HomeMy WebLinkAbout2012-072 Child Support - Starpoint Gloval Services for CSE Scanning Project.?o/ z. - a 7 z
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NORTH CAROLINA
[Departmental Use Only]
TITLE Starpoint Global Servs
FY 2012
SERVICES AGREEMENT UNDER $90,000.00
RFP - NO REIMBURSABLE EXPENSES
ORANGE COUNTY
This Services Agreement (hereinafter "Agreement"), made and entered into this 12th day of
March, 2012, (`Bffective Date") by and between Orange County, North Carolina a body politic
and corporate of the State of North Carolina (hereinafter, the "County") and Starpoint Global
Services, (hereinafter, the "Provider").
WITNESSETH:
That the County and Provider, for the consideration herein named, do hereby agree as
follows:
1. Services
a. Sco e of Work.
i) This Services Agreement ("Agreement") is for professional services to be
rendered by Provider to County with respect to (insert type of project): Child
Support Enforcement Scaruiing Project described in Aitachment A.
ii) By executing this Agreement, the Provider represents and agrees that Provider is
qualified to perform and fully capable of perfornung and providing the services
required or necessary under this Agreement in a fully competent, professional and
timely manner.
iii) Time is of the essence with respect to this Agreement.
iv) The services to be performed under this Agreement consist of Basic Services, as
described and designated in Section 3 hereof. Compensation to the Provider for
Basic Services under this Agreement shall be as set forth herein.
2. Responsibilities of the Provider
a. Services to be nrovided. The Provider sha11 provide the County with all services
required in Section 3 to satisfactorily complete the Project within the time limitations set
forth herein and in accordance with the highest professional standards.
b. Standard of Care.
i) The Provider shall exercise reasonable care and diligence in performing services
under this Agreement in accordance with the highest generally accepted standards
of this type of Provider practice throughout the United States and in accordance
with applicable federal, state and local laws and regulations applicable to the
performance of these services. Provider is solely responsible for the professional
quality, accuracy and timely completion andlor submission of all work related to
the Basic Services. Provider shall maintain confidentiality of the information as
provided in the Confidentiality Agreement attached hereto and incorporated
herein as Attachment B.
Revised July 2010
ii) Provider shall be responsible for all errors or omissions, in the performance of the
Agreement. Provider shall correct any and all errors, omissions, discrepancies,
ambiguities, mistakes or conflicts at no additional cost to the County.
iii) The Provider shall not, except as otherwise provided for in this Agreement,
subcontract the performance of any work under this Agreement without priox
written permission of the County. No permission for subcontracting shall create,
between the County and the subcontractor, any contract or any other relationship.
iv) Provider is an independent contractor of County. Any and a11 employees of the
Provider engaged by the Provider in the performance of any work or services
required of the Provider under this Agreement, shall be considered employees or
agents of the Provider only and not of the County, and any and all claims that may
or might arise under any workers compensation or other law or contract on behalf
of said employees while so engaged shall be the sole obligation and responsibility
of the Provider.
v) Provider agrees that Provider, its employees, agents and its subcontractors, if any,
shall be required to comply with all federal, state and local antidiscrimination
laws, regulations and policies that relate to the performance of Provider's services
under this Agreement.
vi) If activities related to the performance of this Agreement require specific licenses,
certifications, or related credentials Provider represents that it and/or its
employees, agents and subcontractors engaged in such activities possess such
licenses, certifications, or credentials and that such licenses certifications, or
credentials are current, active, and not in a state of suspension or revocation.
3. Basic Services
a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows
(fully describe services to be provided): Please see attachment
4. Duration of Services
a. Term. The term of this Agreement shall be from 04/02/12 to 06/30/12.
b. Scheduling of Services.
i) The Provider shall schedule and perform his activities in a timely manner.
ii) Should the County determine that the Provider is behind schedule, it may require
the Provider to expedite and accelerate his efforts, including providing additional
resources and working overtime, as necessary, to perform his services in
accordance with the approved project schedule at no additional cost to the
County.
iii) The Commencement Date for the Provider's Basic Services shall be 04/02/12.
5. Compensation
Revised July 2010
a. Combensation for Basic Services. Compensation for Basic Services shall include all
compensation due the Provider from the County for all services under this Agreement
except for any authorized Reimbursable Expenses which are defined herein. The
m~imum amount payable for Basic Services shall not exceed Fifty two thousand
Dollars ($52,000). Payment for Basic Services shall become due and payable within
thirty (30) days of Provider properly invoicing County. Payment shall be subject to
provisions of Section 5(b).
b. Dis utes. In the event the amount stated on an invoice is disputed by the County, the
County may withhold payment of all or a portion of the amount stated on an invoice
until the parties resolve the dispute. Should Provider fail to perform its duties under the
terms of this Agreement, County may, without fault or penalty, withhold any payment
associated with the work to be performed until such time as said work is completed.
c. Additional Services. County shall not be responsible for costs related to any services in
addition to the Basic Services performed by Provider unless County 'requests such
additional services in writing and such additional services are evidenced by a written
amendment to this Agreement.
6. Responsibilities of the County
a. Cooperation and Coordination. The County has designated (Janet Spaxks, Director
Child Support Enforcement) to act as the County's representative with respect to the
Project and shall have the authority to render decisions within guidelines established by
the County Manager and/or the County Board of Commissioners and shall be available
during working hours as often as may be reasonably required to render decisions and to
furnish information.
7. Insurance
a. General Requirements. The Provider shall purchase and maintain and shall cause each
of his subcontractors to purchase and maintain, during the period of performance of this
Agreement:
i) Worker's Compensation Insurance for protection from claims under workers' or
workmen`s compensation acts;
ii) Comprehensive General Liability Insurance covering claims arising out of or
relating to bodily injury, including bodily injury, sickness, disease or death of any
of the Provider's employees or any other person and to real and personal property
including loss of use resulting thereof;
iii) Comprehensive Automobile Liability Insurance, including hired and non-owned
vehicles, if any, covering personal injury or death, and property damage; and
iv) Professional Liability Insurance, covering personal injury, bodily injury and
property damage and claims arising out of or related to the performance under this
Agreement by the Provider or his agents, Providers and employees.
Revised July 2010
b. Insurance Ratin~. The minimum insurance rating for any company insuring the Provider
shall be Best's A. If the Provider does not meet the insurance requirements, the County's
Risk Manager must be consulted prior to finalizing this Agreement.
c. Limits of Covera~e. Minimum limits of insurance coverage shall be as follows:
1NSURANCE DESCRIPTION MINIMUM REQUIRED COVER.AGE
• Worker's Compensation Limits for Coverage A- Statutory State of N.C.
Coverage B - Employers Liability
$500,000 each accident and policy limit and disease each
employee
• Commercial General Liability $1,000,000 Each Occurrence; $2,000,000 Aggregate.
• Automobile Liability Combined Single Limit $500,000
• Professional Liability NOTE: Insert coverage limits required by Risk Manager if
applicable_
d. Additional Insured. All insurance policies (with the exception of Worker's
Compensation and Professional Liability) required under this Agreement shall name the
" County as an additional insured party. Evidence of such insurance shall be furnished to
the County, together with evidence that each policy provides the County with not less
than thirty (30) days prior written notice of any cancellation, non-renewal or reduction
of coverage.
8. Indemnity
a. Indemnitv. The Provider agrees to defend, indemnify and hold harmless the County
from all loss, liability, claims or expense, including attorney's fees, arising out of or
related to the Project and arising from bodily injury including death or property damage
to any person or persons caused in whole or in part by the negligence or misconduct of
the Provider except to the extent same are caused by the negligence or willful
misconduct of the County. It is the intent of this provision to require the Provider to
indemnify the County to the fullest extent permitted under North Carolina law.
9. Amendments to the Agreement
a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional
compensation or a change in duration of this Agreement shall be made by a written
Amendment to this Agreement executed by the County and the Provider. The Provider
shall proceed to perform the Services required by the Amendment only after receiving a
fully executed Amendment from the County.
10. Termination
Revised July 2010
4
a. Termination for Convenience of the Countv. This Agreement may be terminated without
cause by the County and for its convenience upon seven (7) days' prior written notice to
the Provider.
b. Other Termination. The Provider may terminate this Agreement based upon the County's
material breach of this Agreement; provided, the County has not taken all reasonable
actions to remedy the breach. The Provider shall give the County seven (7) days' prior
written notice of its intent to terminate this Agreement for cause.
c. Compensation After Termination.
i) In the event of termination, the Provider shall be paid that portion of the fees and
expenses that it has earned to the date of termination, less any costs or expenses
incurred or anticipated to be incurred by the County due to errors or omissions of
the Provider.
ii) Should this Agreement be terminated, the Provider shall deliver to the County
within seven (7) days, at no additional cost, all deliverables including any
electronic data or files relating to the Project.
d. Waiver. The payment of any sums by the County under this Agreement or the failure of
the County to require compliance by the Provider with any provisions of this Agreement
or the waiver by the County of any breach of this Agreement shall not constitute a
waiver of any claim for damages by the County for any breach of this Agreement or a
waiver of any other required compliance with this Agreement.
11. Additional Provisions
a. Limitation and Assignment. The County and the Provider each bind themselves, their
successors, assigns and legal representatives to the terms of this Agreement. Neither the
County nor the Provider shall assign or transfer its interest in this Agreement without the
written consent of the other.
b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights
of respective parties hereunder shall be governed by the laws of the State of North
Carolina.
c. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages
with respect to any provision of, or the performance or non-performance of, this
Agreement shall be brought in the General Court of Justice of North Carolina sitting in
Orange County, North Carolina. It is agreed by the parties that no other court sha11 have
jurisdiction or venue with respect to such suits or actions. The Parties may agree to
nonbinding mediation of any dispute prior to the bringing of such suit or action.
d. Entire A~reement. This Agreement represents the entire and integrated agreement
between the County and the Provider and supersedes all prior negotiations,
representations or agreements, either written or oral. This Agreement may be amended
only by written instrument signed by both parties. Modifications may be evidenced by
facsimile signatures.
Revised July 2010
e. Severabilitv. If any provision of this Agreement is held as a matter of lavv to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the
Parties.
f. Ownershin of Work Product. Should Provider's performance of this Agreement generate
documents, items or things that are specific to this Project such documents, items or
things shall become the property of the County and may be used on any other project
without additional compensation to the Provider. The use of the documents, items or
things by the County or by any person or entity for any purpose other than the Project as
set forth in this Agreement shall be at the full risk of the County.
g. Non-Appro riation. Provider acknowledges that County 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
County's obligations under this Agreement, then this Agreement shall automatically
expire without penalty to County immediately upon written notiee to Provider of the
unavailability and non-appropriation of public funds. It is expressly agreed that County
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 County's statutory authority, mandate andlor mandated
functions, by state andJor federal legislative or regulatory action, which adversely affects
County's authority to continue its obligations under this Agreement, then this Agreement
shall automatically terminate without penalty to County upon written notice to Provider
of such limitation or change in County's legal authority.
h. Notices. Any notice required by this Agreement shall be in writing and delivered by
certified or registered mail, return receipt requested to the following:
Orange County
Attention:Janet Sparks
P.O. Box 8181
Hillsborough, NC 27278
Provider's Name
Clay Brinkley - TT Manager
Starpoint Global Services
IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have
hereunder set their hands and sea1, all as of the day and year ~rst above written.
OR.ANGE COUNTY: PROV~ R:
By: gy.
Frank Cli ton, Coun Manager
~~~~ ., ~~~ ~~S rrr~t~v„er' Czo~
Printed Name and Title ~C'•/L/~ ~C~'
Revised July 2010
6
This instrument has been approved as to technical content.
~-
Information Technology, Department ' r
This instrument has been pre-audited in the manner required by the Local Government Budget
and Fiscal Control Act.
G~ /'- i~
Office of the Finance Director
This ins ent has been approved as to form and legal sufficiency.
Office of the Co ty Attorney
Revised July 2010
ATTACHMENT - A
ESTIMATED COST AND SERVICE QUOTE PROVIDED B~
February 27, 2012
PYOposal For:
Orange County Child Support Enforcement
3anet Sparks, Keith Chnupa
131 West Margaret Lane
Hillsborough, NC 27278
- Starpoint Global Services ("Starpoint") hereby submits this proposal for the systematic
scanning of records belonging to Child Support Enforcement. Thank you for giving Starpoint the
opportunity to provide you with this information.
Scope of Work
Child Support Enforcement desires to improve efFiciencies in it operation.
Located at 110 N. Churton St, Hillsborough NC, Child Support Enforcement has:
• Approximately 14 filing cabinets of terminated case files
• Approximately 4 filing cabinets of financial information
Located at 131 W. Margaret Lane, Hillsborough NC, (Its primary location) Child Support
Enforcement has:
• Approximately 9 filing cabinets of active cases
Starpoint will, for the above case information; prepare, scan, index, quality check, and deliver
the data equivalent to Child Support Enforcement. Starpoint will image all records using Bowe
Bell+Howe11 Spect~uin & Plus Scanners at 200 dpi, utilizing the latest technology available,
including ultrasonic multi-feed detection to eliminate missed pages and any possible user error.
All docuxnents will be retuxned to their filing cabinets
Starpoint will, bring appropriate scanning equipment on site at either location, or establish a
mobile unit in order to scan the case files. Starpoint will occupy and operate in the above space
between the hours of 8am and no later than Spm. Starpoint may also bring the case files to their
main processing facility for imaging. Removal of active case files must be coordinated with
Child Support Enforcement in advance.
Starpoint will prep, scan, index and QC the equivalent of 1.2 cube box for the purpose of testing
and Child Support Enforcement acceptance.
Child Support Enforcement will upon request to Starpoint be able to spot check samples of
scanned images for quality control and verification. Starpoint will fully resolve and correct any
and all errors that are found.
Orange County will provide all computing equipment. This includes but is not limited to;
Server hardware, Desktop computer, Printers, and Scanners. Orange County will also procure
software (Papervision Xpress) and licenses from Starpoint to view and manage the scanned
images.
Starpoint will:
• Install and configure the Papervision Xpress software on the network server
• Install Papervision Xpress client software on up to 15 desktop computers
• Provide Orange County with media to accommodate future installs
Services included:
• Software installation
• Prep
• Scanning
• Indexing
• QC
• Data Delivery
Once documents are scanned, all documents will be indexed by:
• Caretaker: Last Name, First Name, MI.
• Children: Last Name, First Name, MI.
• Absent Parent: Last Name. First Name, MI.
• All documents will be returned to their filing cabinets
Training:
• Starpoint will conduct 2 training sessions for Orange County Child Support Enforcement
staff on the use of Papervision Xpress
Support:
• Starpoint will provide user support to Child Support Enforcement for the Papervision
Xpress application while Orange County Child Support Enforcement maintains active
licenses ~
Estimate
• All inclusive price of $0.059 per image
• Papervision Xpress (5 licensed client copies) $5070.00
• Papervision Xpress annual maintenance $400.00
• Total project price not to exceed $52,000.00. If not to exceed amount reaches its limit,
Starpoint will pause scanning to address.
The pricing above enables us to offer you the quality and level of service you have requested. I
will call to confirm your receipt of this proposal and answer any questions you may have. You
may reach me by any of the following methods listed below.
Thank you for the opportunity to be of service.
CPa3z-B'rin~ey Tel: 919-933-0247
IT Man~g`er Fa~c: 919-942-1400
Starpoint Global Services Cell 919-210-6841
ATTACHMENT-B
CONFIDENTIALITY AGREEMENT
This Confidentiality Agreement made and entered into this 12th day of March, 2012,
("Effective Date") by and between Orange County, North Carolina a body politic and
corporate of the Sta.te of North Carolina (hereinafter, the "County") and Starpoint Global
Services, (hereinafter, the "Provider").
WITNESSETH•
That the County and Provider, for the consideration herein named, do hereby agree
as follows:
1. Confidential Information. As used in this Confidentiality Agreement,
"Confidential Information" shall include but not be limited to Social Security
Numbers, Tax Ids, financial information, all nonjudicial records maintained by
the Orange County Child Support Enforcement (CSE) pertaining to child-support
enforcement, medical information and any other data or information deemed
confidential pursuant to the Health Insurance Portability and Accountability Act
(HIPAA) and information deemed confidential pursuant to G.S. 108A-71 and
G.S. 110-139(b).
2. CSE shall provide access to the confidential inforxnation and data for the purpose
of performing the services described in Attachment A to the Agreement.
3. Provider its officers, employees, agents and representatives shall maintain the
confidentiality of all will maintain and preserve the confidentiality of all data and
information obtained while scanning and indexing child support files and records.
Additionally, Provider shall ensure that the Confidential Information is not
disclosed, removed, modified, deleted, destroyed or damaged during the
performance of the Basic Services except as provided in the Agreement.
4. Upon termination of the Agreement, or otherwise, all CSE data, documents, and
information shall be promptly retuned to CSE.
5. Provider understands that Orange County would be irreparably and immediately
harmed by Provider's or its employees' failure to safeguard confidential data, and
may result in the imposition of substantial penalties and civil and criminal
prosecution for violations of State and Federallaws.
6. In the event Provider or any of its employees observe any conditions that could
cause said Confidential Information to be compromised in any way, each
understands that it is their responsibility to take action to safeguard this data and
report the incident to their manager who shall immediately the CSE Director.
7. Provider hereby agrees to indemnify, hold harmless and indemnify Orange
County, its officers, employees, advisors, agents and representatives, contractors,
sub-contractors, and consultants from and against any liability for loss and from
and against any damages, costs, ativards, proceedings, claims, demands, expenses
and inconvenience whether inci~rred or suffered by Orange County or any other
persoi~ ~vhich arise as a result of the Prflvider's negligent acts or omissions or as a
resuIt of a breach by the Provider of any term of ihis Agreement.
8. Provider agrees that its obligation and that of its emptoyees to safegnard the
co~~fidentiality of data shall survive t13e termination of the cantract with CSE.
9. This Contidentiality Agreemeni and the duties, responsibiiities, obligations '•
and rights of respective parties hereunder shall be governed by the laws of the :
State oP North Carolina. Any and all suits or actians to enforce, interpret or seek '
damages ~vith respect ta any provision of, or the performance or non-performanee "'
of, this ~lgreen~eni shaIl be brought in the Generai Court of Justice of North ;
Carolina sitting in OraF2ge County, Nvrth Carolina.
l0. This Confidentiality Agreement, represents tl~e entsre and integratecf
agreement between the County and the Provider and supersedes al1 pr'sor
negoiiations, representations or agreements, either ~vritten or oral. This
Agreement may be amended only by written instrutnent signed by both parties.
Modifications may be evideneed by facsimile signatures.
ORA ~vr~~ rnn~r~•v.
By:
PRO'VIDER: Starpoint Globat-Services ,
C3y:
a Brinkley, 1T anager ~
I
This " strun~eEit l~as been approved as ta technica] content. ~~
~
Jan parks, Oran e County CSE llirector
This ins iment has been approved as to farm and legal sufficie~~cy.
Office of the oa y Attorney
~
~
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A~~~RD" C E sTARP-1 DATE (MMIODD/YyDyySM
_ RTIFICATE OF LIABILiTY INSURANCE '
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. • ~
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 I
certificate holder in lieu of such endorsement(s1.
PRUDUCER 919-553-71
Triangle Insurance Group, Inc
PO Box 1179 919-553-67
Clayton, NC 27528
James H: Nappier, Jr.
INSURED Starpoint, Inc. .
PO Box 5151
Chapel Hill, NC 27514
wsuReR a: FCCI Msurance G
~NSUReR e : Regent Insurance
INSURER C :
INSURER D :
- ----'-
~vVE~CAc3E~ CEi~TIF'iCA i E NU~BER:
THIS IS Tn CFRTIFY THA1' TuF oni iri~c ~~ i.~~~ „~,,.~,.~ ~ _ REVISION NUMBER:
10178
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LIMITS SHOWN MAY HAVE BEEN
REDUCED BY
PAID CLAI E TERMS,
INSR
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TYPE OF INSURANCE
~ GENERAL LIABILITY ADDL U
POLICY NUMBER
MM/DD/YYYYY
MM/DD/YEYXYY
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COMMERCIAL GENERAL LIABILI7Y 11164871 03/25/12 03/25/1$ '4 A E T RENTE
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~ CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ $,~~~
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ORAN131
Orange County Chiid Support
Enforcement
Janet Sparks, Keith Chnupa
131 West Margaret Lane
Hillsborough, NC 27278
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPOi2E
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORI2ED REPRESENTATIVE
MAR 15 2012 ~~p~a- :,~~~~p
O 1988-2010 ACORD CORPORATION. All rights reserved. I
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
OP ID: SM
'`~` °'~O~ CERTIFICATE OF LIABILITY INSURANCE DATE~MM/DD/YYYY)
03/14/12
7HIS 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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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).
PRODUCER 919-553-7103 NAMEACT
Triangle Insurance Group, Inc 919-553-6759 PHONE FAx
ac No Exe : ac, No :
PO Box 1179
Clayton, NC 27528 ADDR~ESS:
James H. Nappier, Jf. PRODUCER STARP-1
CUSTOMER ID #:
INSURER(S AFFORDING COVERAGE NAIC #
INSURED Starpoint, Inc. ~NSUReRa: Regent Insurance Compan
PO Box 5151 INSURER B:
Chapel Hill, NC 27514
INSURER C :
INSURER D :
INSURER E : ~
~ INSURER P :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR
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TYPE OF INSURANCE ADDL SUB
POLICY NUMBER POLICY EFF
MM/DD/YYYY POLICY EXP
MM/DDIYYYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ ~,OOO~OOO
A X COMMERCIAL GENERAL LIABILITY CCI0775960 03l25/11 03/25/12 pREMISES Ea occurrence $. ~0~,00~
CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 5,~~0
PERSONAL & ADV INJURY $ 'I ~OOO~OOO
~ GENERALAGGREGATE $ Z,OOO,OOO
~ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Z~OOO,OOO
I POLICY PR~ LOC $
AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $ rjOO,OOO
02/26/11 02/26/12
A ANY AUTO CBA0765763 BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per accident)
$
X.
X SCHEDULED AUTOS
HIRED AUTOS ~ PROPERTY DAMAGE
(Per accident)
$
X NON-OWNEDAUTOS ' $
-
~ . -
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE . $
GEDUCTIBLE ~ $ ~
RETENTION $ I $
~ WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY X WC STATU- OTH-
TO Y IM T$ ER
A
ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N
^
N / A
CWC0776807
04/12/11
04/12/12
E.L.EACHACCIDENT _
$ ~,OOO,OO
OFFICERlMEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ ~,~~~,~~
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 'I,OOO,OOO
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
ORAN131
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ,
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I
Orange Counry Child Support ACCORDANCE WITH THE POLICY PROVISIONS. ~
Enforcement ~
Janet Sparks, Keith Chnupa AUTHORIZED REPRESENTATIVE
131 West Margaret Lane .,/~~~ I
Hiilsborough, NC 27278 ~~~~ 15 2092 ~lr~~~~~ ~~~L~~~`'~+r j
i
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