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HomeMy WebLinkAbout2016-267-E AMS - Pronet Systems, Inc. to install new prox card reader at Health Dept. DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B [Departmental Use Only] TITLE Pro net-Health Dept $2,105 FY 2016 ORANGE COUNTY CONTRACT UNDER$15,000.00 NORTH CAROLINA THIS AGREEMENT, made and entered into this fifth day of May, 2016, ("Effective Date") by and between Orange County, North Carolina, a political subdivision of the State of North Carolina, (the "County"),party of the first part; and Pronet Systmes, Inc (the "Provider"),party of the second part; WITNESSETH: For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby contracts for the services of the Provider, and the Provider agrees to provide the following services to the County in accordance with the terms of this Agreement, time being of the essence: The services and/or materials (hereinafter referred to collectively as "Services") to be furnished under this Agreement are as follows: To install a new prox card reader at the Health Department as detailed in the attached quote,Q050416-B, dated May 4`h, 2016. The term of this agreement rendered shall be from 5/5/2016 to 6/30/2016. Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner to the satisfaction of the County. Provider shall be responsible for all errors or omissions, in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities,mistakes or conflicts at no additional cost to the County. Provider agrees that Provider shall not sub-contract any of the services to be provided in this Agreement, nor shall Provider assign any right or responsibility granted or required by this Agreement,without the prior written approval of the County. SPECIFIC TERMS I. Payment: The County agrees to pay at the rates specified for Services satisfactorily performed in accord with this Agreement. The amount to be paid by the County shall not exceed two thousand one hundered and five dollars and fifty eight cents, ($2,105.58). Payment shall be made within thirty (30) days of an invoice properly submitted to County. Should Provider fail to perform its duties under the terms of this Agreement, County may,without fault or penalty,withhold any payment associated with the work to be performed until such time as said work is completed. 2. Non—waiver: Failure by County at any time to require the performance by Provider of any of the provisions hereof shall in no way waive or affect the County's right hereunder to enforce the same,nor shall any waiver by the County of any breach be held to be a waiver of any succeeding breach or a waiver of this Non-Waiver Clause. 3. Independent Contractor: The Provider shall operate as an independent contractor and the County shall not be responsible for any of the Provider's acts or omissions. The Provider shall not be treated as an employee with respect to the Services performed hereunder for federal or state tax, unemployment or workers' compensation purposes. The Provider understands that neither federal, nor state, nor payroll tax of any kind shall be withheld or paid by the County on behalf of the Provider or the employees of the Provider. 4. Insurance: Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County'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 Revised 1/16 1 DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing division/contracts.php). If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 5. Indemnity: The Provider agrees to defend, indemnify, and hold harmless Orange County from all losses, liabilities, claims, demands, suits, costs, damages or expenses (including reasonable attorney's fees) arising from bodily injury, including death, to any person or persons or damage to or destruction of any property caused in whole or in part by any negligent or intentional act or omission on the part of the Provider, its agents, or assigns directly or indirectly related to the Services to be performed pursuant to this Agreement on the part of the Provider. 6. Termination: This Agreement may be terminated at any time by mutual written agreement of the parties or by the County upon written notice to the Provider. County may suspend this Agreement upon reasonable notice to the Provider. 7. Entire Agreement and Signatures: The parties have read this Agreement and agree to be bound by all of its terms, and further agree that it constitutes the complete and exclusive statement of the Agreement between the parties unless and until modified in writing and signed by the parties. 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 11A and Article 40 of North Carolina General Statute Chapter 66. 8. Priority: In determining the basic services to be provided, should any documents be referenced in or attached to this Agreement, the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. 9. Governing Law: Both parties agree that this Agreement shall be governed by the laws of the State of North Carolina. 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. By executing this Agreement Provider affirms that Provider is and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. 10. Dispute Resolution: Any and all suits or actions to enforce, interpret, or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. 11. Non Appropriation: Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. [SIGNATURE PAGE TO FOLLOW] Revised 1/16 2 DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B IN WITNESS WHEREOF, County and the Provider have signed this Agreement, effective as of the day first written above. ORANGE COUNTY PROVIDER B FDocuSigned by: DocuSigned by: . f 6 vuVUtt, RA.wtKALYSb-, By aLkw ,t " fIty1 W' Sger Tit t.-�9os65o5s2MF5... 200 S. Cameron St. Pronet Systems, Inc. P.O. Box 8181 3200 Glenn Royal Road Suite, Hillsborough,NC 27278 Raleigh,NC 27617 Revised 1/16 3 DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B «����r """ 3200 GLEN ROYAL ROAD, SUITE 107, RALEIGH, NC 27617 www.pronetsystemsonline.com TELEPHONE 919.277.2070 FAX 919.277.2072 Q050416-B Orange County-Add one(1)Card Access Door to Health Department Whitted Building May 4,2016 Mr.Alan Dorman Orange County Asset Management Services PO Box 8181 Hillsborough,NC 27278 Cc: Mr.Jeff Thompson Dear Mr.Dorman, RE: ORANGE COUNTY—ADD ONE(1) CARD ACCESS DOOR TO HEALTH DEPARTMENT WHITTED BUILDING With reference to your request for a proposal for an additional card access door at the Health Department Whitted Building. This proposal includes a replacement cylindrical lockset required for an access control application. Our price is detailed below for your review. Equipment Description Quantity Equipment Description Unit Price Total Price 1 Bosch DS-150 PIR REX 74.25 74.25 1 GE 1076CW Door Contacts 11.48 11.48 1 HES 5200C Electric Strike Complete 118.80 118.80 1 HID 6120BGT000OL Smart Card Reader Switch Plate Gray 211.95 211.95 1 Lene1 LNL-1300 Reader Interface 255.15 255.15 1 ProNet ADA ADA Cylindrical Lockset 270.00 270.00 Cable and Installation Materials 182.69 Equipment Total Including Cable and Materials 1,124.32 Add Estimated Shipping 27.19 Add Labor 807.17 Add 7.5%Sales Tax 146.90 Total Price Including Equipment,Labor,Sales Tax,and Shipping $2,105.58 1 DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B Warranty All products are covered for one year,parts and labor, from date of hand over. An extended maintenance program is available. This includes parts and labor on all products for the second year after date of hand over. Service Rates Out of warranty call out is charged at$85.00 per hour and$105.00 per hour out of hours(regular business hours are 8.00 am to 5.00 pm,Monday to Friday). Response time is same day if service call is requested before 10.00 am or if the system is down due to failure. All product is covered for one year,parts and labor, from date of hand over. A Service Contract for an extended maintenance program is offered if required. This includes parts and labor on all products for the second year after date of hand over. Service Contract A maintenance program is offered below. Full Maintenance $ 94.16 per year Terms of Payment Unless otherwise arranged, 50%of payment is due upon receipt of the order, and 50%of payment is due upon project completion. Interest will be charged at a rate of 1.5%per month on accounts 10 days past due. Validity These rates are valid for a period of thirty days from today's date. We trust that in submitting this proposal we have addressed all your requirements. Should you require further clarification or additional information,please do not hesitate to contact us. Sincerely, Alan Jelley ProNet Systems,Inc. Accepted: Signed .......................................................For and On Behalf of Orange County ......................................................................................... Print Name & Title Date.......................................................... 2 DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B DATE(MM/DD/YYYY) ACCOR ` CERTIFICATE OF LIABILITY INSURANCE 02/19/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTA Amy H.Paschal.. ... Ken B.Lawson,Jr. (AJC,No,E,t). 919-846-2090 ext 105 FAX No); 919-846-2438 dba Lawson Insurance Group,Inc. -MAIL aschaa tiationwide.com p� nc. p ADDRESS:: @ 6512-101 Six Forks Road _ INSURER(S),AFFORDING COVERAGE NAIC# Raleigh,NC 27615 INSURERA Nationwide Mutual Insurance Company 23787 ........ ......... INSURED INSURER B: AmGUARD Insurance Company 21873 ...... ......... ProNet Systems,Inc. INSURER C: Nationwide Mutual Fire Ins Company 23779 3200 Glen Royal Road INSURERD: Suite 107 INSURER E.: ......... .... Raleigh,INC 27617 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. LTR ......... ....... ........ .._.._..- --- . POLICY EXP ...... ,,. ................ ......... ILTR TYPE OF INSURANCE NS SUER POLICY NUMBER hPlt PpOC,1YYlYEr'YV MMiODdY'YYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ACP2272994383 02/22/2016102/22/2017 EACH OCCURRENCE $ 1,0001000 ..... CLAIMS-MADE X OCCUR ,-PREMISES(E.a.DAMAGE TO RENTED occurTence $ 100,000 X Contractual Liability MED EXP(An_y one person) $ 5,000 ........ .............. X Contractors Enhancement PERSONAL BADVINJURY I.$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE ,$ 2,000,000 I'I'2.0 POLICY L..X JFC'1' � LOC PRODUCTS COMP/OPAGG $ 2,000,000 OTHER $ C AUTOMOBILE LIABILITY i Y Y ACP3006121314 12/31/201512/31/2016 8I EeDtSINGLE LIMIT $ 1,000,000 X =ANY AUTO BODILY INJURY(Per person) $ —..;ALL OWNED SCHEDULED .X AUTOS AUTOS BODILY INJURY(Per accident) $ _ NON-OWNED PROPER1Y DAMAGE $ X ) HIRED AUTOS X,.,. AUTOS _L rac4den�V......... A X UMBRELLA LIAB X OCCUR Y Y ACP227994383 02/22/2016102/22/2017€EACH OCCURRENCE $ 4,000 000 X EXCESS LIAB CLAIMS MADE AGGREGATE $ 4,000 000 ,. . ._...... ......... ......... .,., DED 1 X�RETENTION$ none $ B WORKERS COMPENSATION Y PRWC663376 04/03/2015 4/03/2016 X 1 STA TE 1 Err+ AND EMPLOYERS LIABILITY 1 FIFGCEOPRIETOWPA'R-NNEW L XECUTIVE YIN!N) NIA E EACH ACCIDENT $ 1,000,000 (Mandatory in NH) (� E L DISEASE-EA EMPLOYEE $ 1,000,000 If ds describe under - ID SCRIPTIONOFOPERATIONSb0aw EL DISEASE-POLICY LIMIT $ 1,000,000 s DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Orange County is included as additional insured and Waiver of Subrogation applies per Blanket Contractors Enhancement Endorsement CG 72 88 under the general liability policy(please refer to attachments). The Umbrella/Excess Liability policy is"follow form". Blanket Waiver of Subrogation also applies to the workers compensation policy(please refer to attachments). CERTIFICATE HOLDER CANCELLATION Orange County P.O.Box 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hillsborough,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. E-Mail: tcomar @orangecountync.gov AuTHOKUZ D REPR ENTA 'VE E-Mail: anitaj @pronetsystemsnc.com w I E-Mail: atf ronets stemsnc.com > r °" @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B BERKSHIRE HATHAWAY INSURANCE AMGUARD Insuran a Company- A Stock Company KOGUARDCOMPANIES policy Number PRWC663376 Renewal of PRWC552943 NGCI No. [21873] Policy Information Page ]Named Insured and Mailing Addiress.....r._� PRO NET SYSTEMS INC, 3200-107 Glen Royal Road Raleltgh, NC 27617 E s t.....:i. .;?;"bow_e R" :Tic' l Federal Employer's Ill Insured Is Corporation Risk ID Number 6049357 2. Policy Period From April 3, 2015 to April 3, 2016, 12.:01 AM,standard time at the Insured's mailing address. ............. ...[3i,, Coverage �....��...�. .......-. . A. Workers' (compensation Insurance -Part One of this policy applies to Lhe Workers' Compensation Law of the following states: North Carolina B. Employer's Liability Insurance-Part Two of this policy applies to work in each of the states listed in item[3.)A. The limits of our liability under Part Two are: Bodily Injury by Accident-each accident $1,000,000 Bodily Injury by Disease- each employee 11,000,000 Bodily Injury by Disease- policy limit $1,000,000 C. Other States Insurance- part Three of this policy applies to all states,except any state listed In item [3]A. and the states of North Dakota,Ohio, Washington,and Wyoming. D. This policy Includes these endorsements and schedules: See Extension of Information Page -Schedule of Forms [4] Premium The Premium Basis and,therefore,the premium will be determined by our Manual of Rules, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Premium $ 5,558 Total Surcharges/Assessments $ 0.00 Total Estimated Cost $ 6,558.00 INTERNAL L5eX rage- 1 - Information Page MGA : PRWC663376 WC 000001A Date :04102.12015 Issuing Office,Q.Q.Box A-i4,16 S.River Street,Wilkes-Barre,PA 1$703-0020•vvww.guard.corn DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B WORKERS COMPENSAY10N AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed.4-64) ................ WAIVER OF OUR R1lG'FHT TO RECOVER FROM OTHERS ENDORSEMENT We have the Vht to rewvaf out payments frorn anyone fiaDle for an Injury Covered by thi,$ptilicy.We VAI)not enforeA Our light�IOIRSt til►ft POrSDO or organization namW in Rio Schedule. (This sgmernent applies;only to the extent that you prAiorm,work jgoxj9r a written Contract that requires yOU to obtain this agrearnerd fix)m in-) This agrearriant shall not berate directly or irmPredly to benefit anyone rK)t narned in the Schedule. Schedule Blanket Waiver Person/omanizallion.. Blanket Waiver-Any person or organization for vs&,+rn the Named Insured has agreed by written contract to furnish this waiver. Sob Description All NC Operations This cbanges the policy to wj*jj a is oUrhad and is effective an the date issued unless ot4onvion stat"d. (The InfornmPon below 1*required only when this&"dormna"t is slaued subsequent to prepaintion of"1130111cV.) Endomernant Effective ftficy No, PRWOOM70 Insured Insurance Company Countersigned by-44 .......................... wo 00 0313 (Ed.4-84) O IM 1011kows Cm%qrfA an C"Psr4olbn DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B NATIONWIDE MUTUAL INSURANCE COMPANY 60483 ONE NATIONWIDE PLaAZ�l RENEWAL COLUMBUS,OH 43216-2220 COMMERCIAL GENERAL LIABILITY DECLARATIONS -22729943 N 83 t e�tr�va I�r��€a' : ACP N,, i d =t PRO NET SYSTEMS INC. {� 3200 GLEN ROYAL RD STE 907 RALEIGH NC 27617-7419 Agent. KEN L.AWSON,JR. 32-80483.001 Address: RALEIGH NC 27615 PRODUCER: KENNETH l3 LAWSON JR Policy Period: From 02/22/16 to 02J22/17 12:01 A.M. standard time at the address of the earned insured as stated herein. In return for the payment of the premium, and subject to all the terms of this policy,we agree with you to provide the insurance as stated in this policy. LI€WITS OF INSURANCE GENERAL AGGREGATE LIMIT(other than roduct -com Ieted operations) $ 2,000,000 PRODUCTS�t:1MPLETEi3 OPERATIONS AS OR LIT 3 2,000,000 PERSONAL AND ADVERTISING INJURY LIMIT $ 1,000,000 EACH OCCURRENCE LIMIT 3 11000,000 DAMAGE TO PREMISES,RENTED TO YOU LIMIT(any one promises) $ 100, 000 MEDICAL EXPENSE LINT (any one person) Retroactive Date (CC00W only) i he Narned Insured is: CORPORATION Business of the Married Insured is: ELECTRICAL APPARATUS Audit Period: ANNUAL _ EPIC3LZRSEht1EN"fS ATTACHED TO THIS POLICY�.M._.......__v...... ,..,.�..,�,..��..,,�......, .,.,.�..m ...�..�.,.., SEE COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS SCHEDULE TOTAL ADVANCE PREMIUM 1,635.00 Replacement or Renewal Number ACP GLO 2262094353 A PACKAGE MODIFICATION FACTOR HAS SEEN APPLIEL? Countersigned By 4 GL-D(10-95) DIRECT BILL L6DQ 15009 AGENT COPY ACP GLr3 2272994383 837701611 22 0007234 DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B NATIONWIDE MUTUAL INSURANCE COMPANY ONE NATIONWIDE PLAZA COLUMBUS, OH 43216-2220 COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS Number: ACP GLO 2272994383 Period: From 02/22/16 To 02/22/17 Named Insured: PRO MET SYSTEMS INC ­­­..w.,,... _ w Form Date Title CG0001 0413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG2033 0413 ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS-AUTOMATIC STATUS WHEN RE{ CG2106 0514 EXCLUSION-ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION CG2147 1207 EMPLOYMENT- RELATED PRACTICES EXCLUSION CG2150 0413 AMENDMENT OF LIQUOR LIABILITY EXCLUSION CG2156 0999 TOTAL POLLUTION EXCLUSION WITH A HOSTILE FIRE EXCEPTION CG2167 1204 FUNGI OR BACTERIA EXCLUSION CG2170 0108 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG2186 1204 EXCLUSION- EXTERIOR INSULATION AND FINISH SYSTEMS CG2196 0305 SILICA OR SILICA-RELATED DUST EXCLUSION CG2279 0413 EXCLUSION-CONTRACTORS- PROFESSIONAL LIABILITY CG2426 0413 AMENDMENT OF INSURED CONTRACT DEFINITION CG7023 1096 EXCL-ASBESTOS, ELECTRO-MAGNETIC RADIATION, LEAD AND RADON CG7033 0393 TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US (k_ 10137280 1111 CONTRACTORS ENHANCEMENT ENDORSEMENT GC2187 0107 CONDITIONAL EXCLUSION OF TERRORISM (RELATING TO DISPO$TION OF FEDERAL TERRORISM 11-0017 1198 COMMON POLICY CONDITIONS I L0021 0908 NUCLEAR ENERGY LIABILITY EXCLUSION IL0269 0908 NORTH CAROLINA CHANGES-CANCELLATION AND NONRENEWAL 13614 1185 SPECIAL CONTINUATION PROVISION IMPORTANT NOTICES IN5017 0593 IMPORTANT NOTICE FOR RENEWAL POLICIES IN7300 0114 NOTICE TO POLICY HOLDERS POTENTIAL RESTRICTIONS OF TERRORISM COVERAGE IN7759 0514 NOTICE TO POLICYHOLDERS COMMERCIAL GENERAL LIABILITY EXCLUSION-ACCESS OR DISC GLDF 102-93) DIRECT BILL L6VQ 15009 AGENT COPY ACP GLO 2272994393 837701911 22 000T236 DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B COMMERCIAL GENERAL LIABILITY CG 72 88 11 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LOST KEY COVERAGE 'Loss"means unintentional damage or SECTION I — COVERAGES, COVERAGE A destruction but does not include disappearance, BODILY INJURY AND PROPERTY DAMAGE theft,or loss of use. LIABILITY, coverage is extended to Include the NON-OWNED WATERCRAFT following: SECTION I — COVERAGES, COVERAGE A If a customer's master or grand key, excluding BODILY INJURY AND PROPERTY DAMAGE electronic key card, is lost while in your care, LIABILITY,2.Exclusions is amended as follows: custody or control we will pay the cost 0'1 g. Aircraft, Auto Or Watercraft (2) (a) is replacing the keys„ Inctuding the master lock and replaced with: all keys used In the same lock, the cost of (a) Less than 51 feet long;and adjusting locks to accept the now keys, or the cost to replace the locks,whichever is less. EXPANDED PROPERTY DAMAGE COV- Llmit of Insurance - The most we will pay for ERAGE 'loss" arising out of any one 'occurrence" is For the purposes of this endorsement only: $5,000. SECTION I — COVERAGES, COVERAGE A SECTION V DEFINITIONS is amended as BODILY INJURY AND PROPERTY DAMAGE. follows: LIABILITY,2.Exclusions is amended as follows: The following definition applies to Lost Key a. Exclusions j.(3),j.(5),and j.(6)are Coverage: deleted in their entirety. "Loss" means unintentional physical damage or b. Exclusion j.(4) is deleted in its entirety destruction to tangible property,including theft or and replaced by the following: disappearance. Tangible property does not Personal property In the care custody or include money or securities. control of the insured: VOLUNTARY PROPERTY DAMAGE 1. for storage or sale at premises you SECTION I — COVERAGES, COVERAGE A own,rent or occupy;or BODILY INJURY AND PROPERTY DAMAGE 2. while being transported by any LIABILITY, coverage is extended to include the aircraft, "auto" or watercraft owned following: or operated by or rented to or loaned At your request,we will pay for"property damaged'to to any insured. property of others caused by you and while In your c. The following exclusions are added: possession, arising out of your Iwiness operations 1. The coverage provided by this and'occurring during the policy period. endorsement does not apply to Limit of Insurance-The most we will pay for "property damage" arising out of the "loss"arising out of any one"occurrence"is disappearance or loss of use of $500. personal property. SECTION V—DEFINITIONS is amended as follows: The following definition applies to Voluntary Property Damage coverage: CG 72 88 1111 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 4 with its permission. DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B CG 72 8611 11 2. The coverage provided by this SUPPLEMENTARY PAYMENTS endorsement does not apply to SECTION I — COVERAGES, SUPPLEMEN- "property damage" included in the TARY PAYMENTS—COVERAGES A AND B is "products-completed operations amended as follows: hazard". 1. 1.b.replaced with: Limit of Insurance - The most we will pay b. Up to $2,500 for cost of bail bonds for 'property damage" provided by this required because of accidents or traffic coverage in any one"occurrence"is$5,000. law violations arising out of the use of Deductible - Our obligation to pay for a any vehicle to which the Bodily Injury covered loss applies only to the amount of Liability Coverage applies. We do not loss In excess of$250. have to furnish these bonds. This insurance is excess over any other valid 2. 1.d.replaced with: and collectible insurance. d. All reasonable expenses incurred by the DAMAGE TO PREMISES RENTED TO YOU insured at our request to assist us in the SECTION I — COVERAGES, COVERAGE A investigation or defense of the claim or BODILY INJURY AND PROPERTY DAMAGE "suit", including actual loss of earnings LIABILITY, the last paragraph of 2. Exclusions up to $500 a day because of time off of is replaced by the following: from work. If Damage to Premises Rented to You is NEWLY FORMED AND ACQUIRED not otherwise excluded, exclusions c. ORGANIZATIONS through n. do not apply to damage by lure„ SECTION II -- WHO IS AN INSURED is ligNning, explosion., smoke or sprinkler amended as follows: leakage to premises while rented to you or 1. 3.a.is replaced with: temporarily occupied by you with permission a. Coverage under this provision is of the owner. A separate limit of Insurance aftorded only until the 1 Be day after you applies to this coverage as described in acquire or form the organization or the Section III-Limits of Insurance. end of the policy period, whichever Is SECTION III — LIMITS OF INSURANCE, earlier„ paragraph 6 is replaced with: ADDITIONAL INSURED — WHEN REQUIRED 6. Subject to 5. above, the Damage To I AN AGREEMENT OR CONTRACT WITH Premises Rented To You Limit Is the most " I OW we will pay under Coverage A for damages because of "property damage" to any one The following is added to SECTION II—WHO IS premises,while rented to you,or in the case AN INSURED of damage by fire, lightning, explosion, 4. Any person(s) or organization(s) with whom smoke or sprinkler leakage, while rented to you have agreed In a valid wren contract or you or temporarily occupied by you with written agreement that such person or permission of the owner. The limit is organization be added as an additional increased to$300,000. insured on your policy during the policy SECTION IV — COMMERCIAL GENERAL period shown In the Declarations. Such person or organization is an additional LIABILITY CONDITIONS, 4. Other Insurance, insured only with respect to liability for b. Excess Insurance (1) (a) (11) is replaced "bodily Injury" "property damage" or with: "personal and advertising Injury". (ii) That is Fire, Lightning, Explosion, The person or organization added as an Smoke or Sprinkler leakage insurance Insured by this endorsement is an Insured for premises rented to you or temporarily only to the extent you are held liable due to: occupied by you with permission of the owner. Page 2 of 4 Includes copyrighted material of Insurance Services Office,Inc., CG 72 8811 11 with its permission. DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B CG 72 88 11 11 a. Lessors of Leased Equipment to the performance of your ongoing Maintenance, operation or use of operations performed for that additional equipment leased to you by such person insured, whether the work is performed by or organization. This insurance does not you or on your behalf. apply to any "occurrence" which takes The insurance does not apply to: place after the equipment lease expires. (1) "bodily injury", "property damage", or However, their status as additional "personal and advertising injury" arising insured under this policy ends when their out of the rendering of or the failure to lease, contract or agreement with you render any professional architectural, for such leased equipment expires. engineering or survey services, b. Managers or Lessors of Premises including: The ownership, maintenance or use of (a) The preparing, approving, or failing that part of the premises you own, rent, to prepare or approve maps, shop lease or occupy. drawings, opinions, reports, survey, field orders, change orders or This insurance does not apply to: drawings and specifications:or (1) Any "occurrence"which takes place (b) Supervisory, inspection, architec- after you cease to be a tenant in that tural or engineering activities. premises. (2) "Bodily injury" or "property damage" (2) Structural alterations, new con- occurring after: struction or demolition operations (a) All work, including materials, parts performed by or on behalf of the or equipment furnished in person or organization. connection with such work, on the However, their status as additional project (other than service, insured under this policy ends when you maintenance or repairs) to be cease to be a tenant of such premises. performed by or on behalf of the c. State or Political Subdivision - additional Insured(s) at the location Permits of the covered operations has been completed;or Operations performed by you or on your (b) That portion of "your work" out of behalf for which the state or political which the injury or damage arises subdivision has issued a permit. has been put to its intended use by This insurance does not apply to: any. person or organization other (1) "Bodily injury" or 'property damage" than another contractor or " rti or personal or advertising injury" subcontractor engaged in arising out of operations performed performing operations for a principal for the state or municipality;or as a part of the same project. (2) "Bodily injury" or "property damage" However, a person or organization's included within the "products- status as additional insured under this completed operations hazard". policy ends when your operations for that additional insured are completed. However, such state or political P subdivision's status as additional insured AGGREGATE UNIT PER ROJECT��— under this policy ends when the permit EC'TION III — LIMITS OF INSURANCE The ends. following paragraph is added to paragraph 2: d. Owners,Lessees,or Contractors The General Aggregate Limit under Section odily injury", "property damage" or III Limits of Insurance applies separately to "personal and advertising injury" caused, in each of your construction projects away from whole or In part,by: premises owned by or rented to you. (1) Your acts or omissions;or (2) The acts or omissions of those acting on your behalf; CG 72 88 11 11 Includes copyrighted material of Insurance Services Office,Inc., Page 3 of 4 with its permission. DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B CG 72 8611 11 policy provided such failure to disclose all MEDICAL PAYMENTS hazards or prior"occurrences"or offenses is, SECTION III — LIMITS OF INSURANCE, not intentional. This provision does not Paragraph 7.is replaced: affect our right to collect additional premium 7. Subject to 5.above,the higher of: or exercise our right of cancellation or non a. $10,000;or renewal. b. The amount shown in the Declarations WAIVER OF SUBROGATION, for Medical Expense Limit is the most SECTION IV — COMMERCIAL GENERAL we will pay under Coverage C for all LIABILITY CONDITIONS� a.Transfer of Rights medical expenses because of "bodily of Recovery Against Others to Us Is amended injury'sustained by one person. to include. , This coverage does not apply il r Coverage C — it 14uired by a written contract executed Medical Payments is excluded either by the prior to loss, we waive any right of provisions of any coverage forms attached to the subrogation we may have against the policy or by endorsement. contracting person or organization because of payments we make for injury or damage KNOWLEDGE OF AN OCCURRENCE arising out of your ongoing operations or SECTION IV — COMMERCIAL GENERAL "your work' done under a contract with that LIABILITY CONDITIONS,The following is added person or organization and included in the to 2. Duties In The Event Of Occurrence, "products completed operations hazards". Offense,Claim Or Suit condition: LIBERALIZATION e. Knowledge of an occurrence, offense,claim SECTION IV — COMMERCIAL GENERAL or suit by an agent or employee of any LIABILITY CONDITIONS, 10. Liberalization is insured shall not In Itself constitute added as follows: knowledge of the insured unless you, a partner, if you are a partnership; or an if we revise this coverage form to provide more executive officer or insurance manager, if coverage without additional premium charge, you are a corporation receives such notice of your policy will automatically provide the an occurrence, offense, claim or suit from additional coverage as of the day the revision is the agent or employee. effective in your state. 'f. The requirements in Section IV — BROADENED BODILY INJURY DEFINITION Conditions Paragraph 2.b. Will not be (MENTAL ANGUISH) considered breached unless there is SECTION V — DEFINITIONS is amended as knowledge of occurrence as outlined in follows: paragraph a.above. 1. 3."Bodily injury'is deleted and replaced with UNINTENTIONAL FAILURE TO DISCLOSE the following: HAZARD "Bodily Injury' means physical Injury, SECTION IV — COMMERCIAL GENERAL sickness or disease to a person and, it LIABILITY CONDITIONS,6.Representations is arising out of the foregoing, mental anguish, amended to Include: mental Injury,shock or humiliation,including d. Your failure to disclose all hazards or prior death at any time resulting therefrom. "occurrences" or offenses existing as of the inception date of the policy shall not prejudice the coverage afforded by this All terms and conditions of this policy apply unless modHIed by this endorsement. Page 4 of 4 Includes copyrighted material of Insurance Services Office,Inc., CG 72 88 11 11 with Its permission. DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B 0:42: o Identity Fraud, Inc. CONFIRMATION OF ENROLLMENT THE TERMS AND CONDITIONS OF THIS CONFIRMATION OF ENROLLMENT, INSURANCE AND PROGRAM PROTECTION MAY NOT COMPLYWITH THE SPECIFICATIONS SUBMITTED FOR CONSIDERATION. PLEASE READ THIS CONFIRMATION CAREFULLY AND COMPARE IT WITH ANY QUOTE, APPLICATION AND SUBMISSION DOCUMENTS AND REVIEW THE POLICY FORMS FOR THE ACTUAL COVERAGES PROVIDED. PLEASE NOTE: THIS IS NOT A BINDER OF INSURANCE. FOR SPECIFIC EVIDENCE OF COVERAGE, PLEASE REVIEW THE POLICY AND/OR CERTIFICATE OR EVIDENCE AS APPLICABLE. CYBER LIABILITY INSURANCE IS PROVIDED PURSUANT TO ENROLLMENT IN THE DATA THEFT RISK PURCHASING GROUP OR RELATED ENTITY. IN ACCORDANCE WITH YOUR INSTRUCTIONS,AND IN RELIANCE UPON THE STATEMENTS MADE BY YOU AND/OR THE RETAIL BROKER IN THE ENROLLEE'S APPLICATION, WE HAVE OBTAINED PROGRAM PROTECTION BENEFITS AND INSURANCE AT YOUR REQUEST SUMMARIZED AS FOLLOWS. DATE ISSUED: April 28, 2016 CLIENT/INSURED: ProNet Systems Inc 3200 Glen Royal Rd Raleigh, NC 27617-7419 CONTRACT NO: IF145765 PROGRAM/POLICY PERIOD(S): Effective: April 28, 2016 Expiration: April 28, 2017 PROGRAM/COVERAGE: Core Cyber 1000 (0-2.5MM), including: A. Data Risk Liability Insurance B. Covered Expenses C. Identity Insurance (Employee) INSURER: Various, including: A. AIG Specialty Insurance Company B. AIG Specialty Insurance Company C. AIG Specialty Insurance Company LIMITS: Annual aggregate limits and sublimits of insurance and protection include: Section A: Data Risk Liability Annual Aggregate $1,000,000 Sublimits: Data Risk Liability Insurance $1,000,000 Regulatory fines and penalties $1,000,000 Cyber Extortion $1,000,000 Media Liability $1,000,000 Payment Card Industry (PCI) $250,000 Privacy Loss Mitigation (Response) $500,000 ©All rights reserved. 0 0 DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B OWE: ======W o Section B: Breach Expense Protection Annual Aggregate $500,000 Sublimits: Network Interruption $500,000 Data Destruction/Reconstruction $500,000 Section C: Personal Identity Protection Annual Aggregate NIL Identity Insurance (per enrollee) $15,000 RETENTIONS: Each and Every Claim / Incident A. $1000.00 B. $1000.00 C. $0.00 PROGRAM PRICE: $999.00 POLICY FEES: Not Applicable STATE TAX: Included (Please refer to individual certificates of insurance) STAMPING FEES: Included (Please refer to individual certificates of insurance) STATE SURCHARGES: Included (Please refer to individual certificates of insurance) BROKER FEES: NIL TOTAL: $999.00 RETROACTIVE DATE: April 28, 2016 ADDITIONAL TERMS/CONDITIONS TERMS AND CONDITIONS APPLY AS PER EACH RESPECTIVE POLICY FORM AND APPLICABLE ENDORSEMENTS. IN ADDITION, PROGRAM TERMS ARE PROVIDED AND PURSUANT TO THE IFI CUSTOMER AGREEMENT LOCATED AT HTTPS://BIZ.IDENTITYFRAUD.COM/CUSTOMER-AGREEMENT CANCELLATION: EACH POLICY IS SUBJECT TO THE CANCELLATION PROVISIONS AS FOUND IN THE POLICY (IES) OR CERTIFICATE(S) CURRENTLY IN USE BY THE INSURER(S). THE INSURANCE EFFECTED BY EACH INSURER MAY BE CANCELLED BY THE INSURER (SUBJECT TO STATUTORY REGULATION) BY MAILING, TO THE ENROLLEE AT THE ADDRESS STATED ON THE FACE OF THIS DOCUMENT,WRITTEN NOTICE STATING WHEN SUCH CANCELLATION SHALL BE EFFECTIVE.IN THE EVENT OF CANCELLATION BY THE ENROLLEE, A CUSTOMARY SHORT RATE RETURN OF AMOUNTS ALREADY PAID SHALL APPLY SUBJECT TO THE MINIMUM EARNED PROGRAM PRICE. THIS CONFIRMATION IS ISSUED SOLELY BASED UPON THE PROVIDERS AGREEMENT TO PROVIDE PROTECTION, TOGETHER WITH THE INSURERS AGREEMENT TO PROVIDE INSURANCE AND IS ISSUED BY THE UNDERSIGNED WITHOUT ANY LIABILITY WHATSOEVER AS AN INSURER. T�iovr�as�4. w�Gt'vt�arti Authorized Signature Identity Fraud, Inc/Identity Fraud Insurance Services 1700 N Broadway,Walnut Creek,CA 94596 925-296-2600;CA License:OD40585 ©All rights reserved. 0 0