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2014-247 Planning - Hobbs Upchurch Associates for Buckhorn Mebane EDC District Phase II $393,000
77JQ Sol s- p -l� FJ4 Hobbs Upchurch Associates engineering I planning I surveying April 22,2014 Orange County—Planning and Inspections Department ATTN: Mr.R. Kevin Lindley, P.E. 133 W. Margaret Lane Hillsborough, NC 27278 RE: Buckhorn—Mebane Economic Development District—Phase II Professional Engineering Services-Contract Amendment#2A(REVISED LETTER) (HUA Project Number: OC1202) Dear Kevin: This letter herewith is provided to serve as Contract Amendment#2A to the Original 2010 Contract for the project identified as Buckhorn-Mebane Economic Development District(EDD)—Phase 11. This letter will summarize the original project scope as well as delineate the items to be covered by this amendment to the original project scope and original contract. Original 2010 Contract Hobbs, Upchurch &Associates, P.A. (HUA)and Orange County entered into a contract dated November 4, 2010 to provide surveying, engineering design, and permitting for the project identified as Buckhorn - Mebane Economic Development District(EDD)—Phase II. Note that the"Efland Extension'to Buckhorn —Mebane EDD—Phase II was added later as part of Contract Amendment#2. Oriainal Protect Scope In general terms, the original project was designed to collect sewage from the area / unincorporated community known as Efland. Currently, the majority of Efland's sewer is collected at a pump station on Brookhollow Road and pumps toward Hillsborough along Oak Street and the project would have picked up the forcemain on Oak Street and redirect it towards Mebane. This forcemain would then have connected to a small gravity sewer project in the northwestern interchange of 1-40/ 1-85 and Mt. Willing Road. The project included a pump station on the north side of 1-40/1-85 at the low area, 1,500 LF west of this interchange. From this pump station, effluent from the unincorporated community of Efland and adjacent additional gravity sewer area would have been pumped to the Gravelly Hill Pump Station and on into the City of Mebane. Also, HUA looked at additional pump stations in this eastern portion of the Buckhorn- Mebane EDD. This area was identified on the original area map(See also Exhibit A: Figure 1, as attached)as Areas D-2, D-3, D-4 and all of E. Amended Project Scope Following several meetings with the County staff, the City of Mebane and the new HUA project team, the best solution was identified as the"West Ten Road Pump Station" project. This revised project includes all the original sewer improvements and combines two pump stations into one on West Ten Road (adjacent to an unnamed tributary of Seven Mile Creek which runs adjacent to Stephanie Lane, on the north side of West Ten Road). This project adds approximately 4,500 LF of gravity sewer and additional easements. The project also includes gravity sewer east of and past the 1-40 / Mt. Willing Road interchange through pasture lands opening up 100 acres for future development. This revision also provides a gravity sewer location to the north side of Norfolk Southern Railroad to allow for potential development sewage to be pumped into a gravity manhole north of the railroad. (See also Exhibit B: Figure 2, as attached.) Also, attached, as Exhibit C, is the final Opinion of Probable Cost for the project. Another significant difference between the two projects is the estimated construction cost. The original project was estimated at $2.2 Million with the new and much-improved project scope at $4.8 Million. Although the cost has increased, it resolves the request of the City of Mebane to minimize pump stations and opens up much more developable and usable land area within the Buckhorn—Mebane EDD as well T:910.692.5616 I F:910.692.7342 I 135 W.CONNECTICUT AVE. I SOUTHERN PINES,NC 28387 1 WWW.HOBBSUPCHURCH,COM SUPERIOR PERFORMANCE THROUGH INNOVATIVE DESIGN Orange County—Buckhom Mebane EDD—Phase 11 Contract Amendment#2A (REVISED LETTER) 0422-14 Page 2 of 4 as provides gravity sewer north of the Norfolk Southern Railroad for Efland and developable land on the north and south sides of 1-40/1-85. Detailed Scope of Services-Cost Estimates Therefore, we propose to amend the original contract dated November 4, 2010, and prior approved amendments,to add additional surveying services;final engineering design; and bidding process through the contract award phase of this project. Once the actual construction award is established, then the construction management and inspection phase will be determined. Also, the geotechnical fees and wetlands delineation fees will be included as "not to exceed"fees(Exhibit C: Opinion of Probable Cost). Following are the specific cost estimates for this Contract Amendment#2A including: Expanded Sewer Analysis: $ 46,000.00 Engineering Design/Surveying(ROW Acquisition): $317,000.00 Geotechnical Report Fees(NTE): $ 20,000.00 Wetlands Delineation Fees(NTE): $ 10,000.00 The above fees supersede those contained in Contract Amendment#2. Detailed Scope of Services-Task List The detailed scope of services Task List is defined as follows: Task 1-Destan Survey and Construction Documents: Detailed design will include all the proposed forcemain, gravity sewer, and lift station design and site work. The lift station site will be designed similarly to the Brookhollow Pump Station to provide consistency for Mebane. A third-party electrical engineer will be subcontracted by HUA for the lift station design. • Additional Surveying-as required, based on the new, approved alignment, as shown in the attached Figure 2; • 30%Detailed Design Submission to County(Alignment); • 60%Detailed Design Submission to County(Profiles); • 90%Detailed Design Submission to County(Final). Task 2-Coordlnedon and Approvals: HUA will coordinate with State agencies,local agencies,and utility companies for all approvals necessary to construct the West Ten Pump Station project as defined by the amended project scope. The anticipated coordination will be as follows: • Monthly/131-Monthly Project Meetings as required; • Orange County Project Coordination; • Geotechnical Engineer Coordination; • Environmental Consultant Coordination; • Cultural / Archaeological Survey Coordination with North Carolina State Historic Preservation Office (SHPO)and Orange County; • NCDENR Submissions and Permit Acquisition for: o Erosion and Sedimentation Control, o Sanitary Sewer and Lift Station; • Easement Map Preparation and Survey; • Shallow Utility Company Coordination; • Railway Crossing Submission and Coordination;and • NCDOT Crossing Submission and Coordination. Orange County—Buckhom Mebane EDD—Phase II Contract Amendment#2A (REVISED LETTER) 04-22-14 Page 3 of 4 Task 3—Contract Preparation and Biddina; HUA will prepare all required bid documents and specifications, as per the previous construction contracts executed as part of the Buckhom-Mebane EED Water and Sewer Extension Project—Phase Ii. Services for this task shall include: • Preparation of Bid Documents and Contract Specifications; • Contract Advertisement Preparation; • Bidder Coordination; • Contract Amendment Preparation as required; • Bid Document Review;and • Contract Award Recommendation. Services NOT Included: Any work not specifically listed in Tasks 1-3 above will be performed on an hourly basis in accordance with HUA's most current hourly Fee Schedule at the time services begin, or on a basis to be negotiated prior to accomplishment of the work, should the services be requested by the OWNER or if additional design is required by a regulatory or other governmental authority. Items which are not included in this fee proposal from HUA include, but are not limited to,the following: • Utility design other than water service to the pump station, sanitary sewer, and electrical for the pump station; • Tree surveys; • Floodplain modeling/analysis; • Environmental impact study/statement; • Wetland delineation and wetland agency coordination/concurrence,as done through subcontractor; • Impact fees; • Permit fees(including but not limited to railroad encroachment fees and geotechnical report fees); • Submittal review fees; • Land acquisition fees; • Traffic impact studies and traffic improvements; • Structural design(i.e.walls, buildings, bridges, box culverts), irrigation design and lighting design. Summary of Contract Amendment NA The final project will have one pump station and three times the gravity sewer lines as well as opening developable land north of the railroad in Efland plus property on both sides of 1-40/1-85 Interstate. With an estimated cost of$4.8 Million, the amended final project will benefit greatly the Mebane-Efland Corridor as well as all of Orange County. Orange County—Buckhorn Mebane EDD—Phase II Contract Amendment#2A (REVISED LETTER) 04-22-14 Page 4 of 4 Contract Amendment#2A Approval Signatures IN TESTIMONY WHEREOF, this Contract Amendment has been executed by the parties hereto, as of the date first above written. ORANGE COUNTY Provider- Barry Jaco it Fr M. Hobbs, P.E. Orange.. ounty B rd f C i ion s President Attest: Approve as to technical content: Donna Baker, 4ebirto th oard Craig edict, Dep ment Director This instrument has been pre-audited in the Approved as to form and legal sufficiency: manner required by the Local Government Budget and Fiscal Control Act. ':-, p/�w A At, r`�"e County Attorney Office of the Finance Director Questions or Concerns If you should have any questions or require additional information, please feel free to contact me at (910) 692-5616. Sincerely, HOBBS, UPCHURCH &ASSOCIATES, P.A. F d M. Hobbs, P.E. President Encls.: Maps: Exhibit A: Figure 1 and Exhibit B: Figure 2 Estimate: Exhibit C: Opinion of Probable Cost CC: Mr. David Townsend III, P.E., HUA Project Manager Mr. David Lane, HUA Mr. Craig Benedict, Director, Orange County—Planning and Inspections Department ��w►.,..�y�! �� _yam' ,.� CL or- CO 06 101 CL _ �IIIIIN •. �� In E co _ << LL owm \r` ► u moo loll .�� _ �►, ® oo�o oo��mo III!!.► ��..,� I��uuls��,111►ter! �/-���.' _'�!,►,,,, � s1. inn.►.'' 't►in`11n� ��:u� :��:,� ,. ,1111111111111 /11�/►`'=' _�—•,��\,; �� ►!`�`���� �� (Illlllll// ♦���N oil ••1 _,l, 111 �,� ..:� • '� I Sig ps r ,i Wi,r� ME.61 IN row— Me VA ��� Il�r• �a ' • / W fs • C','i`i'�d r r 11111H_T 1111111�1��1 �"'°����' `• ' � 111111111 % AN IF �114111�„�1111�11111U►_� ��,�1.�'� � ��•��; � (111111111 ��•�T■ � .►`, � � ��� iii•• a'� ,� �I-_.'� -� — f).,.nl� �I HOBBS,UPCHURCH d.ASSOCIATES.P.A- Buckhom-Mebane EM Sewer Improvements Consulting Engineers Orange County,NC Southern Pines,NC Phase 2-West Ten Road Pump Station Opinion of Probable Costs 22-Apr-14 ITEM DESCRIPTION QTY. UNIT UNIT PRICE TOTAL PRICE 1 Seed&Mulch d.Erosion Control 14 AC $4 000.00 $56,000.00 2 Clearing and Grubbing 4.5 AC $3 500.00 $15,750.0 3 Gravel for Driveways 300 TN .00 $9,000. 4 A alt O n Cut and Patch 550 SY $50.00 $27,500. 5 Concrete Open Cut and Patch 100 SY $90.00 $9,000.0 Item A Sub-total $117,250.001 6 8"PVC SDR 21 Forcemain 1,200 LF 35.00 $42,000.0 7 8"90 ree Bend 1 EA $1.060.00 $1.050.0 8 8"22.5 a Bend 4 EA $1 050.00 .200.00 9 8"Isolation Valve 1 EA $1600.00 $1,600.00 10 12"PVC SDR 21 Forcemain 18000 LF $40.00 $720.000.001 11 12"Restrained Joint D.I.P. 600 LF $70.00 $42,000.001 12 16"ID HOPE DR 9 Installed by Directional Bore 6 EA 32500-00 195 000.00 13 12"90 Dearee Bend 0 EA $1.100.00 $0.00 14 12'45 Dawee Bend g24 EA $1 050.00 5 200.00 15 12"22.5 De Bend EA $1 080.00 $10 800.16 12'Isolation Valve EA $1 650.00 14 850. 17 Isolation Restraint Joint LF $90 $36.000.00 18 lCombination Air Release Valve Assembly in Manhole 4 EA $6,000.00 $20,000. 19 Tie to Existing Manhole 1 EA $4,400.00 $4,400.00 Item B Sub-total $1,117,100.001 20 8"D.I.P.Class 52 Gravity Sewer 6'-10' 295 LF $70.00 $20.650.001 21 10"PVC SDR 35 Gra Sewer 6'-10 4,025 LF $40.00 $161 000.0 22 10"PVC SDR 35 Gravity Sewer 10'-14' 0 LF $50.00 $0.00 22 10"D.I.P.Class 52 Gravity Sewer 6'-10 100 LF $75.00 $7,500. 23 10"D.I.P.Class 52 Gravity Sewer 10'-12' 200 LF $80.00 $16,000-00 24 10"D.I.P.Class 52 Gravity Sewer 12'-14' 0 LF $85.00 $0.00 25 10"D.I.P.Class 52 Gra Sewer 14'-16' 250 LF $95.00 $23,750.00 26 10"D.I.P.Class 52 Gravity Sewer 16'-18' 0 LF $110.00 $0.00 27 10"O.I.P.Class 52 Gravity Sewer 18'-20' 0 LF $140.00 27 10"D.I.P.Installed In Casino 200 LF $80.00 $16.000.0 0 28 12"PVC SDR 35 Gravity Sewer 6'-10' 0 LF $50.00 $0.00 29 12"PVC SDR 35 Graviv Sewer I 0'-1 41 0 LF $75.00 $0.00 30 12"D.I.P.Class 52 Gravity Sewer 6'-10' 250 LF $85.00 $21,250-00 31 12'D.I.P.Class 52 Gravity Sewer 10'-14' 100 LF $110.00 $11,000. 32 12"D.I.P.Class 52 Gravity Sewer 14'-18' 310 LF $130.00 $40,300.00 33 12"D.I.P.Class 52 Gravity Sewer 18'-22' 0 LF $250.00 $0.00 34 1 12"D.I.P.Class 52 Gravity Sewer(27-251 1,078 LF 5290.00 $312,820.00 35 12'D.I.P.Class 52 Gravity Sewer(26'-30') 0 LF $350.00 $0.00 Page 1 of 2 ii HOBBS,UPCHURCH&ASSOCIATES,P.A. Buckhom-Mebane EDO Sewer Improvements Consulting Engineers Orange County,NC Southern Pines,NC Phase 2-West Ten Road Pump Station Opinion of Probable Costs 22-Aar-14 20"Steel casing installed on grade crossing Rail line 36 for the orcDosed 84nch gravitt sewer 295 LF $600.00 $177,000.00 24"Steel casing installed on grade crossing 1-40185 37 for the proposed 124nch graft sewer 330 LF $760.00 $247,600.00 38 4'0"Diameter Manhole 8'-8' 7 EA $2,000.00 $14,000.00 39 4'0"Diameter Manhole(9-101 5 EA $2,20000 $11.000.00. 40 4'0"Diameter Manhole 10'-12' 2 EA $2.550.00 $6100. 41 4'0"Diameter Manhole 12=14' 1 EA $3,000.00 $3,000.001 42 4'0"Diameter Manhole 14'-16' 2 EA $3,350.00 $6,700.00 43 5'0"Diameter Manhole 16'-18' 2 EA $4,700.00 $9,400. 44 5'0"Diameter Manhole 20'-22' 0 EA $6,1 00.00 $0.00 45 5'0"Diameter Manhole 22'-24' 0 EA $6.600.00 $0.00 46 5'0"Diameter Manhole 24-28' 3 EA $7100.00 $21,300.00 47 6'0"Diameter Manhole 26'-28' 1 EA $7,700.00 $7,700.00 48 5'0"Diameter Manhole 29'-30' 0 EA $10100.00 $0.00 49 Select Fill Allowance 6,000 CY $18. $108,000.00 50 Rock Excavation and Disposal Allowance 9,500 CY $65.00 $617,500.00 51 Dewaterin Provisional 1 LS $30.000.00 $30,000.00 52 IPump Station 1 LS $675,000.00 $675,000.00 53 1 Pump Station Site Work 1 LS 1 $40,000.00 $40,000.00 Item C Subtotal $2,582,620.00 54 8"PVC SDR 35 Gravity Sewer 6'-10' 875 LF $40.00 $36,000.00 55 4'0"Diameter Manhole 6'-8' 2 EA $2 000.00 $4 000.00 56 4'0"Diameter Manhole 8'-10' 1 EA $2,200.00 $2.200.00 57 jAsphalt O en Cut and Patch 930 SY $50.00 $46,500.00 Item 0 Subtotal $87,700.00 55 8"PVC SDR 35 Gravity Sewer 6'-10' 815 LF $40.00 $32,600.00 58 4'0"Diameter Manhole 6'-8' 3 EA $2,000-00 $6.000.00 57 lAsphalt Open Cut and Patch 550 Sy $50.00 $27.500.001 Item E Sub total $69,100.0 Sub-total $3,970,770.00 Contan enc (10%) 077. Subtotal $4,367,847.00 Enginesiring Design I Survey/ROW Acquisition Fees $317,000.00 Railroad Encroachment $30,000.0 Gootechnical Report Fees Not-to-Exceed $20,000.00 Wetlands Delineation Fees Not-to-Exceed $10,000.0 Permit Fees $5,000.00 Page 2 of 2 Client#:30402 26HOBBSUPCI DATE(MM/DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 5/23/2014 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 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 CONTA NAME: BB&T Insurance Services,Inc PHONE 910 693-2610 F� N,: 888 831-8410 A/C No E.1): 140 Applecross Road,Suite B E-MAIL ADDRESS: Pinehurst,NC 28374 INSURER(S)AFFORDING COVERAGE NAIC# 910 693-2610 INSURER A:National Trust Insurance Co. 20141 INSURED INSURER B:FCCI Insurance Company 10178 Hobbs Upchurch&Associates PA INSURER C P.O.Box 1737 INSURER D: Southern Pines,NC 28388 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDDIYVVY MM/DD/YYYY A GENERAL LIABILITY CPPOO152792 9130/2013 09/30/2014 EEpAAqIC�H OCCURRENCE $110001000 X COMMERCIAL GENERAL LIABILITY PREMIEEA Ea ENcur ence $300,000 CLAIMS-MADE O OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY jE OT LOC $ B AUTOMOBILE LIABILITY CA00246832 9/30/2013 09/30/201 (CEO..d.n1SINGLELIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident B X UMBRELLA LIAB X OCCUR UMB00152542 9/30/2013 09/30/2014 EACH OCCURRENCE s4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4 OOO OOO DED I X RETENTION$10,000 $ B AND EMPLOYERS'LIABILITY WORKERS COMPENSATION 001 WC13A69276 9/30/2013 09/30/201 X T STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 OOO DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Corp.Owners, Fred Hobbs and David Upchurch are excluded from Worker's Compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD TI Orange County THE EXPIRATION DATE ABOVE THEREOF,DESCRIBED NOTICE IEWIB C IN E WILL CBE DELIVERED 200 S.Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S12388686/M11261376 VPG Client#: 113055 80HOBBSUPC DATE(MMIDD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 5/23/2014 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 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 NAME: Cyndy Cagle BB&T Insurance Services,Inc. a/c°,"N Ext:336 547-2137 ac Na: 888-831-8409 3318 West Friendly Ave., E-MAIL cca le bbandt.com Ste.400 ADDRESS: g INSURER(S)AFFORDING COVERAGE NAIC# Greensboro,NC 27410 INSURERA:Hudson Insurance Company 25054 INSURED INSURER B: Hobbs Upchurch&Associates PA INSURER C PO Box 1737 INSURER D: 300 SW Broad Street(28387) INSURER E Southern Pines, NC 28388-1737 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/VYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED $ CLAIMS-MADE 171 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO-LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS J NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC ST TU- OTH- AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT Is A Professional AEE7281801 1/31/2014 01131/201 1,000,000 Each Claim Liability 1,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Orange Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 9 y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 S.Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD 9S12388826/M12097271 CC1