Loading...
HomeMy WebLinkAbout2014-512-E AMS - Terracon Consultants, Inc. for Sportsplex Lobby CMT $1,000 DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC [Departmental Use Only] TITLE Sportsplex Lobby CMT FY 2014-15 ORANGE COUNTY CONTRACT UNDER$1,000.00 NORTH CAROLINA THIS AGREEMENT,made and entered into this 26th day of September, 2014, ("Effective Date") by and between Orange County,North Carolina, a body politic and corporate organized under the laws of the State of North Carolina, (the "County"), party of the first part; and Terracon Consultants, Inc. (the "Provider"),party of the second part; WITNESSETH: For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby contracts for the services of the Provider, and the Provider agrees to provide the following services to the County in accordance with the terms of this Agreement,time being of the essence: The services and/or materials and/or construction (hereinafter referred to collectively as "Services") to be furnished under this Agreement are as follows: Soils and concrete materials testing regarding the Sportplex lobby expansion project according to the attached proposal dated 7/9/14. The term of this agreement rendered shall be from July 9,2014 to October 31,2014. 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 to the satisfaction of the County. 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. Provider agrees that Provider shall not sub-contract any of the services to be provided in this Agreement, nor shall Provider assign any right or responsibility granted or required by this Agreement,without the prior written approval of the County. SPECIFIC TERMS 1. Payment: The County agrees to pay at the rates specified for Services satisfactorily performed in accord with this Agreement. The amount to be paid by the County shall not exceed One Thousand Dollars, ($1,000.00). Payment shall be made within thirty (30) days of an invoice properly submitted to County. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. 2. Non—waiver: Failure by County at any time to require the performance by Provider of any of the provisions hereof shall in no way waive or affect the County's right hereunder to enforce the same,nor shall any waiver by the County of any breach be held to be a waiver of any succeeding breach or a waiver of this Non-Waiver Clause. 3. Independent Contractor: The Provider shall operate as an independent contractor, and the County shall not be responsible for any of the Provider's acts or omissions. The Provider shall not be treated as an employee with respect to the Services performed hereunder for federal or state tax, unemployment or workers' compensation purposes. The Provider understands that neither federal, nor state, nor payroll tax of any kind shall be withheld or paid by the County on behalf of the Provider or the employees of the Provider. 4. Insurance: 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 Revised 7/14 1 DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at hftp://orangecougtync.gov/purchasingLcQntrqgtL.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). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. 5. Indemni : The Provider agrees to defend, indemnify, and hold harmless Orange County from all losses, liabilities, claims, demands, suits, costs, damages or expenses (including reasonable attorney's fees) arising from bodily injury, including death, to any person or persons or damage to or destruction of any property caused in whole or in part by any negligent or intentional act or omission on the part of the Provider in carrying out Provider's duties and obligations related to the Services to be provided in this Agreement. 6. Termination: This Agreement may be terminated at any time by mutual written agreement of the parties or by the County upon written notice to the Provider. 7. Entire Agreement: The parties have read this Agreement and agree to be bound by all of its terms, and further agree that it constitutes the complete and exclusive statement of the Agreement between the parties unless and until modified in writing and signed by the parties. Modifications may be evidenced by telefacsimile signature. 8. Governing Law: Both parties agree that this Agreement shall be governed by the laws of the State of North Carolina. Should either party initiate litigation to settle any dispute involving the terms of this Agreement such litigation shall be initiated in the General Court of Justice of North Carolina seated in Orange County,North Carolina. 9. 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 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. 10. 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. [SIGNATURE PAGE TO FOLLOW] Revised 7/14 2 DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC IN WITNESS WHEREOF, Orange County and the Provider have signed this Agreement,effective as of the day first written above. ORANGE COUNTY PROVIDER DocuSigned by: DocuSigned by: By: �zow By: �aawvaereaa� I '' Department Director Title: et T'd s manager 200 S. Cameron St. Terracon Consultants,Inc. P.O.Box 8181 2401 Brentwood Road, Suite 107 Hillsborough,NC 27278 Raleigh,NC 27604 I I k Revised 7/14 3 i DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC Irerraca k Reference Number:P70140320 AUTHORIZATION TO PROCEED CONSTRUCTION MATERIALS ENGINEERING AND TESTING SERVICES l r This AUTHORIZATION TO PROCEED ("Authorization") is between Orange County, NC ("Client") and Terracon Consultants, Inc. ("Consultant")for Services to be provided by Consultant for Client on the Sports Plex-Hillsboro Project. Scope of Services. The scope of Consultant's services Is set forth below("Services"), If frequency of testing is not specified below, it shall be as- requested by Client;Scheduling will be done by Client or contractor if Client so designates. Consultant will not be responsible for tests not performed due to a failure to schedule Consultant's services or any resulting effect on construction. C Scope of Services 1 trip for soil evaluation of excavated footing additions to confirm the minimum bearing capacity is achieved 1 trip for concrete testing and reinforcing steel observations 1 trip to retrieve cylinders Compensation. Unless different rates are specified below,all charges will be billed on a time and materials basis pursuant to Consultant's Standard.Fee Schedule. The construction schedule,weather conditions,construction workmanship,etc.will determine the actual cost of Consultant's Services, If the actual quantities exceed any estimated quantities at the request of the Client or its designated contractor,additional fees will be billed in accordance with the fee schedule below. i Time and materials to be Invoices at the unit rates in the attached fee schedule. j Cost not to exceed$1,000.00. t TERMS AND CONDITIONS 1. Testing and Observations. Client understands that testing, inspection, and observation are discrete sampling procedures, and that such procedures indicate conditions only at the depths,locations,and times the procedures were performed,Consultant will provide test results and opinions based on tests and field observations only for the work tested.Client understands that testing and observation are not continuous or exhaustive,and are conducted to reduce - not eliminate- project risk. Client agrees to the level or amount of testing performed and the associated risk. Client is responsible(even If delegated to contractor)for notifying and scheduling Consultant so Consultant can perform these Services.Consultant shall not be responsible for the quality and completeness of Client's contractor's work or their adherence to the project documents,and Consultant's performance of testing,inspection,and observation services shall not relieve Client's contractor in any way from its responsibility for defects discovered in its work,or create a warranty or guarantee. Consultant will not supervise or direct the work performed by Client's contractor or Its subcontractors and is not responsible for their means and methods. 2. Warranty. Consultant will perform the Services in a manner consistent with that level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions in the same locale. EXCEPT FOR THE STANDARD OF CARE PREVIOUSLY STATED, CONSULTANT MAKES NO WARRANTIES OR GUARANTEES, EXPRESS OR IMPLIED, RELATING TO CONSULTANT'S SERVICES AND CONSULTANT DISCLAIMS ANY IMPLIED WARRANTIES OR WARRANTIES IMPOSED BY LAVA, INCLUDING WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. i By signing this Authorization or ordering the commencement of Services you are affirming that you are authorized to bind Client to the Terms and Conditions of this Authorization and have read and accepted the Terms and Conditions,including restrictions and limitations,as set forth on this page and the subsequent page of Additional Terms and Conditions. Consultant: Terracon Consultants,Inc. Client: Orange County,INC By; Date: 71912014 By: Date: Name/Title: David B Carver/Department Manager III- Name/Title: Jeff Thompson!. Technical Address: 2401 Brentwood Rd.Suite 107 Address: P.O.Box 8181 131 W.Margaret Lane,Suite 300 Raleigh,INC 27604 Hillsborough,NC 27278 Phone: (919)873-2211 Fax: (919)873-9555 Phone: (919)245-2658 Fax: Email: DBCARVER@terracon.com Email: jethompson @co.orange.nc.us I Page 1 of 2 Rev.3-14 DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC Ifierracon- Reference Number:P70140320 ADDITIONAL TERMS AND CONDITIONS 3. LIMITATION OF LIABILITY. CLIENT AND CONSULTANT HAVE EVALUATED THE RISKS AND REWARDS ASSOCIATED WITH THIS PROJECT, INCLUDING CONSULTANT'S FEE RELATIVE TO THE RISKS ASSUMED,AND AGREE TO ALLOCATE CERTAIN OF THE ASSOCIATED RISKS. TO THE FULLEST EXTENT PERMITTED BY LAW, THE TOTAL AGGREGATE LIABILITY OF CONSULTANT (AND ITS RELATED CORPORATIONS AND EMPLOYEES)TO CLIENT AND THIRD PARTIES GRANTED RELIANCE IS LIMITED TO $10,000, FOR ANY AND ALL INJURIES, DAMAGES,CLAIMS, LOSSES,OR EXPENSES(INCLUDING ATTORNEY AND EXPERT FEES)ARISING OUT OF CONSULTANT'S SERVICES OR THIS AGREEMENT. PRIOR TO ACCEPTANCE OF THIS AGREEMENT AND UPON WRITTEN REQUEST FROM CLIENT, CONSULTANT MAY NEGOTIATE A HIGHER LIMITATION FOR ADDITIONAL CONSIDERATION. THIS LIMITATION SHALL APPLY REGARDLESS OF AVAILABLE PROFESSIONAL LIABILITY INSURANCE COVERAGE, CAUSE(S)OR THE THEORY OF LIABILITY, INCLUDING NEGLIGENCE, INDEMNITY, OR OTHER RECOVERY. THIS LIMITATION SHALL NOT APPLY TO THE EXTENT THE DAMAGE IS PAID UNDER CONSULTANT'S COMMERCIAL GENERAL LIABILITY POLICY. 4. CONSEQUENTIAL DAMAGES. NEITHER PARTY SHALL BE LIABLE TO THE OTHER FOR LOSS OF PROFITS OR REVENUE; LOSS OF USE OR OPPORTUNITY; LOSS OF GOOD WILL; COST OF SUBSTITUTE FACILITIES, GOODS, OR SERVICES; COST OF CAPITAL; OR FOR ANY SPECIAL, CONSEQUENTIAL,INDIRECT,PUNITIVE,OR EXEMPLARY DAMAGES. 5. Change Orders.Client may request changes to the scope of Services by altering or adding to the Services to be performed.If Client so requests,Consultant will return to Client a statement (or supplemental proposal) of the change setting forth an adjustment to the Services and fees for the requested changes. Following Client's review,Client shall provide written acceptance.If Client does not follow these procedures,but instead directs,authorizes,or permits Consultant to perform changed or additional work,the Services are changed accordingly and Consultant will be paid for this work according to the fees stated or its current fee schedule.If project conditions change materially from those observed at the site or described to Consultant at the time of Authorization,Consultant is entitled to a change order equitably adjusting its Services and fee. 6. Compensation and Terms of Payment.Client shall pay compensation for the Services performed at the fees stated in the Compensation section of the Proposal unless fees are otherwise stated in Exhibit C to this Agreement(which section or Exhibit is incorporated into this Agreement).If not stated in either,fees will be according to Consultant's current fee schedule. Fee schedules are valid for the calendar year in which they are issued. Fees do not include sales tax. Client will pay applicable sales tax as required by law.Consultant may invoice Client at least monthly and payment is due upon receipt of invoice. Client shall notify Consultant in writing,at the address below,within 15 days of the date of the invoice if Client objects to any portion of the charges on the invoice,and shall promptly pay the undisputed portion. Client shall pay a finance fee of 1.5% per month, but not exceeding the maximum rate allowed by law, for all unpaid amounts 30 days or older.Client agrees to pay all collection-related costs that Consultant incurs, including attorney fees.Consultant may suspend Services for lack of timely payment.It is the responsibility of Client to determine whether federal,state,or local prevailing wage requirements apply and to notify Consultant if prevailing wages apply. If it is later determined that prevailing wages apply, and Consultant was not previously notified by Client, Client agrees to pay the prevailing wage from that point forward,as well as a retroactive payment adjustment to bring previously paid amounts in line with prevailing wages. Client also agrees to defend,indemnify,and hold harmless Consultant from any alleged violations made by any governmental agency regulating prevailing wage activity for failing to pay prevailing wages, including the payment of any fines or penalties. 7. Third Party Reliance. This Authorization and the Services provided are for Consultant and Client's sole benefit and exclusive use with no third party beneficiaries intended. Reliance upon the Services and any work product is limited to Client,and is not intended for third parties.For a limited time period not to exceed three months from the date of the report,Consultant will issue additional reports to others agreed upon with Client,however Client understands that such reliance will not be granted until those parties sign and return Consultant's reliance agreement and Consultant receives the agreed-upon reliance fee. 8. Indemnity/Statute of Limitations.Consultant and Client shall indemnify and hold harmless the other and their respective employees from and against legal liability for claims,losses,damages,and expenses to the extent such claims,losses,damages,or expenses are legally determined to be caused by their negligent acts,errors,or omissions.In the event such claims,losses,damages,or expenses are legally determined to be caused by the joint or concurrent gegligence of Consultant and Client,they shall be borne by each party in proportion to its own negligence under comparative fault principles. Neither party shall have a duty to defend the other party,and no duty to defend is hereby created by this indemnity provision and such duty is explicitly waived under this Agreement. Causes of action arising out of Consultant's services or this Agreement regardless of cause(s)or the theory of liability,including negligence,indemnity or other recovery shall be deemed to have accrued and the applicable statute of limitations shall commence to run not later than the date of Consultant's substantial completion of services on the project. 9. Choice of Law.This Authorization shall be governed by and construed according to Kansas law. 10. Subsurface Explorations.Consultant will take reasonable precautions to reduce damage to the site when performing Services;however,Client accepts that invasive services such as drilling or sampling may damage or alter the site.Site restoration is not provided unless specifically included in the Services. 11. Sample Disposition, Affected Materials, and Indemnity.Samples are consumed in testing or disposed of upon completion of tests(unless stated otherwise in the Services). 12. Utilities.Consultant shall utilize a utility locating service for public utilities.Client shall provide the location and/or arrange for the marking of private utilities and subterranean structures. Consultant shall take reasonable precautions to avoid damage or injury to subterranean structures or utilities. Consultant shall not be responsible for damage to subterranean structures or utilities that are not called to Consultant's attention,are not correctly marked, including by a utility locate service,or are incorrectly shown on the plans furnished to Consultant. 13. Site Access and Safety.Client shall secure all necessary site related approvals,permits, licenses,and consents necessary to commence and complete the Services and will execute any necessary site access agreement.Consultant will be responsible for supervision and site safety measures for its own employees, but shall not be responsible for the supervision or health and safety precautions for any other parties, including Client, Client's contractors,subcontractors, or other parties present at the site. 14. Termination. Either party may terminate this Authorization or the Services upon written notice to the other. In such case, Consultant shall be paid costs incurred and fees earned to the date of termination plus reasonable costs of closing the project. 15. Insurance. Consultant represents that it now carries, and will continue to carry: (i)workers' compensation insurance in accordance state, and employer's liability($1,000,000);(ii)commercial general liability($1,000,000 occ/$2,000,000 agg); (iii)automobile liability($1,000,000 B.I.and P.D.combined single limit); excess liability($5,000,000 occ/agg);and(iv)professional liability($1,000,000 claim/agg).Client and Consultant shall waive subrogation against the other party on general liability. Client is additional insured with respect to general and auto liability. i i E i Page Pa 2of2 - 9 Rev.3 14 DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC Irerracon Construction Materials Testing Services Raleigh, NC UNIT RATE FEE SCHEDULE PERSONNEL/FIELD SERVICES 1. Engineering Technician, per hour..........................................................................................$ 40.00 2. Field Special Inspector, per hour...........................................................................................$ 65.00 3. Nuclear Density Gauge, per day............................................................................................$ 35.00 4. Certified Welding Inspector, per hour....................................................................$ 85.00 5. Ultrasonic Testing, per hour................................................................................$ 90.00 6. Coring Crew, per hour(Concrete/Asphalt, includes equipment)..........................................$ 105.00 7. Asphalt Lab or Roadway Technician, per hour.....................................................................$ 65.00 8. Floor Flatness and Levelness testing (Operator and equipment)...................................$ 75.00 9. Project Engineer, per hour.....................................................................................................$ 115.00 10. Project Manager, per hour.....................................................................................................$ 95.00 11. Senior Project Manager, per hour.........................................................................................$ 105.00 12. Principal, per hour..................................................................................................................$ 125.00 13. Senior Principal, per hour......................................................................................................$ 145.00 14. Clerical, per hour....................................................................................................................$ 45.00 15. Direct Expenses.....................................................................................................................$ 125% 16. Mileage, per mile.................................................................................................................... No Charge LABORATORY SERVICES 1. Percent Fines(Wash 200 sieve), each.................................................................................$ 75.00 2. Sieve Analysis, each..............................................................................................................$ 100.00 3. Particle Size Analysis(With Hydrometer),each....................................................................$ 150.00 4. Natural Moisture Content Test, each.....................................................................................$ 10.00 5. Atterberg Limits Test,each.....................................................................................................$ 95.00 6. Standard Proctor Compaction Test, each.............................................................................$ 160.00 7. Modified Proctor Compaction Test,each..............................................................................$ 185.00 8. Standard Proctor Compaction Test(with Rock Correction), each........................................$ 185.00 9. CBR Testing, per point..........................................................................................................$ 200.00 10. Concrete: a) Compressive Strength Testing of 4"x 8"or 6"x 12"Concrete Cylinders,each............$ 14.00 b) Flexural Strength Testing of Concrete Beams...............................................................$ 50.00 c) Compressive Strength Testing of 2"x 2"Mortar Cubes, each ......................................$ 14.00 d) Compressive Strength Testing of Grout Prisms,each...................................................$ 50.00 e) Compressive Strength Testing of Concrete Cores, each..............................................$ 50.00 11. Asphalt: a) Thickness and Density Testing, per sample ..................................................................$ 50.00 NOTE: A minimum of 2 hours will be charged for all field technician time. Overtime, at a rate of 1.5 time the standard rate, is charged for technician services for time over 8.0 hours per day,hours prior to 8:00 AM and past 5:00 PM and for Saturdays,Sundays, and holidays. Overtime is not applicable to engineering rates. Project administration rates are for report review, etc. The mileage charge includes vehicle mileage between Terracon's Raleigh office and the job site. The quoted rates will be effective from January 1,2013 to December 31,2013, i i DocuSign Envelope ID:09CCE3FE-6100-4B4A-A62B-5478A49B68FC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1/1/2015 9/18/2014 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 Lockton Companies NAME: 444 W.47th Street,Suite 900 Ro No EXt, FAX No Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURERS AFFORDING COVERAGE NAIC 4 INSURERA: AIG Specialty Insurance Company 26883 INSURED TERRACON CONSULTANTS,INC. INSURER B: Traeele s Property Casualty Co orAmerica 25674 1312892 2401 BRENTWOOD ROAD RALEIGH NC 27604 INSURER C: The Travelers Indemnity Company 25658 INSURER D: Lexington Insurance Comoany 19437 NSURERE: The Charter Oak Fire Insurance Company 25615 INSURER F: COVERAGES TERC001 CERTIFICATE NUMBER: 13117210 REVISION NUMBER: XXXXXXX 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD AVD POLICY NUMBER MMIDD tYYYY (MMIDD1YYYY LIMITS A COMMERCIAL GENERAL LIABILITY PROP3779274 1/1/2014 1/1/2015 EACH OCCURRENCE X N N $ 1,000,000 CLAIMS-MADE OCCUR PREMSES a occu I (E r nce) $ 1,000,000 X CONTR'L LIABILITY MED EXP(Any one person) 25,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ 21000,000 OTHER $ B AUTOMOBILE LIABILITY N N TC2J-CAP-13173858 1/1/2014 1/1/2015 (COME SINGLE $ 1,000,000 B X ANY AUTO TJBAP131J3895 1/1/2014 1/1/2015 BODILY INJURY(Per person) $ XXXA� � X AUTOS NED SCHEDULED BODILY INJURY(Per accident $ XXXY�� X X HIREDAUTOS X AUTOSWNED PROPERTY DAMAGE $ XXXXXXX $ XXXXX3 x UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXX3C5 x EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXX3�C'; DED RETENTION$ $ WORKERS COMPENSATION PER OTH- C AND EMPLOYERS'LIABILITY N TRKUB131J3846(AZ MA,WI) 1/1/2014 1/1/2015 X STATUTE E ANY PROPRIETOR/PARTNER/EXECUTIVE YIN TC20UB131J3742 AOS) 1/1/2014 1/1/2015 E.L.EACH ACCIDENT B OFFICER/MEMBEREXCLUDE07 N/A TC20UB13IJ3742(CA) 1/1/2014 1/1/2015 $ 1000 BOO (Mandatory in NH) E.L DISEASE-EA EMPLOYEE 1,000,000 I(yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 D PROFESSIONAL N N 26030216 1/1/2014 1/1/2015 $2,000,000 EA CLAIM&$2,000,000 IN LIABILITY THE ANNUAL AGGREGATE. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:PROJECT#70141059;SPORTS PLEX-HILLSBOROUGH. 1 I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13117210 AUTHORIZED REPRESENTATIVE ORANGE COUNTY,NC P.O.BOX 8181,131 W.MARGARET LANE,SUITE 300 HILLSBOROUGH NC 27278 �Eti'�C9' I ACORD 25(2014/01) ©1 88-2014 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD