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HomeMy WebLinkAbout2016-680-E DEAPR - Alpha & Omega Group, PC for bridge design DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 [Departmental Use Only] TITLE Bridge Design Riverpk FY 2017 NORTH CAROLINA CONSULTING SERVICES AGREEMENT UNDER $90,000 ORANGE COUNTY This Agreement, made and entered into this Twenty-first day of November, 2016, ("Effective Date") by and between Orange County, North Carolina a body politic and corporate of the State of North Carolina (hereinafter, the "County") and Alpha and Omega Group PC, (hereinafter, the "Consultant"). WITNESSETH: That the County and Consultant, for the consideration herein named, do hereby agree as follows: ARTICLE 1 SCOPE OF WORK 1.1 Scope of Work 1.1.1 This Services Agreement ("Agreement") is for professional consulting services to be rendered by Consultant to County with respect to (insert type of project)Design a replacement pedestrian bridge for River Park; located in the Town of Hillsborough, NC. 1.1.2 By executing this Agreement, the Consultant represents and agrees that Consultant 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. 1.1.3 Time is of the essence with respect to this Agreement. 1.1.4 The services to be performed under this Agreement consist of Basic Services, as described and designated in Article 3 hereof. Compensation to the Consultant for Basic Services under this Agreement shall be as set forth herein. ARTICLE 2 RESPONSIBILITIES OF THE CONSULTANT 2.1 Services to be Provided. The Consultant shall provide the County with all services required in Article 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. 2.2. Standard of Care 2.2.1 The Consultant shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Consultant practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Consultant is solely responsible for the professional quality, accuracy and timely completion and submission Revised 6/16 1 DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 of all reports, drawings, specifications, plans, documents and services (hereinafter "Deliverables") related to the Basic Services. 2.2.2 The Consultant shall be responsible for all errors or omissions, in the deliverables prepared by the Consultant. 2.2.3 The Consultant shall correct at no additional cost to the County any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts in any Deliverables prepared by the Consultant. 2.2.4 The Consultant shall assure that all Deliverables prepared by it hereunder are in accordance with applicable laws, statutes, and that any necessary or appropriate applications for approvals are submitted to federal, state and local governments or agencies in a timely manner so as not to delay the Project. 2.2.5 The Consultant shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. 2.2.6 Any and all employees of the Consultant engaged by the Consultant in the performance of any work or services required of the Consultant under this Agreement, shall be considered employees or agents of the Consultant only and not of the County, 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 Consultant. 2.2.7 If activities related to the performance of this agreement require specific licenses, certifications, or related credentials Consultant 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. ARTICLE 3 BASIC SERVICES 3.1 Basic Services 3.1.1 The Consultant shall perform as Basic Services the work and services described herein and as described in Exhibit A. ARTICLE 4 DURATION OF SERVICES 4.1 Scheduling of Services 4.1.1 The Consultant shall schedule and perform its activities in a timely manner. 4.1.2 Should the County determine that the Consultant is behind the agreed upon schedule, it may require the Consultant to expedite and accelerate his efforts, including providing Revised 6/16 2 DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 additional resources and working overtime, as necessary, to perform his services in accordance with the approved project schedule at no additional cost to the County. 4.1.3 The Commencement Date for the Consultant's Basic Services shall be December 12, 2016. ARTICLE 5 COMPENSATION 5.1 Compensation for Basic Services 5.1.1 Compensation for Basic Services shall include all compensation due the Consultant from the County for all services under this Agreement except for any authorized Reimbursable Expenses which are defined herein. The maximum amount payable for Basic Services is nine thousand seven hundred and sixty five Dollars ($9,765.00). Payment for Basic Services shall become due and payable in direct proportion to satisfactory services performed and work accomplished. ARTICLE 6 RESPONSIBILITIES OF THE COUNTY 6.1 Cooperation and Coordination 6.1.1 The County has designated Marabeth Can to act as the County's representative with respect to the Project and shall have the authority to render decisions within guidelines established by the County Manager and the County Board of Commissioners and shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 6.1.2 The County shall be solely responsible for determining whether Consultant as satisfactorily completed Tasks. It is agreed that County shall not unreasonably withhold its determination of satisfactory completion of any Task. In the event the amount of an invoice is disputed County may withhold payment until the dispute is resolved by the parties. County may also withhold payment on an invoice until the satisfactory completion of a Task by Consultant. ARTICLE 7 INSURANCE AND INDEMNITY 7.1 General Requirements 7.1.1 Consultant shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, Professional Liability 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 prg_agecgpilync.g_py/c1p.partnicrmts/a.Irchpsina..sjiyjsjgokor)trpc1;:utp). If Owner's Risk Manager determines additional insurance coverage is required such additional insurance shall be designated here N/A (if no additional insurance required mark N/A as being not applicable). Consultant shall not commence work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. Revised 6/16 3 DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 7.2 Indemnity 7.2.1 The Consultant agrees to indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from bodily injury including death or property damage to any person or persons caused in whole or in part by the negligence or misconduct of the Consultant except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Consultant to indemnify the County to the fullest extent permitted under North Carolina law. ARTICLE 8 AMENDMENTS TO THE AGREEMENT 8.1 Changes in Basic Services 8.1.1 Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Consultant. The Consultant shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. ARTICLE 9 TERMINATION 9.1 Termination for Convenience of the County 9.1.1 This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days prior written notice to the Consultant. 9.2 Other Termination 9.2.1 The Consultant may terminate this Agreement based upon the County's material breach of this Agreement; provided the County has not taken all reasonable actions to remedy the breach. The Consultant shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. 9.3 Compensation After Termination 9.3.1 In the event of termination, the Consultant shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Consultant. 9.3.2 Should this Agreement be terminated, the Consultant shall deliver to the County within seven (7) days, at no additional cost, all Deliverables including any electronic data or files relating to the Project. 9.4 Waiver 9.4.1 The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Consultant with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim Revised 6/16 4 DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. 9.5 Suspension 9.5.1 County may suspend the work at any time for County's convenience and without penalty to County upon three (3) days' notice to Consultant. Upon any suspension by County, Consultant shall discontinue the work and shall not resume the work until notified to proceed by County. ARTICLE 10 ADDITIONAL PROVISIONS 10.1 Relationship of Parties 10.1.1 Consultant is an independent contractor of the County. Neither Consultant nor any employee of the Consultant shall be deemed an officer, employee or agent of the County. Consultant's personnel shall not be employees of, or have any contractual relationship with, the County. 10.2 Limitation and Assignment 10.2.1 The County and the Consultant each bind themselves, their successors, assigns, and legal representatives to the terms of this Agreement. Neither the County nor the Consultant shall assign or transfer its interest in this Agreement without the written consent of the other. 10.3 Governing Law 10.3.1 This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. Consultant shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal anti-discrimination laws, policies, rules, and regulations and the Orange County Anti-Discrimination Policy. Any violation of this requirement is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit the definition of breach to discrimination. By executing this Agreement Consultant affirms that Consultant and any subcontractors of Consultant are and shall remain in compliance with 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 Consultant's breach of this Agreement. By executing this Agreement Consultant affirms Consultant is in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement, Consultant certifies that Consultant has not been identified, and has not utilized the services of any agent or subcontractor, on the Iran divestment list created by the State Treasurer pursuant to G.S. 147- 86.58. 10.4 Dispute Resolution 10.4.1 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 Revised 6/16 5 DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 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. The Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. Under no circumstances shall any dispute be addressed through binding arbitration. 10.5 Extent of Agreement 10.5.1 This Agreement, together with the Request for Proposals together with attachments distributed by the County and the Consultant's submitted Proposal, all of which constitute the Contract Documents, represents the entire and integrated agreement between the County and the Consultant and supersedes all prior negotiations, representations or agreements, either written or oral. In the event of a conflict among the terms of the Contract Documents, the priority of documents shall be This Agreement, the County's Request for Proposals, attachments to the County's Request for Proposals, the Consultant's Proposal. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. 10.6 Severability 10.6.1 If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. 10.7 Ownership of Deliverables 10.7.1 All Deliverables, together with all supporting materials, source documentation, data collected, field notes, and working drafts, developed in the performance of this Agreement shall become the property of the County and may be used on any other project without additional compensation to the Consultant. The use of the Deliverables by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. 10.8 Non-Appropriation 10.8.1 Consultant 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 Consultant of the unavailability and non-appropriation of public funds. It is expressly agreed that County 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. In the event of a change in the County's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects County's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Consultant of such Revised 6/16 6 DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 limitation or change in County's legal authority. 10.9 Notices and Signatures 10.9.1 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. 10.9.2 Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Consultant's Name & Address Attention: Marabeth Can Alpha and Omega Group, PC P.O. Box 8181 4601 Lake Boone Trail, Suite 3C Hillsborough, NC 27278 Raleigh, NC 27607 [SIGNATURE PAGE TO FOLLOW] Revised 6/16 7 DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. COUNTY: Orange County CONSULTANT: Alpha& Omega Group, PC DocuSigned by: r DocuSigned by: aNIAAAA, A-a)M14it,VitAi V;c/ L /3..):7-0(r 12/1/2016 ly7Manager 9.7. tult, PE/Presiden11/30/2016 Printed Name and Title Revised 6/16 8 onnunign Envelope ID:c000uo1/+aaA4-4FeF-AocEeAsncn4n4o7r (S ()MEGA Cli(O /P c . , . ^ 00 " . . . " "^ / ' , " I ° . . November 16, 2016 Ms. Marabeth Carr,ASLA Orange County Dept. of Environment, Agriculture, Parks and Recreation P.O. Box 8181 306A Revere Road Hillsborough, NC 27278 Re: Engineer's Proposal No.: P16_040 (rev-2) Orange County Pedes han Bridge Dear Ms. Carr: Alpha & Omega Group (A&O) is pleased to offer professional engineering services to design a pedestrian bridge for River Park located in the Town of Hillsborough, NC and prepare construction documents. The details of our proposal are outlined in the following sections. Scope of Services: This project consists of a timber boardwalk structure spanning approx. 34ft. across a tributary to the Eno River at the site of an existing foot bridge. The boardwalk will be designed to meet load capacity re- quirements for park maintenance gator vehicle /3,500 |bs\ with a clear width of 7 ft. Because the struc- ture is located in the 100 year flood plain,A&O will also fill out the floodplain development permit. A&O will provide the following: 1. Foundation bearing capacities will be assumed during design and verified by an Independent Testing Laboratory (ITL) during construction. 2. Perform a site visit to evaluate existing conditions. 3. Develop plan, profile, and typical sections for the structure as described above. 4. Provide Construction Documents to Orange County, NC for review. 5. Complete and submit a Floodplain Development Permit 6. Attend a planning meeting, construction document review meeting, and a pre-construction meeting by the project manager. 7. Respond to Construction Document Review Comments. 8. Provide construction administration assistance, ( submittal review, site visits, closeout) Assumptions: 1. The boardwalk structure will have a 7 ft. wide clearance. 2. The structure is assumed to be timber with timber decking and rails 3. An ITL will perform observation and testing during foundation installation. 4. Orange County will provide a preliminary base map(s) including topographic survey with trail alignment in an electronic file format (Auto[AD). 5. No Hydraulic modeling to be perform for this project. p'\2016 L000pron"=/av16_040 orange county pedestrian bridge\orange county nea bridge»ron"=izo/o'// /5.d"" r160.1. Ltrtre Boum: TuNNI rtuut,rt trN: r,NtruittM North (Nrrorthnta 27007 Mum:. 919 9s1 (Diti[:) www:)crwup cum Crc<rorrmr No r`t 1(3'64 onnunign Envelope ID:c000uo1/+aaA4-4FeF-AocEeAsncn4n4o7r Schedule: Alpha & Omega Group proposes to complete the Construction Documents within 4 weeks from the re- ceipt of Notice to Proceed. Fee Arrangement We propose to provide the services outlined above for Lump Sum amount of Nine Thousand Seven Hun- dred Sixty-five Dollars($9,765.00) as distributed below: Schematic Design/Field Investigation: $1,480.00 Construction Documents: $4,670.00 Meetings $1,080.00 Construction Administration/Shop Drawing Review (3 site Visits): $2,535.00 Total Fee: $9765.00 Additional services, if requested will be provided at our standard hourly rates. (See Attachment) We look forward to serving you on this project. If this proposal is acceptable to you, please execute both copies and return one copy to our office. Please let me know if you have any questions or need addition- al information. Offered by: Alpha & Omega Group, PC Accepted by: Orange County � � » � ~ ��~ ��«w�, ��"" ' - (signature) (signature) (date) Ted L. Bartelt, PE/ President (printed name/title) (printed name/title) The terms and conditions enclosed are part of this agreement. (Company) Ms. Marabeth Carr Page 2 of 2 Orange county Pedestrian Bridge November 16,2016 onnunign Envelope ID:c000uo1/+aaA4-4FeF-AocEeAsncn4n4o7r ALP}-1A OM EGA G R(\�� .vu 1 nx/,unuouvce 2016 SCHEDULE OF RATES Standard Billing Rates are as follows: Principal in Charge $170.00 Per Hour Senior P ject Manager $150.00 Per Hour Project Manager $120.00 Per Hour Senior Engineer $135.00 Per Hour Engineer $95.00 Per Hour Engineering Intern $80.00 Per Hour Senior Designer $95.00 Per Hour Designer $75.00 Per Hour Senior Technician $90.00 Per Hour Technician $65.00 Per Hour Administrative $65.00 Per Hour Direct Reimbursable Expense Rates: Vehicular Mileage $0.54 Per Mile In-House Reproduction Bond Paper (0.5"x11") $0.06 Per Sheet Bond Paper (11"x17") $0.45 Per Sheet Bond Paper (24"x36") $0.60 Per Sheet Bond Paper (30"x42") $1.00 Per Sheet DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 Terms and Conditions ENGINEER shall perform the services outlined in this agreement for the stated fee arrangement. Fee The total fee,except stated lump sum,shall be understood to be an estimate,based upon Scope of Services,and shall not be exceeded by more than ten percent,without written approval of the CLIENT. Where the fee arrangement is to be on an hourly basis,the rates shall be those that prevail at the time services are rendered. The proposal or estimate is null and void if not executed within 60 days of date on proposal or estimate. If project is put on hold or delayed for more than 3 months,then a 5%re-start and re-schedule fee will be assessed. Billings/Payments Invoices will be submitted monthly for services and reimbursable expenses and are due when rendered. Invoice shall be considered PAST DUE if not paid within 30 days after the invoice date and the ENGINEER may,without waiving any claim or right against CLIENT,and without liability whatsoever to the CLIENT,terminate the performance of the service. Retainers shall be credited on the final invoice. A service charge will be charged at 1.5%(or the legal rate) per month on the unpaid balance. In the event any portion of an account remains unpaid 90 days after billing,the CLIENT shall pay cost of collection,including reasonable attorneys'fees. Access To Site Unless otherwise stated, the ENGINEER will have access to the site for activities necessary for the performance of the services.The ENGINEER will take precautions to minimize damage due to these activities,but has not included in the fee the cost of restoration of any resulting damage. Hidden Conditions and Hazardous Materials A structural condition is hidden if concealed by existing finishes or if it cannot be investigated by reasonable visual observation. If the ENGINEER has reason to believe that such a condition may exist,the ENGINEER shall notify the CLIENT who shall authorize and pay for all costs associated with the investigation of such a condition and, if necessary,all costs necessary to correct said condition. If(1)the CLIENT fails to authorize such investigation or correction after due notification, or(2)the ENGINEER has no reason to believe that such a condition exists,the CLIENT is responsible for all risks associated with this condition, and the ENGINEER shall not be responsible for the existing condition nor any resulting damages to persons or property. ENGINEER shall have no responsibility for the discovery, presence, handling, removal, disposal or exposure of persons to hazardous materials of any form. Indemnifications The CLIENT shall indemnify and hold harmless the ENGINEER and all of its personnel from and against any and all claims, damages, losses and expenses (including reasonable attorneys fees) arising out of or resulting from the performance of the services, provided that any such claims, damage, loss or expense is caused in whole or in part by the negligent act or omission and/or strict liability of the CLIENT, anyone directly or indirectly employed by the CLIENT(except the ENGINEER)or anyone for whose acts any of them may be liable. This indemnification shall include any claim,damage or losses due to the presence of hazardous materials. The ENGINEER shall indemnify and hold harmless the CLIENT and all of its personnel from and against any and all claims, damages, losses and expenses (including reasonable attorneys fees) arising out of or resulting from the performance of the services, provided that any such claims, damage, loss or expense is caused in whole or in part by the negligent act or omission and/or strict liability of the ENGINEER, anyone directly or indirectly employed by the ENGINEER(except the CLIENT)or anyone for whose acts any of them may be liable. This indemnification shall include any claim,damage or losses due to the presence of hazardous materials. Risk Allocation In recognition of the relative risks, rewards and benefits of the project to both the CLIENT and the ENGINEER,the risks have been allocated so that the CLIENT agrees that, to the fullest extent permitted by law, the ENGINEER's total liability to the CLIENT, for any and all injuries, claims, losses, expenses, damages or claim expenses arising out of this agreement, from any cause or causes, shall not exceed the total amount of$50,000,the amount of the ENGINEER's fee(whichever is greater)or other amount agreed upon when added under Special Conditions. Such causes include, but are not limited to,the ENGINEER's negligence,errors,omissions,strict liability,breach of contract or breach of warranty. Termination of Services This agreement may be terminated upon 10 days written notice by either party should the other fail to perform his obligations hereunder. In the event of termination, the CLIENT shall pay the ENGINEER for all services rendered to the date of termination, all reimbursable expenses, and reasonable termination expenses. Ownership Documents All documents produced by the ENGINEER under this agreement shall remain the property of the ENGINEER and may not be used by the CLIENT for any other endeavor without the written consent of the ENGINEER. Dispute Resolution Any claim or dispute between the CLIENT and the ENGINEER shall be submitted to non-binding mediation, subject to the parties agreeing to a mediator(s). This agreement shall be governed by the laws of the principal place of business of the ENGINEER. L:\Project Management\Terms and Conditions.doc DocuSign Envelope ID:C9D9221A-83A4-4F8F-AD2E-2AE626464D77 °""e� ALPHA-8 OP ID: LO „.r CERTIFICATE OF LIABILITY INSU NCE DATE(MMIDDAI/YYY) `� 11115!2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR''I`ATION 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 NAME:ACT Lori Hamlet TriSure Corporation-KS PHONE 2473 469- FAX 4325 Lake Boone Trail INC.No,Ext):919-469-2473 _ djAIC,No): 919-467-4987 _ Suite 200 n DRESS:(hamlet @trisure.com Raleigh,NC 27607 — SokOfowski&Assoc.,LLC INSURER(S)AFFORDING COVERAGE NAIC If _ INSURER A:Travelers Indemnity Co. 25658 INSURED Alpha and Omega Group PC INSURER B:Catlin Specialty Insurance Co. Ted Bartelt INSURER C:Selective Insurance Co. 12572 4601 Lake Boone Trail Ste 3C Raleigh, NC 27607 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 A++L.t-* POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DDIYYYY) LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,001 1 CLAIMS-MADE OCCUR 6804F999705 05/19/2016 05/19/2017 DAMAGE TO RENTED 30O+001) PREMISES(Ea occurrence)-__.-$ X Business Owners MED EXP(Any one person) $ 5,001 PERSONAL S ADV INJURY $ 1,000,001 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,001 POLICY n PRO JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) + A X ANY AUTO BA4F999766 06/19/2016 06/19/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accIdent) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAR H CLAIMS-MADE CUP4F999809 06/19/2016 05/19/2017 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION X STATUTE 1 ER Y!N A ANY PROPRIETOR/PARTNER/EXECUTIVE UB4387T266 05/19/2016 06/19/2017 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,001 B Professional Liab AED-9000421-0616 05/19/2016 05/19/2017 Claim/Agg $1M/$2M C Rent/Leased Equip 52236365 09/09/2016 05/19/2017 Limit 100,001 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Operations of the Named Insured covered by the above referenced policies. CERTIFICATE HOLDER CANCELLATION ORA8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. Department of Environment, Agriculture,Parks&Rec. AUTHORIZED REPRESENTATIVE P 0 Box 8181 Hillsborough, NC 27278 4. , If , 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD