HomeMy WebLinkAbout2015-486-E AMS - ProNet Systems, Inc. for DSS expansion upfit-cameras and card readers DocuSign Envelope ID:622E9DC1-8F03-4B1C-AA8A-11C1D46D7FEA
NORTH CAROLINA CONSTRUCTION SERVICES
AGREEMENT UNDER $50,(100
ORANGE COUNTY
THIS CONSTRUCTION AGREEMENT (hereinafter "Agreement"), is made and entered
into this 21 st day of August, 2015 by and between Orange County, North Carolina (hereinafter
the "Owner") party of the first part; and Pro et Systems,Inc (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: August 21, 2015 through December 31, 2015. The
Project Commencement Date shall be August 21, 2015.
2. MAXIMUM AMOUNT PAYABLE
Dollar Amount Not to Exceed: eighteen thousand six hundred eighty dollars ($18,680)
3. SERVICES
Contractor agrees to provide the following construction services (the "Work"): supply parts,
material and labor to install six cameras and two access card readers at H 3 Mayo Street, per
attached proposal.
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.
5. RELATIONSHIP OF PARTIES
Revised 10114
DocuSign Envelope ID:622E9DC1-8F03-4B1C-AA8A-11C1D46D7FEA
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.
I . 'TERMINATION
This Agreement may be terminated by Contractor upon thirty 30) 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
littp:Horaii recount yne.goylptil�b cjpjr If Owner's Risk Manager determines
additional insurance coverage is required such additional insurance shall be designated here
(if no additional insurance required mark N/A as being not applicable). Conti-actor shall
not commence construction work until such insurance is in effect and certification thereof has
been received by the Owner's Risk Manager.
R. INDEMNIFICATION
Contractor agrees to defend, indemnify, save, and protect Owner and Owner's tender, 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 fifflure to act by the Contractor, the
Contractor's agents, assigns or employees related to the Work,. Contractor is responsible for all
errors or omissions caused by its agents, contractors, employees,or assigns in the performance of
this Agreement.
It is the intent of this section to require Contractor to indemnify tile 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
,my other party without the prior written consent of the Owner.
10. NON—API'ROPRIAT'ION
Revised W/14 1
DocuSign Envelope ID:622E9DC1-8F03-4B1C-AA8A-11C1D46D7FEA
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.
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 inunediately 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 ernergency 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 Linder 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. DIGITAL SIGNATURES
This Agreement together with any amendments or modifications may be executed
electronically. All electronic signatures affixed hereto evidence the intent of the Parties to
comply with Article I IA and Article 40 of North Carolina General Statute Chapter 66.
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/(,'OVERNING 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,FOI,LOW]
Revised 70/14 3
DocuSign Envelope ID:622E9DC1-8F03-4B1C-AA8A-11C1D46D7FEA
IN WITNESS WHEREOF Orange County and the Contractor have signed this agreement,
effective as of the day and date first above written.
ORANGE COUNTY CONTRACTOR
DocuSigned by'. —DocuSigned by:
Vulout, �Mmwst" A(AV,
By—F�b' By D
Cozen jj:Majj&J'77 ProNet--&yWMW,411nc
200 S. Cameron St. 3200 Glenn Royal Rd, Ste 107
P.O. Box 8181 Raleigh,NC 27617
Hillsborough,NC 27278
Revised 10/14 4
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1D46D7FEA
3200 GLEN ROYAL FtC7AID, SMITE 107, R:p,LEtCH, NC 27617
w w^_prcnet ystemsonline.com TELEPHONE 919.277.2070 FAX 919,277 2072
Q062915-0range County-The Commons-Add Six(6)Camera and Two(2)Card Reader Access Doors
June 29,2015
Mr. Jeff Thompson
Orange County
Asset Management Services
PO Box 8181
1-fillshorough,"NC 27278
Cc: Ms. Joyce Lee
Dear Mr. Thompson,
RE. C1RACwl(,E CCDM.INTY-THE C"OM 'MONS-ADD SIX(6)CAM ERAS AND T1✓tr" (2)CARD
READER ACCESS DOORS
With reference to the request last week for a proposal to add six(6)cameras(Avigilon.Minidome)and two
(2)curd access doors to The Commons security system. Our detailed proposal is submitted below for your
review, please note the existing video servers are at maximum capacity and therefore we have included a
small server/storage expansion to accommodate the proposed cameras,
Equipment Description
Quantity Equipment Description [Unit Price Total Price
6 Avigilon 1C:'-A( C5-ENT Enterprise License for aap to I Camera Channels 261.30 1,567.80
6 Avigilon 2.0-113-D1 2.0 Me apixel 111)11264 Ceiling,Mount Dome 3-9nun 55T70 3.340.20
1 Avigilon 5.01''13-1ID-NVIZ2 5"1"13 Vidco Server for System IApautsion 5,974.80 5,974.80
2 Bosch DS-150i REX PI1t 71.50 14100
2 GE 111788 Boor Status Contacts 10.14 247.213
2 I I1 S llt-.-11706-12/24D-l,t3IVI Electric Strike with Do r Status Monitor 362..69 725.38
2 HID 614000 01. Mullion iClass Card Reader 171,60 343.24:1
I Lenel CTX Enclosure 84..50 84.50
1 I.enel 1,N[..-1320 Dual header Interface 507,00 507.00
Cable and Installation Materials 1,364.06
Equipment Total Including Cable and Materials 14,076.22
,Add Estimated Shipping 340.23
Add 7.5"N,Sales"fax 1,081.23
Add Labor 4,263.63
Total Price Including Equipment,Labor,Sales Tax,and Shipping S191,761.,31
DocuSign Envelope ID:622E9DC1-81`03-4131 C-AA8A-1 1 C1 D46D7FEA
Warranty
All products are covered for one year, parts and labor, from date of band over. An extended maintenance
program is available. This includes parts and labor on all products for the second year after date of band over,
Service Rates
Out of warranty call out is charged at 580,00 per hour and$100.00 per hour out 0HIOUrs(regular business
hours are 8.00 am to 5,00 pm, Monday to Friday). Response time is same day if service call is requested
before 10.00 am or if the system is down due to failure.
All product is covered for one year,parts and labor, from date of hand over. A Service Contract for an
extended maintenance program is offered if required.. This includes parts and labor on all products for the
second year after date of hand over.
service Conti-act
A maintenance program is offered below,
Full Maintenance 1,271.22 per year
Terms of Payment
Unless otherwise at-ranged, 50%of payment is due upon receipt of the order,and 50%of payment is due
upon project completion. Interest will be charged at a rate of 1,5%per month on accounts 10 days past due.
Validity
These rates are valid for a period of thirty days from today's date.
We trust that in submitting this proposal we have addressed all Your requirements. Should you require further
clarification or additional information, please do not hesitate to contact us,
Sincerely,
Alan Jelley
ProNet Systems, Inc.
Accepted:
Signed .......................................................For and On Behalf of Orange County
............................................I...........I ....................I..''........... Print Name& Title
Date..........................................................
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1D46D7FEA
----s DATE:("'iDI NYYYi
CERTIFICATE OF LIABILITY INSURANCE-' 1262212014
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)i, 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 lien of such ondlorsement(s).
PRODUCER NAOMEa.T Amy H.Paschal
Ken B Lawson,Jr. A&N%EAsi, '919-846°2090 ext 105 AACnNo):: 919-846-2438
dba Lawson Insurance Group,Inc. EMAIL
ADDRESSS, paschaa@nationwide.com -
.........
6512-101 Six Forks Road INSUFIErkS AFForROINOCOVERAGE II,�r,ao-c�
I.1__..._ . . _. I ..
Raleigh,NC 27618 INSURER Nationwide Mutual Insurance Company
............— --- - -
INSURED ....INSURERB: AmGUARID Insurance Company
ProNet Systems,Inc.
y ENSURERC. Nationwide Fire Insurance Company
3200 Glen Royal Road INSURERD: Progressive Southeastern Insurance Co.
�'*� .... ...- — ..
Suite 1017 _INSPRER E.
- ............-_....
Raleigh, NC 27617 INSURER r
COVERAGES CERTIFICATE NUMBER- REVISION NUMBER:
THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTCI"THSTANDING 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 -- Ab L SUffk .. ...... POLICY NUMBER P hYYdnf'fYY'd. ,,,,,IMPo606Yt'KXY, ,,,,,,,,,,,, — ._._........ ..... .....
LTR -. TYPE OF INSURANCE LIMITS
1 X' CGMMERCIAL GENERAL LIABILITY I ACP'2262994383 ,026221201402/22.!2015 EACHO CURRENLE s 1,000,000
... .... CJA- AGE TO klENR l ' _
A O-AIMS-MADE OCCUR 100 000
y .I JdF;MISFS F„,occurrence r
contractual Liability ME E xP I!Any one person) J s 5,000
_.._.
X Contractor's Enhancement
_. PERSONA( ADV1N aRY $ 1,000,000
EE
POLICY�X T APPLIES cO FR�E lI II c to DFr z �4 c � 2 000,000
REGATE s 2,0
I°cYC �
GEN I AGGREGATE ATE-L W ..._..
00,000
07 HER
C AUTOMOBILE LIABILITY 1 ACP 3006921314 1263162014�12/31/2o1'Se C EN aEl�i SiNI u F LIMIT
$ 1,000 000
D —
ANY AUTO 07864851-3 0A/13/201141213112014'soDlLr MAAR r fflef p,rsrY, t
�„Al-L.OWNEI.) 'SCHEDULED BODILY INJURY(Peraccldenll $ ....
HIRED AUTOS + NONIXY'MEl0 4 PROPER Y DAMAGE......... �$
1S
X UMBRELLA LIAR OOcUR ACP 2262994383 0262212014 0212212015 EACH rx,c„IERRENCE $ 4,000,000
A X ExCESSUAB CLAIM-5-MADE AGGREIATE $ 4,000,000
_ - . _ .. ....
DED �X ' RETEN11ON s None s.
AoDREMPPL EMPLOYERS' �� �YEDUrIVE y PRyJIPC552943 f04/03'/201404/03/'2015 . (1 TU]E f,R
B , NIA j E L EACH ACCIDENT s 5001000
IMandabory In NH) J I�E1,III EASE-EA EMPLOYEE $ 500,000
II yes describe under .. .......... __.
DESCRIPTION OF oPERAT IONS b0ow i E L.DISEASE-POLICY LIMI E $ 500,000
A ;Business Services Bond 7900388862 0711111201407/11112016'$60,0010.Bond Limit
1 (3rd Party)
DESCRIPTION OBI°OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,.Additional Remarks Schedupe,may be attached If more apace Is rayulredl
Orange County is included as additional insured where applicable per Blanket Contractors Enhancement Endorsement CG 72 88,.
Waiver of Subrogation applies per endorsement.
CERTIFICATE HOLDER CANCELLATION
Orange County
P.0.Box 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Hillsborough,NC 27278 ACCORDANCE WITH'THE POLICY PROVISIONS.
AUTHORIZED RF.PRE'ENTA�Wa� "q
(,,,,t 88-2014 XCORD CORPORATION. All rights reserved.
ACORD 25(20�14101) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1 D46D7FEA
NATIONWIDE MUTUAL, INSURANCE COMPANY 80483
ONE NATIONWIDE PLAZA RENEWAL
COLUMBUS, OH 43216-222:0
COMMERCIAL GENERAL LIABILITY DECLARATIONS
Policy Number: ACP GLO 2262994383
Named insured: PRO NET SYSTEMS INC
Address: 3200 GLEN ROYAL RD S'TE 107
RALEIGH INC 27617.7419
Agent- KEN LAWSON, JR, 32-80483-001
Address: RALEIGH INC 27615 PRODLICER: KENNETH B LAWSON JR
Policy Period: From 02122114 to 02122115 12:01 A.M. standard time at the address of the named insured as stated
herein.
In return for the payment of the premium, and subject to all the terms of this policy,we agree with you to provide the
insurance as stated in thiis, policy,
LIMITS OF ]INSURANCE
GENERAL AGGREGATE LIMIlTilother than ro,ducts-com leted operations) $ 2,0010,000
PRODUCTS-COMPLETED OPE TIONS ASGREGATE LIMIT $ 2,000,000
PERSONAL AND ADVERTISING INJURY LIMIT $ 1,000,000
EACH OCCURRENCE LIMIT $ 1,000,000
DAMAGE TO PREMISES RENTEDTO,YOU LIMIT (any one premises) $ 100,000
MEDICAL EXPENSE LIMIT(any one person) $ 5,000
Retroactive Date (CGO0102 only)
The Named Insured is: CORPORATION
Business of the Named Insured is ELECTRICAL APPARATUS
Audit Period: ANNUAL
ENDORSEMENTS ATTACHED TO THIS POLICY
SEE COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS SCHEDULE
TOTAL ADVANCE PREMIUM $ 1,775.00
Replacement or
Renewal Number ACP GLO 2262994383
A PACKAGE MODIFICATION FACTOR HAS BEEN APPLIED
Countersigned B
epr �37 tows Ldoz
GL-D (10-98) h6 "
DIRECT 81L LTUJ 13361 AGENT COPY ACP GLO 226299436 837701511 22 0004025
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1D46D7FEA
NATIONWIDE MUTUAL INSURANCE COMPANY
LINE NATIONWIDE PLAZA
COLUMBUS, OH 43215-222.0
COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS
Number; ADP GLO 2262994383 Period From 02122/14 To 02/22115
Named Insured: PRO NET SYSTEMS INC
Form Dale Tulle
CG0001 0413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM
CG2033 0413 ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN RE(
CG2147 1207 EMPLOYMENT- RELATED PRACTICES EXCLUSION
CG2150 0413 AMENDMENT OF LIQUOR LIABILITY EXCLUSION
CG21155 0909 TOTAL POLLUTION EXCLUSION WITH: HOSTILE FIRE EXCEPTION
CG2167 1204 FUNGI I OR BACTERIA EXCLUSION
CG2170 0108 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM
CG2196 0305 SILICA OR SIILICA-RELATED DUST EXCLUSION
CG2279 0413 EXCLUSION - CONTRACTORS- PROFESSIONAL LIABILITY
CG2426 0413 AMENDMENT OF INSURED CONTRACT DEFINITION
CG7023 1096 EXCL-ASBESTOS„ ELECTRO-MAGNETIC RADIA"T"ION, LEAD AND RADON.
CG7033 0393 TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY U'S
CG7140 0303 EXCLUSION-EXTERIOR INSULATION AND FINISH SYSTEMS ("EIFS"") AND DIRECT-APPLIED
CG7288 1111 CONTRACTORS ENHANCEMENT ENDORSEMENT
GC2187 0107 CONDITIONAL EXCLUSION OF TERRORISM (RELATING TO DISPOTION OF FEDERAL TERRORISM
IL0017 1198 COMMON POLICY CONDITIONS
IL0021 0908 NUCLEAR ENERGY LIABILITY EXCLUSION
IL0269 0908 NORTH CAROLINA CHANGES -CANCELLATION AND NONRENEWAL
13614 1165 SPECIAL CONTINUATION PROVISION
IMPORTANT NOTICES
IN5017 0593 IMPORTANT NOTICE FOR RENEWAL POLICIES
IN7300 0114 NOTICE TO POLICY HOLDERS POTENTIAL RESTRICTIONS OF TERRORISM COVERAGE
IN17689 0413 GENERAL LIABILITY FORMS REVISION ADVISORY NOTICE TO POLICYHOLDERS
IN7700 0413 2012 GENERAL LIABILITY NORTH CAROLINA FORMS REVISION ADVISORY NOTICE TO POLICYH
GLDF (02-93)
DIRECT BILL LTUJ 13361 AGiENT COPY ACP GL4 2262994383 837701511 22 00:04027
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1 D46D7FEA
COMMERCIAL GENERAL LIABILITY
CG 72 88 11 11
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS ENHANCEMENT ENDORSEMENT
This endorsement modifies insurance provided under the following'.
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
LOST KEY COVERAGE "Loss"means unintentional damage or
SECTION I — COVERAGES, COVERAGE A destruction but does not include disappearance,
BODILY INJURY AND PROPERTY DAMAGE theft, or loss,of use.
LIABILITY, coverage is extended to include the NON-OWNED WATERCRAFT
following: SECTION I — COVERAGES, COVERAGE A
It a customer's master or grand key, excluding BODILY INJURY AND PROPERTY DAMAGE
electronic key card, is lost while in your care, LIABILITY, 2. Exclusions is amended!,as follows:
custody or control we will pay the cost of g. Aircraft, Auto Or Watercraft (2) (a) is
replacing the keys, including the master lock and replaced with:
all keys used in the same lock, the cost of (a) Lessthan5l feetlong�and
adjusting locks to accept the new keys, or the
cost to replace the locks,whichever is less. EXPANDED PROPERTY DAMAGE COV-
Limit of Insurance - The most we will pay for ERAGE
"loss" arising out of any one "occurrence" is For the purposes of this endorsement only:
$5,000. SECTION I — COVERAGES, COVERAGE A
SECTION V DEFINITIONS is amended as BODILY INJURY AND PROPERTY DAMAGE
follows: LIABILITY, 2. Exclusions is amended as follows:
The following definition applies to Lost Key a. Exclusions,j.(3),j.(5),and j.(6)are
Coverage: deleted in their entirety.
"Loss" means unintentional physical damage or b. Exclusion j.(4) is deleted in its entirety
destruction to tangible property, including theft or and replaced by the following:
disappearance. Tangible property does not Personal property in the care custody or
include:money or securities. control of the insured:
VOLUNTARY PROPERTY DAMAGE 1. for storage or sale at premises you
SECTION I — COVERAGES, COVERAGE A own, rent or occupy;or
BODILY INJURY AND PROPERTY DAMAGE 2. while being transported by any
LIABILITY, coverage is extended to include the aircraft, "auto" or watercraft owned
following: or operated by or rented to or loaned
At your request,we will pay for"property damage"to to any insured.
property of others caused by you and while in your c. The following exclusions are added:
possession, arising out of your business operations 1. The coverage provided by this
and occurring during the policy period. endorsement does not apply to
Limit of Insurance-The most we will pay for "property damage" arising out of the
"loss,"arising out of any one"'occurrence"is disappearance or loss of use of
$500, personal property.
SECTION V—DEFINITIONS is amended as
follows:
The following definition applies to Voluntary
Property Damage coverage:
CG 72 88 11 11 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 4
with Its permission.
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1 D46D7FEA
CG 72 88 11 11
2. The coverage provided by this SUPPLEMENTARY PAYMENTS
endorsement does not apply to SECTION l — COVERAGES, SUPPLEMEN-
property damage" included in the TARY PAYMENTS— COVERAGES A AND B is
products-completed operations amended as follows:
hazard". 1, 1.b. replaced with:
Limit of Insurance - The most we will pay b. Up to $2,500 for cost of bail bonds
for "property damage" provided by this required because of accidents or traffic
coverage in any one"occurrence"is$5,000. law violations arising out of the use of
Deductible - Our obligation to pay for a any vehicle to which the Bodily Injury
covered loss applies only to the amount of Liability Coverage applies. We do not
loss in excess of$250, have to furnish these bonds.
This insurance is excess over any other valid 2. 1.d. replaced with:
and collectible insurance. d. Afil reasonable expenses incurred by the
DAMAGE TO PREMISES RENTED TO YOU in at our request to assist us in the
SECTION I — COVERAGES, COVERAGE A investigation or defense of the claim or
BODILY INJURY AND PROPERTY DAMAGE suit", including actual loss of earnings
LIABILITY, the last paragraph of 2. Exclusions up to $500 a day because of time off
of is replaced by the following: from work.
If Damage to Premises Rented to You is NEWLY FORMED AND ACQUIRED
not otherwise excluded!, exclusions c. ORGANIZATIONS
through n. do not apply to damage by fire, SECTION It — WHO IS AN INSURED is
lightning, explosion, smoke or sprinkler amended as follows-.
leakage to premises while rented to you or 1. 3.a.,is replaced'
temporarily occupied by you with permission
of the owner. A separate limit of insurance a. Coverage under this h provision is
applies to this coverage as described in afforded only until the 180' day after you
Section III-Limits of Insurance. acquire or form the organization or the
SECTION III — LIMITS OF INSURANCE, end of the policy period, whichever is
paragraph 6 is replaced with: earlier;,
6. Subject to, 5. above, the Damage To ADDITIONAL INSURED — WHEN REOUIREID
Premises Rented To You Limit is the most IN AN AGREEMENT OR CONTRACT WITH
we will pay under Coverage A for damages YOU
because of "property damage" to any one The following is added to SECTION 11—WHO IS
premises,while rented to you,or in the case AN INSURED
of damage by fire, lightning, explosion, 4. Any person(s) or organization(s) with whom
smoke or sprinkler leakage, while rented to you have agreed in a valid written contract or
you or temporarily occupied by you with written agreement that such person or
permission of the owner. The limit is organization be added as an additional
increased to$300,000, insured on your policy during the policy
SECTION IV — COMMERCIAI... GENERAL period shown in the Declarations, Such
LIABILITY CONDITIONS, 4, Other Insurance, person or organization is an additional
b. Excess Insurance (1) (a) (if) is replaced insured only with respect to liability for
"bodily injury", "property damage" or
with� "personal and advertising injury".
(11) That is Fire, Lightning, Explosion, The person or organization, added as an
Smoke or Sprinkler leakage insurance insured by this endorsement is an insured
for premises rented to you or temporarily only to the extent you are held liable due to:
occupied by you with permission of the
owner.
Page 2 of 4 Includes copyrighted material of insurance Services Office, Inc., CG 72 88 11 11
with its permission,
DocuSign Envelope ID:622E9DC1-8F03-4B1C-AA8A-11C1D46D7FEA
CG 72 88 11 11
a. Lessors of Leased Equipment in the performance of your ongoing
Maintenance, operation or use of operations performed for that additional
equipment leased to you by such person insured, whether the work is performed by
or organization, This Insurance does not you or on your behalf.
apply to any "occurrence" which takes The insurance does not apply to:
place after the equipment lease expires. (1) "bodily injury", "property damage", or
However, their status as additional "personal and advertising injury" arising
insured under this policy ends when their out of the rendering of or the failure to
lease, contract of agreement with you render any professional architectural,
for such leased equipment expires. engineering or survey services,
b. Managers or Lessors of Premises including.
The ownership, maintenance or use of (a) The preparing, approving, or failing
that part of the premises you own, rent, to prepare or approve maps, shop
lease or occupy. drawings, opinions, reports, survey,
This insurance does not apply to: field orders, change orders or
drawings and specifications:or
(1) Any "occurrence" which takes place
after you cease to be a tenant in that (b) Supervisory, inspection,.. architec-
tural or engineering activities,
premises.
(2) "Bodily injury" or "property damage"
(2) Structural alterations, new con:- occurring after:
struction or demolition operations (a) All work, including materials, parts
performed by or an behalf of the or equipment furnished in
person or or ganization. connection with such work, on the
However, their status as additional project (other than service,
insured under this policy ends when you maintenance or repairs) to be
cease to be a tenant of such premises. performed by or on behalf of the
c. State or P,olitfcal Subdivision - additional insured(s) at the location
Permits of the covered operations has been
Operations performed by you or on your completed;or
behalf for which the state or political (b) That portion of "your work" out of
subdivision has issued a permit. which the injury or damage arises
has been put to its intended use by
This insurance does not apply to: any person or organization other
(1) "Bodily injury" or "property damage" than another contractor or
or "personal or advertising injury" subcontractor engaged in
arising out of operations performed performingi operations for a principal
for the state,or municipality; or as a part of the same!project.
(2) "Bodily injury" or "property damage"' However, a person or organization's
included within the "products- status as additional insured under this
completed operations hazard" policy ends when your operations for
However, such state or political that additional insured are completed,
subdivision's status as additional insured AGGREGATE LIMIT PER PROJECT
under this policy ends when the permit SECTION III — LIMITS OF INSURANCE The
ends. following paragraph is added to paragraph 2:
d, Owners, Lessees,or Contractors The General Aggregate Limit under Section
"Bodily injury", "property damage" or III Limits of Insurance applies separately to
"personal and advertising injury" caused, in each,of your construction projects away,from
whole or in part,by: premises owned by or rented to you.
(1) Your acts or emissions;or
(2) The acts or emissions of those acting on
your behalf;
CG 72 88 11 11 Includes copyrighted material of Insurance Serviices Office,Inc., Page 3 of 4
with its permission.
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1 D46D7FEA
CG 72 88 11 11
MEDICAL PAYMENTS policy provided such failure to disclose all
SECTION III — LIMITS OF INSURANCE, hazards or prior "occurrences"or offenses is
not intentional. This provision does not
Paragraph 7.is replaced; not our right to collect additional premium
7. Subject to 5.above,the higher of: or exercise our right of cancellation or non-
a. $10,000;or renewal.
b. The amount shown in the Declarations WAIVER OF SUBROGATION
for Medical Expense Limit is the most SECTION IV — COMMERCIAL GENERAL
we wiiI pay under Coverage C for all LIABILITY CONDITIONS, 8.Transfer of Rights
medical expenses because of "bodily of Recovery Against Others to Us is amended
injury'sustained by one person. to include:
This coverage does not apply if Coverage C — If required by a written contract executed
Medical Payments is excluded either by the prior to loss, we waive any right of
provisions of any coverage forms attached to the subrogation we may have against the
policy or by endorsement, contracting person or organization because
KNOWLEDGE OF AN OCCURRENCE of payments we make for injury or damage
SECTION IV — COMMERCIAL GENERAL arising out of your ongoing operations or
"your work" done under a contract with that
LIABILITY CONDITIONS, The following is added person or organization and included in the
to 2. Duties In The Event Of Occurrence, .,products-completed operations hazards".
Offense,Claim Or Suit condition: LIBERALIZATION
e. Knowledge of an occurrence, offense, claim SECTION IV — COMMERCIAL GENERAL
or suit by an agent or employee of any
insured shall not in itself constitute LIABILITY CONDITIONS, 10. Liberalization is knowledge of the insured unless you, a added as follows:
partner, if you are a partnership; or an If we revise this coverage form to provide more
executive officer or insurance manager, if coverage without additional premium charge,
you are a corporation receives such notice of your policy will automatically provide the
an occurrence, offense, claim or suit from additional coverage as of the day the revision is
the agent or employee. effective in your state.
f. The requirements in Section IV — BROADENED BODILY INJURY DEFINITION
Conditions Paragraph 2.b. will not be (MENTAL ANGUISH)
considered breached unless there is SECTION V — DEFINITIONS is amended as
knowledge of occurrence as outlined in follows:
paragraph e.above, 1. 3. "Bodily injury" is deleted and replaced with
UNINTENTIONAL FAILURE TO DISCLOSE the following:
HAZARD ""'Bodily injury' means physical injury,
SECTION IV — COMMERCIAL GENERAL sickness or disease to a person and, if
LIABILITY CONDITIONS, 6. Representations is arising out of the foregoing, mental anguish,
amended to include: mental injury, shock or humiliation, including
d. Your failure to disclose all hazards or prior death at any time resulting therefrom.
.occurrences" or offenses existing as of the
inception date of the policy shall not
prejudice the coverage afforded by this
All terms and conditions of this policy apply unless modified by this endorsement,.
Page 4 of 4 includes copyrighted material of Insurance Services Office, Inc., CG 72 8811 11
with its permission.
DocuSign Envelope ID:622E9DC1-81`03-4131C-AA8A-11 C1D46D7FEA
►R e
CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDPYYYYI
Imo- 041301201 s
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON I 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(ias) 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 endorsemDnt(s),
PRODUCER _ AOiI.AL:i. Array^H.Pasc'flal.. .�. ..�..
Ken B.Lawson,Jr. Extl 919-846-2090 �NXrNNo 919-846.2438
dba Lawson insurance Group,Inc, E-MAIL ADDRESS: pa'schaa o n,at0onwide.cont,
6812-101 Six Forks Road INSURERISI AFFORDING COVERAGE NAICN
Raleigh,INC 27615 INSURERA s Natlonwvide Mutual Insurance Company 23787
INSURED INSURER B: AmGUARD(Insurance Company 21873.._.
ProNet Systems,Inc, INSURrmc Nationwide Mutual Fire Ins Company 23779
320D Glen Royal Road INSURER O:
Suite 1017 INSURER E:
Raleigh,NC 27617 INSURER F
COVERAGES CERTIFICATE NUMBER; REVISION NiU R�MBE
THIS VS TO CERTIFY 'rHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN EID_PSSU 1.0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM( OR CONDITION OF ANY CONTRACT OR GATHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT"r'O ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Nsi ADt1L-S Ir R POLICY EFF POLICY EXP
I TR'. TYPE OF INSURANCE PCY LYC�Y NUMaER lMMIDDfYYY`Y) IMwcrWYYHY9 LIMITS .......
A, X COMMERCIAL GENERAL LIABILITY Y Y ACP2272994383 02/221201502122/2016 rfGHvr,c,Il r,rxlN I S 1,000,000
t�wMla l r r¢nf r*Ira 100 000
�t�rlw�m`.ptIaq X r'"R',d�I4� aCYV, ,fRraor,�a, el 5
X Contractual Llabili I EkYC"vfAro,y rr pw s r�l $ 6,000
X Contractors(Enhancement PI warc.NM nn VIN.pURY 3 1,000,000
r.. _
�n, AGG�raGAT��I_uMir At"tw..nE;E PEra C'e5.045r2RrI.A(�r;Rer;aTE .$ 2,00I0,000
"tta;I 2 000 000
f�wwroLlc,Y X . :�:T ;I�at'a ��"ROtaY,i),I.E-ca�a��rc.arn�e�l S y
rrrrlE,R
_. ....._.... ...
C AUTOMOBILE,LIABILITY Y Y ACP3006921314 1213112015112131 12016,„rte��c�w�° 'wa'I° Ilwa'a s 1,000,000
IX ANY AUIC ',, FiOr kI_"t INJURY IPme ,w.:,in) S
AL 'OWNED SCHEDULED _ ...
I X AUL OS AUTOS RODLY tlNIJURY IFler ai;.cKfkrnlN S
I*N•T>um1NL.L” till:?}°E T Y D/tM14F+0E
i X FIiI'F'F'ET,141I x: X r)h1 DS fuo+r dC✓L'iw.h..'Itll .•S
ACP2799438 02d21205,02122206 El,1 1CGUPoREhCE A X UMBRELLA LIAR $ 4,000,000
X EXCESS LIAR kCLAIMS r AO ,T<,aIlsEtEAIE S 4,000.,000
0FD X Rr, EN7*NS none -
ANDFEM PLOVERS I.IIARBIq ETh ,E:.Y:',C„�i"owa. NrA ..`. __ .._.....___..._.
B waoRhlll aoISPENSAnON `lrn PRWC663376 04/03/201504/0312016 X YHTF °
YIN
r w FA HAy t�CE T $ 1,000,000
OFF lMandarory In NH) '..-'..."'
r c.I�rISs,Y t E'AEW U)Y1 E.x 1,000,000
[ ,(RI PTSti)I OP E¢'"I":T"A 6 IONS ttm�o. L L DS EASE-POLICY iJW T S 1 000,0100
DESCRIPTION OF OPERATIONS;LOCA'nONS Y'VEHICLES (ACORD 161,Additional Remarks Schedu1o,may be attached If mows apace.Is raqulradl
Orange County Is Included as additional insured and Waiver of Subrogation applies per Blanket Contractors Enhancement
Endorsement CG 72 88 under the general liability pollcy, The Umbrella/Excess Liability policy is"follow forth"(please refer to
attachment). Blanket Waiver of Subrogation also applies to the workers compensation policy(please refer to attachment).
CERTIFICATE HOLDER CANCELLATION
Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN
P.0,Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS.
Hillsborough,NC 27278
AUTHORIZED REPR'ES,,NTA f
E-Mail: teomar @orangecountync.gov �^
I E Mall atf ronets! temslnc.com "
0A 1 68-2014 XCORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:622E9DC1-8F03-4B1C-AA8A-1 lC1D46D7FEA
INSURANCE Arxl U6►RD Incur the tdO t1 ., A Stock Company
43 ia16a R Y Policy Number 'it 76 Renewal of PRWC552943
NC CI No. [218731
Policy Information Page
......... .. ,. .
]Named insured and Mailing Address
PRO NET SYSTEMS INC.
3200"107 Glen Royal Roam
Raleigh, 'NC 27617 ;
i Federal 'Emplay r's ID Insured its Corporation
Risk ID Number 6049357
[2� Policy Period
,
—..---- µ._.- ....... .,_...,. ...... _.........,.. ._ ......................................
, ,.
From April 3, 2015 to April 3, 2016, 12,01 AM, standard lime at that insureds marling address. r
Coverage
f ,
A. Worker Compensation Insurance - part one of this policy applies to the W+;q*er:s"Compensation
l..aw of the follov,ring states: North Catofina
B, Employer's Liability Insurance-Part Two of this policy applies to avork in each of the states lasted �
in item i 31A, The tirnst^s of our l3abRRity under Earl:Tvvo are: I
Ei,4Ry injury by Accident each accident $1,000,000
Bodily Injury by Disease - each employee $1,000,000
Bodiiy Injury by Ol seas± - policy limit �i,00i7rC70C1
} C, Other States Insurance- Dart'fhare:e of tWs policy applies to all states,except any state fisted in
it=3rn (3}A, and the states of North Dakota, Oflio, Washington,ton, and Wyutnlrrg.
D, This policy includes these eodorsernenLs and schedules:
N Sep Extension of Inforrrratlon Page Schedule of Forms
» _
reaiat
T he Premium Basis and,therefore, the trerlur v4 he de termined ..
k
by ourr Manual of Rules,
Classifications, Rates, and Rating Plans All required information is suabjert to verification and Change by
audit. (CuonVnued; on another page)
Total Estinnated Policy Premium 6,558
Total Surcharges/Assessments 0.00
Total Estimated Cot d� Si Mi96N
Page • t _ Information Page
races r RWC663376 '' WC 000001A
Date .04,021201
lisswing C tw, P.O.Sox A-14,16 S.River Street,Wilkes-Sarre,PA 18 703--0020 o www.guard.com
DocuSign Envelope ID:622E9DC1-81`03-4131 C-AA8A-1 1 C1 D46D7FEA
WORKERS COMPENSAIION AND EMPLOYERS LfABILITY INSURANCE POLICY We 00 03 13
(Ed,4-C 4)
WAN ER OP OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
Wo havt than right lo mr*vor our paymerft from aayone lVable:fads`an Injury WvOrOKI by thi$00t '-W-)milli i"t enforca
our rW(Nal,,jst ilia p9m)n or oiganl7wtion iiamaJ in tt* Sctiedule, (Tt'dS agreemenI 8PI)RCIS,OMY It)the 0440t RIM
you pqrforM,woik jotwior as ver3tan wntract 1twit requiras you to obun Oft agreemenit flom us)
Thiv agreemarti Shall not cp,-Kate directly or irdrectly to ba;*fil anyone rx)t samed In the ScheWta
scwule
glankea Wafver -Any portion or orgaNy.a0un for wtom tbr Named Insureo has
jgrfPd by writren mimact to rumish tints waavef,
Job Description
All NC Operations
TWi endort;mrool Owips(he P lov to wtije4l it jN orjut;had ethd it oft#ctivo m the date isaved unlerm OtN"Wiml shtWid.
(The Informimtkio hat ow iv required only when this 011docawma"t Is isauod skubx*quoint to prepar"flan Q4 QW pollcy.)
Endomorniont Efftmfivo Paat¢cy No. No,
lAsurse
Insurance C.'ompai,.y (:ovntamigrmd by (05-1)' �* '
Wo 00 03 13
¢1.4-84)
1"3 1fQV*nQ1 coweA on comr*mowl
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1D46D7FEA
NATIONWIDE MUTUAL INSURANCE COMPANY 80483
ONE NATIONWIDE PLAZA RENEWAL
COLUMBUS, OH 43215-2220
COMMERCIAL GENERAL LIABILITY DECLARATIONS
Policy Numb ACP GLO 2272994383
Named rTs '° PRO NET SYSTEMS INC
3200 GLEN ROYAL RD STE 107
RALEIGH NC 27617-7419
Agent: KEN LAWSON, JR. µ 32-84483-401
Address: RALEIGH NC 27615 PRODUCER: KENNE'T'H B LAWSON JR
PoVicy Period: From 02122/15 to 02/22/16 12:01 A.M. standard time at the address of the named insured as stated
herein.
In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the
insurance as stated in this policy.
LIMITS OF INSURANCE
GENERAL AGGREGATE LIMIT other than roducts-cornpp�leted operations) $ 2,4014,004
PRODUCTS-COMPLETED OPETIONS AGGREGATE LIMIT 2,400,004
PERSONAL AND ADVERTISING INJURY LIMIT $ 1„000,000
EACH OCCURRENCE LIMIT $ 1,400,000
DAMAGE TO PREMISES RENTED TO YOU, LIMIT (any one premises) $ 100,000
MEDICAL EXPENSE LIMIT (any one person) $ 5,000
Retroactive Date (CGO002 only)
The Named Insured is: CORPORATION
Business of the Named Insured is: ELECTRICAL APPARATUS
Audit Period: ANNUAL
ENDORSEMENTS ATTACHED TO THIS POLICY
SEE COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS SCHEDULE
TOTAL ADVANCE PREMIUM $ 1,635.00
Replacement or
RenewM Number ACP GILD 2262994383
A PACKAGE MODIFICATION (FACTOR HAS SEEN APPLIED
' r
Countersigned By
Autl
GL-D (10- 8)
DIRECT BILL L6DQ 15009 AGENT COPY ACP GLQ 2272994383 837'701511 22 0007234
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1D46D7FEA
NATIONWIDE MUTUAL INSURANCE COMPANY
ONE NATIONWIDE PLAZA
COLUMBUS, OH 43215-2220
COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS
Number: ACP GLO 2272994383 Period: From 02122/15 To 02122116
Named Insured: PRO NET SYSTEMS INC
Form Date Title
CGO001 0413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM
CG2033 0413 ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN RE(
CG2106 0514 EXCLUSION- AC=CESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION
CG2147 1207 EMPLOYMENT- RELATED PRACTICES EXCLUSION
CG2150 0413 AMENDMENT OF LIQUOR LIABILITY EXCLUSION
CG2155 0999 TOTAL POLLUTION EXCLUSION WITH A HOSTILE FIRE EXCEPTION
CG2167 1204 FUNGI OR BACTERIA EXCLUSION
CG2170 10108 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM
CG2186 1204 EXCLU'SI'ON - EXTERIOR INSULATION AND FINISH SYSTEMS
CG2196 0305 SILICA OR 'SILICA-RELATED DUST EXCLUSION
CG2279 0413 EXCLUSION - CONTRACTORS - PROFESSIONAL LIABILITY
CG2426 0413 AMENDMENT OF INSURED CONTRACT DERNIITION
CG7023 1096 EXCL-ASBESTOS, ELECTRO-MAGNETIC RADIATION, LEAD AND RADON
CG7033 0393 TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US
(3+ CG7288 1111 CONTRACTORS ENHANCEMENT ENDORSEMENT
GC2187 0107 CONDITIONAL EXCLUSION OF TERRORISM (RELATING TO DISPOSTION OF FEDERAL TERRORISM
IL0017 1198 COMMON POLICY CONDITIONS
IL002.1 0908 NUCLEAR ENERGY LIABILITY EXCLUSION
IL0269 0908 NORTH CAROLINA CHANGES- CANCELLATION AND NONRENEWAL
13614 1185 SPECIAL. CONTINUATION PROVISION
IMPORTANT NOTICES
IN5017 0593 IMPORTANT NOTICE. FOR RENEWAL POLICIES
IN7300 0114 NOTICE TO POLICY HOLDERS POTENTIAL. RESTRICTIONS OF TERRORISM COVERAGE
IN7759 0514 NOTICE TO POLICYHOLDERS COMMERCIAL GENERAL. LIABILITY EXCLUSION - ACCESS OR DISC
GLDF (02-93)
DIRECT BILL L6DO 15009 AGENT COPY ACP GLO 2272994383 837101511 22 0007236
DocuSign Envelope ID:622E9DC1-8F03-4B1C-AA8A-llC1D46D7FEA
COMMERCIAL GENERAL LIABILITY
CG 72 8B 11 11
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS ENHANCEMENT ENDORSEMENT
This endorsement modifies insurance provided under the loliowing:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
LOST KEY COVERAGE 'Loss"means unintentional damage or
SEC11ON I — COVERAGES, COVERAGE A destruction:but does not include disappearance,
BODILY INJURY AND PROPERTY DAMAGE theft,or loss of use.
LIABILITY, coverage is extended to Include the NON-OWNED,WATERCRAFT
following: SECTION I — COVERAGES, COVERAGE A
U a customer's master or grand key, excluding BODILY INJURY AND PROPERTY DAMAGE
electronic key card, is lost while In your care, LIABILITY,2. Exclusions is amended as follows:
custody or control we will pay the cost of g. Aircraft, Auto Or Watercraft (2) (a) is
replacing the keys,including the master lock and replaced with:
all keys used in the same lock, the cost of (a) Less than 51 feet long;and
adjusting locks to accept the now keys, or the
cost to replace the looks,whichever is less. EXPANDED PROPERTY DAMAGE COV-
Limit, of Insurance - The most we will pay for ERAGE
'loss" arising out of any one "occurrence" is For the purposes of this endorsement only:
$5,000. SECTION I — COVERAGES, COVERAGE A
SECTION V DEFINITIONS is amended as BODILY INJURY AND PROPERTY DAMAGE
follows: LIABILITY,2. Exclusions is amended as follows:
The following definition applies to Lost Key a, Exclusions j.(3),j.(5),and j.(6) are
Coverage. deleted in their entirety.
"Loss!" means unintentional physical damage or b. Exclusion j.(4) is deleted in its entirety
destruction to tangible property,including theft or and replaced by the following:
disappearance. Tangible property does not Personal property In the care custody or
include money or securities. control of the insured:
VOLUNTARY PROPERTY DAMAGE 1. for storage or sale at premises you
SECTION I — COVERAGES, COVERAGE A own,rent or occupy;or
BODILY INJURY AND PROPERTY DAMAGE 2. while being transported by any
LIABILITY, coverage is extended to include the aircraft, "auto"' or watercraft owned
following: or operated by or rented to or loaned
At your request,we will pay for'property damage""to to any insured,
property of others caused by you and while in your c. The following exclusions are added:
possession, arising out of your business operations 1. The coverage provided by this
and occurring during Ow policy period. endorsement does not apply to
Limit of Insurance-The most we will pay for "property damage" arising out of the
"loss"arising out of any one"occurrence"is disappearance or loss of use of
$500, personal,property.
SECTION V—DEFINITIONS is amended as
follows:
The following definition applies to Voluntary
Property Damage coverage:
CG 72 88 11 11 Includes copyrighted material of Insurance Services Office,Inc., Page I of 4
with its permission.
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1 D46D7FEA
PG 72 88111 11
2. The coverage provided by this SUPPLEMENTARY'PAYMENTS
endorsement does not apply to SECTION I — COVERAGES, SUPPLEMEN-
"prop" damage" included in the TARY PAYMENTS—COVERAGES A AND B is
"products-co mpieted operations amended as follows:
hazard". 1, 1.b,replaced with-.
Limit of Insurance - The most we Will Pay b, Up to $2,500 for cost of ball bonds
for "property damage" provided by this required because of accidents or traffic
coverage in any one"occurrence"is$5,10100, law violations arising out of the use of
Deductible - Our obligation to pay for a any vehicle to which the Bodily Injury
covered toss applies only to the amount of Liability Coverage applies, We do not
loss In excess of$250, have to furnish these bonds.
This insurance is excess over any other valid 2. 1,d.replaced with:
and collectible insurance. d. All reasonable expenses incurred,by the
DAMAGE TO PREMISES RENTED TO YOU insured at our request to assist us in the
SECTION I — COVERAGES, COVERAGE A investigation or defense of the claim or
BODILY INJURY AND PROPERTY DAMAGE ",suit"", including actual loss of earnings
LIABILITY, the last paragraph of 2. Exclusions up to $500 a, day because of time off
of is replaced by the following: from work.
If Damage to Premises Rented to You is NEWLY FORMED AND ACQUIRED
not otherwise exciuded, exclusions c, ORGANIZATIONS
through n. do not apply to damage by fire, SECTION 11 — WHO IS AN INSURED is
lightning, explosion, smoke or spirinkler amended as follows:
leakage to premises while rented to you or 1. 3,a.is replaced with:
temporarily occupied by you With permission a. Coverage Under this provision is
of the owner. A separate limit of insurance
applies to this coverage as described in afforded only until the I ad"day after you
Section III-Limits of Insu rance. acquire or form the organization or the
end of the policy period, whichever is,
I
SECTION II — LIMITS OF INSURANCE, earlier;
paragraph 6 is replaced With:
ADDITIONAL INSURED — WHEN REQUIRED
6. Subject to 5. above, the Damage' To I AN AGREEMENT OR CONTRACT 'MATH
Premises Rented To You Limit is the most 'IOU
we will pay under Coverage A for damages The following is added to SECTION It—WHO IS
because of "property damage" to any one AN INSURED
premises,while rented to you,or in the case rganizatiDn(s) with whom
of damage by fire, lightning,, explosion, 4. Any persons) or o
smoke or sprinkler leakage, while rented to you have agreed in a valid written contract or
you or temporarily occupied by you with written agreement trial such persona or
permission of the owner. The limit is organization be added as an additional
increased to$300,000, insured on your policy during the policy
SECTION IV — COMMERCIAL GENERAL period shown In the Declarations. Such
LIABILITY CONDITIONS, 4. Otber Insurance, person or organization is an additional
b. Excess Insurance (1) (a) (11) is replaced insured only with respect to liability for
"bodily Injury"" "property damage" or
with; personal and advertising Injury",
(11) That is Fire, Lightning, Explosion, The person or organization added as an
Smoke or Sprinkler leakage insurance insured by this endorsement is an insured
for premises rented to you or temporarily only to the Went YOU are held liable due to:
occupied by you with permission of the
owner.
Page 2 of 4 Includes copyrighted material of Insurance Services Office,Inc., CG 72 88 11 11
with its permission.
DocuSign Envelope ID:622E9DC1-81`03-4131C-AA8A-11 C1D46D7FEA
CG 72 88 111 11
a. Lessors of Leased Equipment 'in the performance of your ongoing
Maintenance„ operation or use of operations performed for that additional
equipment leased to you by such person insure�cf, whether the work is performed by
or organization, This insurance does not you or on your behalf.
apply to any "'occurrence" which takes The insurance does not apply to;
place after the equipment lease expires. (1) "bodily injury", "property damage", or
However, their status as additional "personal and advertising Injury" arising
insured under this policy ends when their out of the rendering of or the failure to
lease, contract or agreement with your render any professional architectural,
for such leased equipment expires, engineering or survey services,
b. Managers or Lessors of Premises including.
The ownership, maintenance or use of (a) The preparing, approving,, or failling
that part of the premises you own, rent, to prepare or approve maps, shop
lease or occupy. drawings, opinions, reports, survey,
fie orders" change orders or
This insurance does not apply to: drawings and specifications:or
(1) Any "occurrence"which takes place (b). Supervisory, inspection, architec�
after you cease to be a tenant in that aural or engineering i activities.
premises.
( ) "Bodily injury" or "property damage"
(2) Structural alterations, new con- occurring after.
struction or demolition operations (a) All work, including materials, parts
performed by or on behalf of the or equipment furnished in
person or organization, connection with such work, on the
However, their status as additional project (other than service,
insured under this policy ends when you maintenance or repairs) to be
cease to be a tenant of such premises. performed by or on behalf of the
C. State or Political Subdivision - additional Insured(s) at the location
Permits of the covered operations has been
Operations performed by you or on your completed,or
behalf for which the state or political (b) That portion of "your work"' out of
subdivision has issued a permit. which the injury or damage arises
has been put to its intended use by
This insurance does not apply to: any person or organization other
(1) "Bodily injury" or "property damage'" than another contractor or
or "personal or advertising injury" subcontractor engaged in
arising out of operations performed performing operations for a principal
for the state or municipalitym or as a part of the same project.
(2) "Bodily injury' or "property damage" however, a person or organization's
included within the "products- status as additional insured under this
completed operations hazard". policy ends when your operations for
However, such state or political that additional insured are completed.
subdivision's status as additional insured AGGREGATE LIMIT PER PROJECT
C g paragraph
under this policy ends when the permit CTIC�t�I 111 LllvllT OF INSURANCE The
d,) ends. followin Is added to paragraph 2:
Owners,(Lessees,or Contractors The General Aggregate Limit under Section
C"'.moodily injury" ""property damage"" or III Limits of Insurance applies separately to
personal and advertising injury" caused, in each of your construction projects away from
whole or In part,by: premises owned by at rented to you.
(1) Your acts or omissions;or
(2) The acts or emissions of those acting on
your behalf;
CG 72 88 1111 includes copyrighted material at Insurance Services Office,Inc., Page 2 of 4
with its permission.
DocuSign Envelope ID:622E9DC1-8F03-4B1 C-AA8A-1 1 C1D46D7FEA
CG 72 88 11 11,
NwIEDICAL PAYMENTS hazards provided such failure to disclose all
hazards or prier"occurrences"or offenses is
SECTION III W- LIMITS OF INSURANCE, not intentional. This provision does not
Paragraph 7..is replaced: affect our right to collect additional premium
7. Subject to 5.above,the higher of: or exercise our right of cancellation or non
a. tt7,00t7;or renewal.
b. The amount shown in the Declarations WAIVER OF SUBROGATION
for Medical Expense Lamm is t h e most SECTION IV — COMMERCIAL GENERAL
we will pay under Coverage C for all LIABILITY CONDITIONS, 8.Transfer of Rights
medical expenses because of "bodily of Recovery Against Others to Us Is amended
injury'sustained by one person. 1 to Include:
This coverage does not apply if Coverage C — It required by a written contract executed
Medical Payments Is excluded either by the prior to Noss, we waive any right of
provisions of any coverage forms attached to the subrocgalion we may have against the
policy or by endorsement. contracting person or organization because
KNOWLEDGE OF AN OCCURRENCE of payments we make for injury or damage
arising out of your ongoing operations or
SECTION IV — COMMERCIAL GENERAL your work" done under a contract with that
LIABILITY CONDITIONS"The following is added person or organization and included in the �•
to 2. Duties In The Event Of Occurrence, 'products-completed operations hazards".
Offense,Claim Or Suit condition" LIBERALIZATION
e. Knowledge of an occurrence, offense,claim SECTION IV — COMMERCIAL GENERAL
or suit by an agent or employee of any LIABILITY CONDITIONS, 10. Liberalization is
insured shall not In itself constitute added as follows:
knowledge of the insured unless you, a
partner, if you are a partnership; or an It we revise this coverage form to provide more
executive officer or insurance manager, if coverage without additional premium charge,
you are a corporation receives such notice of your policy will automatically provide the
an occurrence, offense, claim or suit from additional coverage as of the day the revision is
the agent or employee, effective in your state.
I. The requirements in Section Ill — BROADENED BODILY INJURY DEFINITION
Conditions Paragraph 2.b. will not be (MENTAL ANGUISH)
considered breached unless there is SECTION 'V — DEFINITIONS is amended as
knowledge of occurrence as outlined in follows:
paragraph e.alcove. 1. S."Bodily injury"is deleted and replaced with
UNINTENTIONAL FAILURE TO DISCLOSE the following:
HAZARD "Bodily, injury' means physical Injury,
SECTION' IV — COMMERCIAL GENERAL sickness or disease to a person and, it
LIABILITY CONDITIONS, S.Representations is arising out of the foregoing,mental anguish„
amended to include: mental) injury,shock or humiliation, inciuding
d. Your failure to disclose all hazards or prior death at any time resulting therefrom.
.occurrences"' or offenses existing as of the
inception date of the policy shall not
prejudice the coverage afforded by this
All terms and conditions of this policy apply unless modHied by this endorsement.
Page 4 of 4 Inciud!es copyrighted materiel of Insurance Services Office,Inc., CG 72 68 11 11
wwrith Its permission..