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HomeMy WebLinkAbout2016-486-E DEAPR - Legacy Research Associates - Amendment to contract re Blackwood Farm archaeological survey of slave cemetery DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 NORTH CAROLINA ORANGE COUNTY CONTRACT AMENDMENT #1 THIS CONTRACT AMENDMENT ("Amendment") is made and entered into this 15th day of August 2016 by and between ORANGE COUNTY (hereinafter referred to as "County") and Legacy Research Associates, Inc., (hereinafter referred to as"Provider"). WITNESSETH: THAT WHEREAS, the County and Provider entered into a contract dated February 1, 2016 (Attachment A: internally designated as 2016-143), for the provision of services to the County (hereinafter the "Original Agreement"); and WHEREAS, the County and Provider desire to extend the Original Agreement while keeping in effect all terms and conditions of the Original Agreement not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration for the mutual covenants and agreements made in the Original Agreement and herein, the parties agree to amend the Original Agreement as follows: 1 . The Term of the Original Agreement is hereby extended through September 15, 2016. 2. A new condition be created at section 12 to state the following: "Provider certifies that, as of execution, it is not on the Final Divestment List as created by the State Treasurer pursuant to N.C.G.S. § 147-86.58. In compliance with the requirements of the Iran Divestment Act Designer shall not utilize in the performance of this Agreement any subcontractor that is identified on the Final Divestment List." 3. A new condition be created at section 13 to state the following: "Pursuant to the terms of North Carolina General Statutes no county may enter into a contract unless the contractor and its subcontractors comply with the requirements of Article 2 of Chapter 64 of the North Carolina General Statutes. Where applicable, failure to maintain compliance with the requirements of Article 2 of Chapter 64 of the General Statutes constitutes Provider's breach of this Agreement. By executing this Agreement Provider affifinis Provider is in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes." CA 080816 jcb DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 4. A new condition be created at section 14 to state the following: "Provider shall not discriminate based upon race, ethnicity, color, national origin, religion, creed, age, sex, gender, gender identity, gender expression, marital status, familial status, disability, political affiliation, veteran status, disabled veteran status." 5. Except for the changes made herein, the Original Agreement shall remain in full force and effect to the extent it is not inconsistent with this Amendment. IN TESTIMONY WHEREOF, this Amendment has been executed by the parties hereto, as of the date first above written. ORANGE COUNTY: PROVIDER: DocuSigned by: p DocuSigned by: 156klttt, A-MA t, /2016 L�6ora(ti Joy owner 8/15/2016 --0637994B755E477... —DE4A243917E34813... Bonnie Hammersley, County Manager Deborah Joy, President Legacy Research Associates, Inc. CA 080816 jcb DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 LEGAC-1 OP ID: CH Al.7(:)1Z/=," DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/12/2016 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 CONTACT Robert M.Good First Insurance Services,Inc. NAME` P.O.Box 13687 C,N No,Ext):919-941-0549 PHONE FAic,No(: 919-941-0135 RTP,NC 27709 E-MAIL Robert M.Good ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Casualty Insurance Co 29424 INSURED Legacy Research Associates Inc INSURER B: 125 West Woodridge Dr Durham, NC 27707 INSURER C INSURER D INSURER E 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. INSR SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE INSD WVD POLICY NUMBER /Y (MM/DD/YYYY) (MM/DDYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X 22SBAL05758 03/16/2016 03/16/2017 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ Business Owners MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 4,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG_ $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO 22SBALO5758 03/16/2016 03/16/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXX DED RETENTION$ $ XXXX WORKERS COMPENSATION X PER 0TH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE 22WBCCM2318 03/14/2016 03/14/2017 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 PROPERTY 2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Orange County Dept of Environment, Agriculture and Parks & Recreation are listed as additional insureds if required by a written/executed contract or agreement prior to a loss. CERTIFICATE HOLDER CANCELLATION COUNTY3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE-WITH THE POLICY PROVISIONS. of Environment Agriculture &Parks&Recreation - Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 A 4+a-esifv‘evA A orzlivtal Black iiro ex( Alt 144.111 fra 143-r 4ywy [Departmental Use Only] TITLE Blackwood Archaeology FY 2015-16 ORANGE COUNTY CONTRACT UNDER$15,000.00 NORTH CAROLINA THIS AGREEMENT, made and entered into this 1st day of February, 2016, ("Effective Date") by and between Orange County, North Carolina, a body politic and corporate organized under the laws of the State of North Carolina, (the "County"), party of the first part; and Legacy Research Associates, 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 tenus 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: Historical and archaeological investigations to document marked and unmarked graves at the slave cemetery located at Blackwood Farm Park in Orange County, NC. The work includes conducting an intensive archeological survey of the entire cemetery site to determine the number of graves/burials and to determine the boundaries of the cemetery. Work will be perfomed as described in the attached scope and proposal(Attachment 1). The term of this agreement rendered shall be from Feb. 1St,2016 to April 30th, 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 1. Payment: The County agrees to pay at the rates specified for Services satisfactorily performed in accord with this Agreement. The amount to be paid by the County shall not exceed Six Thousand Seven Hundred dollars, ($6,700). 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. Revised 10/14 1 DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 4. Insurance: Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by Owner's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://orangecountync.gov/purchasing/contracts.asp). If Owner's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of N/A (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. 5. 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. 6. Teimination: This Agreement may be terminated at any time by mutual written agreement of the parties or by the County upon written notice to the Provider. 7. Entire Agreement 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 deter mining the basic services to be provided, should any documents be referenced in or attached to this Agreement, the terms herein 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. Should either party initiate litigation to settle any dispute involving the terms of this Agreement such litigation shall be initiated in the General Court of Justice of North Carolina seated in Orange County, North Carolina. 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. 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 10/14 2 DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 IN WITNESS WHEREOF,County and the Provider have signed this Agreement, effective as of the day first written above. ORANGE COUNTY PROVIDER c—,¢.,DocuSigned by: (--DocuSigned by: By: bbtk,vua, tA.-AdMwtt S 42016 By: W.or(.4, Joy 2/4/2016 County- 1 T55E477... i's—DE4A243917E3485... 200 S. Cameron St. Legacy Research Associates,Inc. P.O. Box 8181 125 West Woodridge Drive Hillsboroug ,NC 27278 Durham,NC 27707 Revised 10/14 3 DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Legacy Research Associates, Inc. Party/Vendor Contact Person: Deborah Joy Contact Phone: 919-215-6469 Party/Vendor Address: 125 West Woodridge Drive City Durham State: NC Zip: 27707 Department: DEAPR Amount: $6,700 Purpose: Blackwood Farm archaeological survey of slave cemetery Budget Code(s): 61370035 880000 20000 Vendor # 43430 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New® Renewal El Amendment ❑ Effective Date Feb. 1St,2016 Approved by Board Yes❑No Agenda Date: This agreement is approved as to technical form and content: ,i—DocuSignedd by: Department Director's Signature VA t. S'f aiAAAL Date: 2/4/2016 ,—611 CFA1 D507A495... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: c---DocuSigned by: Office of the Risk Management Officer I LtS& (,bV1AA_ b Date: 2/5/2016 L—7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer Date: 2/12/2016 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: f—Jh DocuSigned by: Office of the County Attorney b rbi •tS Date: 2/12/2016 '`—EAA3D33ED8A8465... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 10/14 4 DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 ATTACHMENT 1 BLACKWOOD FARM ARCHAEOLOGY AT SLAVE CEMETERY Scope of Work Historical and Archaeological Investigations at the Blackwood Farm Slave Cemetery(Site 31 OR580) Prepared for Orange County Department of Environment,Agriculture, Parks and Recreation (DEAPR) Prepared by Legacy Research Associates, Durham, NC 14 January 2016 This scope of work is for historical and archaeological investigations to document marked and unmarked graves located at a slave cemetery located at Blackwood Farm Park in Orange County,The property is owned by Orange County and is managed by DEAPR. The proposed work is to conduct an intensive archaeological survey of the entire cemetery site to determine the number graves/burials and to determine the boundaries of the cemetery. The purpose of the work is to facilitate site stabilization and interpretation. Techniques will include close-interval proving to identify the size and orientation of each burial. Project tasks will include the following. • Supervise DEAPR staff during tree and vegetation removal activities. • Conduct close-interval probing at the cemetery to identify and delineate unmarked graves. Conduct close-interval probing at known (marked) graves to determine size and orientation. • Identify each marked and unmarked grave (head and foot) with pin flags. • Establish and mark the entire cemetery with flagging tape at selected locations around the cemetery perimeter and buffer zone that can be used by DEAPR to identify a possible fencing location or other boundary demarcation. • Map the entire cemetery with a Total Station. • Photograph grave markers that are keyed to the site plan. • Conduct additional historic research of the cemetery. • Prepare a report of the investigations including a detailed map of the cemetery. Project deliverables will include the following. • Provide highly accurate digital map and hard-copy map of all burials and any other notable features at the cemetery using a Trimble GPS unit with sub-meter accuracy. • Provide GIS shapefiles of site mapping. • Provide a high-quality pdf format of site mapping suitable for reproduction in a proposed interpretative panel for the cemetery. • Submit two hard copies of the final report plus a digital version to DEAPR and one of each version to OSA including an updated archaeological site form/cemetery form. DEAPR will provide the following. • Remove fallen trees and limbs from the cemetery and clear away any other trees in the vicinity of the cemetery, as directed by the archaeologist. • Clear leaves and vegetation to permit all existing fieldstone headstones or footstones to be seen clearly. DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 • Build an appropriate fence or other boundary delineation in locations designated by the archaeologist. • Design and build an interpretive sign containing information about the cemetery obtained from this project to allow visitors and hikers to know what they are looking at and what it means. Schedule: The work outlined above is estimated as follows: • 2 days of site clearing supervision • 2 days of fieldwork • 1 day of site mapping (Total Station and sub-meter GPS) and boundary flagging • 2 days of GlS work • 1 day of additional background research • 3 days of report writing and site/cemetery form preparation Assumptions: • The site clearing supervision can be conducted concurrent with the fieldwork investigations. • No more than 30 burials will be located during the investigation. Legacy's past investigations at the Blackwood Farm Slave Cemetery found that the cemetery had approximately 20-25 burials within an area that measured approximately 40 ft north-south by 30 ft east-west Cost Estimate: The cost for the work outlined above is estimated to not exceed $6,000.00. However, if more than 30 graves are found,then an additional 4 hours of fieldwork/Total Station mapping and 2 hours of OS mapping would be $700. Page 2 of 2 DocuSign Envelope ID:9D7E7A6C-13EC-4E60-BBF2-A03BC04BB388 LEGAC-1 OP ID: CH DATE(MM/DD/YYYY) '`'c°R° CERTIFICATE OF LIABILITY INSURANCE �..._.-� 02/01r201 s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT First Insurance Services,Inc. PHONE FAX P.O.Box 13687 (A/C,No.Ext): (A/C,No): RTP,NC 27709 E-MAIL Robert M.Good ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Casualty Insurance Co 29424 INSURED Legacy Research Associates Inc INSURER B: 125 West Woodridge Drive Durham,NC 27707 INSURER C: INSURER D: INSURER E: _ 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, INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DDIYYYY) (MMIDDJYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A COMMERCIAL GENERAL LIABILITY X 22SBAL05758 03!16/2015 03/16/2016 PREMISES(Ea occurrence) $ 300,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 X Business Owners PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 —1 POLICY JECOT- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) A ANY AUTO 22SBAL05758 03/16/2015 03/16/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS - WNED PROPERTY DAMAGE N $ X HIRED AUTOS X AUTOS __(PER ACCIDENT) UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION INC STATU- OTH- AND EMPLOYERS'LIABILITY X TORY LIMITS ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE 22WBCCM2318 03/14/2015 03/14/2016 EL EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A N (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Orange County Dept of Environment, Agriculture and Parks & Recreation are listed as additional insureds if required by a written/executed contract or agreement prior to a loss. CERTIFICATE HOLDER CANCELLATION COUNTY3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orana County Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ty p ACCORDANCE WITH THE POLICY PROVISIONS. of Environment Agriculture &Parks&Recreation AUTHORIZED REPRESENTATIVE Box 8181 Hillsborough,NC 27278 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD