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HomeMy WebLinkAbout2013-496 Planning - McGill Associates for Roadway design to serve the Wilson Inductrial Park $75,000 [Departmental Use Only] TITLE Wilson Ind Park Road FY 2014 NORTH CAROLINA SERVICES AGREEMENT UNDER$90,000.00 RFP — NO REIMBURSABLE EXPENSES ORANGE COUNTY This Services Agreement (hereinafter "Agreement"), made and entered into this 15 day of November, 2013, ("Effective Date") by and between Orange County, North Carolina a body politic and corporate of the State of North Carolina (hereinafter, the "County") and McGill Associates, (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): Roadway design to serve the Wilson Industrial Park 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 9/13 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") "REP Number 5197 for "Design and Permitting of 2500' of Roadway in Efland- Buckhorn-Mebane EDD" issued October 4, 2013, and the Provider's proposal, which are fully incorporated and integrated herein by reference together with Attachments Provider's scope and cost proposal letter, dated 11/11/2013 (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. Revised 9/13 2 ii) The Basic Services will be performed by the Provider in accordance with the following schedule: (Insert task list and milestone dates) Task Milestone Date 1. Field Recon/Planning 11/15/13 2. Stream/Wetland Delineation 11/15/13 3. Site Survey 11/22/13 4. Preliminary Design Review 11/29/13 5. NCDOT Review 12/06/13 6. Final Design Review 12/20/13 7. Permitting Complete 2/21/14 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 November 18, 2013 to May 1, 2014 . b. Scheduling of Services i) The Provider shall schedule and perform its 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 its efforts, including providing additional resources and working overtime, as necessary, to perform its 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 November 18, 2013. 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 Seventy-five thousand Dollars Revised 9/13 3 ($75,000). 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 until the parties 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 (Craig Benedict, Planning 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. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by Owner's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at Ilp://orange ecountync.gov/purchasing/contracts.asp). If Owner's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of $1,000,000 Professional Liability Insurance (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. 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 Revised 9113 4 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 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. Compliance with Laws. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all anti-discrimination laws. Pursuant to the terms of North Carolina General Statute Revised 9/13 5 153A-449(b) no county may enter into a contract with a contractor unless the contractor and the contractor's subcontractors comply with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes. Where applicable, failure to maintain compliance with the requirements of Article 2 of Chapter 64 of the General Statutes constitutes Provider's breach of this Agreement. By executing this Agreement Provider affirms Provider is in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. d. 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. e. 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. f. 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. g. 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 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. h. 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 Revised 9/13 6 of such limitation or change in County's legal authority. i. 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: Craig Benedict, Planning McGill Associates P.O. Box 8181 1240 19th St., Lane NW Hillsborough,NC 27278 Hickory,NC 28603 [SIGNATURE PAGE TO FOLLOW] Revised 9/13 7 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 COUNT PRO V ER: G By: By: ounty anager n Printed Name and Ti 4e This instrument has been a roved as to technical content. Craig e ict, Depa ment Director This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. Office of the Chief Financial Officer This in Me t has been approved as to form and legal sufficiency. ice of the County Attorney Revised 9/13 $ qMcGM A S S O C I A T E S November 11,2013 Mr. Jeff Thompson Orange County 200 South Cameron Street Hillsborough,North Carolina 27278 RE: Proposal for Engineering Services Wilson Industrial Roadway Design Orange County,North Carolina Dear Mr. 'Thompson: Pursuant to Orange County's Request for Qualifications, we are pleased to provide you with this proposal for engineering services for the Wilson Industrial Roadway. We understand that the project generally consists of the construction of approximately 2,500 linear feet of roadway extending east from Ben Wilson Road, parallel to Interstate 85. We further understand that the project will be constructed by NCDOT upon permitting approval. We anticipate providing the following Scope of Services: Design and Permitting Phase hase • Meet with the Owner, NCDOT and all relevant parties to fully determine scope and requirements for the project. • Prepare preliminary route map of approximately 2,500 feet of roadway extending east from Ben Wilson Road for approval by the County and NCDOT. • Participate in a Public Information Workshop with NCDOT and the Owner as necessary. • Prepare permit drawings for any stream crossings or wetland impacts for submittal to U.S. Army Corps of Engineers (USACE) and N.C. Department of Water Quality (NCDWQ) for 404/401 permitting. It is anticipated that the total stream disturbance will be less than 300 feet and wetland disturbance will be less than 0.5 acre, therefore the 404/401 permitting will fall under a Nationwide Permit (NWP). Should the total stream disturbance exceed 300 feet and/or wetland disturbance exceed 0.5 acre, then an individual permit will need to be submitted, which has not been included in this scope of work. It is anticipated that a NWP 39 will be applied to the project by the USACE, if a E n g i n e e r i n g P l a n n i n g F i n a n c e McGill Associates,P.A. • P.O.Box 1136,H'ickoiy,NC 28603 • 124019th St.Lane NW,Hickory,NC 28601 Office:828-328-2024 • Far:828-328-3870 Mr. Jeff Thompson November 11,2013 Page 2 NWP is required. It is also anticipated that there will be no stream or wetland disturbance on the project site beyond that of road and utility construction. • It is anticipated that any stream crossings will be constructed utilizing standard size concrete pipe or box culverts and therefore, bridge and/or structural design has not been included in this scope of work. • Prepare construction drawings per NCDOT standards for approximately 2,500 feet of 2 lane asphalt roadway designed to rural roadway standards, assumed 35 mph design speed. The design will include realignment of Ben Wilson Road at the intersection of the new roadway,into a"T"intersection for site visibility. • Construction plans will include demolition, layout, grading, drainage, sediment and erosion control and construction details. • Review construction plans with NCDOT and make revisions as necessary. • Prepare sediment and soil erosion permit applications for submittal to N.C. Department of Environment and Natural Resources (NCDENR)for approval. BASIS OF COMPENSATION We anticipate performing the scope of services outlined above for a lump sum fee of $75,000. Payment shall be made monthly as work progresses. The above fee does not include the following additional services. Should these services be needed, we will furnish or obtain from others additional services of the following types, which are not considered Basic Services under this proposal, and will be completed in accordance with our regular fee schedule,upon your authorization. • Additional services resulting from significant changes in general scope of the Project or its design including, but not limited to, changes in size, complexity, OWNER's schedule, or character of construction. • This scope of service assumes that the project will not be competitively bid, but will be constructed by NCDOT forces. • This scope of service does not include construction administration or observation services. • The scope of services does not include a Traffic Impact Analysis. Should one be required we can coordinate with a traffic consultant to provide one as additional services. Mr. Jeff Thompson November 11,2013 Page 3 • Preparing to serve or serving as a witness for the OWNER in any litigation, condemnation or other legal or administrative proceeding involving the Project. • Additional services in connection with administering project funding. Thank you for the opportunity to provide this proposal for this important project. Sincerely, W , P.A. DO , P.E. Attachments: Basic Rate Schedule i i Mr. Jeff Thompson , November 11,2013 Page 4 BASIC FEE SCHEDULE August 2013 PROFESSIONAL FEES Hourly Rate Firm Principal $180.00 Program Services Manager 1 $140.00 Program Services Manager II $155.00 Senior Project Manager 1 $155.00 Senior Project Manager II $165.00 Project Manager 1 $130.00 Project Manager II $140.00 Project Engineer 1 $100.00 Project Engineer II $110.00 Project Engineer III $120.00 Engineering Associate 1 $ 80.00 Engineering Associate II $ 85.00 Engineering Technician 1 $ 75.00 Engineering Technician II $ 85.00 Engineering Technician III $ 95.00 Electrical Engineer 1 $100.00 Electrical Engineer II $110.00 Electrical Engineer III $120.00 Electrical Engineering Associate I $ 80.00 Electrical Engineering Associate II $ 85.00 Electrical Engineering Technician 1 $ 75.00 Electrical Engineering Technician 11 $ 85.00 Electrical Engineering Technician Ill $ 95.00 CADD Operator I $ 70.00 CADD Operator II $ 75.00 CADD Operator III $ 80.00 Construction Services Manager 1 $110.00 Construction Services Manager II $120.00 Construction Administrator 1 $ 85.00 Construction Administrator II $ 95.00 Construction Administrator III $105.00 Construction Field Representative 1 $ 70.00 I Mr. Jeff Thompson November 11, 2013 Page 5 Construction Field Representative II $ 75.00 Construction Field Representative III $ 80.00 Planner 1 $ 85.00 Planner II $ 95.00 Planner III $105.00 Surveyor 1 $ 85.00 Surveyor II $ 95.00 Surveying Associate 1 $ 70.00 Surveying Associate 11 $ 75.00 Survey Technician 1 $ 55.00 Survey Technician II $ 60.00 Survey Technician III $ 65.00 Administrative Assistant(1-III) $ 60.00 Accounting Assistant(1-II) $ 75.00 1. EXPENSES a. Mileage-$0.65/mile b. Robotics/GPS Equipment-$25/hr. c. Telephone, reproduction, postage, lodging, and other incidentals shall be a direct charge per receipt. 2. ASSOCIATED SERVICES - a. Associated services required by the project such as soil analysis, materials testing, etc., shall be at cost plus ten(10)percent. I Client#:1170972 30MCGILASS ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIY " 1/24/2013 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()es)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 N Susan Stephenson BB&T-Wright Dobbins a"N N .828 277-3930 a/C No: 888-827-9875 PO Box 5318 E-MAIL ADDRESS: Asheville,NC 28813 INSURER(S)AFFORDING COVERAGE NAIC# 828277-3930 INSURER A.Pennsylvania National Mutual Ca 14990 INSURED INSURER B: McGill Associates PA P.O.Box 2259 INSURER C: Asheville,NC 28802 INSURER D: 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE ASR SUER POLICY NUMBER MMID I YY MWC EXP LIMITS • GENERAL LIABILITY X 8X90652915 112312013 0112312014 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea NTED e $50,000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1.000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY E O LOC $ • AUTOMOBILE LIABILITY X AX90652915 1/2312013 01/23/201 -MBINdED SINGLE LIMIT 1,000,000 IX ANYAUTO BODILY INJURY(Per person) $ ALL OWNED BODILY INJURY Per acddeM $ AUTOS ( )HIRED AUTOS It PROPERTY DAMAGE Per accident $ $ A X UMBRELLALIAB X UL90652915 1/23/2013 01/23/201 EACHOCCURRENCE $3000000 EXCESS LIAR DE AGGREGATE s3,000,000 DED X RETENTION 10000 $ A WORKERS COMPENSATION WP9065291503 1123/2013 01/231201 X WCSTATU- OT"- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $500,000 OFFICER(MEMBEREXCLUDED? Q NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $5500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $50Q,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Orange County is named as Additional Insured with respects all policies listed above with the exception of Worker's Comp.We will provide 30 days prior written notice of any cancellation,non-renewal or reduction of coverage. CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 South Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S9857859/M9836469 SIS ACoR° CERTIFICATE OF LIABILITY INSURANCE DATE 2/20/YYYI� 10/22/2013 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 certificate holder in lieu of such endorsement(s). PRODUCER Phone: (336)475-9762 Fax: (336)475-9764 CONTAE:CT Insurance Service Cor p'of America NAM INSURANCE SERVICE CORP.OF AMERICA ac NE.,Ext: 336 475-9762 ac No: (336)475-9764 P.O.BOX 2399 E"u L JANET @ISCOFA.COM THOMASVILLE NC 27361 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER :Hanover Insurance Group 22292 INSURED INSURER B MCGILL ASSOCIATES,PA 55 BROAD STREET INSURER C ASHEVILLE NC 28801 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 9233 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 ADUL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MWDD GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE COMMERCIAL GENERAL LIABILITY ( ) $ — PREMISES RENTED Ea occurence CLAIMS-MADE I-1 OCCUR MED.EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PRO- $ POLICY E T LOC A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED jperOacc dent)DAMAGE $ UTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION TyORY LIMITS ER H $ AND EMPLOYERS' LIABILITY YIN� E.L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE ^ OFFICERWEMBER EXCLUDED? El NIA E.L.DISEASE-EA EMPLOYEE $ (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A PROFESSIONAL LIABILITY LH6 9434119-01 01123/13 01/23/14 $3,000,000 Each Claim $3,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 South Cameron Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hillsborough NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: Candice H.Tickle ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD