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HomeMy WebLinkAbout2015-584-E AMS - Harris Bros. Electric & Controls, Inc. - install standby generators at Whitted and Seymour DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE [Departmental Use Only] TITLE Generators at Whitted/Seymour FY 2016 NORTH CAROLINA CONSTRUCTION AGREEMENT UNDER $250,000.00 ORANGE COUNTY THIS CONSTRUCTION AGREEMENT (hereinafter called "Agreement"), made as of the 29th day of October, 2015, by and between Harris Bros. Electric & Controls, Inc., (hereinafter called the "Contractor"), and Orange County, a body politic and a political subdivision of the State of North Carolina, (hereinafter called the "Owner"). WITNESSETH: That the Contractor and the Owner, for the consideration herein named, agree as follows: 1. CONTRACT DOCUMENTS; PRIORITY The Contract Documents consist of this Agreement, the Request for Proposals, Proposal, Construction Drawings and Written Specifications. The Contract Documents form the Contract. In the event of any inconsistency between or among the Contract Documents the Contract Documents shall be interpreted in the following order of priority: a. This Agreement. b. Designer Approved Bulletins and/or Field Orders. c. Request for Proposals and addenda thereto. d. Proposal. 2. SCOPE OF WORK The Contractor shall furnish and deliver all of the materials, and perform all of the work required by this Agreement within the time period stipulated in a written Notice-to-Proceed to be executed by the Contractor and Owner and in accordance with the following enumerated documents, which are made a part hereof as if fully contained herein: a. Construction Drawings prepared by NA (Sheet NA dated NA) b. Written specifications prepared by the project engineer. c. Orange County Bid No. 1710 proposal dated September 29, 2015 which fully describes the work to be performed, such work(hereinafter called the "Work"). d. Related documents listed under Section 1 above. 3. TERM AND SCHEDULING Revised 10/14 DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE a. The Contractor agrees to commence work pursuant to the written Notice-to Proceed. b. The Contractor agrees to complete substantially all Work included by February 28, 2016. c. Time is of the essence with respect to all dates specified in the Contract Documents as Completion Dates. d. The Contractor shall perform the Work in the time, manner and form required by the Contract Documents and as stipulated in a written Notice-to-Proceed to be executed by the Contractor and Owner. e. It is expressly understood that the Owner will employ other contractors to perform work as a part of the Project whose work will be performed simultaneously and sequentially with the performance of the Work by the Contractor. It shall be necessary for the Contractor to coordinate its activities with such other contractors, particularly with respect to access to work areas, storage of materials and other common facilities. f. Should the Owner determine that the Contractor is behind schedule Owner may require, at no additional cost to the Owner, the Contractor to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform the Work in accordance with the approved project schedule. 4. STANDARD OF CARE a. The Contractor shall exercise reasonable care and diligence in performing the Work in accordance with the highest generally accepted standards of this type of Contractor practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Contractor is solely responsible for the professional quality, accuracy and timely completion and/or submission of all work. b. The Contractor shall not load or permit any part of the Work to be loaded with a weight that will endanger its safety, intended performance or configuration. c. Contractor shall be responsible for all errors or omissions caused by its employees, agents, contractors, or assigns in the performance of the Agreement. Contractor shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the Owner. d. Contractor is an independent contractor of Owner. Any and all employees of the Contractor engaged by the Contractor in the performance of any work or services required of the Contractor under this Agreement, shall be considered employees or agents of the Contractor only and not of the Owner, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Contractor. e. Contractor agrees that Contractor, its employees, agents and its subcontractors, if any, shall be required to comply with all federal, state and local antidiscrimination laws, regulations and policies that relate to the performance of Contractor's services under this Agreement. Revised 10/14 2 DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE f. If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Contractor represents that it and/or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. 5. PAYMENT & TAXES a. The Owner hereby agrees to pay to the Contractor for the faithful performance of this Agreement, and the Contractor hereby agrees to perform all of the Work for a sum not-to- exceed Two hundred one thousand, one hundred and three Dollars ($201,103). Not later than the fifth (5th) day of each calendar month the Contractor shall submit to the Owner's Representative, generally the architect if an architect is retained on the Work, a Request for Payment for work done during the previous calendar month. i. The Request for Payment shall be in form of a standardized invoice or AIA Document G702-703 appropriately addressed to Owner's Representative at Orange County, PO Box 8181, Hillsborough, NC 27278 and shall show substantially the value of work done during the previous calendar month. ii. The amount due for payment shall be ninety-five percent (95%) of the value of work completed since the last Request for Payment and this amount shall be paid by the Owner on or before the last business day of the month. Owner shall retain five percent(5%). 1. Upon Owner's Representative's certification that ninety percent (90%) of the Work has been satisfactorily completed retainage may be discontinued. Retainage may be discontinued, at Owner's Discretion, so long as work continues to be completed satisfactorily and on schedule. iii. Final payment shall not be due to the Contractor until thirty (30) days after one hundred percent (100%) of the Work, including punch list work, has been satisfactorily completed and an appropriate affidavit as required in Section 7(c) below has been received by Owner. b. Should Owner reasonably determine that Contractor has failed to perform the Work related to a Request for Payment, Owner, at its discretion may provide the Contractor ten (10) days to cure the breach. Owner may withhold the accompanying payment without penalty until such time as Contractor cures the breach. i. Should Contractor or its representatives fail to cure the breach within ten (10) days, or fail to reasonably agree to such modified schedule, Owner may immediately terminate this Agreement in writing, without penalty or incurring further obligation to Contractor. ii. This section shall not be interpreted to limit the definition of breach to the failure to perform the Work related to a Request for Payment. c. The Contractor has included in the Contract Price and shall pay all taxes assessed by any authority on the Work or the labor and materials used therein. It shall be the Contractor's responsibility to furnish the Owner documentary evidence showing the materials used and sales and use tax paid by the Contractor and each of its subcontractors. 6. INSURANCE AND BONDS Revised 10/14 3 DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE a. Minimum 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 htlp://orangecounlync.gov/purchasing/contracts.asp). If Owner's Risk Manager determines additional insurance coverage is required such additional insurance shall be designated here NA (if no additional insurance required mark N/A as being not applicable). Contractor shall not commence construction work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. b. Performance Bonds — Contractor shall furnish bonds covering the faithful performance of the Contract and payment of all obligations arising under any of the Contract Documents or related in any way to the Work. Contractor shall immediately furnish a copy of such bonds to any requesting person who appears to be a potential beneficiary of bonds covering payment obligations arising under any of the Contract Documents. This subsection 6(b) applies only to Contracts of fifty thousand dollars ($50,000.00) or more where the total cost for the project is three hundred thousand dollars ($300,000.00) or more. 7. INDEMNITY a. The Contractor shall indemnify and hold harmless to the extent permitted by law the Owner and its agents and employees from and against any and all claims, damages, losses and expenses, including attorney's fees, arising out of or resulting from the performance or nonperformance of the Work, provided that any such claim, damages, loss or expense (A) is attributable to bodily injury, sickness, disease or death or injury to, or destruction of, property, including the loss of use resulting therefrom; and (B) is caused in whole or in part by any breach of any provision of the Agreement or by any negligent or wrongful act or omission of the Contractor, any Subcontractor, or supplier of the Contractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The indemnification obligation under this paragraph shall not be limited in any way by any limitation of the amount or type of damages, compensation or benefits payable by or for the Contractor or any subcontractor under workers' compensation acts, disability benefits acts or other employee benefit acts. b. The Contractor shall indemnify and hold harmless Owner from any lien of whatever type through the purchase of appropriate bonds and insurance as designated in Section 6 above. In the event any such lien is filed against Owner's property Contractor shall, through such bonds and insurance or at Contractors expense, defend Owner against all such claims of lien. c. Upon completion of the Work the Contractor shall execute an affidavit stating there are no unpaid debts for any work that has been done or materials that have been furnished to the Project prior to and as of the date of substantial completion and further stating that Contractor shall indemnify, save and protect Owner and Owner's lender, if any, harmless from and against any and all claims, liabilities, losses, damages, causes of action, and expenses (including court costs and reasonable attorney's fees related thereto) arising out Revised 10/14 4 DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE of, in connection with, or resulting from any such debts and liens. Such indemnification shall be in a form and substance acceptable to Owner. d. By executing this Agreement Contractor agrees to abide by and be bound by the indemnification provisions herein and of Section 7(c) specifically. 8. DISPUTE RESOLUTION AND GOVERNING LAW a. Owner and Contractor agree that should a dispute arise as to the terms of the Contract Documents the architect shall serve as the initial decision-maker, unless there is no architect retrained on the project related to the Work. Owner and Contractor further agree as follows: i. If there is no architect retained for the Work, Owner and Contractor agree, prior to the initiation of any civil litigation, to submit to mediation by agreeing on an individual to serve as mediator to mediate the dispute. ii. Should the Owner and Contractor fail to mutually agree on an individual to serve as mediator Owner may select a mediator to mediate the dispute. iii. Any mediator selected under this section shall be an attorney licensed to practice law in the State of North Carolina and shall be generally recognized as having experience in mediating construction disputes. iv. Owner and Contractor agree to equally share in the cost of a mediator selected under this section. b. The laws of the State of North Carolina shall apply to the interpretation and enforcement of this Agreement. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or nonperformance of, this Agreement or the Contract shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina and it is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. 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. c. Notice of any claim by Owner or Contractor must be initiated by written notice to the other Party within thirty (30) days of the occurrence of the event giving rise to the claim or within thirty (30) days of the discovery of the event or condition giving rise to the claim, whichever is later. i. Should any claim be made, regardless of whether such claim is made by Owner or Contractor, Contractor shall continue to faithfully and diligently perform the Work in such a manner as to meet all scheduled timelines. Any failure to faithfully and diligently perform the Work may be deemed, by the Owner, a breach of the Contract. ii. If a claim is made such claim shall be made to the initial decision maker, if applicable, who may request more supporting data, reject the claim in whole or in part, approve the claim in whole or in part or advise the parties the claim is unable to be resolved. iii. If a claim is made by the Owner the Owner may, but is not obligated to, notify the surety. 9. NON—APPROPRIATION Revised 10/14 5 DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE a. 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. b. 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 immediately 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 emergency fiscal measure during a substantial fiscal crisis. c. 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 under 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. 10. NOTICES Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Owner: Contractor: Orange County Harris Bros. Electric & Controls, Inc. Attn: Gordon Dively Attn: Calvin Harris P.O. Box 8181 2712 Hillsborough Rd Hillsborough, NC 27278 Durham, NC 27705 11. MISCELLANEOUS a. Duties and Obligations imposed by the Contract Documents shall be in addition to any Duties and Obligations imposed by state, federal or local law, rules, regulations and ordinances. b. No act or failure to act by the Owner or Contractor shall constitute a waiver of any right or duty granted them under the Contract Documents, nor shall any act or failure to act constitute any approval except as specifically agreed in writing. c. The Work shall be tested and inspected as required by the Contract Documents and as required by law. Unless prohibited by law the costs of all such tests and inspections related to state and federal codes such as ADA, Administrative, Electrical, Plumbing, Mechanical and Building Codes shall be borne by the Contractor. The costs for material and structural testing shall be conducted by an independent third party at the expense of the Owner. Delays related to any of the aforementioned tests and inspections shall not be grounds for delaying the completion of the work. If any such tests and inspections reveal deficiencies in the Work such that the Work does not comply with terms or requirements of the Contract Documents and/or the requirements of any code or law the Contractor is solely responsible for the cost of bringing such deficiencies into compliance with the terms of the Contract Documents and/or any code or law. Revised 10/14 6 DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE d. Should the Architect, if an architect is retained for the project involving the Work, or Owner reject any portion of the Work for failing to comply with the Contract Documents Contractor shall immediately, at Contractor's expense, correct the Work. Any such rejection may be made before or after substantial completion. If applicable, any additional expense borne by the Architect under this section shall be paid at Contractor's expense. e. The Contractor shall not assign any portion of this Agreement nor subcontract the Work in its entirety without the prior written consent of the Owner. f. 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 11 A and Article 40 of North Carolina General Statute Chapter 66. 12. CONSEQUENTIAL AND LIQUIDATED DAMAGES a. Owner and Contractor mutually waive any claim against each other for consequential damages. Consequential Damages include: i. Damages incurred by Owner for loss of use, income, financing, or business. ii. Damages incurred by Contractor for office expenses, including personnel, loss of financing, profit, income, business, damage to reputation, or any other non-direct damages. b. Liquidated damages shall be in accord with the Contract Documents. 13. TERMINATION OR SUSPENSION a. The Owner may, without cause, order the Contractor to terminate, suspend, delay or interrupt the Work in whole or in part for such period of time as the Owner may determine. In the event of termination by the Owner under this Agreement, the Contractor shall be entitled to receive its reasonable and documented direct costs prior to termination, including the cost of materials purchased for the Work which purchases cannot be canceled or which material cannot reasonably be used by the Contractor on other work, and the cost of closing down the work in a safe and efficient manner. i. If Owner orders a delay, suspension or interruption of the Work, and such order is not due to or as a result of any fault on the part of the Contractor, the Contractor may recover a per diem amount at a rate calculated by NA. ii. If Contractor elects to accept the amount listed in the General Conditions provision of the Construction Documents Contractor waives any right to further claims for payment of damages sustained as a result of Owner's order to delay, suspend or interrupt the Work. b. Contractor may terminate the Contract if, at the Owner's written direction, the Work is stopped for thirty (30) consecutive days through no act or fault of the Contractor, their agents or employees, or a subcontractor or their agents or employees or any other person performing work pursuant to the Contract Documents. Contractor may terminate the Contract if a Court or other Public authority having jurisdiction enters a lawful order that requires all work to be stopped and such stoppage lasts for thirty (30) consecutive days. Revised 10/14 7 DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE 14. ENTIRE AGREEMENT All of the documents listed, referenced or described in this Agreement, the written Notice-to- Proceed, together with Modifications made or issued in accordance herewith are the Contract Documents, and the work, labor, materials and completed construction required by the Contract Documents and all parts thereof is the Work. The Contract Documents constitute the entire agreement between Owner and Contractor. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. If any provision of the Agreement shall be declared invalid or unenforceable, the remainder of the Agreement shall continue in full force and effect. [SIGNATURE PAGE TO FOLLOW] Revised 10/14 8 DocuSign Envelope ID:989208A2-AC78-4885-B25B-F162607F73BE IN WITNESS WHEREOF, the Parties hereto have executed this Agreement as of the day and date first above written wholly or in a number of counterparts each of which shall, without proof or accounting for other counterparts, be deemed an original contract. ORANGE COUNTY CONTRACTOR —fDo'c"uSigned 1by:y: a 'n E ocuSigned by: I, *vvvk C1 AaMlMf,Vsb-, �w.rL ', —f0647994R 9E,41�4D926943G- Signature Signature County Manager Calvin R. Harris, President Printed Name and Title Revised 10/14 9 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE ry n Harris Bros. Electric & Controls, Inc. 2712 Hillsborough Road Durham, NC 27705 Phone: (919) 220-8500 ** Fax: (919) 220-7009 BID PROPOSAL Date: September 29, 2015 To: David Cannell Company: Orange County Financial Services - Purchasing Telephone: (919) 245-2651 Fax: (919) 636-4913 Email: dcanneIl@co.orange.nc.us From: Calvin Harris Company: Harris Bros. Electric & Controls, Inc. Telephone: (919) 220-8500 Fax: (919) 220-7009 Email: cahrtnrharrisOrnsn.com Project: Orange County-Whitted Building Scope of Work: Install 2 (two) 250kw generators: 1 Whitted Building 1 Seymour Building Design Build Total Base Bid for Whitted Building: $102,435.00 Total Base Bid for Seymour Building: $79,645.00 Alternate 1: Add to Base Bid if a fuel tank to run 72 hours per Note 60 is needed and not Note 16. This price has both Gen Sets included. Total Alternate 1: $9,332.00 (Add to Base Bid) Notes: • This bid does not include up-sizing the feeders from the ATS to the 2nd floor area on either of the ATS switches. • This bid does not include extending the generator concrete pad for the Seymour Building. • This price does not include a private locator;just 811 call. • This bid includes only one run of 500kcmii at the Seymour Building, which is good for 400A even though the ATS is rated at 800A. • A disconnect is required on the exterior of each building per the local inspectors in Hillsborough and in Chapel Hill. • Priced 500 gallon tank to provide 24 hour continuous run per Note 16 and not 72 hours per Note 60. Both are listed in Notes. • Work to be done during normal working hours. • Bid good for 30 days. DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE COUNTY OF ORANGE FINANCIAL SERVICES — PURCHASING PO BOX 8181 HILLSBOROUGH, NORTH CAROLINA 27278 ORANGE COUNTY BID NO. 1710 August 21, 2015 ATTENTION: E TERESTED VENDORS Orange County requests your competitive quotation to furnish the item(s) listed below for the Orange County Asset Management Department, Hillsborough, NC. Please transmit this quotation via facsimile or deliver by hand or U.S. Mail, to the Orange County Purchasing Agent- fax # (919) 636-4913 (NEW!!) or via email to dcannell oran ecount nc. ov or by hand to 200 South Cameron Street, Hillsborough, NC 27278 by September 9, 2015 at 2:00 PM ITEM QTY COMMODITIES/GOODS OR SERVICES I TOTAL COST LUMP SUM COST FOR FURNISHING AND INSTALLING 25OKW 1 1 DIESEL STANDBY GENERATOR AND AUTOMATIC TRANSFER $ SWITCHFOR SEYMOUR CENTER IN CHAPEL HILL PER ATTACHED SPECS AND DRAWINGS. STATE MAKE/MODEL BID GENERATOR: t ? ATS: 1 yCS— A-,M TA -G geydS LUMP SUM COST FOR FURNISHING AND INSTALLING 25OKW 2 1 DIESEL STANDBY GENERATOR AND AUTOMATIC TRANSFERS SWITCHFOR WHITTED CENTER IN HILLSBOROUGH PER ATTACHED SPECS AND DRAWINGS. STATE MAKE/MODEL BID GENERATOR: KahIer 9666602.-'C ATS: 16oh le,- Acs .4p#7-A ° 0,2665 Please confirm receip f addendum Addendum #1 Addendum #4 Addendum #2 Addendum #5 Addendum #3 Addendum #6 PLEASE SEE ATTACHED INSTRUCTIONS TO BIDDERS License FIRM NAME ir E.t J3 f At t. .c tdm rin c-, BYr/�� °' (Proposal must be signed in writing) ADDRESS ;- 'y. rts .i- FAX: TELEPHONE: `fl EMAIL_: DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE COUNTY OF ORANGE DEPARTMENT OF PURCHASING & CENTRAL SERVICES 200 S Cameron Street/ P.O. BOX 8181 HILLSBOROUGH, NC 27278 SPECIFICATIONS It is the intention of Orange County to purchase two (2) 250 kW diesel powered generator for standby power for the Richard Seymour Center 2551 Homestead Road, Chapel Hill and one (1) for the Richard Whitted Center at 300 West Tryon Street, Hillsbrough Each generator will be connected to an Automatic Transfer Switch. These generators shall be installed to maintain heat and cooling if necessary in the buildings. . Reference to brand names in the specifications is made to aid the bidder and indicates more clearly the quality desired and is not done to limit or restrict the bidding to any particular brand. The following specifications are intended to detail Orange County's minimum requirements. Please answer "Y" for "yes" and "N" for "no" to the questions listed below as to whether minimum specifications are met. Slight deviations may be accepted. Please use the space provided to the right to list any and/or all variances to the specifications. Specifications for STANDBY DIESEL GENERATORS item # DESCRIPTION YES NO VARIANCE Generator Specifications Two each - Model SJ-250-111 Stateline Generator Set - 1 Stationary Standby -- Or Equal 250 KW (312 KVA) Standby, 225 KW (281 KVA) Prime 2 Power 2771480 Volts [reconnectable], 60 Hz Three Phase, 0.8 3 Power Factor 4 Amp Load Capacity:376 - Load Bank tested John Deere Diesel engine, Model 6090HF485V @ 1800 RPM complete with 12 Volt Electrics, Radiator & Guard, 5 orequal Marathon Brushless Single Bearing Alternator with Adjustable Rheostat, Automatic Voltage Regulator & 6 Vibration Isolation Mounts PMG/PM300 Basler 2020 Digital Control Panel with Safety Shutdowns with DC Voltmeter, Hourmeter, Frequency Meter, 7 Ammeter & Voltmeter,Panel Mounted Low in Rear Panel ' 8 Battery Cables, Battery Rack, 6 amp Battery Charger 9 Cowl Muffler mounted inside .a 10 Electronic Governor 2 AutoStart Control with Overspeed & Overcrank Shutdowns, [Necessary for use with Automatic Transfer 11 Switch or for Remote Starting]r 12 Heavy Duty Canister Type Air Cleaner 13 Jacket Water Heater ? Standard Aluminum wl foam Weather Enclosure with ? 14 Fluid Drains I 15 2-250Amp MLCB Mounted DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE 500 Gal UL142 Doubl Wall Sub Base Fuel Tank (24 hour 16 Q 100% Load 17 Saftey Switches, Vents 18 Automatic Transfer Switches - Quantity of 2 19 Product Family: Wall Mount 20 Switch Type: Automatic Contactor 40A thru 1600A 21 4801277v, 60hz, 3 Phase, 4 Wire, 3 poles 22 Transition Mode: Open 23 Controller Type: ATC-300+ 7 24 Continuous Current: 225 Amps 25 Withstand: 50kA spc/30kA any 7 Normal Source Terminals: (2) 310-250 OR (1) 310-600 7 26 CU/AL y Emergency Source Terminals: (2) 310-250 OR (1) 310-600 27 CU/AL 28 Load Side Terminals: (2) 310-250 OR (1) 310-600 CU/AL 29 Neutral Terminals: (6) 250-500 CU/AL ? Standard Features: 1a, 2a, 3a, 4a, 5h, 5j, 5k, 51, 6b, 7a, 8c, 8d, 12c, 12d, 12g, 12h, 141, 14m, 15e, 15f, 23k, 26d, 30 26h, 26', 26k, 261, 32f, 35a, 42, 48f, 49c, , 31 Scope of Work 32 Obtain required permits. Disconnect and remove existing generator (outside) and f 33 1 transfer switch in basement). Deliver existing generator and transfer switch to Orange ✓' 34 County Motor Pool site. Install (2) 225 amp automatic transfer switches -wired from existing MDP panel in basement to new transfer 35 switches - materials included. One at each site Wire from new generator to new transfer switches - 36 materials included. 2 runs of EMT piping from generator to each transfer switch - one each for power, one each for starting ✓' 37 connections. Piping in basement must be run in ceiling and fastened 38 properly without damaging existing pipe or ductwork. 39 PIPING MUST BE EMT-WIRE MUST BE COPPER. ALL WORK MUST COMPLY TO NATIONAL / 40 ELECTRICAL CODE AND TO LOCAL CODE. ✓ WHITTED - Rework existing concrete pad to increase size to 186" long X 72" wide - keeping same thickness as existing pad and keeping 24" stub up area for electrical ✓' 41 wiring in the center of pad. 42 SEYMOUR - use existing concrete pad Ditch from generator to building -- 811 LOCATOR �r 43 SERVICE REQUIRED. Uncover existing buried pipe, inspect and replace if 44 necessary. DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Supply necessary crane to remove existing generator and set new generator on reworked concrete pad from parking lot -- PROTECTING EXISTING TREES AND GROUNDS 45 FROM DAMAGE. 46 Start up to include: 47 Programming transfer switches t,/' 48 Testing Vol- 49 Load Transfer 50 Training of personnel 51 Warranty registration ✓ 52 Additional Requirements 4 sets of Operator Manuals for Generator and for ✓ 53 Automatic Transfer Switches 54 Warranty service certification required Guarantee. The bidder guarantees that the equipment offered is standard new materials, latest model. The equipment must be guaranteed against faulty material and workmanship for the period of manufacturer's warranty, or for a minimum period of twelve (12) months from the date the installed equipment is accepted by the County whichever period is longer. If during this period such faults develop, the bidder agrees to correct or replace items . affected without cost to the County. And all charges paid for by the Contractor. Such replacement shall include all parts, labor, and transportation costs to the location where equipment has failed, free of any charge to the County. If required, the bidder agrees as a condition of award that he will sign and execute a proper agreement to cover this 55 guarantee Manufacturer Qualifications. This system shall be supplied by a manufacturer who has been regularly engaged in the production of engine-alternator set, transfer switches, and associated controls for a minimum of ten years, so there is one source of supply and responsibility. To be classified as a manufacturer, the builder of the generator set must manufacture at least the engine or alternator. The manufacturer shall have printed literature and brochures describing the standard series specified, not a one of a 56 kind fabrication. Service; Supplier of the electric plant and associated items shall have a permanent service facility within 100 miles of the job site. These facilities shall comprise a permanent force of factory trained service personnel on 24 hour call, experienced in servicing this type of equipment, providing warranty and routine maintenance service to afford the owner maximum protection. Delegation of this service responsibility for any of the equipment listed herein will not be considered fulfillment of these specifications. Service equipment shall be provided. General operation instructions, preventive 57 maintenance, wiring diagrams, schematics and parts DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE exploded views specific to this model must be included GENERATORS MUST BE CAPABLE RUNNING ON 58 BIODIESEL All equipment must be new, and unused and UL listed .� 59 where applicable The 72 Hour run time of the Tanks is based on full load of 5r e u�� 60 the generators tanks. 61 INSTALLATION, SUCCESSFUL BIDDER FOR THESE SECTIONS SHALL 62 BE RESPONSIBLE FOR THE FOLLOWING: Provide any and all necessary conduit, wiring, connectors, brackets etc for the successful installation of the each unit. Provide any and all necessary trenching, intrusions / on any external or internal walls and repair any of said 63 items. Equipment shall be placed on existing pads/surfaces, 6„I� unless existing pads/surfaces are not adequately sized. n^ If required, bidder shall provide a concrete pad as an t3 64 extension of the existing to accommodate the generator. All fuel connections in accordance with the manufacturers 65 recommendations. All electrical connections to the building existing power supply will conform to National Electrical Code and applicable inspection authorities. Applicable transfer switch controls, electrical components and mounting 66 hardware shall be furnished by the supplier Contractor shall be responsible for any applicable permits, and shall furnish an external main disconnect if required 67 by inspections Any necessary equipment to remove generator from delivery truck and place on pad. Existing generator and transfer switches shall be placed by contractor on vehicles / 68 supplied by the County. 69 Clean worksite on a daily basis to avoid disruption Contractor shall be responsible for contacting ULOCO f 70 prior to any digging 71 Any and all work shall meet applicable codes. Proposal Data The following data relating to the engine shall be submitted with the proposal: (this can be submitted electronically to dcannell @co.orange.nc.us or by providing web site addresses. Manufacturer, prime and standby ratings, and catalog or series number Outline drawing showing physical dimensions Radiated heat (by engine) Radiator air flow DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Combustion air flow Exhaust gas temperature at manifold outlet Fuel consumption at 25%, 50%, 75% and 100% rated output, for both prime and standby ratings Emissions data for 100% rated output Location of nearest manufacturer's agent for service and maintenance The following data relating to the generator shall be submitted with the proposal: 1. Manufacturer, prime and standby ratings, and catalog number or series number 2. Outline drawing showing physical dimensions 3. Radiated heat 4. Waveform deviation factor and telephone influence factor The following data relating to the transfer switch, line breaker, and generator breaker shall be submitted with the proposal: 1. Manufacturer, rating, and catalog number or series number 2. Outline drawing showing physical dimensions 3. Control descriptive data and schematic diagram The following data relating to the weatherproof housing shall be submitted with the proposal: 1. Manufacturer, size, and catalog number or series number 2. Outline drawing showing physical dimensions DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE ORANGE COUNTY NORTH CAROLINA Orange County Financial Services Department ADDENDUM#1 September 11, 2015 BID 1710 Orange County Standby Generators To all Vendors: Modifications to bid documents for the above-named Request for Proposal are made as follows and shall be included in the proposed amount. See page 2 All other terms and conditions shall remain the same By: David E. Cannell, Purchasing Agent; dcannell(@.co.orange.nc.us 1(919) 245-2651 Acknowledgement of receipt of this addendum shall be included with your submittal (page 1 only) Company Name: rrr q it ra 6#c l)W Can,Ira /4 By: ?l'J��c-- Date Received: P.O. Box 8181 200 South Cameron Street Hillsborough, North Carolina 27278 Telephones: Area Code 919-245-2651 Fax: 919-636-4913 Orange County, 200 S.Cameron Street, Hillsborough, North Carolina 27278 Page 1 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Addendum items: 1. The due date has been extended until September 29, 2015 at 3:00 pm 2. Bio diesel is not required 3. No bid, Performance or payment bond-are required 4. 2 transfer switches at Whitted, 225 5. 800 amp ATS at Seymour 6. Bidders can access the sites on Wednesday September 16 from 1:30 to 3:30 (1:30 to 2:30 at Whitted and 2:30 to 3:30 at Seymour) 7. We have been advised that if the project (Whitted or Seymour) exceeds $90,000 sealed drawings by an engineer would be required to obtain a permit. Therefor if your bid for either bid exceeds $90K we are asking you to provide your cost to provide your cost to engage an engineer and provide sealed drawings. Please note only the successful bidder would engage an engineer. Please list your cost below for each,installation. Do not include them in your lump sum bid, however they will be used to establish low bidder. Orange county will have a contingency of $5000 per site for unforeseen items that may be discovered by engineer. (do not include this in your bid) In'the event the individual site is under$90k enter NA: Cost to engage engineer for sealed drawings Seymour Center - $ Gyg. Cost to engage engineer for sealed drawings Whitted Center - $ Orange County, 200 S.Cameron Street, Hillsborough, North Carolina 27278 Page 2 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE KOHLER. Power systems 25QRE4ZJE 60 HZ. DIESEL INDUSTRIAL GENERATOR SET EMISSION DATA SHEET ENGINE INFORMATION Model: John Deere,6090HF484B Bore: 118.4mm(4.66 in.) Nameplate BHP @ 1800 RPM: 385 Stroke: 136mm(5.35 in.) Type: 4-Cycle,6 Cylinder,Inline Displacement: 9.0 L(548 cu.in.) Aspiration: Turbocharged,Charge Air-Cooled r ompression Ratio 16.0:1 EPA Family: FJDXL09.0114 EPA Certificate: FJDXL09.0114-007 Table 1 114 112 314 Full PERFORMANCE DATA: Standby Standb Standb Standb Engine bkW @ Stated Load 72.50 145.00 217.50 280.00 Fuel Consumption(g/kWh) 247.10 247.80 231.50 200.10 Exhaust Gas Flow(m'Imin) 54.10 Exhaust Temperature(°C) 625.00 Table 2 EXHAUST EMISSION DATA: EPA CERTIFICATE DATA HC(Total Unburned Hydrocarbons) 0.05 NOx(Oxides of Nitrogen as NO2) 3.8 CO(Carbon Monoxide) 0.9 PM(Particular Matter) 0,11 Values are in g/kWh unless otherwise noted TEST METHODS AND CONDITIONS The EPA Certificate Data in Table 2 is a weighted average value per ISO 8528 D2. Data and specifications subject to change without notice For further information, please contact Todd Loes at John Deere Power Systems, 319-292-6050 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Industrial Generator Set Accessories Weather/Sound Enclosure and KOHL R. Power Sxysotems Subbase Fuel Tank Package 09401 Applicable to the following: 20-40REOZJC NATIONALLY REGISTERED 50/60REOZJD 80/100/150/180/200 R EOZJ F 125/18OREOZJG 40/50/230-275REOZJE 30OREOZJ Weather Enclosure Standard Features ® • Internal-mounted silencer and flexible exhaust connector. • Lift base or tank-mounted,steel construction with hinged doors. • Fade-, scratch-, and corrosion-resistant Kohler® Power Armor"` cream beige automotive-grade textured finish. o O 1 11 • Enclosure has four large access doors which allow for Enclosure with Standard Subbase Fuel Tank easy maintenance. • Lockable,flush-mounted door latches. • Vertical air inlet and outlet discharge to redirect air and reduce noise. • Certified to withstand 241 kph(150 mph)wind load rating. Sound Enclosure Standard Features ® ® • Includes all of the weather enclosure features with the addition of acoustic insulation material. • Lift base or tank-mounted,steel or aluminum construction with hinged doors. Aluminum enclosures are recommended for high humidity and/or high salt) • coastal regions. • Acoustic insulation that meets UL 94 HF1 flammability O classification and repels moisture absorption. • Sound attenuated enclosure that uses up to 51 mm Enclosure with State Code Subbase Fuel Tank (2 in.)of acoustic insulation. Subbase Fuel Tank Features • The fuel tank has a Power Armor Pius- textured epoxy-based rubberized coating. • The above-ground rectangular secondary containment tank mounts directly to the generator set, below the generator set skid (subbase). • Both the inner and outer tanks have emergency relief vents. • Flexible fuel lines are provided with subbase fuel tank Available Approvals and Listings selection. • The secondary containment generator set base tank ❑ UL 2200 Listing meets UL 142 tank requirements. The inner(primary) ❑ CSA Certified lank is sealed inside the outer(secondary)tank. The ❑ IBC Seismic Certification outer tank contains the fuel if the inner tank leaks or ❑ California OSHPD Approval ruptures. ❑ cUL Listing (fuel tanks only) • State tanks with varying capacities are an available NOTE: Some models may have limited third-party option. Florida Dept. of Environmental Protection approvals,see your local distributor for details. (FDEP) File No. EQ-634 approved. G6-99 51140a Page 1 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Weather and Sound Enclosure Fade-,scratch-,and Hinged doors Lockable,flush- Enclosed exhaust silencer Vertical air corrosion-resistant for ease of mounted door latches for improved safety and discharge through Power Armor'°finish servicing prevent tampering nolsereduction an air o"grille t7.Y�itfll15A� I I I I I e 0 4 e ° 1 77 1 1 101 ADVa42s- Alternator Rodent guards and Fixed air Oil drain Acoustic insulation access skid end caps flow inlet and radiator meeting UL 94 HF1 panel prevent animal entry grille drains flammability classification Note: 20-40RE07-IC models shown,other models are similar. Refer to the respective ADV drawings for details. Enclosure Features • Available in steel (14 gauge)formed panel,solid • Interchangeable modular panel construction. Allows construction. Preassembled package offering corrosion complete serviceability or replacement without resistant,dent resilient structure mounting directly to lift compromising enclosure design. base or fuel tank. • Cooling combustion air intake with a horizontal air inlet. • Power Armor' automotive-grade finish resulting in advanced Sized for maximum cooling airflow. corrosion and abrasion protection as well as enhanced edge coverage and color retention. • Service access. Multi-personnel doors for easy access to generator set control and servicing of the fuel fill,fuel gauge, • Internal exhaust silencer offering maximum component life of fill, and battery. and operator safety. • Cooling air discharge. Weather protective design featuring a NOTE: Installing an additional length of exhaust tail pipe may vertical air discharge outlet grille. Redirects cooling air up increase backpressure levels. Please refertothe generatorset and above enclosure to reduce ambient noise. spec sheet for the maximum backpressure value. Additional Sound Enclosure Features • Available in steel (14 gauge)or aluminum 3-2 mm(0.125 in.) • Cooling air discharge. The sound enclosures include formed panel,solid construction. acoustic insulation with urethane film. • Attenuated design. Acoustic insulation UL 94 HF1 listed for flame resistance offering up to 51 mm (2 in.) mechanically restrained acoustic insulation. G6-99 5114aa Page DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Subbase Fuel Tank Electrical Removable Emergency Normal Law Additional fitting Power Armor Plus'coating stub-up area engine supply inner tank vent fuel level for optional for advanced corrosion and open to bottom diptube relief vent switch accessory abrasion protection 0 0 00 0 0 D Ott 0 EP i i I 1 1 I 1 I 1 I I O I O 1 I OO® o O { ® O 1 o0 00 0 o oo 000 o G 0 0 0 Fuel fill with Fuel leak Removable fuel lockable cap and Fuel level Emergency outer Basin detection switch return diptube 203 mm(8 in.)riser gauge tank relief vent drain EM 11 ' II 1 0 Note: 20-40REOZJC models shown,other models are similar- Refer to the respective AQV drawings for details. ADV--7434 Standard Subbase Fuel Tank Features • Extended operation. Usable tank capacity offers full load • Emergency pressure relief vents. Vents ensure adequate standby operation of up to 72 hours. venting of the inner and outer tank under extreme pressure and/or emergency conditions. • Power Armor Plus- textured epoxy-based rubberized coating that creates an ultra-thick barrier between the tank • Normal vent with cap. Vent is raised above lockable fuel fill. and harsh environmental conditions like humidity,saltwater, and extreme temperatures, and provides advanced corrosion • Law fuel level switch. Annunciates a 50%low fuel level and abrasion protection. condition at generator set control. • UL listed. Secondary containment generator set base tank • Leak detection switch. Annunciates a contained primary tank meeting UL 142 requirements. fuel leak condition at generator set control. • NFPA compliant. Designed to comply with the installation • Electrical stub-up. standards of NFPA 30 and NFPA 37. • Integral external lift lugs. Enables crane with spreader-bar lifting of the complete package(empty tank, mounted generator set, and enclosure)to ensure safety. G&99 5l14aa Page 3 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE State Code Subbase Fuel Tank Electrical Fuel leak Additional fitting Low Power Armor Pius'coaling Emergency Additional fitting Basin stub-up area detection for optional fuel level for advanced corrosion and inner lank for optional drain open to bottom switch accessory switch abrasion protection relief vent accessory O Removable Removable Normal Top fluid Fuel fill with Fuel level Emergency outer engine supply fuel return vent containment lockable cap and gauge tank relief vent diplube diptube drain 51 mm(2 in.)riser oll O 0 O9 ED ADV-704-B Note: 20-40REOZJC models shown,other models are similar. Refer to the respective ADV drawings for details. State Code Subbase Fuel Tank Features • State tank designed to comply with the installation standards • Includes all of the Standard Subbase Fuel Tank Features. of the Florida Dept. of Environmental Protection(FDEP) File No. EQ-634, State Code Subbase Fuel Tank Options Bottom Clearance Fuel Supply Options ❑ 1-beams, provides 106 mm (4.2 in.)of ground clearance ❑ Fire safety valve(installed on fuel supply line) Fuel in Basin Options ❑ Ball valve(installed on fuel supply line) ❑ Fuel in basin switch, Florida Dept.of Environmental High Fuel Level Switch Protection (FDEP) File No. EQ-662 approved ❑ High fuel level switch Fuel Fill Options ❑ High fuel level switch, Florida Dept. of Environmental C] Fill pipe extension to within 152 mm(6 in.)of bottom of fuel Protection(FDEP)File No. EQ-682 approved tank. Normal Vent Options ❑ 18.9 L(5 gallon)spill containment with 95%shutoff ❑ 18.9 L(5 gallon)spill containment C] 3.7 m (12 ft.)above grade(without spill containment) ❑ 3.7 m (12 ft.)above grade(with spill containment) ❑ 18.9 L(5 gallon)spill containment fill to within 152 mm(6 in.) of bottom of fuel tank Tank Marking Options ❑ 28.4 L(7.5 gallon)spill containment, Florida Dept. of ❑ Decal, Combustible Liquids- Keep Fire Away(qty. 2) Environmental Protection (FDEP) File No. EQ-345 approved ❑ Decal, NFPA 704 identification(qty. 2) ❑ 28.4 L(7.5 gallon)spill containment with 95%shutoff, Florida Dept.of Environmental Protection (FDEP) File No. ❑ Decal,tank number and safe fuel fill height(qty.2) EQ-3451 EQ-257 approved ❑ Decal,tank number and safe fuel fill height, NFPA 704 identification G6-99 5l14aa Page 4 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Enclosure and Subbase Fuel Tank Specifications Sound Enclosure and Subbase Fuel Tank Pressure at Est.Fuel 60 Hz with Supply Hours Max, Dimensions,mm(in.) Max.Weight,kg(lb.)* Full Load at Fuel Tank at 60 Hz with Fuel Tank 7 m(23 ft.), Capacity, Full Load, With Steel With Aluminum Height, Weather/ L(gal.) NominallActual I Length Width Height Enclosure Enclosure mm(in.) Sound dB(A) 20REOZJC without IBC Seismic Certification No Tank 0 1438 (56.6) 943 (2080) 830 (1830) 152 (6) 295 (78) 24141 1722 (67.8) 1167 (2572)* 1053 (2322)* 305(12) 2320 (91.3) 1077 (42.4) 78/65 424 (112) 36158 1824 (71.8) 1201 (2647)* 1087 (2397)* 406(16) 621 (164) 48/86 1976(77.8) 1251 (2759)* 1138 (2509)* 559 (22) 20REOZJC with 1BC Seismic Certification No Tank 0 1384 (54.6) 943 (2080) 830 (1830) 100 (4) 295 (78) 24/41 1671 (65.8) 1272 (2806)* 1159 (2556)` 254 (10) 2320 (91.3) 1077 (42.4) 7s165 428 (113) 36/59 1773 (69.8) 1321 (2913)* 1208 (2663)* 358 (14) 625(165) 48/86 1925 (75.8) 1393 (3073)* 1280 (2823)* 508 (20) 20REOZJC with State Code Fuel Tankt 439 (116) 24/61 1671 (65.8) 1362 (3003)* 1249 (2753)* 358 (14) 556(147) 48177 2896 (114) 1077 (42.4) 1849(72.8) 1459 (3217)* 1346 (2967)* 432 (17) 78/65 958(253) 72/133 2103(82.8) 1514 (3338)* 1401 (3088)* 686(27) 30REOZJC without IBC Seismic Certification No Tank 0 1438 (56.6) 1007 (2220) 694 (1970) 152 (6) 295 (78) 24/27 1722 (67.8) 1230 (2712)* 1117 (2462)* 305,(12)2320 (9t.3} 1077 (42.4) 78165 424 (112) 36/40 1824 (71.8) 1264 (2787)* 1151 (2537)* 406 (16) 621 (164) 48/58 1976 (77.8) 1315 (2899)* 1202 (2649)* 559(22) 30REOZJC with IBC Seismic Certification No Tank 0 1384 (54.6) 1007 (2220) 894 (1970) 100 (4) 295 (78) 24/27 1671 (65.8) 1336 (2946)* 1223 (2696)* 254 (10) 2320 (91.3) 1077 (42.4) 78165 428 (113) 36140 1773(69.8) 1385 (3053)* 1271 (2803)* 358 (14) 625(165) 48/58 1925(75.8) 1457 (3213)* 1344 (2963)* 508 (20) 30REOZJC with State Code Fuel Tankt 439 (116) 24/41 1671 (65.8) 1424 (3139)* 1311 (2889)* 358 (14) 556(147) 48152 2896 (114) 1077 (42.4) 1849(72.8) 1521 (3353)* 1408 (3103)* 432 (17) 78r-5 958(253) 72/90 2103(82.8) 1576 (3474)* 1463 (3224)* 686 (27) 40FIEOZJC without IBC Seismic Certification No Tank 0 11438 (56.6) 966 (2130) 853 {l 880) 152 (6) 424(112) 24/32 1824 (71.8) 1223 (2697)* 1110 (2447)* 406 (16) 621 (164) 48148 2320 (91.3) 1077 (42.4) 1976 (77.8) 1274 (2809)* 1161 (2559)* 559 (22) 78/65 946(250) 72/73 2230 (87.8) 1555 (3429)* 1442 (3179)* 813(32) 40REOZJC with IBC Seismic Certification No Tank 0 1384 (54.6) 966 (2130) 853 (1880) 100 (4) 428 (113) 24/33 1773 (69.8) 1344 (2963)* 1231 (2713)* 358 (14) 2320 (311.3) 1077 (42.4} 76/65 625(165) 48/48 1925 (75.8) 1416 (3123)* 1303 (2873)* 508 (20) 95B(253) 72/74 2179(85.8) 1736 (3826)* 1622 (3576)* 762 (30) 40REOZJC with State Code Fuel Tankt 439 (116) 1 24/34 1671 (65.8) 1451 (3199)* 1338 (2949)* 358(14) 958(253) 48/74 2896 (114) 1077 (42.4) 2103(82.8) 1575 (3472)* 1462 (3222)* 686 (27) 78/65 Note: Data in table is for reference only,refer to the respective ADV drawings for details. Note: Refer to TIB-114 for generator set sound data. * Max.weight includes the generator set(wet)using the largest alternator option,enclosure with acoustic insulation added,silencer,and tank(no fuel). t State code fuel tank specifications(height and weight)include I-beam option. G6-99 5114aa Page 5 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Enclosure and Subbase Fuel Tank Specifications (continued) Sound Enclosure and Subbase Fuel Tank Pressure at 60 Hz with Est.Fuel Max.Dimensions mm(in.) Max.Weight,kg(lb.)* Full Load at Supply Hours � 7 m(23 ft.), Fuel Tank at 60 Hz with Fuel Tank Weather/ Capacity, Full Load, With Steel With Aluminum Height, Sound L(gal.) Nominal/Actual Length Width Height Enclosure Enclosure mm(in.) dB(A) 40REOZJE No Tank 0 1451 (57.1) 1188 (2620) 1085 (2393) 0 (0) 432(114) 24/30 1857 (73.1) 1446 (3190)* 1343 (2963)* 406 (16) 2320 (91.3) 1077 (42.4) 78/67 715(189) 36/51 2111 (83.1) 1522 (3357)* 1419 (3130)* 660 (26) 1071 (283) 48176 2365 (93.1) 1612 (3555)* 1509 (3328)* 914 (36) 40REOZJE with State Code Fuel Tank 473(125) 24/33 1 1832 (72.1) 1613 (3558)* 1510 (3331)* 381 (15) 886(234) 48/63 2896 (114.0) 1077 (42.4) 2061 (81.1) 1753 (3867)* 1650 (3640)* 610 (24) 78167 1302(344) 72/92 2340 (92.1) 1914 (4220)* 1811 (3993)* 889 (35) 50REOZJD without BC Seismic Certification No Tank 0 1438 (56.6) 1027 (2265) 914 (2015) 152 (6) 424 (112) 24/26 2320 (91.3) 1077 (42.4) 1824 (71.8) 1285 (2832)* 1171 (2582)* 406 (16) 78/66 621 (164) 36/38 1976 (77.6) 1335 (2944)* 1222 (2694)* 559 (22) 946(250) 48/58 2230 (87.8) 1555 (3429)* 1442 (3179)* 813 (32) 50REOZJD with IBC Seismic Certification No Tank 0 1384 (54.6) 1027 (2265) 914 (2015) 100 (4) 428(113) 24/26 1773 (69.8) 1405 (3098)* 1292 (2848)* 358 (14) 625(165) 36138 2320 (91.3) 1077 (42.4} 1825 (75.8) 1477 (3258)* 1364 (3008)* 508 (20). 78/66 958(253) 48158 2179 (85.8) 1736 (3826)* 1622 (3576)* 762 (30) 50REOZJD with State Code Fuel Tankf 439(116) 24/26 1824 (71.8) 1529 (3371)* 1416 (3121)* 358 (14) 958(253) 48/58 2896 (114) 1077(42.4) 2103 (82,8) 1653 (3644)* 1540 (3394)* 686 (27) 78166 1408(372) 72/86 2332 (91.8) 1804 (3977)* 1691 (3727)* 914 (36) 50REOZJE No Tank 0 1451 (57.1) 1188 (2620) 1085 (2393) 0 (0) 432 (114) 24124 1857 (73.1) 1446 (3190)* 1343 (2963)* 406 (16) 2320 (91.3) 1077 (42.4) 78/67 715(189) 36/41 2111 (83.1) 1522 (3357)* 1419 (3130)* 660 (26) 1071 (283) 48/61 2365 (93.1) 1612 (3555)* 1509 (3328)* 914 (36) 50REOZJE with State Code Fuel Tank 473(125) 24127 1832 (72.1) 1613 (3558)* 1510 (3331)* 381 (15) 886(234) 48/50 2896 (114.0) 1077 (42A) 2061 (81.1) 1753 (3867)* 1650 (3640)* 610 (24) 78167 1302(344) 72/74 2340 (92.1) 1914 (4220)* 1811 (3993)* 889(35) 60REOZJD without IBC Seismic Certification No Tank 0 1438 (56.6) 1164 (2566) 1051 (2316) 152 (6) 492(130) 24/26 1824 (71.8) 1438 (3170)* 1324 (2920)* 457 (18) 2320 (91.3) 1077 (42.4) 78/68 783(207) 36/41 2103 (82.8) 1514 (3338)* 1401 (3088)* 686 (27) 946(250) 48/50 2230 (87.8) 1555 (3429)* 1442 (3179)* 813 (32) BOREOZJD with IBC Seismic Certification No Tank 0 1384 (54.6) 1164 (2566) 1051 (2316) 100 (4) 492(130) 24/26 1773 (69.8) 1566 (3452)* 1452 (3202)* 406 (16) 2320 (91.3) 1077 (42.4) 76/68 795(210) 36/42 2052 (80.8) 1687 (3719)* 1574 (3469)* 635 (25) 95B(253) 48/50 2179 (85.8) 1736 (3826)* 1622 (3576)* 762 (30) 60REOZJD with State Code Fuel Tankf 556(147) 24129 1849 (72.8) 1616 (3563)* 1503 (3313)* 432 (17) 958(253) 48/50 2895 (114) 1077 (42.4) 2103 (82.8) 1767 (3896)* 1654 (3646)* 686 (27) 78/68 1408(372) 72/74 2332 (91.8) 1918 (4228)* 1805 (3978)* 914(36) G6-99 5114aa Page 6 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Sound Enclosure and Subbase Fuel Tank Pressure at 60 Hz with Psply Ho Max.Dimensions,mm(in.) Max.Weight,kg(lb.)* Full(2O3 fat Supply Hours ( ), Fuel Tank at 60 Hz with Fuel Tank Weather/ Capacity, Full Load, With Steel With Aluminum Height, Sound L(gal.) Nominal/Actual I Length Width Height Enclosure Enclosure mm(in.) dB(A) 80REOZJF without IBC Seismic Certification No Tank 0 1575 (62) 1483 (3269) 1351 (2979) 152 (6) 791 (209) 24130 2821 (111.1) 1156 (45.5) 1930 (76) 1766 (3894)* 1635 (3604)* 508 (20) 83/69 1317(348) 48150 2235 (88) 1882 (4150)* 1751 (3864)* 813 (32) 80REOZJF with IBC Seismic Certification No Tank 0 1525 (60) 1483 (3269) 1351 (2979) 102 (4) 757(200) 24128 2821 (111.1) 1156 (45.5) 1880 (74) 1851 (4080)* 1719 (3794)* 457 (18) 83169 1313(347) 48/54 2185 (86) 2108 (4647)* 1976 (4357)* 762 (30) 80REOZJF with State Code Fuel Tankt 814(215) 24/31 3400 (133.9) 1156 (45.5) 1855 (73) 1996 (4400)* 1864 (4110)* 432 (17) 83169 1571 (415) 48/60 2185 (86) 2236 (4929)* 2104 (4639)* 762 (30) 100REOZJF without IBC Seismic Certification No Tank D 2821 (111.1) 1575 (62) 1592 (3519) 1461 (3220) 152 (6) 791 (209) 24125 1156 (45.5) 1930 (76) 1875 (4134)* 1744 (3844)* 508 (20) 62/69 1696(448) 48/54 3400 (133.9) 2235 (88) 2070 (4564)* 1939 (4274)* 813 (32) 100REOZJF with IBC Seismic Certification No Tank 0 2821 (111.1) 1525 (60) 1592 (3510) 1461 (3220) 102 (4) 757(200) 24/24 1156 (45.5) 1880 (74) 1960 (4320)* 1826 (4030)* 457 (18) 82169 1699(449) 48/54 3400 (133.9) 2185 (86) 2345 (5170)* 2214 (4880)* 762 (30) 100REOZJF with State Code Fuel Tank's 814(215) 24/26 3400 (133.9) 1156(45.5) 1855(73) 2105 (4641)* 1974 (4351)* 432 (17) 82169 1571 (415) 48/50 2185(86) 2345 (5170)* 2214 (4880)* 762 (30) 125REOZJG No Tank 0 1753 (69) 1651 (3632) 1515 (3333) 0 (0) 1128(298) 24/30 3532 (139.0) 1153 (45.4) 2236 (88) 2400 (5280)* 2264 (4981)* 483 (19) 87/73 2207(5B3) 48158 2667(105) 2751 (6052)* 2615 (5753)* 914 (36) 125REOZJG with State Code Fuel Tankt 1196(316) 1 24131 2236 (88) 2382 (5240)* 2446 (4941)* 483 (19) 4414 (173.8) 1153 (45.4} 87/73 2252(595) 48/60 2591 (102) 2654 (5839)* 2500 (5511)* 838 (33) 150REOZJF No Tank 0 1753 (69) 1860 (4101) 1724 (3800) 0 (0) 1128(298) 24/25 3532 (139.0) 1153 (45.4) 2236 (86) 2609 (5752)* 2473 (5452)* 483 (19) 86175 2207(583) 48/49 2667(105) 2960 (6526)* 2824 (6226)* 914(36) 150REOZJF with State Code Fuel Tankt 1196(316) 24/27 2236 (88) 2591 (5712)* 2455 (5412)* 483(19j 2252(595) 48/50 14414 (173.8) 1153(45.4) 2591 (102) 2890 (6361)* 2727 (6012)* 838 (33) 86175 Note: Data in table is for reference only,refer to the respective ADV drawings for details. Note: Refer to TIB-114 for generator set sound data. * Max.weight includes the generator set(wet)using the largest alternator option,enclosure with acoustic insulation added,silencer,and tank(no fuel). t State code fuel tank specifications(height and weight)include I-beam option. G6-99 5/14an Page 7 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Enclosure and Subbase Fuel Tank Specifications (continued) Sound Enclosure and Subbase Fuel Tank Pressure at Est.Fuel 60 Hz with Supply Hours Max.Dimensions,mm(in.) Max.Weight,kg(Ib.)* Full Load at Fuel Tank at 60 Hz with Fuel Tank 7 m(23 ft.), Capacity, Full Load, With Steel With Aluminum Height, Weather/ L(gal.) Nominal/Actual 1 Length Width Height Enclosure Enclosure I mm(in.) I Sound dB(A) t80REOZJF No Tank 0 2057 (81) 1928 (4250) 1780 (3925) 0 (0) 1514(400) 24/29 4094 (1(31.2) 1338 (52.7) 2540(100) 2861 (6307)* 2713 (5981)* 483 (19) 87172 2869(758) 48/55 2946(116) 3255 (7176)* 3107 (6850)* 889 (35) I80REOZJF with State Code Fuel Tank's 1556(416) 24130 2585(102) 3162 (6971)* 3014 (6646)* 457 (18) 5008 (197.2) 1338 (52.7J 87172 2896(765) 48/56 2890{114) 3488 (7690}* 3340 (7363)* 762 (30) 18OREOZJG No Tank 0 2057 (81) 1928 (4250) 1780 (3925) 0 (0) 1514(400) 24/31 4094 (161.2) 1338 (52.7) 2540(100) 2861 (6307)* 2713 (5981)* 483(19) 85/72 2869(758) 48/58 2946(116) 3255 (7176)* 3107 (6850)* 889 (35) 18OREOZJGa with State Code Fuel Tankt 1556(416) 24/32 2585(102) 3162 (6971)* 3014 (6646)* 457 (18) 2896(765) 48/59 5008 (197.2) 1338 {52.7) 2890 (114) 3488 (7690)* 3340 (7363)* 762 (30) 85/72 20OREOZJF No Tank 0 2057 (81) 2309 (5090) 2161 (4764) 0 (0) 1514(400) 24/26 4094 (161.2) 1338 (52.7) 2540(100) 3242 (7147)* 3094 (6821)* 483 (19) 87/75 2869(758) 48/49 2946 (116) 3636 (8016)* 3488 (7690)* 889 (35) 20OREOZJF with State Code Fuel Tankt 1575(416) 24127 2585(102) 3543 (7811)* 3395 (7485)* 457 (18) 1500 6 (197.2} 1338 (52.7) 87/75 2896(765) 48150 2890(114) 4050 (8930)* 3721 (8203)* 762 (30) 230REOZJE No Tank 0 2157 (84.9) 2654 (5850) 2540 (5600) 0 (0} 1767(472) 24129 4121 (162.3) 1338 (52.7) 2659(104.7) 3561 (7850)* 3447 (7600)* 762 (30) 87/75 23OREOZJE with State Code Fuel Tankt 2101 (555) 1 24/34 5009 (197.2) 1 1 2792(109.9) 3895 (8587)* 3782 (8337)* 635 (25) 3573 944 48158 5325 203.7 338 (52.7} 3071 120.9 4504 (9930)* 4391 (9680)* 914 36 87/75 25OREOZJE No Tank 0 2157 (84.9) 2699 (5950) 2585 (5700) 0 (0) 1787{472) 24126 4121 (162.3) 1338 (52.7) 2659(104.7) 3606 (7950)* 3493 (7700)* 762 (30) 89/75 25OREOZJE with State Code Fuel Tankt 2101 (555) 1 24131 5009 (197.2) 1 1 2792(109.9) 3940 (8687)* 3827 (8437)* 635 (25) 3573 944 48/53 5325 209.7 338 (52.7) 3071 120.9 4550 (10030)- 1 4436 (9780)- 914 36 89175 275REOZJE No Tank 0 2157 (84.9) 2835 (6250) 2722 (6000) 0 (0) 1787(472) 24124 4121 (162.3) 1338 (52.7) 2659(104.7) 3742 (8250)* 3629 (8000)* 762 (30) 89/75 275REOZJE with State Code Fuel Tankt 2101 (555) 24128 5009 (197.2) 2792(109.9) 4076 (8987)* 3963 (8737)* 635 (25) 3573 944 48148 5325 209.7 1338 (52.7] 3071 120.9 4686 (10330)* 4572 (10080)* 914 36 89175 Note: Data in table is for reference only,refer to the respective ADV drawings for details, Note: Refer to TIB-114 for generator set sound data. * Max.weight includes the generator set(wet)using the largest alternator option,enclosure with acoustic insulation added,silencer,and tank(no fuel). t State code fuel tank specifications(height and weight)include I-beam option. G6-99 5/14aa Page 8 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Enclosure and Subbase Fuel Tank Specifications (continued) 30OREOZJ No Tank 0 2157 (84.9) 2835 (6250) 2722 (6000) 0—(0) 2067 546) 24/24 4121 (162.3) 1338 (52.7) 2735(107.7) 3770 (8311)* 3656 (8061)* 838 (33) 89175 30OREOZJ with State Code Fuel Tank's 2101 (555) 24/25 5009 (197.2) 2792(109.9) 4076 (8987)* 3963 (8737)* 635 (25) 4065 1074 48/48 5588 220.0 1338 (52.7) 3071 120.9 4644 10238* 4530 9988* 914 36 89/75 Note: Data in table is for reference only,refer to the respective ADV drawings for details. Note: Refer t0 TIB-114 for generator set sound data. * Max.weight includes the generator set(wet)using the largest alternator option,enclosure with acoustic insulation added,silencer,and tank(no fuel). # State code fuel tank specifications(height and weight)include I-beam option. G5-99 5/14aa Page 9 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE KOHLER CO.,Kohler,Wisconsin 53044 USA Kohler Power Systems Phone 920-457-4441,Fax 920-459-1646 Asia Pacific Headquarters For the nearest sales and service outlet in the 7 Jurong Pier Road US and Canada,phone 1-800-544-2444 Singapore 619159 KOHLERPower.com Phone(65)6264-6422,Fax(65)6264-6455 DISTRIBUTED BY- Availability is subject to change without notice. Kohler Co.reserves the rightto change the design or specifications without notice and without any obligation or liability whatsoever. Contact your local Kohler®generator set distributor for availability. ®2DD8,2009,2010,2011,2012,2019,2014 by Kohler Co. All rights reserved. GS-99 5114aa Page 10 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Model: 250REOZJE KOHLEWPOWER SYSTEMS 208.600 V Diesel (:)9001 Tier 3 EPA-Certified for t/ Stationary Emergency Standard Features NATIONALLY REGISTERED Applications Kohler Co. provides one-source responsibility for the generating system and accessories. Ratings Range rr The generator set and its components are 60 Hz prototype-tested,factory-built, and production-tested. Standby: kW 250-255 a The 60 Hz generator set offers a UL 2200 listing. WA 313-319 a The generator set accepts rated load in one step. Prime: kW 225-230 a The 60 Hz generator set meets NFPA 110, Level 1, WA 281-288 when equipped with the necessary accessories and installed per NFPA standards. e A one-year limited warranty covers all systems and components. Two-and five-year extended warranties ° are also available. e Alternator features: ED • o The unique Fast-Response"' II excitation system delivers excellent voltage response and short-circuit capability using a permanent magnet(PM)-excited alternator. a The brushless, rotating-field alternator has I■ broadrange reconnectability. Other features: o Kohler designed controllers for guaranteed system integration and remote communication. See • Controllers on page 3. o The low coolant level shutdown prevents overheating (standard on radiator models only). o integral vibration isolation eliminates the need for Generator Set Ratings under-unit vibration spring isolators. 0 Multiple circuit breaker configurations. 130°C Rise 105'C Rise Standby Rating Prime Rating Alternator Voltage Ph Hz kW/kVA Amps kW/kVA Amps 120/208 3 60 250/313 867 225/281 781 1271220 3 60 250/313 820 2251281 738 120/240 3 60 2501313 752 2251281 677 139/240 3 60 250/313 752 2251281 677 4UA10 2201380 3 60 250/313 475 225/281 427 240/416 3 60 250/313 434 225/281 390 2771480 3 60 2501313 376 225/281 338 347/600 3 60 2501313 301 225/281 271 120/208 3 60 2551319 885 2301288 798 127/220 3 60 255/319 837 230/288 754 120/240 3 60 255/319 767 230/288 692 139/240 3 60 255/319 767 2301288 692 4UA13 2201380 3 60 255/319 484 230/288 437 2401416 3 60 2551319 442 230/288 399 2771480 3 60 255/319 383 230/288 346 347/600 3 60 2551319 307 230/288 277 FIATINGS:All three-phase units are rated at0.8 power tailor.All single-phase units are rated at 1.0 power factor.SterdbyRaSVS:The Standby rating is applicable to varying bads for thedurabon of a power outage.There is no overload capabiliryfor this rating.Prime PowerRatirrgs:At varying load,the number of generator ad operating hours is unlimited.A 10%overload capacity is available for one hour in twelve. Ratings are in accordancewith ISO-8528-1 and Is0304&i.For limited running time and continuous ratings,aansuh fie factory.Obtain technical information bulletin(TIB-101)for ratings guidelines,cornplete ratings definitions,and she condition derates, The generator set manufacturer reserves the right to change the design or specifications without notice and without any obligation or liability whatsoever. 65340 i250REOZJEI 5112a DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Alternator Specifications Specifications Alternator • NEMA MG1, IEEE, and ANSI standards compliance for Manufacturer Kohler temperature rise and motor starting. Type 4-Pole,Rotating-Field • Sustained short-circuit current of up to 300%of the rated Exciter type Brushless,Permanent-Magnet current for up to 10 seconds. Leads:quantity,type 12,Reconnectable • Sustained short-circuit current enabling downstream circuit Voltage regulator Solid State,Volts/Hz breakers to trip without collapsing the alternator field. Insulation: NEMA MG1 • Self-ventilated and dripproof construction. Material Class H • Vacuum-impregnated windings with fungus-resistant epoxy Temperature rise 130°C,Standby varnish for dependability and long life. Bearing:quantity,type 1,Sealed • Superior voltage waveform from a two-thirds pitch stator and Coupling Flexible Disc skewed rotor. Amortisseur windings Full Voltage regulation,no-load to • Fast-Response' 11 brushless alternator with brushless full-load Controller Dependent exciter for excellent load response. One-step load acceptance 100%of Rating Unbalanced load capability 100%of Rated Standby Current Peak motor starting kVA: (35°Y dip for voltages below) 480V 4UA10(12 lead) 785 480V 4UA13(12 lead) 960 Application Data Engine Engine Electrical Engine Specifications Engine Electrical System Manufaclurer John Deere Battery charging alternator: 24 Volt Engine model 6090HF484 Ground (negative/positive) Negative Engine type 4-Cycle,Turbocharged, Volts(DC) 24 Charge Air-Cooled Ampere rating 6o Cylinder arrangement 6 Inline Starter motor rated voltage(DC) 24 Displacement,L(cu.in.) 9.0(548) Battery,recommended cold cranking Bore and stroke,mm(in.) 118.4 x 136(4.66 x 5.35) amps(CCA): Compression ratio 16.0:1 Quantity,CCA rating each Two,950 Piston speed,m/min. (ft./min.) 457(1500) Battery voltage(DC) 12 Main bearings:quantity,type 7,Replaceable Insert Rated rpm 1800 Fuel Max.power at rated rpm,kWm(BHP) 287(385) Fuel System Cylinder head material Cast Iron Fuel supply line,min. ID,mm(in.} 11.0({1.44} Crankshaft material Forged Steel Fuel return line,min,ID,mm(in.) 6.0(0.25) Valve material: Max.lift,fuel pump:type,m(ft.) Electronic,3(10) Intake Chromium-Silicon Steel Max.fuel flow,Lph(gph) 240.0(63.4) Exhaust Stainless Steel Max.return line restriction,kPa(in.Hg) 20(5.9) Governor:type,make/model JDEC Electronic L14 Fuel prime pump Electronic Dense HP4 Frequency regulation,no-load to full-load Isochronous Fuel filter Frequency regulation,steady state ±0.25% Secondary 2 Microns @ 98%Efficiency Frequency Fixed Primary 10 Microns Air cleaner type,all models Dry Water Separator Yes Recommended fuel #2 Diesel Exhaust Lubrication Exhaust System Lubricating System Exhaust manifold type Dry Exhaust flow at rated kW,m3/min. (cfm) 54.1 (1911) Type Full Pressure Oil pan capacity,L(qt.) 32.5(34.4) Exhaust temperature at rated kW,dry exhaust, °C(°F) 625(1157) Oil pan capacity with filter,L(qt.) 33.4(35.3) Maximum allowable back pressure, Min.0(0) Oil filter:quantity,type 1,Cartridge kPa(in.Hg) Max.7.5(2.2) Oil cooler Water-Cooled Engine exhaust outlet size,mm(in.) 98(3.86) G5-340 (250R£OZJE) 5/12e DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Application Data Cooling Controllers Radiator System Ambient temperature, °C(°F)* 50(122) 1 fp Engine jacket water capacity,L(gal.) 16(4.25) m Radiator system capacity,including a a engine,L(gal.) 36(g.5) Engine jacket water flow,Lpm(gpm) 265(70) Heat rejected to cooling water at rated Decision-Maker 3000 Controller kW,dry exhaust,kW(Btu/min,) 97(5521) Provides advanced control,system monitoring,and system diagnostics Heat rejected to air charge cooler at for optimum performance and compatibility. rated kW,dry exhaust,kW(Btulmin.) 70.5(4013) • Digital display and menu control provide easy local data access • Measurements are selectable in metric or English units Water pump type Centrifugal • Remote communication thru a PC via network or Fan diameter,including blades,mm(in.) 863.6(34.0) serial configuration Fan,kWm(HP) 9.0(12.1) • Controller supports Modbusm protocol • Integrated hybrid voltage regulator with±0.5%regulation Max.restriction of cooling air,intake and • Built-in alternator thermal overload protection discharge side of radiator,kPa(in.H20) 0.125(0.5) • NFPA 110 Level 1 capability * Enclosure with enclosed silencer reduces ambient Refer to G6-100 for additional controller features and accessories. temperature capability by 5°C(S'n. Operation Requirements 0 Air Requirements Radiator-cooled cooling air, m3/min. (scfm)$ 368.1 (13040) Combustion air,m3lmin. (cfm) 21.8(770) Decision-Maker°550 Controller Provides advanced control,system monitoring,and system diagnostics Heat rejected to ambient air: with remote monitoring capabilities. Engine,kW(Btulmin.) 53.8(3060) • Digital display and keypad provide easy local data access Alternator,kW(Btu/min.) 20.6(1170) • Measurements are selectable in metric or English units • Remote communication thru a PC via network or $Air density=1.20 kg/m3(0.075 Ibm/ft3) modem configuration Fuel Consumption • Controller supports Modbus®protocol • Integrated voltage regulator with x0.25%regulation Diesel,Lph(gph)at%load Standby Rating • Built-in alternator thermal overload protection 100% 66.5 (17.6) • NFPA 110 Level 1 capability 75% 50.4 (13.3) Refer to G6-46 for additional controller features and accessories. 50% 35.0 (9.2) 25% 20.5 (5.4) O 6g, O Diesel,Lph(gph)at%load Prime Rating 1 100% 59.1 (15.6) LJ 75% 45.3 (12.0) Decision-Makers 6000 Paralleling Controller 50% 31.6 (8.3) Provides advanced control,system monitoring,and system diagnostics 25% 18.4 (4.9) with remote monitoring capabilities for paralleling multiple generator sets. • Paralleling capability with first-on logic,synchronizer,kW and kVAR load sharing,and protective relays • Digital display and keypad provide easy local data access • Measurements are selectable in metric or English units • Remote communication thru a PC via network or modem configuration • Controller supports Modbus®protocol • Integrated voltage regulator with 10.25%regulation • Built-in alternator thermal overload protection • NFPA 110 Level 1 capability Refer to G6-107 for additional controller features and accessories. G5-340 (250REDZJE) 5/120 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE KOHLER CO.,Kohler,Wisconsin 53044 USA Kohler Power Systems Phone 920-457-4441,Fax 920-459-1646 Asia Pacific Headquarters For the nearest sales and service outlet in the 7 Jurong Pier Road US and Canada,phone 1-800-544-2444 Singapore 619159 KohlerPower.com Phone(65)6264-6422,Fax(65)6264-6455 Standard Features Paralleling System • Alternator Protection ❑ Manual Speed Adjust • Battery Rack and Cables ❑ Voltage Sensing • Customer Connection (standard with Decision-Maker®6000 controller only) Miscellaneous • Local Emergency Stop Switch ❑ Air Cleaner,Heavy Duty • Oil Drain Extension ❑ Air Cleaner Restriction Indicator • Operation and installation Literature ❑ Crankcase Emissions Canister Available Options ❑ Engine f=luids(oil and coolant)Added ❑ Rated Power Factor Testing Approvals and Listings ❑ Rodent Guards ❑ California OSHPD Approval Literature • CSA Approval ❑ General Maintenance • IBC Seismic Certification ❑ NFPA 110 • UL 2200 Listing ❑ Overhaul Enclosed Unit ❑ Production ❑ Sound Enclosure and Subbase Fuel Tank Packages Warranty ❑ Weather Enclosure and Subbase Fuel Tank Packages ❑ 2-Year Basic Open Unit ❑ 5-Year Basic ❑ Exhaust Silencer,Critical(kit:PA-354809) ❑ 5-Year Comprehensive ❑ Flexible Exhaust Connector,Stainless Steel Other Options Fuel System ❑ ❑ Flexible Fuel Lines ❑ ❑ Fuel Pressure Gauge ❑ ❑ Subbase Fuel Tanks ❑ Controller ❑ ❑ Common Failure Relay ❑ Communication Products and PC Software (Decision-Maker®550 and 6000 controllers only) ❑ Customer Connection(Decision-Makere 550 controller only) ❑ Decision-Makere Paralleling System(DPS) Dimensions and Weights (Decision-Maker•6000 controller only) Overall Size,L x W x H,mm(in.): 3000 x 1300 x 1891 ❑ Dry Contact(isolated alarm) (118.1 x 51.2 x 74.4) (Decision-Makerm 550 and 6000 controllers only) Weight(radiator model),wet,kg(lb.): 2313-2449(5100-5400) ❑ Input/Output Module(Decision-Makerm 3000 controller only) ❑ Remote Audiovisual Alarm Panel {Decision-Makerm 550 controller only) ❑ Remote Emergency Stop ❑ Remote Serial Annunciator Panel H ❑ Run Relay Cooling System ❑ Block Heater,2500 W,90-120 V 13 ❑ Block Heater,2500 W,190-208 V ❑ Block Heater,2500 W,208-240 V ❑ Block Heater,2500 W,380-480 V NOTE:This drawing is provided for reterenco only and should not be used for planning (recommended for ambient temperatures below 0°C[32°F}) installation.Contact your local distributor for more detailed information. ❑ Radiator Duct Flange DISTRIBUTED BY- Electrical System ❑ Alternator Strip Heater ❑ Battery ❑ Battery Charger, EqualizelFloat Type ❑ Battery Heater ❑ Line Circuit Breaker(NEMA type 1 enclosure) ❑ Line Circuit Breaker with Shunt Trip (NEMA type 1 enclosure) ®2009,2010,2011,2012 by Kohler Co. Al rights reserved. 05-340 (250RE07-JE) 5/12a DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid State of North Carolina AFFIDAVIT A- Listing of Good Faith Efforts County of n P,— me of Bidder) Affidavit of 1 have made a good faith eff rt to comply under the following areas checked:C%C ar CdJ Bidders must earn at least 50 points from the good faith efforts listed for their bid to be considered responsive. (1 NC Administrative Code 30 1.0101) Qml rol5 c ❑ i —(10 pts) Contacted minority businesses that reasonably could have been expected to submit a quote and that were known to the contractor, or available on State or local government maintained lists, at least 10 days before the bid date and notified them of the nature and scope of the work to be performed. ❑ 2 ­(10 pts) Made the construction plans, specifications and requirements available for review by prospective minority businesses, or providing these documents to them at least 10 days before the bids are due. ❑ 3—(15 pts) Broken down or combined elements of work into economically feasible units to facilitate minority participation. ❑ 4—(10 pts)Worked with minority trade, community, or contractor organizations identified by the Office of Historically Underutilized Businesses and included in the bid documents that provide assistance in rec ilment of minority businesses. —(10 pts)Attended prebid meetings scheduled by the public owner. 6—(20 pts) Provided assistance in getting required bonding or insurance or provided alternatives to bonding or insurance for subcontractors. ❑ 7—(15 pts) Negotiated in good faith with interested minority businesses and did not reject them as unqualified without sound reasons based on their capabilities. Any rejection of a minority business based on lack of qualification should have the reasons documented in writing. ❑ 8—(25 pts) Provided assistance to an otherwise qualified minority business in need of equipment, loan capital, lines of credit, or joint pay agreements to secure loans, supplies, or letters of credit, including waiving credit that is ordinarily required. Assisted minority businesses in obtaining the same unit pricing with the bidder's suppliers in order to help minority businesses in establishing credit. ❑ 9—(20 pts) Negotiated joint venture and partnership arrangements with minority businesses in order to increase opportunities for minority business participation on a public construction or repair project when possible. ❑ 10- (20 pts) Provided quick pay agreements and policies to enable minority contractors and suppliers to meet cash-flow demands. The undersigned, if apparent low bidder, will enter into a formal agreement with the firms listed in the identification of Minority Business Participation schedule conditional upon scope of contract to be executed with the Owner. Substitution of contractors must be in accordance with GS143-128.2(d) Failure to abide by this statutory provision will constitute a breach of the contract. The undersigned hereby certifies that he or she has read the terms of the minority business commitment and is authorized to bind the bidder to the commitment herein set forth. Date: Name of Authorized Officer: Signature: Title. ri State of I V , County of—6 ra r1G� Subscribe anal s orn to to thi ay of 20 _ Notary Pub My commission expires ��► • `r p I;Revised July 2010 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid State of North Carolina --AFFIDAVIT B-- Intent to Perform Contract with Own Workforce.-Y County of V__ Affidavit of �� hC-' (Name of Bidder) I hereby certify that it is our intent to perform 100% of the work required for the C contract. ame of oject) In making this certification, the Bidder states that the Bidder does not customarily subcontract elements of this type project, and normally performs and has the capability to perform and will perform all elements of the work on this project with his/her own current work forces; and The Bidder agrees to provide any additional information or documentation requested by the owner in support of the above statement. The Bidder agrees to make a Good Faith Effort to utilize minority suppliers where possible. The undersigned hereby certifies that he or she has read this certification and is authorized to bind the Bidder to the commitments herein contained. Date. Name of Authorized Officer: Signature 1 Titl xleo_1q% SEAL G v i pVBV 2 State o f • ' County of Subscribed a d s n to before m this da �-20�� Notary Public My commission expires MBForms 2002-Revised July 2010 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Do not submit with bid Do not submit with bid Do not submit with bid Do not submit with bid State of North Carolina - AFFIDAVIT C - Portion of the Work to be Performed by HUB Certified/Minority Businesses County of (Note this form is to be submitted only by the apparent lowest responsible, responsive bidder.) If the portion of the work to be executed by HUB certified/minority businesses as defined in GS143- 128.2(g) and 128.4(a),(b),(e) is equal to or greater than 10% of the bidders total contract price, then the bidder must complete this affidavit. This affidavit shall be provided by the apparent lowest responsible, responsive bidder within 72 hours after notification of being low bidder. Affidavit of I do hereby certify that on the (Name of i der h (Project Name Project ID# Amount of Bid $ will expend a minimum of % of the total dollar amount of the contract with minority business enterprises. Minority businesses will be employed as construction subcontractors, vendors, suppliers or providers of professional services. Such work will be subcontracted to the following firms listed. below. Attach additional sheets if required Name and Phone Number *Minority **HUB Work Dollar Value Category, Certified Description YIN *Minority categories: Black,African American (B), Hispanic(H), Asian American(A) American Indian (1), Female (F) Socially and Economically Disadvantaged (D) *" HUB Certification with the state HUB Office required to be counted toward state participation goals. Pursuant to GS143-128.2(d), the undersigned will enter into a formal agreement with Minority Firms for work listed in this schedule conditional upon execution of a contract with the Owner. Failure to fulfill this commitment may constitute a breach of the contract. The undersigned hereby certifies that he or she has read the terms of this commitment and is authorized to bind the bidder to the commitment herein set forth. Date:Q Name of Authorized Officer: ` C 8 Signature:/��J4�7 S � Title: �y *1e of County of scri d and orn to bef re fhi �ktay o 20� �pV "Aotary Pu note%to My commission expires MBForms 2002-Revised July 2010 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Identification of HUB Certified/ Minority Business Participation (Name of Bidder do hereby certify that on this project, we will use the following HUB Certified/minority business as construction subcontractors, vendors, suppliers or providers of professional services. Firm Name, Address and Phone# Work Type *Minority **HUB Category Certified Y/N *Minority categories: Black,African American (B), Hispanic(H),Asian American (A) American Indian (1), Female (F) Socially and Economically Disadvantaged (D) ** HUB Certification with the state HUB Office required to be counted toward state participation goals. The total value of minority business contracting will be ($) MBForms 2002-Revised July 2010 DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Do not submit with the bid Do not submit with the bid Do not submit with the bid Do not submit with the bid Do not submit with the bid State of North Carolina AFFIDAVIT D — Good Faith Efforts County of (Note this form is to a submitted only by the apparent lowest responsible, responsive bidder.) If the goal of 10% participation by HUB Certified/minority business is not achieved, the Bidder shall provide the following documentation to the Owner of his good faith efforts: Affidavit of I do hereby certify that on the (,Name of 13 i der �-�l Yet (Project Name) Project ID#� 171 11� __ __ _Amount of Bid $ 1 will expend a minimum of % of the total dollar amount of the contract with HUB certified/ minority business enterprises. Minority businesses will be employed as construction subcontractors, vendors, suppliers or providers of professional services. Such work will be subcontracted to the following firms.listed below. (Attach additional sheets if required) Name and Phone Number *Minority **HUB Work Dollar Value Category Certified Description YIN *Minority categories: Black,African American (B), Hispanic(H), Asian American (A) American Indian (1), Female(F) Socially and Economically Disadvantaged (D) ** HUB Certification with the state HUB Office required to be counted toward state participation goals. Examples of documentation that may be required to demonstrate the Bidder's good faith efforts to meet the goals set forth in these provisions include,but are not necessarily limited to,the following: A.Copies of solicitations for quotes to at least three(3)minority business firms from the source list provided by the Stale for each subcontract to be let under this contract(if 3 or more firms are shown on the source list). Each solicitation shall contain a specific description of the work to be subcontracted,location where bid documents Garr be reviewed,representative of the Prime Bidder to contact,and location, date and time when quotes must be received. B.Copies of quotes or responses received from each firm responding to the solicitation. C.A telephone log of follow-up calls to each firm sent a solicitation, D.For subcontracts where a minority business firm is not considered the lowest responsible sub-bidder,copies of quotes received from all firms submitting quotes for that particular subcontract. E.Documentation of any contacts or correspondence to minority business,community,or contractor organizations in an attempt to meet the goal. F.Copy of pre-bid roster G.Letter documenting efforts to provide assistance in obtaining required bonding or insurance for minority business. H.Letter detailing reasons for rejection of minority business due to lack of qualification. I.Letter documenting proposed assistance offered to minority business in need of equipment,loan capital,lines of credit,or joint pay agreements to secure loans,supplies,or letter of credit,including waiving credit that is ordinarily required. Failure to provide the documentation as listed in these provisions may result in rejection of the bid and award to the next lowest responsible and responsive bidder. Pursuant to GS143-128.2(d), the undersigned will enter into a formal agreement with Minority Firms for work listed in this schedule conditional upon execution of a contract with the Owner. Failure to fulfill this commitment may constitute a breach of the contract. MBForms 2002-Revised May 2010 t DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Do not submit with the bid Do not submit with the bid Do not submit with the bid Do not submit with the bid Do not submit with the bid The undersigned hereby certifies that he or she has read the terms of this commitment and is authorized to bind the bidder to the commitment herein set forth. Date: Name of Authorized Officer: , M ,��.•¢*�.• �1,� Signature. Title: n jOferNI s r z P %G u State of NC , County of Subscri ed an warn to a hisay of 20 �'•, `� Notary P •,•`�Of lei 1110010•• My commission expires MBFonns 2002-Revised May 2010 -2- DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE Contractor's Safety Record Information The Contractor's safety record shall be reviewed and evaluated in addition to other quality and performance criteria as part of bid evaluation process. Failure to provide the requested information and documentation may result in rejection of your bid as non-responsive. Accordingly, all bidders must submit the following information regarding their safety record. The following definitions shall apply to this section: "DART incident rate"—Acronym for"Days Away, Restrictions and Transfers". The DART incident rate may be used to show the relative level of injuries and illnesses within a firm compared to the industry. It is based only on those injuries and illnesses severe enough to warrant"Days Away, Restrictions and Transfers". The DART incident rate is calculated using OSHA's Form 300 and the following formula: ((Number of entries in column H(days away from work) + column I(job transfer or restriction) x 200,000)/(Number of hours worked by all employees)=DART Incident rate. "EMR"—Acronym for"Experience Modification Rate," is an indicator of a contractor's past safety performance, widely used by the insurance industry as an equitable means of determining premiums for workers' compensation insurance. The rating system considers the average workers' compensation losses for a given firm's type of work and amount of payroll and predicts the dollar amount of expected losses to be paid by that employer in a designated rating period, usually three years. The rating is based on comparison of firms doing similar types of work, and the employer is rated against the average expected performance in each work classification. Losses incurred by the employer for the rating period are then compared to the expected losses to develop an experience rating. "OSHA"—Acronym for the Federal Occupational Health and Safety Administration. The term "OSHA" as used in this Policy also refers to any state or local agency having jurisdictional authorization to enforce worker safety requirements and assess fines or warnings for violation of worker safety standards. 1. OSHA DART Incident Rate. Provide the bidder's DART Incident Rate calculated from OSHA's Form 300 for the last three years and the other required information shown in the example table below. The bidder must attach all supporting documentation and calculations including certified OSHA forms. DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE YE�■R CONTRACTOR NDLTSTRY IND[TSTRY F �bOI MI INCIDENT S� '-� Sce 2. Experience Modification Rate (EMR). Provide the bidder's most recent Experience Modification Rate (EMR)based on insurance claims history. The bidder must provide the source of the EMR information and contact information of insurer entity providing the EMR. .CODE 3. Answer the following OSHA Specific Questions: (a) Within the last 2 years, has the bidder received any citations classified by OSHA as being(1) serious, (2) willful and/or(3)repeat violations where your company operates? Yes No If yes, attach a copy of each such citation and violation. (b) Has the bidder experienced any work-related fatalities within the last five years? Yes No ✓/ DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE (c) Has the bidder had any citations issued by OSHA as a result of work related fatalities within the past S years? Yes No (d) Is the bidder under investigation for any work-related fatalities? Yes No (e) If your answer is "yes"to 3(b), (c) or(d),provide a copy of the citation(s), list of number(s)of fatalities and documented explanation of the fatality. 4. Safety Plan: (a) Does the company have a written safety program that includes responsibility for all aspects of safety management? Yes �No (b) Does the company have a written plan for safety training of new employees and ongoing training of existing employees? Yes No (c) Does the company have documented evidence of safety training that they have conducted? Yes No (d) If the company has employees with limited English ability, does the company have a written plan for ensuring that their employees understand the training they are being given? Yes No (e)Do all supervisors have an appropriate documented level of OSHA training (e.g., a minimum of 30 hour OS construction safety training)? Yes No DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE (f)Do employees have documented basic OSHA 10 hour construction safety training? �` Yes ✓ No (g)Does the company have a documented Hazard Communication Program? Yes w No 5. Required Written Explanation of Safety Record, If the bidder has any of the following: (a) DART incident rate rg eater than its industry average, (b) an EMR greater than 1.0, (c) answered"yes"to any of the OSHA Specific Question above, or(d) answered"no"to any of the Safety Plan questions,the bidder shall provide the County, in its bid, a detailed written explanation of its safety record and the reasons why such safety history is NOT representative of its future performance and what specific actions it has taken to improve its overall safety record. Failure to provide a written explanation of its safety record pursuant to this paragraph may be deemed as non-responsive by the County. 0 0 fn tQ' M m OSHA's Form 300 (Rev.0112004) Note:You can type input into this form and save it. Attention:This form contains information relating to Because the forms in this recordkeeping package are"fillablefwntable" employee health and must be used in a manner that O Log of Work-Related PDF documents,you can type into the input form fields and protects the confidentiality of employees to the extent Year 20 1 2 then save your inputs using the free Adobe PDF Reader.In addition, possible while the information is being used for co Injuries and Illnesses the forms are programmed to auto-calculate as appropriate occu ational 5afet and health u oses. U.S.Department of tabor to p Y purposes. or:cupauoraar Safaty and Hearth Administration O +:..'r.P M„4�Y.`."T.vM,:".�.., .,.,. .. 9aty'ba�,seta•.t�T!'i;CrF:".�•ti±f4p3T'�RRi/^; :?:E#.xt�_,.!":?zsf?.,_.`:S°:°' B;ere•,"'+FkiYYfXWY+"sE�^"Ad�4tiC�!'0""';'.,"ITL`W�: OO J!F _ "°LW,�+9B$Sts'.' -:'L.!.et'�t P�Y°f.";'.l. ��, s3'- ,nm".m'S1",SX?C.>?:i!fn';Y.3S�dC?FS?'T'i�'.Ytt::.1' 1,'..•.f:;,.., ,....,..;: , si:.....,_:d._Xe.9°.'k�. .,...V:..-., You must record information about every work-related death and about every work related injury or illness that involves loss of consciousness,restricted work activity or job Foau approved OMB no.1218-0176 N transfer,days away from work,or medical treatment beyond first aid.You must also record significant work-related injuries and illnesses that are diagnosed by a physician or Harris Bros E!ecffi e&Controls D licensed health care professional.You must also record work-related injuries and illnesses that meet any of the specific recording criteria listed in 29 CFR Part 1904,8 Estatxtshmem name (� through 1904.12,Feel free to use two lines for a single case if yeu need to.You must complete an Injury and illness Incident Report(OSHA Form 301)or equivalent form for each injury or illness recorded on this form.If you're not sure whether a case is recordable,call yourlocal OSHA office forhelp. ci,Durham state NC W co . - ern identify(A) (e) (c) (D) (E) (F} oJVL Enter the number of W based on the most serjou�outcome for Cast days the injured or Select the^injury^eohmmn or cr, Employee's name Job title Date of inj ury Where the event occurred Describe injury or illness,parts of body 111 worker was: choose arse type of ithwss: W no. (e.g.,Welder) or onset of (e.g.,inading dock north e,nd) affected,and objectisubstance that eA1ti %".;Y.�.;.. a3r ��;�C141,• ,,.x:x P4z .rY, -n illness directly ini urtd or made person ill(e.g., M (e.g., 2 1!O) Seconddegreeburnsonrighrfore�m Ronaakeed at work fram ( ) � � s. ry acetylene torch) _ Away onl'oh $ 0) Day. y Job eramfr bank record- from [ranaFer or _a- O Death ham stark or.rwsVta4an ahl..oeaaa yerk rastrietian 'y a < V (G) (H) (I) (J) : K - -n ( ) (L1 (1) (2)' (3). (4) '(5) (6) w y ,rte W �2esef, manmraev l„ : Y,, t ___days _oars � � 1 ' i, .- (7 m l C, ( . [ 1,, : . days days CC•. (7-(7 C C - storm/day (/w ■�wa r�.�y /^� -says [ :..C C, (f'''e -r. '�'� mpnm f day _,'Qtrisef:. l (/. rime mltlaY y(.� ^. '. �'. ..---Cara 1 t. �: ,�._-. .._ i ;� _days �� .�.. r: C C mnrn f day I (7- — `' ." �"'; day- _days (7 . ., ( C, (7 mend day ;ge�set;: l C. /�'� mourn,day err. lr ._ r ''� l�.w,,,:. _day- _days .l a a: � '._1, , 1 • R .. C. i, ,.days ___days — storm r say �r�w 0 l l C (7. l _days says i r; C' C (�+Y ; montn ldaY F,, `r (ut ran storm �,,.„ 1 deY —days _days : (7'(" L C Page totals Public reponing burden fa this collection or infermabon is estimated m average 14 minutes per response•inclodiag time to miew the g$ 2 Q insrudions,aeard and gather the dma needed,and complete and review the mlketien of ief—hoe.Perseas*rem required to A respond b the cullcuian of information unlos it displays a em:mtly valid OMB control number.if ynubave any cdmmaxs about[heat g t '� -> �`�"{ v x'°te✓v h� 1 o '8 8 a estimates or any odrr arcw of&%din w1leetim scone:US Department of Labor,OSHA ice of Sutistinl Analysis-Room H-3644.200 constitution Avanut,Nor,washiwtan,DC 202 to.Do not send the aamplaed forms to hbis ofrm (1) (2) (3) (4) (5) (6) 0 0 c cQ' M m OSHA's Form 300 (Rev.0112004) 0 Wrote:You can type input into this form and save et. [employee ttention:This form contains information relating to Lo of Work-Related Because the forms in this recordkeeping package are"fillablelwritable" health and must be used in a manner that 9 PDF documents,you can type into the input form fields and otects the confidentiality of employees to the extent Year 20 13 to then save your inputs using the tree AdoGe PI.) Reader.In addition, ssible while the information is being used for to Ina�urles and Illnesses the forms are programmed to auto-calculale as appropriate. cupatlDnal safety and health purposes, o t"t o° U.S.i�pattrlreetee or La Occt4atlo.tal Safety and if arth Admnus You must record information about every work-related death and about every work-related injury or illness that involves loss ofconsuousness,restricted work actit4ty or job Fo;a po o o�la no.I2laAl lv transf'r,days away from work,or medical treatment beyond first aid.You must also record significant work related injunes and illnesses that are diagnosed by a physician or licensed health care professional.You must also record work-related injuries and illnesses that meet any ofthe specific recording criteria listed in 29 CPR Part 1904.8 Es[abhshmentneme Farris Bros Electric&Control:c) through 1904.12.Feet free to use two lines for a single case if you need to.You must complete an injury and Illness Incident Report(OSHA Form 301)orequivalent form for each injury or illness recorded on this form.It you're not sure whethere case is recordable,tall your local OSHA office for help. NC T c,,,Durham stale 4� W ao . �- rr W (A) y. {e) (C) f0} (P) (F) ' ' Enter the number or select the°In fV Case tSm li�ycc's name Job title Date of in'ur Where the event occurred Describe injury or illness, arts or body d+y+u°irti�d a !wY'column Cn P 1 Y f rY P y based I !!worker was chows cue type of illness .n na. (saga,welder) or Dose[of (saga,Loading dock north end) affected,and object/substance that ry TI dines. directly injured or made person JI(e.g., " - ---- ••,res. ,...a ...:.gar�. =;ri (saga, vfo) Second degree burns on rightforearm from Rdaw mod at work t ) dcetylene torch) array s Jos trasBea OSher record. {q 2 e'er 2 :O Death from werfc ne rerbiatlnn am*uw work wsLrietien S c4$ ° 'Tl (G) (H) (I) (J) (K) {L) (1) (2) (3) �(4) (5) W Reset i_ m (7" — month!day f"' /'''� y''� }''''� �BSet 1 - _days _days i. l. .- [ - r r l R88eI 1— l.... 1. - - _days _days c 1 l r r `. — montfilday r f"� /''� ttU � lt3sBt. 1— 1., i , \.. _soya _days r r r [ r F f"'� - nih 1 day "'��_+.. yew /� �r per �«r Reset r r _day. _day. [ l L l L 1. In6fM 1 dpV .. —– montnrday r Ca � .....d.ys _day. r 4�r. /ry /rte► r fir+ Reseti i_ ti.: r 1,,; _days days r t .' L [ r l. — rramh/day Reset l —In i day r ,.C� r r r r r r /`► y"''^� _d"ra _day. FZB9el 1— r l r' _day. _days (7 — �nmraar t r r, r, i �. Pays totals JOB Public Mira Wrd=for thu wlW'On of ide bliOn i3 csti tcdto avaragc la miautesperrupoase,including time to manididm,smeh and gather the deli needed,uW oomplee and teview the ealleeiide of infotmalidn.persons ass not wg4md to reapnW an tk eoUxtion of inf—tatiun un)ev it disomp a cunrntly,valid OMB waanl number.If you lvavc any canmeraa.boot these catimaka or any other aspcas of this data rolledwn,colmlecl:US apttttneat of Labor.OSHA Office of Statistical Aoa4ysis,Roam �. ,.'$dY@�]] � s as, b4$FOMI a N-3644,zoo constitution Avenue,NW,Washington,DC 202 10.Do not send the completed tome to this of£x Page et 1 (1) (2) ($) (4) (5) (fi) 0 0 c ch cQ' rn `m OSHA's Form 300 (Rey.0112004� 0 [Note:You can type input into this form and save it ntion:This farm contains information relating to rb tog of Mork=Related ecause the forms in this recordkeeping package are`fillable/writable- employee health and must be used in a manner that DF documents,you can ty pe into the input form fields and protects the confidentiality of employees to the extent Year 20 "�4 en save your inputs using the tee Adobe PnF Reader,In addition, possible while the information is being used for co n Jurpes and Illnesses e forms are programmed to auto calculate as appropriate occupational safety and health purposes. U.S.Depawrnenr of Labs •. ..:-,,..- Nere ;s<»xs a:.......r.t.:.m:„;aourr::act,= ...st r:tr„ns<«- tictlyPatea.s Salaty asad fiN7N AaYn+Htlfrsri e0 You must record information about every work-relsfed death and about every work-refaced injury orillness that involves loss of consciousness,resfricted mirk activity or�ob �NJ transfer,days a way from work,or medical treatment beyond first aid,You must also record significant work-related injuries and illnesses that are diagnosed by a physician or F«m apprm ed OMa no.l 2l a-o1. licensed health care professional. You must also record work-related injuries and illnesses that meet any of the specific recording criteria Listed in 29 CFR Fart 1904.8 through 1904.12.Feel free to use two fines lore single case if you need to You must complete an Injury and Illness Incident Report(OSHA Form 3201 or Establsnmcriname Harris Bros Electric& Controls each injury or illness recorded on this farm.!f you're not sure whether a case is remrcfaWe,ea11 ) equivalent form for your local OSHAoifieeforhelp. pyy Durham slats NC 4� 0111 0 Classify Case F,m pioyee's name .cob title Dale of injury Where the event occurred De Eater the number or UNi no. scribe injury or illness,parts of body trays the irr' d or Serest the Nr jvr'aokmm o W Welder) or onset of (e.g.,Loadmg dock north end) affected,and objeea/substance that ill worker was: choose auto type of iffness: -1l illness directly injured or made person ill(e.g., (e.g.. 2110) Second degree burns on right jorrarnt from Remained at Work {M) N acetylene torch) o Oaps esr Jab trasader Other rea•rb Away On J--oob -9 e C O Death from or runtdeNnn able nesaa hem traussler or e� 5 v restriction 92 (G) (H) {t) 3 a:v (32) work res Reset (K) (L) (t) (Z) (3) (4) (5) ((W RWnhlEay rye �a -dam —days � 4„ � l � �m Rt3set !fir +r�ontli raav _f7aset-: ” manor r day }''► /''� /''''� .:Resat mot.1 day j7 ,�• + Reset r�wa ` i�r.� �' r.•+►` _tlayn _tlays � err .}�93et _days _data r monN laay (�/+� //Y�y fy�y ydeys `day$ ♦ r i { 1 Reset l month I day ' t '7: .:Reset: monm r nay f �^"� :Reset. 1. (7, _days _days . I, =nmlday r :1�9SBf _deya _days 1 mntnrday l - �daya ^days �, Page totals Public mWliag Lnw m fu this collccdm of information is estimated to average 14 mnusa Per rrspor ,including time to review She maa+m+ienr.acarr:h and g.ther the ding needed.acid eeenplcte and retie-the capacai of information.pgsons app not teq urnd to �• fr $ smpmd W the Y Odin as cif u Of thrown a w1l it displays a nam=atly valid Oluttl cdatrol nwnber If you have nay cmmca s aboW thee: ertimatea a nay oche aspens of this Jnla mlleaioq contact:US _ m _ N-3644.200 Constitution Avenue,NW,Washin Depc�of I.ahor,OSHA 13ffice of Statiatiul An.lysis,Room $��(e� tfu s a ��i @t!'.dflltt r i 6b4 DC 20210.too not send the rompleted fonms m this office, >�•?a? (1) (2) (3) (4) (s) (6) DocuSign Envelope ID: 989208A2-AC78-4885-B25B-F162607F73BE N�IEB•NCI�•NCif�A we WAR *E"URANCE FACILM Experience Modification Rating History Listed below are the experience modification factors for the last 5 years. Employer Name:HARRIS BROTHERS ELECTRIC&CONTROLS INC&HARRIS BROTHERS ENTERPRISES LLC Address:2712 HILLSBOROUGH ROAD,DURHAM,NC 27705 Coverage Id:08999140 Combo Id:6413382 Secondary HARRIS BROS ELECTRIC&CONTROLS,HARRIS BROS ELECTRIC&CONTROLS INC, HARRIS BROTHERS ELECTRIC& Names:CONTROLS INC Effective Expiration Exp Revision Rating _ Date Date I Mod ARAP Number Status 07/14/2015 07/14/2016 0.94 1__-___ Final 07/14/2014 0711412015 0.94 3 final 07/14/2013 07/14/2014 1.00 0 final 07/14/2012 07/14/2013 0.86 0 final 07/1412011 07/1412012 0.86 0 Final _.-. 0711412 ... -... 010 07114/2011 0.86 0 Final 6 tcW records. '. https://www.ncrb.org/ManageAR/StandAlone/Tools.aspx?type=rating&comboid=64133 82... 4/28/2015 DATE{MMIDDIYYYY) DocuSign Envelope ID: 989208CCx 1 irmom i r-60%7jF7F-3 wmBILITY INSURANCE 071D912015 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(tes)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 CLIENT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE:P.O. BOX 328 A Cno,Ext:888-333-4949 A/C No):o: 507 46-4664 OWATONNA, MN 55060 AWDRIl Ss:CLIENTCONTACTCENTER FEDINS.COM INSURERS AFFORDING COVERAGE HAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 252-856-0 INSURER B: HARRIS BROTHERS ELECTRIC AND CONTROLS INC INSURER C: 2712 HILLSBOROUGH RD DURHAM, NC 27705 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:36 REVISION NUMBER:0 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. rA TYPE OF INSURANCE DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS M f D MMfDDIYYYY GENERAL LIA131LITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PR AOE To(E. —RENTED $100,000 CLAIMS-MADE OCCUR MEO EXP(Any one person) EXCLUDED N N 0749677 07/14/2015 07/14/2016 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $2,000,000 X POLICY JECT LOC r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1 moh0o X ANY AUTO BODILY INJURY[Per person) ALL OWNED SCHEDULED A AUTOS AUTOS N N 0749677 07/14/2015 07/14/2016 BODILY INJURY(Per accident) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Paracd X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAB CLAIMS-MADE N N 0749678 07/14/2015 07/14/2016 AGGREGATE s5,000,000 DIED I I RETENTION WORKERS COMPENSATION X WCSTATU• OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE Y❑ E.L.EACH ACCIDENT $1,OD0,000 A OFFICERIMEMBER EXCLUDED? NIA N 0749679 07/14/2015 07/14/2016 (Mandatory in NHI E.L.DISEASE•EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION 252-856-0 36 0 ORANGE COUNTY SHOULD ANY OF THE-ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 8181 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HILLSBOROUGH, NC 27278-8181 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010!05) The ACORD name and logo are registered marks of ACORD