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2014-484 EMS - Eaton UPS Service for power quality equipment for the 911 Center $5,276.50
FA,aT*N fb"i ing Business VlEOrf wide Eaton UPS Service Cart: 117461 Bobbie Watkins, Cart Date: 07/15/2014 Eaton Corporation (Effective until 08/29/2014) 8609 Six Forks Rd Raleigh, NC 27615 Renewal Contract#5864 919-870-3426 Email: BobbieLWatkins @Eaton.com Prepared For: For Covered Equipment at Site: Billing Contact: Kevin Medlen, Site Contact: Kevin Medlen, Billing Company: ORANGE COUNTY Site Company: ORANGE COUNTY 510 MEADOWLANDS DR 510 MEADOWLANDS DR HILLSBOROUGH, NC 27278 HILLSBOROUGH, NC 27278 Email: kmedlin @orangecountync.gov Email: kmedlin @orangecountync.gov We are pleased to provide the following services proposal for your power quality equipment. Please refer to the Scopes of Work (SOW)for descriptions of service coverage and exclusions. Eaton Corporation terms and conditions govern this proposal,and any purchase order submitted to Eaton pursuant thereto. Additional or different terms proposed by Buyer,whether in its purchase order or otherwise, shall not be binding upon Eaton Corporation and are hereby rejected unless expressly agreed to in writing by Eaton Corporation. Serial Number New/Renewal Model Description Battery Type, Quantity Coverage Type EB283CBA01 R 9390-40-80 VRLA Sealed,40 Flexible Quantity 1, Eaton 9390-40-80, VRLA Sealed, 40 Coverage Start Date: 10/1/2014 Coverage End Date: 6/30/2015 Term: 9 Months Flex: 4 Hr Rsp,7x24 Cvg Only(FL47NXXX-0080) • After Hours(7x24)w/Parts&Labor • 4 HR Response Time • 1x per term: UPS Preventive Maintenance,After Hours(7x24) (0005NXXX-0080) • 1x per term: Sealed Battery Preventive Maintenance,Any Time(0005NSXX040) Site vocation Model Serial Number - Quantity ORANGE COUNTY 9390-40-80 EB283CBA01 1 Subtotal: 1 Grand Total Price: $5,276.50 • Contract Payment Terms: Net 30 days, Billing Cycle: Payment Upfront • Important Tax Notice:Tax is not included in the above purchase price. All orders will be subject to all applicable sales tax unless a current tax exemption certificate is on file covering the state shown in the ship-to address or service equipment location. • To purchase(renew)your service contract, please sign and date below. Return all attachments with purchase order to: Eaton Corporation, Bobbie Watkins,8609 Six Forks Road, Raleigh, NC 27615,Tel 919-870-3426, Fax 888-872-8507. • Make PNmTLents to: Eaton Corp tion, PO Box 93531, Chicago, IL 60673-3531 Accepted By: Name Titl Date Purchase Order Number Print Name: Eaton Corp.Support Agreement: 1 of 2 Rep: Bobbie Watkins, 9/3/2014 UPSS SERVICE QUOTE-10 FAT* ft"ing"twssWaasi* FOR ORANGE COUNTY USE ONLY This instru nt ha en appr as to technical content. James Grov CEM Emergency Services Director This initrjjment has been pre-a_udited in the manner required by the Local Government Budget and Fiscal Control Act. Clarence G. Grier, Finance Director This instru t as be roved as to form and legal sufficiency. Annette M. r oore, Staff ttorney Eaton Corp.Support Agreement: 2 of 2 Rep:Bobbie Watkins, 9/3/2014 UPSS SERVICE QUOTE-10 AC40® CERTIFICATE OF LIABILITY INSURANCE DATE/2014 IYVW) 09125120,4 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 CONTACT MARSH USA INC. NAME: FAX 200 PUBLIC SQUARE,SUITE 1000 PHONE t: (A'C'No):No, CLEVELAND,OH 44114 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC M 12345e-EPQC-#11 -14-15 INSURER A: Old Republic Insurance Co 24147 INSURED INSURER B: EATON CORPORATION,PLC, EATON US HOLDINGS,INC.,EATON CORPORATION AND ALL OTHER DIVISIONS, INSURER C: SUBSIDIARIES AND CONTROLLED ASSOCIATE COMPANIES THAT ARE PART OF EATON OR INSURER D: COOPER INDUSTRIES,PLC EATON CENTER INSURER E, 1000 EATON BLVD CLEVELAND,OH 44122 INSURER F: COVERAGES CERTIFICATE NUMBER: 05-004145348-01 REVISION NUMBER:I 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY) (MM/DD/YYYYl LIMITS A GENERAL LIABILITY MWZY 301036 01/01/14 01/01/15 EACH OCCURRENCE $ 500,000 X DAMAGE TO RENTED 2,500,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE M OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,500,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 10,000,000 X POLICY PRO- JECT Loc PROD COMP/OP OCC $ 6,500,000 A AUTOMOBILE LIABILITY MWTB 300334 01101/14 01101/15 COMBINED SINGLE LIMIT 7,500,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ X ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Par accident) $ XNON-OWNED PROPER HIRED AUTOS X RTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION MWC 300333 00(ADS) 01101/14 01/01115 X I WC STATU- I JITI- AND EMPLOYERS'LIABILITY FR ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 5,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 5,000,000 If yes,describe under 5,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ A EXCESS WORKERS COMP MWXS 301035(OH) 01/01114 01/01/15 EMPLOYERS LIABILITY 4,000,000 (STATUTORY) SELF INSURED RETENTION 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) D EACH OCCURRENCE LIMIT-OTHER THAN PRODUCTSICOMPLETED OPERATIONS$5,000,000 EACH OCCURRENCE LIMIT-PRODUCTS/COMPLETED OPERATIONS$6,500,000 OCT 9 2014 By CERTIFICATE HOLDER CANCELLATION ORANGE COUNTY EMERGENCY SERVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 510 MEADOWLANDS DR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HILLSBOROUGH,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kevin Robinson I ��itrht �^ _9&f-4t"" ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) Issued By:WEB USEFthe ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 12345e _ LOC#: Cleveland Acc)R"® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA INC. EATON CORPORATION,PLC, EATON US HOLDINGS,INC.,EATON CORPORATION AND ALL OTHER DIVISIONS, POLICY NUMBER SUBSIDIARIES AND CONTROLLED ASSOCIATE COMPANIES THAT ARE PART OF EATON OR COOPER INDUSTRIES,PLC EATON CENTER CARRIER NAIL CODE �j 1000 EATON BLVD CLEVELAND,OH 44122 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance EATON CORPORATION ADDITIONAL INSURED THE CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT WITH RESPECT TO GENERAL LIABILITY. ADDITIONAL INSURED ORANGE COUNTY EMERGENCY SERVICES ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM SECTION 11 A.I.Who is An Insured(WHO IS AN INSURED) is amended to include as an"insured"any person or organization for whom you have agreed under written contract.agreement or permit to provide insurance. However,the insurance provided shall not exceed the scope of coverage and/or Limit of Insurance of the policy. Notwithstanding the foregoing sentence, in no event shall the insurance provided exceed the scope of coverage and/or Limit of Insurance required by said contract or agreement. CA 301 016 0111 Eaton Corporation MWTB 20814 IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSUREDS WHERE REQUIRED BY CONTRACT SECTION 11 - WHO IS AN INSURED under the Commercial General Liability Coverage Form, Is amended by the addition of the following item. 2. Who Is An Insured is amended to include as an insured any person or organization for whom you have agreed under contractor agreement to provide insurance. However, the insurance provided shall not exceed the scope of coverage and/or limits of this policy. Notwithstanding the foregoing sentence in no event shall (tie insurance provided exceed the scope of coverage and/or limits required by said contract or agreement. GL 301 0220109 MWZY59658 Eaton Corporation 01101/2010-0 110112 0 1a