HomeMy WebLinkAbout1995 S Purchasing - Comfort Engineers, Inc. $75,441 ORIGINAL SIGNATURES
CONSTRUCTION CONTRACT COPY * A----
DIST. �3oCC
THIS AGREEMENT, made the "" ' in the -year of 1995 by and between
Comfort Engineers, Inc., 4008 Neal Road, Durham, NC 27705 hereinafter called the Party of the First
Part and the County of Orange.North Caroli na,hereinafter called the Party of the Second Part.
WITNESSETH:
That the Party of the First Part and the Party of the Second Part for the consideration herein named
agree as follows:
1. Scope of Work: The Party of the First Part shall furnish and deliver all of the materials, and perform
all of the work in the manner and form as provided by the following enumerated plans, specifications and
documents, which are attached hereto and made a part thereof as if fully contained herein: Advertise-
ment, Instructions to Bidders, General Conditions, Supplementary General Conditions, Specifications,
Accepted Proposal, Contract, Performance Bond, Payment Bond, Power of Attorney, Workmen's
Compensation, Public Liability, Property Damage and Builder's Risk Insurance Certificates, and
drawings, entitled: Orange County Public Works - New Vehicle Maintenance Facility, consisting of the
following sheets: Cover Cl C2 C3 C4 Al A2 A3 A4 A5 A6 A7 A8 Sl S2 S3 S4 S5 S6 Hl H2
Pl,P2.P3.El.E2.E3,E4,Fl,and F2,dated:December 1. 1994,and the following addenda
Addendum No. 1 Dated 1,(6/95 Addendum No. Dated
Addendum No. Dated Addendum No. Dated
2. That the Party of the First Part shall commence work to be performed under this Agreement on a
date to be specified in a written order of the Party of the Second Part and shall fully complete all work
hereunder within 300 consecutive calendar days from said date. For each day in excess thereof;
liquidated damages shall be as stated in Supplementary General Conditions. The Party of the First Part,
as one of the considerations for the awarding of this Contract, shall furnish to the Party of the Second
Part a construction schedule setting forth planned progress of the project broken down by the various di-
visions or parts of the work and by calendar days. In the event that the progress of the work is not main-
tained on schedule by the Party of the First Part, or in the event the work is not completed within the
time above specified,the Party of the Second Part may upon fifteen (15) days notice, sent certified mail,
return receipt requested, to the Party of the First Part and his Surety, declare this Contract in default,
and, thereupon, such Surety shall promptly take over said work and complete the performance of this
Contract in the manner and within the time above specified, and all funds due or to become due to the
Party of the First Part shall be paid to the Surety. In the event the Surety shall fail to take over the work
to be done under this Contract within fifteen (15) days after being so notified and notify the Party of the
Second Part in writing, sent by certified mail, return receipt requested, that he is taking the same over
and stating that he will diligently pursue and complete the same,the Party of the Second Part shall have
the right to let the work remaining to be done to some other Contractor, either by public letting or
negotiation,and thereupon the Party of the First Part,the Contractor, and the Surety on his Bond shall
forthwith pay the Party of the Second Part all increase in cost or loss and damage which it may sustain
on account of such default on the part of the Party of the First Part.
CONSTRUCTION CONTRACT-Page 1 of 3
3. The Party of the Second Part hereby agrees to pay to the Party of the First Part for the faithful
performance of this Agreement, subject to additions and deductions as provided in the specifications or
proposal, in lawful money of the United States as follows: seventy-five thousand four hundred forty-one
&no/100 dollars ($75.441.00).
Summary of Contract Award:
Base Bid only.
Contract amount does not include reimbursable sales tax moneys estimated at $1,789.
Sales taxes paid by the Party of the First Part shall be reimbursed by the Party of the
Second Part. The Party of the First Part shall include sales&use taxes paid by him as a
separate line item on the Application for Payment, and shall document those taxes on a
Sales Tax Report.
4. On or before the 20th day of each calendar month,the Party of the Second Part shall make payments
to the Party of the First Part on the basis of a duly certified and approved estimate of work performed
during the preceding calendar month by the First Party,less ten percent(10%)of the amount of such es-
timate which is to be retained by the Second Party until all work has been performed strictly in
accordance with this Agreement and until such work has been accepted by the Second Party.
5. Upon submission by the First Party of evidence satisfactory to the Second Party that all payrolls, ma-
terial bills and other costs incurred by the First Party in connection with the construction of the work has
been paid in full,final payment on account of this Agreement shall be made within thirty(30) days after
the completion by the First Party of all work covered by this Agreement and the acceptance of such work
by the Second Party.
6. It is further mutually agreed between the parties hereto that if at any time after the execution of this
Agreement and the Surety Bonds hereto attached for its faithful performance, and Second Party shall
deem the Surety or Sureties upon such bonds to be unsatisfactory, or if for any reason,such Bonds cease
to be adequate to cover the performance of the work,the First Party shall, at its expense,within five (5)
days after the receipt of notice from the Second Party so to do, furnish an additional Bond or Bonds in
such form and amount,and with such Surety or Sureties as shall be satisfactory to the Second Party. In
such event no further payment to the First Party shall be deemed to be due under this Agreement until
such new or additional security for the faithful performance of the work shall be furnished in manner
and form satisfactory to the Second Party.
CONSTRUCTION CONTRACT-Page 2 of 3
i
IN WITNESS WBFMOF, the Parties hereto have exer,�uted this Agreement on the day and date first
above written in five counterparts, each of which shall without proof or accounting for other counter-
parts,be deemed an original Contract.
Witness: Comfort Engineers.Inc.
Contractor: (Trade or Corporate Name)
(Proprietorship or Partnership)
Attest:(Corporation) Title: PtZV5 I v w'j-r
(Owner,Partner,or Corp.Pres.
or Vice-Pres.Only)
BY:_ . Aim— --
Title: LeporAte Secr
(Corp.Sec.or Asst.Sec.Onl
(CORPORATE SEAL)
The County of Orange,North Carolina
Witness:
(S' )
Title: 140ARD c)F
CONSTRUCTION CONTRACT-Page 3 of 3
SECTION 00600 BONDS AND CERTIFICATES
PERFORMANCE BOND
DATE OF EXECUTION: March 6, 1995
NAME OF PRINCIPAL: Comfort Engineers, Inc.
(Contractor) Durham, NC
NAME OF SURETY: Fidelity and Deposit Company of Maryland
P. 0. Box 1227, Baltimore, MD 21203
NAME OF CONTRACTING County of Orange,
BODY: Re: New Vehicle Maintenance Facility-Orange County Public Works
AMOUNT OF BOND: $75,441 .00
KNOW ALL MEN BY THESE PRESENTS, That we, the PRINCIPAL and SURETY
above named, are held and firmly bound unto the above named
Contracting Body, hereinafter called the Contracting Body, in the
penal sum of the amount stated above for the payment of which sum
well and truly to be made, we bind ourselves, our heirs, executors,
administrators, successors, jointly and severally, firmly by these
presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the
principal entered into a certain contract with the Contracting
Body, identified as shown above and hereto attached:
NOW THEREFORE, if the principal shall well and truly perform and
fulfill all the undertakings, covenants, terms, conditions, and
agreements of said contract during the original term of said
contract and any extensions thereof that may be granted by the
Contracting Body, with or without notice to the Surety, angnAuning
the life of any guaranty required under the contract, and shall
also well and truly perform and fulfill all the undertakings,
covenants, terms, conditions, and agreements of any and all duly
authorized modifications of said contract that may hereafter be
made, notice of which modifications to the Surety being hereby
waived, then, this obligation to be void; otherwise to remain in
full force and virtue.
IN WITNESS WHEREOF, the above-bounden parties have executed this
instrument under their several seals on the date indicated above,
the name and corporate seal of each corporate party being hereto
affixed and these presents duly signed by its undersigned
representative, pursuant to authority of its governing body.
00610-1
Executed in Five (5) counterparts.
witness: Comfort Engineers, Inc.
Contractor: (Trade or Corporate)
By
(Proprietorship or Partnership)
Title: EAV3)p w).jT-
(Owner, Partner, or Corp.
Attest: (Corporation) Pres. or Vice President)
By:—a-
Y
Title:- exkvora
(Corp.�Se6. or Assist. Sec. )
(Corporate Seal)
Fidelity and Deposit Company of Maryland
(Sure y Compapy)
WitrAss: By:
Ij
Shirley i rl ey s
C Title: i '
(Attorney-fn-Fact
(Surety Corporate Seal)
Shirley J. Ell
N.C. LJ Resident Agent
First Insurance Services, Inc. , DBA Les Stocks & Associates, Inc.
P 0 Box 52409, Durham, NC 27717-2409
Name and Address - Surety Agency
Fidelity and Deposit Company of Maryland
1400 Charlotte Plaza, Charlotte, NC 28244
Surety Company Name and N.C.
Regional or Branch Office Address
00610 - 2
PAYMENT BOND
DATE OF EXECUTION: March 6, 1995
NAME OF PRINCIPAL: —Comfort Engineers, Inc.
(Contractor)
- Durham, NC
NAME OF SURETY: Fidelity and Deposit Company of Maryland
- P.O. Box 1,227, Baltimore, MD 21203
NAME OF CONTRACTING -- County of Orange,
BODY:
Re: New Vehi0e Maintenance Facility-Orange County Public
Works
AMOUNT OF BOND: $75,441 .00
KNOW ALL MEN BY THESE PRESENTS, that we, the PRINCIPAL and SURETY
above named, are held and firmly bound unto the above named
Contracting Body, hereinafter called the Contracting Body, in the
penal sum of the amount stated above for the payment of which sum
well and truly to be made, we bind ourselves, our heirs, executors,
administrators, and successors, jointly and severally, firmly by
these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the
principal entered into a certain contract with the Contracting
Body, identified as shown above and hereto attached:
NOW THEREFORE, if the principal shall well and truly perform and
fulfill all the undertakings, covenants, terms, conditions, and
agreements of said contract during the original term of said
contract and any extensions thereof that may be granted by the
Contracting Body, with or without notice to the Surety, and during
the life of any guaranty required under the contract, and shall
also well and truly perform and fulfill all the undertakings,
covenants, terms, conditions, and agreements of any and aw±te duly
authorized modifications of said contract that may hereafter be
made, notice of which modifications to the Surety being hereby
waived, then, this obligation to be void; otherwise to remain in
full force and virtue.
IN WITNESS WHEREOF, the above-bounden parties have executed this
instrument under their several seals on the date indicated above,
the name and corporate seal of each corporate party being hereto
affixed and these presents duly signed by its undersigned
representative, pursuant to authority of its governing body.
00620 - 1
Executed in Five (5) counterparts.
Witness: Comfort Engineers, Inc.
Contractor: (Trade or Corporate)
(Proprietorship or Partnership) Title: P9155106-"j
(Owner, Partner, or Corp.
Pres. or Vice President)
Attest: (Corporation)
By: G.
- U
Title: &1--Poft&,e Sec, ba.
(Corp. Sec. or Assist- USeC.) (Corporate Seal)
Fidelity and Deposit Company of Maryl nd
Vuetty Co
WitnjBVs:
Title: ShirlaJ/Ellis
U (Attorney-in-Fact)
Counte gned: (Surety Corporate Seal)
Shirley J. E10s
N.C. Licen&ed Resident Agent
First Insurance Services, Inc. , DBA Les Stocks & Associates, Inc.
P 0 Box 52409, Durham, NC 27717-2409
Name and Address - Surety Agency
Fidelity and Deposit Company of Maryland
1400 Charlotte Plaza, Charlotte, NC 28244
Surety Company Name and N.C.
Regional or Branch office Address
'00620 - 2
i
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE,BALTIMORE,MD
KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of
Maryland,by C.M.PECOT,JR.,Vice-President,and C.W.ROBBINS,Assistant Secretary,in pursuance of authority granted by Article
VI,Section 2,of the By-Laws of said Company,which are set forth on the reverse side hereof and are hereby certified to be in full force
and effect on the date hereof, does hereby nominate, constitute and appoint Tara J. Smithwick, Spencer L.
Clendenin and Shirley J. Ellis, all of Durham, North Carolina EACH. . . . .
its rue and lawftil agent and Attorney-in-Fact,to make,execute, seal and deliver,for;and on its behalf as surety,and as its act and deed:
any and all bonds and undertakings. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
A—nd the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Company, as fully and
amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers pf the Company
at its office in Baltimore, Md., in their own proper persons.This power of attorney revokes that issued on
behalf of Leslie A. Stocks, etal dated September 24, 1992.
The said Assistant Secretary does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article VI,Section
2, of the By-Laws of said Company, and is now in force.
IN WITNESS WHEREOF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the
Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this-------_ 21st ___day of
----------Ju---'-------------------- A.D. 19_93
— ----------
O IT FIDELY AND DEPOSIT COMPANY OF MARYLAND
ATTEST
By
Assistant Secretary Vice-�resident
STATE OF MARYLAND
COUNTY OF BALTIMORE ss'
On this-21St-----day of-----------Jul A.D. 1993_, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified,came C. M. PECOT,JR., Vice-President and C. W. ROBBINS,Assistant Secretary of the FIDELITY AND
DEPOSIT COMPANY OF MARYLAND,to me personally known to be the individuals and officers described in and who executed the preceding
instrument,and they each acknowledged the execution of the same,and being by me duly sworn, severally and each for himself deposeth
and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate
Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said
instrument by the authority and direction of the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
c7' ---------------------- ----------- ---- -=- - --- ------------------------
Og CAROL J. FAD R Notary Public
My Commission Expires----------_------August_1_1996 ------------
CERTIFICATE
I,the undersigned,Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the original
Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date of this certificate; and
I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially
authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969.
RESOLVED: "That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company,whether made heretofore
or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon
the Company with the same force and effect as though manually affixed." ,
IN TESTIMONY�j REOF, I have hereun affixed subscribed my name and axed the corporate seal of the said Company, this
day of----�> 5� --------------------- 19-Y-5
---------------------- -------- -- -----------------------------------------
Assistant Secretary
L1428c 177-0432
EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND
"Article VI, Section 2.The Chairman of the Board,or the President,or any Executive Vice-President,or any of the Senior Vice-
Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, shall have
power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vice-Presidents,
Assistant Vice-Presidents and Attorneys-in-Fact as the business of the Company may require,or to authorize any person or persons
to execute on behalf of the Company any bonds, undertakings, recognizances, stipulations, policies, contracts, agreements, deeds,
and releases and assignments of judgements, decrees, mortgages and instruments in the nature of mortgages,. . .and to affix the
seal of the Company thereto."
AD R...D.......
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3/06/95
PRODUCER THIS CERTIFICATE IS ISSUED As A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FIRST INSURANCE SERVICES INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LES STOCKS & ASSO ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW.
P 0 BOX 52409 COMPANIES AFFORDING COVERAGE
DURHAM NC 27717 COMPANY
A PENN NATIONAL CAS CO
INSURED COMPANY
B KEY RISK MANAGEMENT
COMFORT ENGINEERS INC COMPANY
P 0 BOX 2955 C
DURHAM NC 27715 COMPANY
*'....."............;.�......-.�.-I D ............-
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THIS IS TO CERTIFY THAT'ME 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.
CO I POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMMOfYY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY AC90028920 7/01/94 7/01/95 GENERAL AGGREGATE s 2, 000, OOC
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG s 2, 000, OOC
CLAIMS LOME D OCCUR PERSONAL&ADV INJURY S 1, 000, OOC
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE s 1, 000 , OOC
FIRE DAMAGE(Any one fire) S 100, 000
MED EXP(AM one pwson) $ 5, 000
AUTOMOBILE LIABILITY AU90028920 7/01/94 7/01795
X ANY AUTO COMBINED SINGLE LIMIT $ 1, 000_1-000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Pre Person) $
X HIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS (Par accident)
F1 PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY: IV
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE It
UMBRELLA FORM AGGREGATE Ill I I&
OTHER THAN UMBRELLA FORM --F- $
M STATUTORY 4 A ox
B WORKERS COMPENSATION A 239 7/01/94 6/30/95 X ws
EMPLOYERS'UA13RM EACH ACCIDENT $ 100, 000
THE PROPRIETOR/ X INCL DISEASE-POLICY LIMIT 1$ 500, 000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE1$ 100, 000
OTHER
DESCRIPTION OF OPERATIONSA.00ATIONS/VEMCLESISPECAL ITEMS
PROJECT: ORANGE COUNTY VEHICLE MAINTENANCE FACILITY
. . ...........
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-801outo ANY OF THE*BevE BEFORE-Im
------- 091111011a COMPANY Wmkt ENOMWOR-Tt"Afte-
QQ
ORANGE COUNTY PUBLIC WORKS
600 HWY 86 N
HILLSBOROUGH NC 27278 AUTHORIZED REPRESENTATIVE
R
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COMFORT ENGINEERS
CANCELLATION CLAUSE
THE POLICY WILL NOT BE CANCELLED OR ALLOWED TO EXPIRE UNTIL AT
LEAST 30 DAYS ' PRIOR WRITTEN NOTICE HAS BEEN GIVEN TO THE
CONTRACTOR.
DATE(MMtDD/M i
ASHIM). INSURANCE BINDER
3-6-99
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE_OF_THIS FORM.s
PRODUCER PHONE iOOMPANY BINDER#
�wc,No,_ExtZ 919-489 1883
FIRST INSURANCE SERVICES, INC. PENN NATIONAL
EFFECTIVE - --- --- .... -- EXPIRATION _ —
DBA LES STOCKS & ASSOC. DATE TIME DATE TIME
I PO BOX 52409 j X, AM X 12:01 AM
DURHAM, NC 27707 1 2-27-95 12 :01 PM 12-31-95 -- NOON ;
THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
CODE: SUB CODE: EXPIRING POLICY#:
AGENCY -
GENCYER ID: DESCRIPTION OF OPERATFONS/VEHICLEStPROPERTY(Including Location)
LCUSTOM
(INSURED
COMFORT ENGINEERS, INC. & ORANGE ORANGE COUNTY VEHICLE
ICOUNTY, SUB—CONTRACTORS, & SUB—SUB MAINTENCE FACILITY
( CONTRACTORS, ATIMA I
lliFO BOX 2955, DURHAM. NC 27715
i
!COVERAGES LIMITS
TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS%
;PROPERTY CAUSES OF LOSS
BASIC BROAD SPEC "DIRECT PHYSICAL LOSS" SUBJECT TO I
POLICY EXCLUSIONS AND CONDITIONS. $75,441 . $500. NA
I
__.X -RimmERs RISK
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
CLAIMS MADE OCCUR PERSONAL&ADV INJURY $
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
RETRO DATE FOR CLAIMS MADE: ! MED EXP(Any one person) $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
— B
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED AUTOS BODILY INJURY(Per accident) `$
SCHEDULED AUTOS PROPERTY DAMAGE $ I
HIRED AUTOS MEDICAL PAYMENTS $
NON-OWNED AUTOS PERSONAL INJURY PROT $
UNINSURED MOTORIST $
$
AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE
COLLISION: STATED AMOUNT $ t
OTHER THAN COL - -- - - OTHER _
1 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
i ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT `$
AGGREGATE $
1 EXCESS LIABILITY------- EACH OCCURRENCE -$
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: — SELF-INSURED RETENTION $
STATUTORY LIMITS
WORKER'S COMPENSATION EACH ACCIDENT $
AND - -- - - - --
EMPLOYER'S LIABILITY DISEASE-_POLICY LIMIT $
I DISEASE-EACH EMPLOYEE $
I
SPECIAL
CONDITIONS/
OTHER SEE ATTACHED CANCELLATION CLAUSE
COVERAGES
NAME&ADDRESS _
{ MORTGAGEE ADDITIONAL INSURED
_LOSS PAYEE
LOAN#
AUTHORIZED REPRESENTATIVE
. 4��l
'ACORD 75-5{3193] <u_ .= NOTE:IMPORTANT STATE INFORMATIO �REVERSE SIDE 0 ACORD CORPORATION:1993
COMFORT ENGINEERS
CANCELLATION CLAUSE
THE POLICY WILL NOT BE CANCELLED OR ALLOWED TO EXPIRE UNTIL AT
LEAST 30 DAYS ' PRIOR WRITTEN NOTICE HAS BEEN GIVEN TO THE
CONTRACTOR.
ORANGE COUNTY'PUBLIC WOMM
-IMS APPEMIK MUST BE SUBMITTED VV=AM
APPENDMD
MBE 1ZMjZAn0N COMMUMNT
We, MF:be-r--- 7 W-c- do certify that
(Bidder)
on the 0Q,'*W6rw (f'CW-J� tA,-11,,J7b-4AJCX-
(Project ame)
,will expend a minimum of % Of
the total dollar amount of the contract with minority business enterprises. MBEs, will be employed as
construction subcontractors, vendors, suppliers or providers of professional services. Such work will be
subcontracted to the firms listed below. If the bidder intends to subcontract, this form must be
completed regardless of the amount or lack of participation attained.
Name/Phone Number If firm an MBE? Description of Dollar value,of-work to
Contact Person of Work be done by firm listed
Use additional sheets as necessary.
The undersigned will enter into a formal agreement with Minority Firm for work listed in this schedule
conditional upon execution of a contract with the County of Orange,North Carolina. Failure to fulfill this
commitment may constitute a breach of the contract.
The undersigned hereby certmes that he/she has read the terms of this commitment and is authorized to
bind the bidder to the commitment herein set forth.
+7r=t-n1 &, W LA..,i ot64 5 Date:
Name of Authorized Officer
Signature:
Title: pa e3 I JD e-J-T--
MBE UTILIZATION COhOUTMFM-APPENDIX D-1
END OF SECTION 00005
SECTION 04006-PROPOSAL FORM OM-12