'A$'.LlTY'Q.oNDijj:b ):IsaMb ndedbY Me -odditio of the fo : (section IV
:COr
V
M Z
R - We waive any Qf recovery we! may against the PersOn or orgaqlk�q sawn in b
because of make for injtV-or.dan ag e afi .j�d.6t of your-on "u cer a Co n 'thst P' le Sb, bAle above e rson or;crga lllza Gh arid inctud6 d'In i ' . p ro j4t9 iomor your or done This waiver a JY to the perOpn OF 6, gankatib i ft int he:Sb h eduj6:above. t"Pleted 6Perabons: he
CG 124 04, g0.93 COP-yrig.ht .1Tl&4r0l'c6 Services Office; 1 1.992 Page I of I
Name of group
Name :of mp.
Ad'are:s p
E:,N D Q R- S. L,,N T
12 27-- Z011
BUMDE,RS.MUTtJAL '1NSUR,-mc_-. Co.-
MOWN BROTH
PLUMBING & REATING,CIC) INC!
Po Plbx ',IS668
27704
poli-41
-WC2- 03
PCI .. P*eri6d.- 3 12
12-T. 11-2011. to 11/3t/W
Effective; -I)Jgt-�p 12/311.201*1
( i3DIC aTm. ONLY' moo- P-ER MMRS.pm�ifi
k' X CHMGES TU WAIVER OF -S-CMROGATION SCIMl�M19.
IXSTRquT-Xc).1qS..
Fot chianges, incUca' ,e' below thti, jimpe. C)r- lna cata below the iiew name or adftess
wadi mss .prior..bo eadorge -a it ttv ch -Aa0e: apa m4dxsoa of 2�4
em 04 img'a or th
on Lhe 011-d with itam aclditllb'fi. 0r-:4e14-!Aoa:.:
rot deletions gave
on. the Xislat;-i
Applies t-Q all.. jobs as reqpjxqd by
v=-Ittqu coutract..
2820 N. Roxboro Rd.
DU-.t �b=, AC 27:704
Aqeait ; 40 M-MANC9 sz=CES�..
AGEOT. 'lip
POLICrNUMBFR:
THIS . 8 THE PoLlCy.
COMMERCIAL AUTO
CA 204.80797
PLEASE READ 17`CAREFULI Y
UESIGNATED- INSURED
5 endorsement
MOdIfilts insurance Provided Underthe fowing.-
BUSINESS AUTO toVERAGE FORM
GARAGE COVERAGE FORM
'MOTOR CARRIER COVERAGE FORM
TRUCKER' S:.O-GVERA,GE FORM�
With, respect toz coverage PTO . 'Aded W� this end
ifitd by this endors*e-m- brsernen t. provisions
h of the:
-en ti e:rage* Form.: ap*��.uhles�§ mod_
tries_ Pem'on(s)Qr PT9-Bhltat16hN)-, who e-�
Slomor th.e::COV rm: *-Ffti endorsement d .n-5ur&d§ .under th Who IS s red proVi-
e�idbr . Provided - " ..a An., Iti-14
This endorsement: changes the policy effect provided inthe,.cOvera�ePor..rn
below, tva- On'the Inc on date.
of the po.11cy unless �aq.ofhet date is, indicated
Endorsement Effective: 121,311.2
COVnterSlgned.ii3y:
Named lrm-tired: - Brown E3r.Cther.s-PlUrnb1r1g
Name of or b
9 #}
Any or A11:0. rm�101' h
,erson: - n
(s) Qrlio�ganjzato (s) as required by Wflftqnla�ei UtW r
Ca
rolina, onfra.G�. fot jobs. In the state of North
(If no entry appears abovej information required to M
or above: - 1 00 Plate this endorsement
Schedule at applicable to. the endorsemerlt} t-Mll 'be Shown. in the Declarations
Each person br-orgarjjzat'
Person"pr 0'** !on i1101680d above . is an InSuredq f6T Llabo y c()VOrage, but only to the , extent t�
TgEltilk6tion qualifies �as.an "1ns0r9dn.: under t WbollsAril a ,at,
of the;Coiverage Fprm,
he: insured provit10nl Contained in SE7C
TION,ji
-CA tb 49:07 917
-Otbht, 111-5iirance Services Off1ce,.lnc,,,, 1996.
Pago I of
'W&M E .0V O.T i�StYCI-zT TO MCOV ft It 11M
Wens fo lacve e o 4ttiee r } r ght a w xeoaVer ozi a 3
fromM 4TIr r
YI.ale
foe an en tity cosered b'
Sb gatxtst tlit erso or prgas�izaCion naine�l in tti Sr1ie� Y file �iollcy ViF6 wiu..W t
exteutt'1iat +pu ou>iwork i r.a"wrttteri couftaet.11zat.r uls:(I :s u9rb ins I appli'm only Eb um
. .
cS Y :lb obtain Dais a t;o
This:agraetneM. sI?ail not g? u;ant osnug;) ,
operate c3iri oily or indii dQy to benefit an •ano o ;: in flle Sclteduic.
r5chedtlie
Kabiet Wailer.
2820 IT. $oxb.ory Rd.
Darh -ttg: IqC 27704
9pglies 'to: all .Jobs asegised .fib
'mitten coutt t..
This eiiclorsomern changeE tae poljcy`iv which 't_f:iE h�.gnd is eiiao[iaz on.Uti dale f=ed zurtetis; thLrwisestated.
(TTzt ttt3ortnatiots beimv l9 required oMy*1ieniliis•endorscrneht is lsstt:ed substgiteiv[to 2rtptd4 n ofibn parlay�
EndorsesnerttEific[itit: 22/31 ?ibli
'Pol` h'o_'WCP- 0.044355 03 Bndetars»art'No 1
Tnfiixred; T31Z0'p�T3liiti3 �'arrtbcNo:: 3.7354
' i` Fi�RS'rLtiRviBITiC1.�;T•JEPTINt3 C:Q INC
• rrctniurn: •
Fnsurarrcc Coiiipan`y: BYJIC'DTRS
1viLJTUft,"[. T'h1SU1S:AMCB'C0. ,
'VVC 08'43:13:
Cotin.bVsigtrcd by
Cupyrighf 1983 Tlational Council orctyompetzsztinn3nszuznc�:
TYSON uSUnnA'cuszotrrcttsstwo ;
• PHi�erd qn; >Ia�i�,13,1R1 A DWHITAK