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HomeMy WebLinkAbout2014-204 AMS - Carrier Corporation for West Campus Bldg to replace two defective condenser coils $15,997 NORTH CAROLINA CONSTRUCTION SERVICES AGREEMENT UNDER$50,000 ORANGE COUNTY THIS CONSTRUCTION AGREEMENT (hereinafter"Agreement"), is made and entered into this 5th day of May, 2014 by and between Orange County, North Carolina (hereinafter the "Owner") parry of the first part; and Carrier Corporation (hereinafter the "Contractor"), party of the second part; WITNESSETH: For the purpose and subject to the terms and conditions hereinafter set forth, the Owner hereby contracts for the construction services of the Contractor, and the Contractor agrees to provide the construction services to the Owner in accordance with the terms of this Agreement. 1. TERM Beginning and ending dates of contract: May 5, 2014 through June 30,2014. The Project Commencement Date shall be May 5,2014. 2. MAXIMUM AMOUNT PAYABLE Dollar Amount Not to Exceed: Fifteen Thousand Nine Hundred Ninety Seven Dollars ($15,997) 3. SERVICES Contractor agrees to provide the following construction services (the "Work"): West Campus Office Building - 131 W. Margaret Lane, Hillsborough, NC: Replace two defective condensor coils. Coil number three on chiller two and coil number one on chiller two. Furnish and install new coils,recover refrigent, evacuate regrigerant circuit, recharge refrigerant and adjust charge as needed. Contractor shall not sub-contract all or any part of the construction services provided for in this Agreement without prior written approval of the Owner. Contractor shall be responsible for all errors or omissions, in the performance of the Agreement. Contractor shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to Owner. 4. PAYMENT Contractor shall submit an invoice for construction services provided. The invoice shall contain Contractor's name and federal tax identification number and shall be signed and dated by an officer of Contractor. It shall detail all construction services provided in payment requests. The Owner will make payments to Contractor within thirty (30) days after receipt of and approval of the invoice by the contracting department. In the event the amount stated on an invoice is disputed by Owner, then Owner may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. In addition, should Contractor fail to perform its duties under the terms of this Agreement, Owner may, without fault or penalty, withhold any payment associated with the Work to be performed until such time as said work is completed. Revised 9113 1 I 5. RELATIONSHIP OF PARTIES Contractor is an independent Contractor of the Owner. Contractor represents that it has or will secure, at its own expense, all personnel required in performing the construction services under this Agreement. Such personnel shall not be employees of or have any contractual relationship with the Owner. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized or permitted under state and local law to perform such construction services. It is further agreed that Contractor will obey all State and Federal statutes, rules and regulations which are applicable to provisions of the construction services called for herein. Neither Contractor nor any employee of the Contractor shall be deemed an officer, employee or agent of the Owner. 6. TERMINATION This Agreement may be terminated by Contractor upon thirty (3 0) days' written notice to the Owner, and the Owner may terminate this Agreement upon thirty (30) days' written notice to Contractor. This or any other written notice shall be delivered via certified mail, return receipt requested to the parties at the addresses as shown on the signature page to this Agreement. 7. INSURANCE REQUIREMENTS Contractor 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 http://orang_ecoun nc.gov/purchasing/contracts.asp). If Owner's Risk Manager determines additional insurance coverage is required such additional insurance shall be designated here N/A (if no additional insurance required mark N/A as being not applicable). Contractor shall not continence construction work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. S. INDEMNIFICATION Contractor agrees to defend, indemnify, save and protect Owner and Owner's lender, if any, { harmless from and against any and all claims, liens, liabilities, losses, damages, causes of action, and expenses (including court costs and reasonable attorney's fees related thereto) arising out of, in connection with, or resulting from any negligence, act or failure to act by the Contractor, the Contractor's agents,assigns or employees related to the Work. It is the intent of this section to require Contractor to indemnify the Owner to the full extent permitted under North Carolina law. 9. NON-ASSIGNMENT Contractor shall not assign all or any part of this Agreement, including rights to payments,to any other party without the prior written consent of the Owner. 10.NON—APPROPRIATION I i I Revised 9/13 2 Contractor acknowledges that Owner is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. i In the event that public funds are unavailable and not appropriated for the performance of Owner's obligations under this Agreement, then this Agreement shall automatically expire without penalty to Owner immediately upon written notice to Contractor of the unavailability and non-appropriation of public funds. It is expressly agreed that Owner shall not activate this non- appropriation provision for its convenience or to circumvent the requirements of this Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis. In the event of a change in the Owner's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects Owner's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to Owner upon written notice to Contractor of such limitation or change in Owner's legal authority. 11. E-VERIFY Pursuant to the terms of North Carolina General Statute 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 Contractor's breach of this Agreement. By executing this Agreement Contractor affirms Contractor is in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. 12.ENTIRE AGREEMENT The parties have read this Agreement and agree to be bound by all of its terms, and further agree that it, together with specifically referenced documents, constitutes the complete and exclusive statement of the Agreement between the parties unless and until modified by a written amendment to this Agreement signed by the parties. Modifications may be evidenced by telefacsimile signatures. Should any conflict arise in the terms of any documents referenced herein and this Agreement the terms of this Agreement shall be given priority and shall control over all other such documents. Should a request for proposals and a proposal be referenced the terms of the request for proposals shall have priority over the terms of the proposal. 13. COMPLIANCE WITH LAW/GOVERNING LAW Both parties agree that this Agreement shall be governed by the laws of the State of North Carolina and any action brought under this Agreement shall be brought in the General Court of Justice of the State of North Carolina in Orange County. 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. [SIGNATURE PAGE TO FOLLOW] i Revised 9/13 3 IN WITNESS WHEREOF Orange County and the Contractor have signed this agreement, effective as of the day and date first above written. ORANG CO NTRACT By By t C i o Cou ger Z_� { 200 S. Cameron St. 1711- orporation Parkway Q ✓.'r r� v 4' P.O. Box 8181 Raleigh,NC 27604 Hillsborough,NC 27278 919-605-8660 This instrument has been approved as to technical content. i 12, f Jeffi• y fhompson, Department Director This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. oke. Office of the Chief Financial Officer This instrument has been approved as to legal form and sufficiency, Office the County Attorney II Revised 9/13 4 Address 171 I-A Corporation Parkway / Raleigh,NC 27604 Phone 919-605-8660 Fax turn to the experts./4', E-mail kenneth.b.blanton@carrier.utc.com carrier.utc.com Contact Name Paul Sorrell Account Name ORANGE CO.PUBLIC WORKS Phone (919)245-2631 I Site Address 200 S CAMERON ST Estimate Date 04/11/2014 HILLSBOROUGH,NC,272782505 Quote Number 00090261 t Job Description West End Bldg-Coils Scope of Work Replace two defective condenser coils.Coil number three on chiller two and coil number one on chiller two. Furnish and install new coils,recover refrigerant,evacuate refrigerant circuit,recharge refrigerant and adjust charge as needed. Crane service included(one trip only). All work to be performed during normal business hours other than crane work which will take place early morning before the building is occupied. Exclusions/Clarifications This quote does not include the waste disposal and labor performed outside normal business hours unless otherwise noted.In addition,the quoted price does not include any sales,excise,or similar taxes,any that apply will be added at cost.Additional exclusions are noted below: No additional repairs included. Total Quoted Price Total Price for Scope of Work excluding applicable taxes: $15,997.00 This proposal is valid for 30 days from the date of proposal.Carrier's terms and conditions will govern in lieu of any other terms and conditions contained in any resulting Purchase,Order,Contract,Agreement,etc.Carrier would like to thank you for the continuing opportunity to be of service. Sincerely, Kenneth Blanton Carrier Commercial Service Title Customer Acceptance(signature) Date Purchase Order i G The attached Terms&Conditions file shall govern. CARRIER CORPORATION TERMS AND CONDITIONS OF SALE—EQUIPMENT AND/OR SERVICE 1. PAYMENT AND TAXES- Payment shall be made net 30 days from date of invoice. Carrier reserves the right to require cash payment or other alternative method of payment prior to shipment or completion of work if Carrier determines,in its sole discretion, that Customer or Customer's assignee's financial condition at any time does not justify continuance of the net 30 days payment term. In addition to the price,the Customer shall also pay Carrier any taxes or government charges arising from this Agreement. 2. EXTRAS-Equipment,parts or labor in addition to those specified in this Agreement will be provided upon receipt of Customer's written authorization and paid for as an extra and subject to the terms of this Agreement. 3. RETURNS - No items will be accepted for return without prior written authorization. Returned goods may be subject to a restocking charge. Special order and non-stock items cannot be returned. 4.SHIPMENT-All shipments shall be F.O.B.shipping point,freight prepaid and allowed to the job site. Shipment dates quoted are approximate. Carrier does not guarantee a particular date for shipment or delivery. 5. PARTIAL SHIPMENT-Carrier shall have the right to ship any portion of the equipment included in this Agreement and invoice Customer for such partial shipment. 6. DELAYS- In the event Carrier is delayed in manufacturing, shipping or delivery by causes beyond the control and without the fault or negligence of Carrier, including but not restricted to acts of God, acts of a public enemy, acts of government, acts of terrorism, fires, floods, epidemics, quarantine restrictions, freight embargoes, supplier delays, strikes, or labor difficulties, Carrier agrees to notify Customer in writing as soon as practicable of the causes of such delay and Carrier shall further be entitled to an extension of the time equivalent to the duration of any such delay and a reasonable time in which to recover from said delay to resume production. 7. WARRANTY - Carrier warrants that all equipment manufactured by Carrier Corporation and all Carrier equipment, parts or components supplied hereunder will be free from defects in material and workmanship. Carrier shall at its option repair or replace, F.O.B.point of sale,any equipment, part or component sold by Carrier and determined to be defective within one(1)year from the date of initial operation or eighteen(18)months from date of shipment,whichever is earlier. Carrier does not warrant products not manufactured by Carrier Corporation, but it does pass on to Customer any available manufacturer's warranty for those products. Carrier warrants that all service provided by Carrier hereunder shall be performed in a workmanlike manner. In the event any such service is determined to be defective within ninety (90)days of completion of that service, Carrier shall at its option re-perform or issue a credit for such service, Carrier's obligation to repair or replace any defective equipment, parts or components during the warranty period shall be Customer's exclusive remedy. Carrier shall not be responsible for labor charges for removal or reinstallation of defective equipment, parts or components, for charges for transportation, handling and shipping or refrigerant loss, or for repairs or replacement of such equipment, parts or components, required as a consequence of faulty installation, misapplication, vandalism, abuse, exposure to chemicals, improper servicing, unauthorized alteration or improper operation by persons other than Carrier. THIS WARRANTY IS GIVEN IN LIEU OF ALL OTHER WARRANTIES EXPRESS IMPLIED OR STATUTORY INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. 8. WORKING HOURS -All services performed under this Agreement including major repairs, are to be provided during Carrier's normal working hours unless otherwise agreed. 9. ADDITIONAL SERVICE - Services or parts requested by Customer in addition to those specified in this Agreement will be provided upon receipt of Customer's written authorization and invoiced at Carrier's prevailing labor rates and parts charges. Additional services or parts shall be supplied under the terms of this Agreement. 10.CUSTOMER RESPONSIBILITIES(Service Contracts only)- Customer shall: •Provide safe and reasonable equipment access and a safe work environment. •Permit access to Customer's site,and use of building services including but not limited to:water,elevators,receiving dock facilities,electrical service and local telephone service. •Keep areas adjacent to equipment free of extraneous material,move any stock,fixtures,walls or partitions that may be necessary to perform the specified service. •Promptly notify Carrier of any unusual operating conditions. •Upon agreement of a timely mutual schedule, allow Carrier to stop and start equipment necessary to perform service. •Provide adequate water treatment.Provide the daily routine equipment operation(if not part of this Agreement)including availability of routine equipment log readings. •Where Carrier's remote monitoring service is provided,provide and maintain a telephone line with long distance direct dial and answer capability. •Operate the equipment properly and in accordance with instructions. •Promptly address any issues that arise related to mold,fungi,mildew or bacteria. •Identify and label any asbestos containing material that may be present. The customer will provide,in writing,prior to the start of a job,a signed statement regarding the absence or presence of asbestos for any job where the building or the equipment to be serviced is older than 1981.Should this document state that no asbestos is present,the customer will also provide in writing the method used to determine the absence of asbestos. I f Equipment and/or Service CCS-TCES 040811 1 11. EXCLUSIONS-Carrier is not responsible for items not normally subject to mechanical maintenance including but not limited to: duct work,casings, cabinets, fixtures,structural supports,grillage,water piping, steam piping, drain piping, cooling tower fill,boiler tubes, boiler refractory, disconnect switches and circuit breakers. Carrier is not responsible for repairs, replacements, alterations, additions, adjustments, repairs by others, unscheduled calls or emergency calls, any of which may be necessitated by negligent operation, abuse, misuse, prior improper maintenance, vandalism, obsolescence, building system design, damage due to freezing weather,chemical/electrochemical attack,corrosion,erosion,deterioration due to unusual wear and tear,any damage related to the presence of mold, fungi, mildew, or bacteria, damage caused by power reductions or failures or any other cause beyond Carriers control. Carrier shall not be required to perform tests, install any items of equipment or make modifications that may be recommended or directed by insurance companies, government, state, municipal or other authority. However, in the event any such recommendations occur, Carrier, at its option, may submit a proposal for Customer's consideration in addition to this Agreement. Carrier shall not be required to repair or replace equipment that has not been properly maintained, 12.EQUIPMENT CONDITION&RECOMMENDED SERVICE(Service Contracts only)-Upon the initial scheduled operating and/or initial annual stop inspection,should Carrier determine the need for repairs or replacement, Carrier will provide Customer in writing an'equipment condition' report including recommendations for corrections and the price for repairs in addition to this Agreement. In the event Carrier recommends certain services(that are not included herein or upon initial inspection)and if Customer does not elect to have such services properly performed in a timely fashion, Carrier shall not be responsible for any equipment or control failures,operability or any long-term damage that may result. Carrier at its option will either continue to maintain equipment and/or controls to the best of its ability, without any responsibility, or remove such equipment from this Agreement, adjusting the price accordingly. 13. PROPRIETARY RIGHTS(Service Contracts only)-During the term of this Agreement and in combination with certain services, Carrier may elect to install,attach to Customer equipment,or provide portable devices(hardware and/or software)that shall remain the personal proprietary property of Carrier. No devices installed, attached to real property or portable device(s)shall become a fixture of the Customer locations. Customer shall not acquire any interest,title or equity in any hardware,software,processes, and other intellectual or proprietary rights to devices that are used in connection with providing service on Customer equipment. 14. LIMITATION OF LIABILITY - Under no circumstances shall Carrier be liable for any incidental, special or consequential damages, including loss of revenue, loss of use of equipment or facilities, or economic damages based on strict liability or negligence.Carrier shall be liable for damage to property, other than equipment provided under this Agreement, and to persons,to the extent that Carrier's negligent acts or omissions directly contributed to such injury or property damage. Carriers maximum liability for any reason(except for personal injuries)shall consist of the refunding of all moneys paid by Customer to Carrier under this Agreement. 15. CANCELLATION - Customer may cancel this Agreement only with Carriers prior written consent, and upon payment of reasonable cancellation charges. Such charges shall take into account costs and expenses incurred, and purchases or contract commitments made by Carrier and all other losses due to the cancellation including a reasonable profit. 16. CUSTOMER TERMINATION FOR CARRIER NON-PERFORMANCE - Customer shall have the right to terminate this Agreement for Carrier's non-performance provided Carrier fails to cure such non-performance within 30 days after having been given prior written notice of the non-performance. Upon early termination or expiration of this Agreement, Carrier shall have free access to enter Customer locations to disconnect and remove any Carrier personal proprietary property or devices as well as remove any and all Carrier-owned parts, tools and personal property. Additionally, Customer agrees to pay Carrier for all incurred but unamortized service costs performed by Carrier including overheads and a reasonable profit. 17. CARRIER TERMINATION - Carrier reserves the right to discontinue its service any time payments have not been made as agreed or if alterations, additions or repairs are made to equipment during the term of this Agreement by others without prior agreement between Customer and Carrier. 18. CLAIMS - Any suits arising from the performance or nonperformance of this Agreement, whether based upon contract, negligence,and strict liability or otherwise,shall be brought within one(1)year from the date the claim arose. 19. GOVERNMENT PROCUREMENTS-The components,equipment and services provided by Carrier are"commercial items"as defined in Section 2.101 of the Federal Acquisition Regulations ("FAR"), and the prices of such components, equipment and services are based on Carriers commercial pricing policies and practices (which do not consider any special requirements of U.S. Government cost principles, FAR Part 31, or any similar procurement regulations). As such, Carrier will not agree to provide or certify cost or pricing data, nor will Carrier agree to comply with the Cost Accounting Standards (CAS). In addition, no federal government procurement regulations, such as FARs or DFARs, shall apply to this Agreement except those regulations expressly accepted in writing by Carrier. 20. HAZARDOUS MATERIALS-Carrier is not responsible for the identification,detection,abatement, encapsulating or removal of asbestos, products or materials containing asbestos, similar hazardous substances, or mold, fungi, mildew, or bacteria. If Carrier encounters any asbestos or other hazardous material while performing this Agreement, Carrier may suspend its work and remove its employees from the project, until such material and any hazards associated with it are abated. The time for Carrier's performance shall be extended accordingly,and Carrier shall be compensated for the delay. i i Equipment and/or Service CCS-TCES 040811 2 21.WASTE DISPOSAL-Customer is wholly responsible for the removal and proper disposal of waste oil,refrigerant and any other material generated during the term of this Agreement. 22. SUPERSEDURE,ASSIGNMENT and MODIFICATION-This Agreement contains the complete and exclusive statement of the agreement between the parties and supersedes all previous or contemporaneous, oral or written, statements. Customer may assign this Agreement only with Carrier's prior written consent. No modification to this Agreement shall be binding unless in writing and signed by both parties. 23. CUSTOMER CONSENT-Customer consents and agrees that Carrier may,from time to time,publicize Carrier related projects with Customer,including the value of such projects,in all forms and media for advertising,trade,and any other lawful purposes. 24. FOR WORK BEING PERFORMEND IN CALIFORNIA-Contractors are required by law to be licensed and regulated by the Contractors' State License Board which has jurisdiction to investigate complaints against contractors if a complaint regarding a patent act or omission is filed within four years of the date of the alleged violation. A complaint regarding a latent act or omission pertaining to structural defects must be filed within 10 years of the date of the alleged violation. Any questions concerning a contractor may be referred to the Registrar,Contractors'State License Board,P.O.Box 26000,Sacramento,California 95826. i Equipment and/or Service CCS-TCES 040811 3 7 ® DATE(MM/DDIYYYY) ACQRrD CERTIFICATE OF LIABILITY INSURANCE ��. 04/22/2014 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 ALTERTHE COVERAGE AFFORDED BYTHE 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 NAME: MARSH USA INC. 20 CHURCH STREET PHONE C o Ext: FAX N.1- HARTFORD,CT 06103 ADDRESS: INSURER(S AFFORDING COVERAGE NAIC# _ INSURERA:Hartford Fire Insurance Company 19682 INSURED INSURER B:National Union Fire Insurance Com an of Pittsburgh,PA 19445 CARRIER CORPORATION ONE CARRIER PLACE INSURER C:New Hampshire Insurance Com an 23841 FARMINGTON,CT 06034-4015 INSURER D: i INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:DH5WM583 REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY • GENERALLIABIUTY 102CSET10004 04/01/2014 04/01/2015 1,000,000 EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY $2,000,000 general PREMISES Ea occurrence $ 300,000 agggreggate per location/project 10,000 CLAIMS-MADE I OCCUR $10,000,000 policy MED EXP(Any one person) $ general aggregate 1,000,000 PERSONAL&AQV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ • AUTOMOBILE LIABILITY 02CSET10000(A D) 04/01/2014 04/01/2015 COMBINED SINGLE LIMIT 02CSET10019 HI) Ea accident 1,000,000 X ANY AUTO Hartford Underwriters Ins BODILY INJURY(Per person) $ ALL OWNED F SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LU\B OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ QED I I RETENTION$ $ B WORKERS COMPENSATION CT WC(SIR2.5MM)EX COV-6636273 04/01/2014 04/01/2015 X r/RV TAT T OTH- C AND EMPLOYERS'LIABILITY YIN CA-019901481 FL-019901482 ANY PROPRIETOR/PARTNER/EXECUTIVE NJ-019901483 MULTI-019901484 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑ NIA MULTI-019901485 MA-019901486 1,000,000 (Mandatory in NH) MN-019901487 MULTI-019901488 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under PA-019901489 MULTI-019901490 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Orange County AUTHORIZED REPRESENTATIVE P.O.Box 8181 ar--Af `_ /V 7,& Hillsborough,NC 27278 Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD