HomeMy WebLinkAbout2012-271 Solid Waste - Cecil Holcomb Renovations Inc Neighborhood Cleanup $89,000 02042*
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[Departmental Use Only]
TITLE Rogers Road Cleanup
FY 2012
NORTH CAROLINA
SERVICES AGREEMENT UNDER $90,000.00
RFP — NO REIMBURSABLE EXPENSES
ORANGE COUNTY
This Services Agreement (hereinafter "Agreement"), made and entered into this
/sr day of 2012, ("Effective Date") by and between Orange County, North
Carolina a body poli c an corporate of the State of North Carolina (hereinafter, the "County")
and Cecil Holcomb Renovations, Inc., (hereinafter, the "Provider").
WITNESSETH:
That the County and Provider, for the consideration herein named, do hereby agree as
follows:
1. Services
a. Scope 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): Waste
Removal and Hauling
ii) By executing this Agreement, the Provider represents and agrees that Provider is
qualified to perform and fully capable of performing 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 provided. The Provider shall 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
Revised July 2010 1
performance of these services. Provider is solely responsible for the professional
quality, accuracy and timely completion and/or submission of all work related to
the Basic Services.
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 prior
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 all 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.
i) The Provider shall perform as Basic Services the work and services described
herein and as specified in the County's Request for Proposals (the "RFP") "RFP
Number 5185 for "WASTE DEBRIS HAULING AND REMOVAL" issued June
5, 2012, and the Provider's proposal, which are fully incorporated and integrated
herein by reference together with Attachments N/A (designate all attachments).
In the event a term or condition in any document or attachment conflicts with a
term or condition of this Agreement the term or condition in this Agreement shall
control. Should such conflict arise the priority of documents shall be as follows:
This Agreement, the County's RFP together with attachments, Provider's
Proposal together with attachments.
ii) The Basic Services will be performed by the Provider in accordance with the
following schedule: (Insert task list and milestone dates)
Revised July 2010 2
Task Milestone Date
1. N/A
2. N/A
3. N/A
4. N/A
5. N/A
6. N/A
7. N/A
8. N/A
9. N/A
10. N/A
iii) Should County reasonably determine that Provider has not met the Milestone
Dates established in Section 3(a)(ii), County shall notify Provider of the failure to
meet the Milestone Date. The County, at its discretion may provide the Provider
seven (7) days to cure the breach. County may withhold the accompanying
payment without penalty until such time as Provider cures the breach. In the
alternative, upon Provider's failure to meet any Milestone Date the County may
modify the Milestone Date schedule. Should Provider or its representatives fail to
cure the breach within seven (7) days, or fail to reasonably agree to such modified
schedule, County may immediately terminate this Agreement in writing, without
penalty or incurring further obligation to Provider. This section shall not be
interpreted to limit the definition of breach to the failure to meet Milestone Dates.
N/A
4. Duration of Services
a. Term. The term of this Agreement shall be from August 1, 2012 to July 31, 2013.
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 August 1,
2012.
5. Compensation
a. Compensation for Basic Services. Compensation for Basic Services shall include all
compensation due the Provider from the County for all services under this Agreement.
The maximum amount payable for Basic Services is Eighty Nine Thousand Dollars
($89,000). 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
Revised July 2010 3
until the parties resolve the dispute. Payment for Basic Services shall become due and
payable within 30 days of a properly submitted invoice.
b. 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 the (Gayle Wilson, Solid
Waste Director) 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.
b. 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.
c. Insurance Rating. 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.
d. Limits of Coverage. Minimum limits of insurance coverage shall be as follows:
Revised July 2010 4
1.111.1.111.11111111111.111.1111111111111.111.1111111.11.1111111111.1.1
INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE
• 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.
N/A
e. 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.
7. Indemnity
a. Indemnity. 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.
8. 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.
9. Termination
a. Termination for Convenience of the County. 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.
Revised July 2010 5
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.
10. 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 shall 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 Agreement. This Agreement, together with the RFP and its attachments and the
Proposal and its attachments, 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.
e. Severability. If any provision of this Agreement is held as a matter of law to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the
Parties.
f. Ownership 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
Revised July 2010 6
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-Appropriation. 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 notice 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 and/or mandated
functions, by state and/or 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 Provider's Name & Address
Attention: Gayle Wilson Cecil Holcomb Renevations, Inc.
P.O. Box 17177 8315 La Matisse Road
Chapel Hill,NC 27516 Raleigh, NC 27615
IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have
hereunder set their hands and seal, all as of the day and year first above written.
ORANGE COUNTY: PROVIDER:
Al I Cecil Holcomb Renovati
_ , Inc.
B . �
Frank fton, County anager � k
Printed Name and Title
This instrument has been approved as to technical content.
GW Gayle Wilson epartment Director
This instrument has been pre-audited in the manner required by the Local Government Budget
and Fiscal Control Act.
6(444..,t,... I. II,.-r
Office of the Finance Director
Revised July 2010 7
This ins ment has been approved as to form and legal sufficiency.
Office of the ,�,unty Attorney
Revised July 2010 8
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Please see the attached RFP- WASTE DEBRIS HAULING AND REMOVAL FIRMS TO COLLECT and
DISPOSE OF WASTE FROM ILLEGAL WASTE DUMP SITES LOCATED ON PROPERTIES WITHIN 3/4 MILE
RADIUS FROM THE ORANGE COUNTY LANDFILL
Please direct any questions to me. I have tried to send both email and fax where possible. If you only received this via fax and
want the file electronically, email me and I will forward it to you.
Responses are due 6-20-2012 by 5:00 pm
David Cannel!, Purchasing Agent, CLGPO
Financial Services
200 South Cameron Street - PO Box 8181
Hillsborough, NC 27278
dcannell@co.orange.nc.us
919-245-2651 (v)919-636-4913(1)
http://www.co.orange.nc.us/purchasing/
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ORANGE COUNTY FINANCIAL SERVICES
Clarence Grier, Financial Services Director
200 South Cameron Street, Post Office Box 8181 • Hillsborough, NC • 27278
Phone: 919-245-2450 • Fax: 919-644-3324
REQUEST FOR PROPOSAL #5185
WASTE DEBRIS HAULING AND REMOVAL FIRMS TO COLLECT and DISPOSE OF WASTE FROM ILLEGAL
WASTE DUMP SITES LOCATED ON PROPERTIES WITHIN 3/4 MILE RADIUS FROM THE ORANGE COUNTY
LANDFILL
To Interested Firms:
The purpose of this RFP is to select a vendor or vendors to collect and dispose of miscellaneous trash and debris
on properties that request a one-time (free) neighborhood collection/cleanup funded by the Orange County Solid
Waste Enterprise Fund. The County recently submitted a letter of solicitation to each property owner within %
mile of the Orange County Landfill (Map Attached) indicating the availability of this one time service. Property
owners are required to formally respond to a County registered letter notice of this cleanup/collection program
request within 90 days from the confirmed delivery of the letter. It is the County's objective that all
cleanup/collection activities be completed by November 1, 2012.
Each participating property owner is required to sign a release of liability and agree to the conditions of the
county's offer. The waste materials in question were placed there either by individual property owners or the
general public to illegally dispose of refuse/debris rather than using the nearby landfill or convenience center. All
waste will be delivered to the Orange County Landfill at no charge. Clean metal, scrap tires and appliances will
be required to be separated for delivery to the Landfill for recycling. To the extent possible, yard waste will also
be kept separate when practicable, based on consultation between county staff and collection contractor.
It is anticipated that as requests are received County staff will seek the proper authorization documentation from
the property owner, visit the site to evaluate the conformity to County eligibility conditions (i.e. access, etc.) and if
deemed acceptable, placed on the contractor(s) list as approved for scheduling cleanup/collection. Contractor(s)
will be able to preview each County approved site prior to scheduling cleanup/collection of materials so that any
questions or concerns may be addressed and personnel and equipment resources determined so that the
collection firm may prepare a cost estimate for a specific parcel. It is anticipated that the only materials that will
be collected will be materials that can be safely be collected and delivered to, and are currently permitted to
accept, at the Orange County Landfill and Recycling Facility, located nearby on Eubanks Road.
County staff will work closely with Contractor to develop safe and cost-efficient collection strategies, to determine
necessary access, to coordinate with property owners with regard to what can and cannot be collected and to
address any other issues that may arise. County staff will make final decisions on acceptability of materials for
collection, access issues and separation requirements.
Attachment 2 is a description of cleanup program as approved by the Board of County Commissioners.
Attachment 3 is a draft services acireement.
Attachment 4 are photos of some of the sites to be cleaned up
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Conditions
The following outline lists conditions (assumptions) regarding this RFP:
1. Collection of non-household hazardous waste materials, removal of abandoned mobile homes and
removal and disposal of junk vehicles are not included in this scope of work.
2. Contractor(s) shall provide all necessary manpower and equipment and invoice the Solid Waste
Department by individual property address or Parcel ID# (PIN) if not physical address.
3. Contractor(s)shall schedule collections/cleanups so as to minimize mobilization expenses.
4. Orange County solid waste staff will be onsite at each property to observe and coordinate (as necessary)
cleanup/collection activities. Photographs of approved waste/debris sites may be taken prior to and
following collection activities. County staff will be primary point of contact for property owner.
5. County solid waste staff will provide advice and coordination, upon request by the property owner, for
dealing with junk automobiles, non-household hazardous wastes, etc.
6. County staff will assist Contractor(s) in determining whether certain items meet conditions for collection,
i.e. automobile gas tanks, batteries,fluids, etc.
7. Orange County will not be responsible for Contractor's equipment left onsite but can provide a location at
the nearby County Landfill to park or store equipment as necessary.
8. Materials the property owner wishes to be collected must be located within 25 feet of a street or road, or
the property owner must allow available reasonable access to vehicles or equipment on the property.
There will be no surface restoration,filling of dirt, grading, etc. in areas utilized for cleanup/collection,
although Contractor will attempt to minimize impacts on property.
9. The contractor(s) or County will not be required to develop access pathways through grading, clearing,
tree removal, etc. operations. Minor brush or small seedlings (3"-4") can be cleared with chain saw as
necessary.
10.Contractor(s) shall not conduct excavation or remove materials entirely or partially buried below the
surface.
11.All materials collected by the Contractor(s) will be delivered to the Orange County Landfill and Recycling
Facility without payment of tipping fee.
12. It is expected that each property shall be collected/cleaned-up within 60 days of approval to proceed on a
specific property by County. County will work with contractor to group multiple properties together to
minimize mobilization costs
13.Orange County will provide roll-off style containers, either a 20 cubic yard or a 30 cubic yard as available,
for loading and hauling of scrap metal,tires and white goods, upon request by Contractor(if materials are
kept clean and uncontaminated). Regarding non-recyclable trash/debris, Contractor(s)will be responsible
for delivering roll-off containers (if used) to the property and the proper loading of containers. Loaded
containers or trucks shall be covered to prevent spillage of materials as they are transported to the landfill.
14.Contractor(s) shall avoid puncturing or disturbing any barrels, buckets, tanks, Freon containing objects,
etc.that appear to contain liquids or refrigerants. Household Hazardous Waste items may be collected
and delivered to Orange County HHW program if containers are not leaking or appear too fragile to safely
move, The Contractor shall immediately cease operations upon discovery of anything that may be a non-
household hazardous waste or toxic substance (per consultation with County staff) and shall under no
circumstances disturb that waste or substance.
15.Contractor,while under contract to Orange County,will not be allowed to contract separately to individual
property owners for collection and hauling of debris or other waste materials (unless under contract to
property owner at time of County contract execution).
16.The Orange County Solid Waste Director will have final authority on all issues related to material collection
and hauling.
17. If collection of materials is from public street or roadway Contractor shall provide for safe flow of traffic
during collection operations and utilize necessary traffic control devices and practices.
18.Collection will of necessity require both hand collection/pickup and mechanical collection. Various type of
hand tools (rakes, shovels,forks, etc.)will be required.
SUBMITTAL REQUIREMENTS
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Proposals should include information adequate for County to properly evaluate firm(please see the list below of
criteria below) capabilities/resources, firm availability and experience and firms understanding of project and
hourly costs. The County will select firm(s) it considers best able to perform the tasks associated with the
proposal, including cost, availability, capability, experience, equipment, references.
1. Statement of vehicles, roll-off/bulk containers and equipment available to contractor for use on this project.
Provide list, including make/model and year of vehicles and equipment. Note size of bulk containers i.e.
20 cu.yd.,trailers, flat beds, dump truck bodies, etc. to be used for hauling.
2. Statement of understanding of project being requested.
3. Qualifications of firm to provide services in a timely manner.
4. Statement of availability of firm to respond to meet approximate project timeframe noted above.
5. Experience with cleanup/collection projects similar to that requested by Orange County.
6. Note mechanical method of loading materials i.e. grapple, general purpose or grapple bucket, etc., if hand
loading inappropriate or insufficient.
7. Verification that your firm is licensed to haul waste/recyclables in Orange County.
8. State the supervisor or primary field contact who will be assigned to this project along with pertinent
qualifications
9. A minimum of three references for similar work with current contact information
10. Proposal sheet (attached) detailing unit pricing .
SUBMITTAL INSTRUCTIONS
One original signed of your propasal of your response must be received no later than 5:00 PM, by June 20, 2012.
Responses should be addressed to:
Orange County Financial Services Department
Attention: David E. Cannell, Purchasing Agent
PO Box 8181 (200 S Cameron Street)
Hillsborough, NC 27278
Or via fax -919-636.4913
Or via email in pdf format to dcannell®co.orange.nc.us
Proposals may either be mailed or hand delivered. If the proposal is sent by mail, the applicant shall be
responsible for the actual delivery of the proposal to the proper office before the deadline. Any proposals
received after the deadline by any delivery method will not be considered.
All proposal submittals become the property of the County.
CONTACT INFORMATION
Any requests for clarification or additional information of an administrative or technical nature regarding this RFP
shall be directed to:
Orange County Financial Services Department
Attention: David E. Cannell, Purchasing Agent
PO Box 8181 (200 S Cameron Street)
Hillsborough, NC 27278
Voice: 919-245-2651
Fax: 919-6364913
Email: dcannell®co.orange.nc.us (preferred method)
. -
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Only written questions will be considered as formal. Any information given by telephone will be considered
informal. FAX messages will be treated as written questions. The deadline for questions is June 13, 2012.
Any contract resulting from this request shall be awarded to the Respondent whose proposal is determined to be
most advantageous to the County. Hovvmner. thmCpuntyrewmn/es the right to reject any and all proposals
received and, in all cases, the County shall be the sole judge as to whether a Respondent's qualifications and
proposal has or has not satisfactorily met the requirements of this document.
Contract& Insurance
A copy of the County's template contract is included as an attachment. Insurance requirements, etc. are included
in that document. Please note it is a sample contract only. actual terms and conditions may vary depending on
the agreement of the parties.
CONTRACT AWARD
The award for this entire project will be to the RESPONDENT deemed most advantageous as determined by the
evaluation criteria. The County reserves the following rights (in addition to those accorded to Orange County by
policy and statutory laws):
• The ri ht to negotiate with one or more vendors to arrive at a final selection.
• The right to negotiate all proposal elements to ensure the best possible consideration be afforded to all
parties concerned (this includes the right to approve or disapprove subcontractors proposed after award).
• The right to reject any and all proposals, to consider afternatives, to waive any minor irregularities and
tmchnioolitims, and to re-solicit proposals.
• The right to award the contract to a vendor who submits the best overall proposal.
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COUNTY OF ORANGE
DEPARTMENT OF FINANCIAL SERVICES
PO BOX 8181
HILLSBOROUGH, NORTH CAROLINA 27278
RFP PROPOSAL FORM
RFP#5186
The undersigned declares that they have examined the Notice To Bidders, Instructions To Bidders, and
Specifications and is informed fully with regard to all terms and conditions pertaining thereto and agrees that if this
proposal is accepted within ninety (90) days, the undersigned will supply and deliver, as ordered, all equipment as
required under these specifications at the prices set forth below:
Description Unit of Measure Price
1 Rubber Tire Loader (including operator) Per hour
SC
2 Skid Steer (including operator) Per hour
3 Laborer Per hour
C' .c6
4 Dump Truck(including driver) Per hour
g2 O
5 Supervisor Per hour
U : .. (Y
6 `
Other l2 A C�L)t;.. ,.c e..c_,_.. Caz:-,<<,S.r Per hour
7
Other /07` ( ,-'. 61-4 1/1-0-,-,-( Per hour
8 _
Other 3 (1(` (7``' Per hour
I
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Company .k.c.c.,G' rftt� /Ct=n 04-'442.7&ALA ‘ ,`_...-
Address g3/ s e.A -/4.144 II s sH /7r/raC
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By: C� �- c � c �--_
C2ec;/ /4„.1 le rrJj
(Above name printed/or typed)
Email: C/4 />e/r1.c)i'1-r O,r)) 1 d L ( a/v
Phone: Ceti k' 7 & (7,106 (-)
RESPONSES MUST BE RECEIVED NO LATER THAN 5:00 PM, BY JUNE 20, 2012
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Attachment 2
•
Landfill Neighborhood Cleanup Process and Timeline
March,2012
The following represents the conditions, criteria, timeline and other parameters
that will guide Orange County's proposed cleanup of illegal dumping and other
litter and debris located on private property within % mile of the landfill. This
protocol includes BOCC suggestions made at the March 13, 2012 meeting.
At the time this neighborhood cleanup program was conceived it was not known
that unregulated, non-permitted for profit waste dumps existed in a
neighborhood nearby the landfill. This program is not intended to mitigate
potentially large areas where substantial quantities of unknown debris/trash have
been buried or otherwise landfilled. Therefore staff suggests some limitations or
constraints must be applied to this program in order to avoid regulatory,
environmental and financial liability.
The process is outlined below:
• Eligible property is that which lies within three-fourths of one mile of the
landfill boundary.
• There will be no cost to the property owner; expenses related to the
cleanup will be funded by the Solid Waste Enterprise Fund. All material
collected would be delivered to the Orange County landfill where tipping
fees would be waived.
• Owners would have 90 days from the date the initial notification letters are
mailed in order to request this cleanup service.
• County will send a certified letter to all property owners within the % mile
radius informing them that if their property contains trash and debris that
is the result of littering or unregulated/unauthorized dumping Orange
County has implemented a one-time cleanup program for which they may
be eligible. It will be suggested that a property owner whose property
contains such trash and debris may wish to request that their property be
considered for these cleanup activities. Only the property owner may
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submit a request for cleanup and sign a cleanup authorization and release
form. This initial notification letter will contain a form cleanup request
letter (document will also be available on-line) that can be submitted to
Solid Waste requesting that their property be considered for cleanup.
• For each property owner cleanup request received the Solid Waste
Department would verify that the property is within the permitted % mile
radius and proceed to evaluate the trash and debris that is requested to be
collected and schedule the cleanup. It would be desirable for the property
owner or a representative of the owner to be on site when the property is
evaluated so property lines can be respected, that all materials that should
be subject to the cleanup can be identified and that issues such as
ingress/egress can be clarified. Depending on the specific situation
photographs may be taken before and after cleanup to supplement any
records kept as part of the project, including contract billing invoicing.
• The property owner would be required to sign an authorization for county
staff and contractors to enter the property and include an injury or
property damage liability release in order to participate.
• The following restrictions are to be in effect for this cleanup program:
o Waste and debris that require excavation, digging or mechanical
uncovering will not be collected. Only debris/trash located on or at
ground level will be collected. Debris protruding from mounds that is
partially buried will not be collected and will be considered excavation.
The property owner may choose to uncover the protruding items for
County collection.
o Hazardous waste or other potentially dangerous materials will not be
collected, except where clearly residential in nature and in leak proof/
secure containers. Staff may provide advice to the property owner with
regard to how materials that Orange County will not collect may be
properly collected and disposed.
o Waste and debris must be reasonably accessible to Contractor. Property
owner must provide access for laborers and equipment to debris/trash,
or alternatively property owner can deliver materials to be accessible by
public road or street. County/Contractor will not build roads, clear
pathways or construct other access means to get to the debris/trash.
2
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o Small trees and brush may be removed to access waste and debris, with
the owner's permission.
o There will be no site restoration where collection activities have taken
place. This includes providing fill, grading, erosion control, seeding or
replanting of damaged foliage.
• Contractors will be required to separate for recycling all scrap metal,
appliances and scrap tires (tires on rims will have to be removed) that are
to be delivered, at no charge, to the Orange County Landfill for processing.
• Orange County would develop a Request for Proposals (RFP) that would
solicit companies capable of providing the necessary neighborhood cleanup
services. It is anticipated that the County would contract with up to two
firms so that ample cleanup capabilities would be available for prompt
response to requests.
• For items not subject to cleanup activities (hazardous waste, buried waste,
etc.) provided by Orange County, staff will endeavor to provide guidance,
referrals and/or advice to the property owner.
• County staff will work closely with contractors in order to develop cleanup
plans that adhere to the county's cleanup criteria/standards, that provide
for the most efficient and effective means to cleanup various properties,to
assist, communicate and otherwise interact with residents and that
minimize liability to Orange County, minimizes damage to private property
and promotes understanding and cooperation.
• County will allow property owners of larger non-permitted for profit dump
sites to themselves deliver acceptable materials to a public right of way or
other reasonably accessible location that can then be loaded onto county
provided waste receptacles for delivery to the Orange County Landfill.
County forces or county contracted service providers will not enter these
dump sites for the purpose of extracting, excavating, loading or otherwise
handling those materials, except as described above. The materials
delivered from these sites for county collection will be closely monitored.
3
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Proposed Timeline
The following is the timeline staff is proposing, subject to revision as necessary:
March 13, 2012 BOCC Meeting
The Board of Commissioners are provided an update on the proposed
neighborhood cleanup process and staff received additional guidance and
direction.
April 3, 1012 BOCC Meeting
BOCC to provide final direction and authorization for the cleanup procedures and
timeline.
Week of April 9
Staff will proceed to request proposals from firms that can provide the necessary
cleanup services.
Week of April 23
Mail notification letters to all property owners within 3 mile of landfill. Inform
property owners that request for cleanup services deadline is 90 days (or
approximately July 23)
Beginning April 30, 2012
Evaluate each property submitted for cleanup, obtain required
authorization/waiver, and schedule for cleanup.
April 1, 2013
Goal of completing all cleanup activities.
June 30, 2013
All cleanup activity must be completed if landfill closes.
4
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[Departmental Use Only]
TITLE
FY
NORTH CAROLINA
SERVICES AGREEMENT UNDER$90,000.00
RFP—NO REIMBURSABLE EXPENSES
ORANGE COUNTY
This Services Agreement (hereinafter "Agreement`), made and entered into this day
of , 2012, ("Effective Date") by and between Orange County, North Carolina a body
politic and corporate of the State of North Carolina (hereinafter, the "County") and
(hereinafter, the "Provider").
WITNESSETH:
That the County and Provider, for the consideration herein named, do hereby agree as
follows:
1. Services
a. Scope 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): Waste
Removal and Hauling
ii) By executing this Agreement, the Provider represents and agrees that Provider is
qualified to perform and fully capable of performing 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 provided. The Provider shall 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
Revised July 2010 1
•
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performance of these services. Provider is solely responsible for the professional
quality, accuracy and timely completion and/or submission of all work related to
the Basic Services.
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 prior
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 all 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.
i) The Provider shall perform as Basic Services the work and services described
herein and as specified in the County's Request for Proposals (the "RFP") "RFP
Number 5185 for "WASTE DEBRIS HAULING AND REMOVAL " issued
6/5/2012, 2012, and the Provider's proposal, which are fully incorporated and
integrated herein by reference together with Attachments (designate all
attachments). In the event a term or condition in any document or attachment
conflicts with a term or condition of this Agreement the tenn or condition in this
Agreement shall control. Should such conflict arise the priority of documents shall
be as follows: This Agreement, the County's RFP together with attachments,
Provider's Proposal together with attachments.
ii) The Basic Services will be performed by the Provider in accordance with the
following schedule: (Insert task list and milestone dates)
Revised July 2010 2
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Task Milestone Date
1. n/a n/a
2.
3.
4.
5.
6.
7.
8.
9.
10.
iii) Should County reasonably determine that Provider has not met the Milestone
Dates established in Section 3(a)(ii), County shall notify Provider of the failure to
meet the Milestone Date. The County, at its discretion may provide the Provider
seven (7) days to cure the breach. County may withhold the accompanying
payment without penalty until such time as Provider cures the breach. In the
alternative, upon Provider's failure to meet any Milestone Date the County may
modify the Milestone Date schedule. Should Provider or its representatives fail to
cure the breach within seven (7) days, or fail to reasonably agree to such modified
schedule, County may immediately terminate this Agreement in writing, without
penalty or incurring further obligation to Provider. This section shall not be
interpreted to limit the definition of breach to the failure to meet Milestone Dates.
4. Duration of Services
a. Term. The term of this Agreement shall be from June 30, 2012 to June 30, 2013.
b. Scheduling of Services
i) The Provider shall schedule and perform his activities in a timely manner so as to
meet the Milestone Dates listed in Section 3.
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 June 30,
2012.
5. Compensation
a. Compensation for Basic Services. Compensation for Basic Services shall include all
compensation due the Provider from the County for all services under this Agreement.
The maximum amount payable for Basic Services is Dollars ($ ). 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
Revised July 2010 3
•
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resolve the dispute. Payment for Basic Services shall become due and payable in direct
proportion to satisfactory services performed and work accomplished. Payments will be
made as percentages of the whole as Project milestones as set out in Section 3(a)(ii) are
achieved. (For example, if there are 10 Project Tasks with Milestone Dates then
Provider may invoice for the first 10% of the whole upon County's acknowledgement of
the satisfactory completion of Task one. Upon the County's acknowledgement that the
second Task-has been satisfactorily completed Provider may invoice for the next 10% of
the whole.)
b. 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 the (Gayle Wilson, Solid
Waste Director)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.
b. Insurance Rating. 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 Coverage. Minimum limits of insurance coverage shall be as follows:
Revised July 2010 4
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INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE
• 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 Workers
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. Indemnity. 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
a. Termination for Convenience of the County. This Agreement maybe 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.
Revised July 2010 5
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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 shall 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 Agreement. This Agreement, together with the RFP and its attachments arid the
Proposal and its attachments, 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.
e. Severability. If any provision of this Agreement is held as a matter of law to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the
Parties.
f. Ownership 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
Revised July 2010 6
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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-Appropriation. 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 notice 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 and/or mandated
functions, by state and/or 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 Provider's Name &Address
Attention: Gayle Wilson
P.O. Box 8181
Hillsborough, NC 27278
IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have
hereunder set their hands and seal, all as of the day and year first above written.
ORANGE COUNTY: PROVIDER:
By: By:
Frank Clifton, Manager
Printed Name and Title
Revised July 2010 7
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This instrument has been approved as to technical content.
Gayle Wilson, Department Director
This instrument has been pre-audited in the manner required by the Local Government Budget
and Fiscal Control Act.
Office of the Finance Director
This instrument has been approved as to form and legal sufficiency.
Office of the County Attorney
Revised July 2010 8
Page
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•
From:919-934-4648 To:9198448339 Page: 1/3 Date: 8/13/2012 9:43:49 AM
�r1 CECIL•2 OP ID:SM
AIC°R°+ CERTIFICATE OF LIABILITY INSURANCE PATE(MMIDDIYYYY)
06113/12
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 DOER 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 919-663-7103 UVT
Triangle Insurance Group,Inc 919-553-6759 PHONE FAX
PO BOX 1170 C Ir�Set): (A G,No):
Clayton,NC 27525 ADORESSI
James H.Nappier,Jr. IN5URERI$l AFFORDING COVERAGE ERIC!,
Mugu AIStonewood Insurance Company
INSURED Cecil Holcomb Renovations,Inc INSURERe:Scott$dale Insurance Company
8315 LaMatlsse Road INeunec:Colony Insurance Company
Raleigh,NC 27615
muesli Progressive Southeastern Ins
INSURER E
_INSURER F
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.
INER AOOL tUBR POLICY EPP I POLICY EXP
LTR TYPE OF INSURANCE *AR (MVO POLICY NUMBER - IMSIDIXTYM.1(MMlODLTYr'1 LIMITS
GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
C X COMMERCIAL GENERAL LIASILRY 01.650615 03/21/12 03/21/13 D ASE R
PRE M8E3(TO Ea ENTED ooeurtenoal s 100,000
CLAIMS•MADE I X I OCCUR MED EXP(Arry one pawn) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000_
GENERAL AGGREGATE S 2,000,000
OEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/0P AGO E 2,000,000
X POLICY 7 jp$T LOC t
AIJ?OMOBILE LIABILITY COMBINED SINGLE LIMIT
EEe eccloen11 ! 1,000,000
o ANY AUTO 067631314 05)11/12 06111/13 BODILY INJURY(Per person) S
ALL OWNED x AUTOS SCHELED BODILY INJURY(Par socdarrt) $
AUTOS DU
X HIRED AUTOS X NON.DWNED PROPE3YV DAMAGE
nU S
AUTOS (PerecCe
U
rr
UMBRELLA LIAR X OCCUR EACH OCCURRENCE a 2,000,000
—
B X EXCESS LIAO CLAIMS-MADE XLS0073220 03121/12 03/21/13 AGGREGATE $ 2,000,000
utu X HtIL:NIIUNI 10000 OER.
$
WORKERS COMPENSATION J
X I W 5FAMITS
AND EMPLOYERS'LIAB(LJTY
A ANY PROPRIETOR/PARTNER/EXECUTIVE Y l M WC10000042232 03121/12 03/21/13 EL EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? N IA
(Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 1.000,000
II yea,delniEe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT S 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Altash ACORD 101,Addlelansl Remarks Schedule,Umsre apses I■required)
The general liability includes automatic Blanket Additional Insured coverage
per attached form U156P-0310
CERTIFICATE HOLDER CANCELLATION
ORANG20
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Orange CO,Financial Service THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Dept ACCORDANCE WITH THE POLICY PROVISIONS.
David E.Cannell, Purchasing
AUTHORIZES llepRRBeR1ATlve
200 S.Cameron Street
H SAG ii 4x1)44
Hillsborough,,N NC 27278
' I _
®1965.2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD
Triangle Insurance Group Insurance,Bonds, Employee Benefits
From:919-934-4646 To: 9198448339 Page; 2/3 Date:6/13/2012 9:43:49 AM
•
• THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - •
OWNERS, LESSEES OR CONTRACTORS -
SCHEDULED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
`ems • d anal cured Perean(s or Organ s •
(Additional insured): • Location(a)of Covered Operations:
ALL PERSONS OR ORGANIZATIONS AS REOUIRED.BY AS DESIGNATED IN WRITTEN CONTRACT
WRITTEN CONTRACT WITH THE NAMED INSURED. WITH THE NAMED INSURED.
A. SECTION II-WHO IS AN INSURED is amended to include as an additional insured the person(s)or
organization(s) shown In the Schedule for whom you are performing operations when you and such
person or organization have agreed in writing in a contract or agreement that such person or
organization be added as an additional Insured on your policy. Such person or organization is an
additional Insured only with respect to liability for"bodily Injury", "property damage" or"personal and
advertising injury"caused, in whole or In part, by;
1. Your acts or omissions;or
2. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the•additional insured(s) at the locations)
designated above.
A person's or organization's status as an additional Insured under this endorsement ends when your
operations for that additional insured are completed.
B. With respect to the insurance afforded to these additional insureds, the following additional
exclusions apply:
This Insurance does not apply to:
Additional Insured Contractual Liability
"Bodily injury"or"property damage"for which the additional Insured(s) are obligated to pay damages
by reason of the assumption of liability In a contract or agreement
Finished Operations at Work
"Bodily injury"or'properly damage"occurring after;
1. All work, including materials, parts or equipment furnished in connection with such work, on
the project(other than service,maintenance or repairs)to be performed by or on behalf of the
• additional Insureds)at the location of the covered operations has been completed; or
U156P-0310 includes copyrighted material of ISO Properties, Inc., Page 1 of 2
with Its permission,
•
Triangle Insurance Group Insurance, Bonds, Employee Benefits
From:919-934-4648 To;9198446339 Page:3/3 Date: 6/13/2012 9:43:49 AM
I I
•
•2. That portion "your work, out of which the Injury •r dies a• : a .. .a heii been put tq It
Intended use any person' rr a •anization.
Negligence of Addi tin& Insured ,
"Bodily injury' or pro =rty damage''=riis ng directly or indirect', out • t •n-•.I .e of the ad lin I •
insured(a),
•
C, SECTION IV — C• MERCIAL )E RAL 'ABILITY C•NDI 10 , r Ins rinse •
amended and th folly ng added:i ! , , 1 •
The insurance e"ford. . by thla C =me Part for the additi•nql i u : d, i: the S hedu .1
primary Insurance a • we li n , contribution from any • h r In= ' = co walla.le h t 1
additional insured. I
ALL OTHER T=RMS ND q • r ITIONS OF THE PO IC* N ' GED
11
•
`I
• •
i I
111 i
. I
•
i • II i
I I
I • .
U158P-0310 Includes , yr hted material of ISO 'rope le , In•., Page d 2 : '
with Its permission.
JI I
Triangle Insurance Group Insurance,Bonds, Employee Benefits ,•
Cecil Holcomb Renovations,Inc.
8315 La Matisse Rd.
Raleigh,NC 27615
(919)876-4060
June 12,2012
1. Equipment To Be Used
18 wheeler dump trucks,body of truck-32 ft.long,8 ft.high
Bob Cat 175
Grade all with loader dump bucket
2. Statement Of Work To Be Performed
Clean each lot of debris and haul to Orange County landfill.
Work along with Orange County personnel
Separate debris that can be recycled
3. Qualification of Firm
License General Contractor since January, 1988 License 23312
Specializing in demolition and site clean up
Been in business since 1987-Incorporated in 1993
4. I have 4 crews giving us ample response to meet schedule requirements
5. Every job we take requires clean up being a demolition contractor.
Every job is left clean of debris and hand raked in area of removal.
6. Some areas will be hand picked to avoid land disturbance.
Larger area will be cleaned with bob cat or rubber tire loader.
Then loaded into dump truck.
7. We just renewed our license to the Orange County Landfill,which I'm sure your computer will show.
8. Either myself,Cecil Holcomb or Thurman Nance will supervise this project.
We have both trained through OSHA Safety Coarse.
9. 1) Harold&Judy McGee
12624 Norwood Rd.
Raleigh,NC 27617
Phone: 919-844-4056
Demolition to green house,cleaned up pasture area,remove wooden fence,removal of rail fence,move a
storage building.
2)Tony Gupton
City of Raleigh
Phone: 919-807-5163
Several demolition projects,each lot has to be cleaned of debris and graded,seeded and straw.
Cecil Holcomb Renovations,Inc.
8315 La Matisse Rd.
Raleigh,NC 27615
(919)876-4060
Page 2
3) Martin Phillips
Phone: 919-720-6075
Several demolition projects of entire building or inside tear outs. Each project required to be totally
cleaned.
From:919-934-4648 To:9198448339 Page;1/3 Date:811 3/201 2 9;43:49 AM
CECIL.2 OP ID:SM
A`CC7JRJa' CERTIFICATE OF LIABILITY INSURANCE DATE 06113OfYYYY)
08113/12
-
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 poiicy(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 sndoreement(s).
PRODUCER 919-553-7103 NNAME;
Triangle Insurance Group,Inc 518-6S3-8TS8 E ram
PO Box 1179 No,Cot): (AIC,No):
Clayton,NC 27528 I.UA L
James H.Nippier,Jr.
INSURERISS AFFORDING COVERAGE NAIC 0
INSURER A I Stonewood insurance Company
INSURED Cecil Holcomb Renovations,Inc INSURER I!Scottsdale Insurance Company
8315 LaMatisse Road INSURER C:Colony Insurance Company
Raleigh,NC 27615
INSURER DIProgressive Southeastern Ins
INSURER!:
_INSURER F;
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 SE 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 ADOL SUER' POLICY EPP POLICY!XP
LTR TYPE OF INSURANCE BIM NAM POLICY NURSER (MMIDDIYYYYI CMM/OD/YYYYI LIMITS
GENERAL LIABILITY EACHOCCoURRENCE S 1,000,000
C X COMMERCIAL GENERAL LIABILITY GL850615 03/21/12 03/21/13 p aIs(Ea 00000urronoo) 5 100,000
W CLAIMS-MADE I I OCCUR MED EXP Any one potion) S 5,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE 5 2,000,000
OEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGO 5 2,000,000
A)POLICY n r>RLQT 7 LOC &
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT 1,000,000
`_ (Ee eocloentt ....
D ANY AUTO 067631314 06/11/12 06/11/13 BODILY INJURY(Per person) I
ALL OWNED SCHEDULED BODILY INJURY(Per encldenl) I
AUTOS x AUTOS 3
X HIRED AUTOS X AUTOS ED ( ccICentDAMAGE
3
UMBRELLA LIAR ?( OCCUR EACH OCCURRENCE 3 2,000,000
B X EXCESmLIAO CLAIMS-MADE XLS0073220 03/21/12 03/21/13 AGGREGATE 3 2,000,000
utu k NtU EN I ICIN$ 10000 5
WORKERS COMPENSATION 1 WC STATUU- 10TH.
AND EMPLOYERS'LIABILITY X J TORY I IMIt'S I ER
A ANY PROPRIETOR/PARTNERIEXECUTIVE lJ WC10000042232 - 03121/12 03/21/13 E,L,EACH ACCIDENT 3 '1,000,000
OFFICER/MEMBER EXCLUDED? l_J N/A
(Mandatory In MN EL DISEASE•EA EMPLOYEE 3 1.000,000
If yee deeerlx under
DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ARRAS ACORO 101,AddRlanel Remerb Sohedeb,If mere opines I.required)
The general liability includes automatic Blanket Additional Insured coverage
per attached form V156P-0310
CERTIFICATE HOLDER CANCELLATION
ORANG20
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Orange Co.Financial Service ACCORDANCE WITH THE POLICY PROVISIONS.
Dept .
David E.Cannel/,Purchasing AUTMORKla nlPRlBQRTATIV!
200 3.Cameron Street Ar - O�l�/tcbv-e /
Hillsborough,NC 2727H
1
®1988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name end logo are registered marks of ACORD
Triangle Insurance Group Insurance,Bonds,Employee Benefits
From;919-934-4848 To;9198448339 Page;2/3 Date;8/13/2012 9:43:49 AM
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -
OWNERS, LESSEES OR CONTRACTORS -
SCHEDULED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
'ame • d t oval lured Psnlon(s or Organ at , e '
(Additional Insured); Location(s)of Covered Operations:
ALL PERSONS OR ORGANIZATIONS AS REOUIREDBY AS DESIGNATED IN WRITTEN CONTRACT
WRITTEN CONTRACT WITH THE NAMED INSURED. WITH THE NAMED INSURED.
A. SECTION II-WHO IS AN INSURED is amended to Include as an additional insured the person(s)or
organization(s)shown in the Schedule for whom you are performing operations when you and such
person or organization have agreed In wilting in a contract or agreement that such person or
organization be added as an additional Insured on your policy. Such person or organization Is an
additional Insured only with respect to liability for'bodily Injury", "property damage" or'personal and
advertising injury"caused, in whole or in part,by:
1, Your acts or omissions;or
2. The eats or omissions of those acting on your behalf;
in the performance of your ongoing operations for the'additional insured(s) at the location(s)
designated above.
A person's or organization's status as an additional Insured under this endorsement ends when your
operations for that additional insured are completed.
B. With respect to the insurance afforded to these additional insureds, the following additional
exclusions apply:
This Insurance does not apply to:
Additional Insured Contractual Liability
"Bodily Injury"or"property damage"for which the additional Insured(s) are obligated to pay damages
by reason of the assumption of liability in a contract or agreement,
Finished Operations at Work
"Bodily injury°or"property damage"occurring after;
1. All work, Including materials, parts or equipment furnished In connection with such work, on
the project(other than service,maintenance or repairs)to be performed by or on behalf of the
additional insured(s)at the location of the covered operations has been completed;or
U1 66P-4310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 2
with Its permission,
•
Triangle Insurance Group Insurance,Bonds,Employee Benefits