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HomeMy WebLinkAbout2017-025-E AMS - ProNet Systems, Inc. to add two card readers DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A [Departmental Use Only] TITLE SHSC 2 Card Readers FY 2017 ORANGE COUNTY CONTRACT UNDER$15,000.00 NORTH CAROLINA THIS AGREEMENT, made and entered into this 12th day of December, 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 Systems, 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: provide and install 2 additional card readers (waiting room & interior door between 108 & 107) at 2501 Homestead Road, as described in attached quote Q110116. The term of this agreement rendered shall be from December 12, 2016 to January 13, 2017. 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 three thousand six hundred sixty eight dollars and nine cents, ($3,668.09). 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 6/16 1 DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A 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 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 and does not limit the definition of breach to discrimination. 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. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer pursuant to G.S. 147-86.58. 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. Revised 6/16 2 DocuSign Envelope ID:A05BAC11-3B82-4B08-8F14-C38030E0460A [SIGNATURE PAGE TO FOLLOW] Revised 6/16 3 DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A IN WITNESS WHEREOF, County and the Provider have signed this Agreement, effective as of the day first written above. ORANGE COUNTY PROVIDER DocuSigned by: DocuSigned by: By: 1jblA,�lguit?,5 tk�A7"mt-IrStt� By: atat& ,���"�"I COL �1ffaiin r Title®31 FOMF0592A4F5... 200 S. Cameron St. ProNet Systems, Inc. P.O. Box 8181 3200 Glen Royal Rd Suite 107 Hillsborough,NC 27278 Raleigh,NC 27617 Revised 6/16 4 DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A PRONET «r ( ( 3200 GLEN ROYAL ROAD, SUITE 107, RALEIGH, NC 27617 www.pronetsystemsonline.com TELEPHONE 919.277.2070 FAX 919.277.2072 Q110116-Orange County- Southern Human Services-Add Two(2)Card Access Doors—Waiting Room and Interior Door Between Lanes 108 and 107. November 1,2016 Ms.Angel Barnes Orange County Asset Management Services PO Box 8181 Hillsborough,NC 27278 Dear Ms.Barnes, RE: ORANGE COUNTY—SOUTHERN HUMAN SERVICES BUILDING—ADD TWO(2) CARD ACCESS DOORS TO THE WAITING ROOM AND THE INTERIOR DOOR BETWEEN LANES 108 AND 107 With reference to your email request to add two(2)card access doors to the"waiting room door and the interior door between lanes 108 and 107 at the Southern Human Services Building. We have pleasure in offering the following proposal for your review. Equipment Description Quantity Equipment Description Unit Price Total Price 2 Bosch DS-150 REX PIR 74.25 148.50 2 GE 1076CW Door Contacts 11.48 22.96 2 HES HE-1006 Electric Strike 373.95 747.90 2 HID 92ONTNNEK00000-L001Smart Card Reader Switch Plate Gray 211.95 423.90 1 Lend LNL-1320 Reader Interface 510.30 510.30 Cable and Installation Materials 364.43 Equipment Total Including Cable and Materials 2,217.99 Add Estimated Shipping 53.63 Add Labor 1,140.56 Add 7.5%Sales Tax 255.91 Total Price Including Equipment,Labor,Sales Tax,and Shipping $3,668.09 Warranty 1 DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A 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 $ 185.36 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:AO5BAC11-3B82-4B08-8F14-C38030E0460A ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/29/2016 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 have ADDITIONAL INSURED provisions or 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 ACT Amy H. Paschal Ken B. Lawson,Jr. (A/C,NNo,Ext): 919-846-2090 ext 105 FAX,No): 919-846-2438 Ken Lawson,Jr.Agency E-MAIL E paschaa@nationwide.com y ADDRSS: p h nationwide.com @ 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 13781 ProNet Systems, Inc. INSURER C: Nationwide Mutual Fire Ins Company 23779 3200 Glen Royal Road INSURER D: Suite 107 INSURER E: Raleigh, NC 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. INSR R TYPE OF INSURANCE I S POLICY EFF POLICY EXP NSD VD POLICY NUMBER T W LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY y ACP GLO 2282994383 02/22/201602/22/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE RETED CLAIMS-MADE X OCCUR PREMISES O(Ea occurrence) $ 100,000 X Contractual Liability MED EXP(Any one person) $ 5,000 X Contractor's Enhancement PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ C AUTOMOBILE LIABILITY y ACP BAF 3016921314 12/31/201512/31/2016 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ X OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR y ACP CAF 228994383 02/22/201602/22/2017 EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED X RETENTION$ none $ B WORKERS COMPENSATION PRWC700473 04/03/201604/03/2017 X P OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? y 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 $ 1,000,000 Tools and Equipment Installation Floater Equipment A Commercial Inland Marine ACP CIM 2282994383 02/22/201602/22/2017 $75,000. Limit/$500 Deductible All Job Sites of the Insured $22,250. Limit/VOW. Deductible 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 AUTHOR)ZEDREPR ENTATVE E-Mail: anitaj @pronetsystemsnc.com / E-Mail: patf @pronetsystemsnc.com r. ", q. 1 + w. ..• f" ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A "*^ A Rb CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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. 1 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). 1 ,PRODUCER NAMEACi" Amy H.Paschal. Ken B.Lawson,Jr. IAHrG;No,Ex t); 919-846-2090 ext 105 AX Nt); 919-846-2438 dba Lawson Insurance Group,Inc. AARE SS paschaa@nationwide.com 6512-101 Six Forks Road INSURER(S)AFFORDING COVERAGE NAIC# Raleigh,NC 27615 INSURER A: Nationwide Mutual Insurance Company 23787 INSURED INSURERB: 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,NC 27617 INSURERF: 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. .,,...... TYPE OF INSURANCE ........ U.. ..- ---POLICY NUMBER C POLICY EXP .,,,,,, ,,, ................ ......... ILTR INSD SUER WVD AMMIDDIYYYY) IMM/DD!YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ACP2272994383 02/22/201602/22/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED ...... .... CLAIMS-MADE X OCCUR - ,PREMISES(Ea(x.cuarencE $ 100,000 X Contractual Liability MED EXP(Any one person) $ 5,000 X Contractor's Enhancement PERSONAL BADV INJURY 1$ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE $ 2,000,000 I'I'2.0 POLICY LX JFC'1' r I LOC PRODUCTS COMP/OP AGG $ 2,000,000 OTHER $ C AUTOMOBILE LIABILITY i Y Y ACP3006921314 12/31/201512/31/2016 COMBINED a 1 LIMIT SINGLE $ 1,000,000 X =ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED ..... .I.. X AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X )HIRED AUTOS X,.,. AUTOS ._Ter edenI.V......... A X UMBRELLA LIAB X OCCUR Y Y ACP227994383 ;02/22/201602/22/20171 EACH OCCURRENCE 1$ 4,000 000 X EXCESS LIAB CLAIMS MADE - AGGREGATE $ 4,000 000 DED II X I RETENTION$ none $ ry B WORKERS COMPENSATION Y PRWC663376 04/03/201504/03/2016 X ISTAR.TUTF 1 GtH 1 AND EMPLOYERS LIABILITY 1 PEX IYYNII NIA EL EACH ACCIDENT $ 1,000,000 F Mandato in NH) E L DISEASE-EA EMPLOYEE $ 1,000,000 IV es describe under IDESCRIPTIONOF OPERATIONS tinaw EL DISEASE-POLICY LIMIT $ 1,000,000 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 AUTTIORMED REPR, ENTA 'VE E-Mail: anitaj @pronetsystemsnc.com w / I E-Mail: patf@pronetsystemsnc.com e r ©1988-2014 ACORD� �.w D CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A * BERKSHIRE HATHAWAY . S € ea µ i r .tra i AtnGUARD Insuran a Company- A Stock Company GuARD INSURANCE Policy Number PRWC663376 COMPANIES Renewal of PRWC552943 NCCI No (21873] Policy Information Page 1]Named Insured and Mailing Address mm PRO NET SYSTEMS INC, i.zaa ort insaerc:€ce a n Fin'aacial 3200-107 Glen Royal Road Raleigh, NC 27617 '. 2.101 S:n Fork• Pc,aci. ;'....E .....':ii: I I Federal Employer's ID Insured is Corporation IRisk 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. ...��� .,Coverage .�.. ,..�....................-. . A. Workers' Compensation Insurance -Part One of this policy applies to the 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(31A. The limits of our liability under Part Two are: Bodily Injury by Accident-each accident $1,000,000 Bodily Injury by Disease- each employee $1,000,000 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. AU required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Premium $ 6,558 Total Surcharges/Assessments $ 0.00 Total Estimated Cost $ 6,558.00 ',VERNAL USE XX Page- 1 - Information Page MGA : PRWC663376 p WC 000001A Date :04/02!2015 Issuing Office:Q.Q.Box A-H,16 S.River Street,Wilkes-Barre,PA 18703-0020•www.guerd.carn DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed.4-64) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an Injury COYeriad by this policy.We will not enforce our right against the person or organization named in the Schedule. (This egmement applies only to the extent that you perform work ender a written contract that requires you to obtain this agreement fezifft This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Blanket Waiver Persori/Orearsizatiorn Blanket Waiver-Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 301)Description All NC Operations This endorsement changes the policy to which it iv etteched and its effective on the date issued unless othenvirse stated. (The informetlan below Is required only when thie endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. PRWC693378 I No. Insured Cos- Insurance Company Countersigned by WC On 03 13 (Ed.444) •Ina Melo,*courKA on Cmtlponoottion Inourailau. DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A NATIONWIDE MUTUAL INSURANCE COMPANY 80483 ONE NATIONWIDE PLAZA RENEWAL COLUMBUS,OH 4321 5-2220 COMMERCIAL GENERAL LIABILITY DECLARATIONS P019,6' NI.i:Mli : ACP GLO 2272994333 Named L-„. r PRO NET SYSTEMS INC {so n. 320€3 GLEN ROYAL RD STE 107 RALEIGH NC 27617-7419 .� �^" Agent: KEN LAWSON,JR. 32-80483-001 Address: RALEIGH He 27816 PRODUCER: KENNETH B LAWSON JR Policy Period: From 02/22/16 to 02/22/17 12:01 A.M. standard time at the address of the named insured as stated herein, In return for the payment of the premium, and subject lo all the terms of this policy,we agree with you to provide the insurance as stated In this policy. LIMITS OF INSURANCE GENERAL AGGREGATE LIMIT((other than roducts-coat leted operations) $ 2,000,000 PRODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT $ 2,000,000 PERSONAL AND ADVERTISING INJURY LIMIT $ 1,000,000 EACH OCCURRENCE LIMIT $ 1,000,000 DAMAGE TO PREMISES RENTED TO YOU LIMIT(any one premises) $ 100, 00000 MEDICAL EXPENSE LtM1T (any one person) Retroactive Date (CG0002 only) The Narneti Insured Is: CORPORATION Business of the Named Insured is: ELECTRICAL APPARATUS Audit Period: ANNUAL _ ENDORSEMENTS.„.„._ ATTACHED TO THIS POLICY SEE COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS SCHEDULE TOTAL ADVANCE PREMIUM ,$ 1,635.00 Replacement or .rte Renewal Number ACP GLO 2262994383 `I A PACKAGE MODIFICATION FACTOR HAS BEEN APPLIED r r,' f, Countersigned By C 470" " /�<✓ , , MAutr• rra�stt tpilim3"II;r 6k,. GL-D(10-98) DIRECT BILL L6DQ 15009 AGENT COPY ACP GLO 2272994383 837701511 22 0007234 DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A NATIONWIDE MUTUAL INSURANCE COMPANY ONE NATIONWIDE PLAZA COLUMBUS, OH 432164220 COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS Number: ACP GLO 2272994383 Period: From 02/22/16 To 02/22/17 Named Insured: PRO NET SYSTEMS INC Form Date Title C00001 0413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CO2033 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 CG2155 0999 TOTAL POLLUTION EXCLUSION WITH A HOSTILE FIRE EXCEPTION CO2167 1204 FUNGI OR BACTERIA EXCLUSION CG2170 0108 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG2186 1204 EXCLUSION. EXTERIOR INSULATION AND FINISH SYSTEMS CO2196 0305 SILICA OR SILICA-RELATED DUST EXCLUSION CG2279 0413 EXCLUSION-CONTRACTORS_ PROFESSIONAL LIABILITY CG2426 0413 AMENDMENT OF INSURED CONTRACT DEFINITION CG7023 1095 EXCL-ASBESTOS, ELECTRO-MAGNETIC RADIATION, LEAD AND RADON CG7033 0393 TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US cG7288 1111 CONTRACTORS ENHANCEMENT ENDORSEMENT 44 GC2187 0107 CONDITIONAL EXCLUSION OF TERRORISM (RELATING TO DISPOSTION OF FEDERAL TERRORISM IL0017 1198 COMMON POLICY CONDITIONS IL0021 0908 NUCLEAR ENERGY LIABILITY EXCLUSION IL0269 0908 NORTH CAROLINA CHANGES-CANCELLATION AND NONRENEWAL 13814 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 GLOF 02-93) DIRECT BELL L6DQ 15009 AGENT COPY ACP GIG 2172884383 83TTO1$11 22 0007236 DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A 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 of g. Aircraft, Auto Or Watercraft (2) (a) is replacing the keys, including the master lock and replaced with: all keys used in the same lock, the cost of (a) Less than 51 feet long;and adjusting locks to accept the new keys, or the cost to replace the locks,whichever is less. EXPANDED PROPERTY DAMAGE COV- Limit of Insurance - The most we will pay for ERAGE loss" arising out of any one "occurrence" is For the purposes of this endorsement only: $5,000. SECTION I — COVERAGES, COVERAGE A SECTION V DEFINITIONS is amended as BODILY INJURY AND PROPERTY DAMAGE follows: LIABILITY,2.Exclusions is amended as follows: The following definition applies to Lost Key a. Exclusions j.(3),j.(5),and j.(6)are Coverage: deleted in their entirety. "Loss" means unintentional physical damage or b. Exclusion j.(4) is deleted in its entirety destruction to tangible property,including theft or and replaced by the following: disappearance. Tangible property does not Personal property In the care custody or include money or securities. control of the insured: VOLUNTARY PROPERTY DAMAGE 1. for storage or sale at premises you SECTION I — COVERAGES, COVERAGE A own,rent or occupy;or BODILY INJURY AND PROPERTY DAMAGE 2. while being transported by any LIABILITY, coverage is extended to include the aircraft, "auto" or watercraft owned following: or operated by or rented to or loaned At your request,we will pay for"property damage"to to any insured. property of others caused by you and while In your c. The following exclusions are added: possession, arising out of your business operations 1. The coverage provided by this and occurring during the policy period. endorsement does not apply to Limit of Insurance-The most we will pay for "property damage" arising out of the "loss"arising out of any one"occurrence"is disappearance or loss of use of $500. personal property. SECTION V—DEFINITIONS is amended as follows: The following definition applies to Voluntary Property Damage coverage: CG 72 88 11 11 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 4 with its permission. DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A CG 72 8811 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 lire, SECTION H -- WHO IS AN INSURED is lightning, explosion, smoke or sprinkler amended as follows: leakage la 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 u, applies to this coverage as described in afforded only until the 180 day alter you Section III-Limits of Insurance. acquire or form the organization or the end of the policy period, whichever is SECTION III — LIMITS OF INSURANCE, - earlier; paragraph 6 is replaced with: Al3DITIONAL INSURED — WHEN REQUIRED 6. Subject to 5. above, the Damage To /1 I AN AGREEMENT OR CONTRACT WITH Premises Rented To You Limit is the most " IOW 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 lire, lightning, explosion, 4. Any person(s) or organization(s) with whom smoke or sprinkler leakage, while rented to you have agreed in a valid written contract or you or temporarily occupied by you with written agreement that such parson 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) (II) is replaced "bodily Injury', "property damage" or with "personal and advertising Injury". (II) That is Fire, Lightning, Explosion, 1 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:AO5BAC11-3B82-4B08-8F14-C38030E0460A CG 72 88 11 11 a. Lessors of Leased Equipment in the performance of your ongoing Maintenance, operation or use of operations performed for that additional equipment leased to you by such person insured, whether the work is performed by or organization. This insurance does not you or on your behalf. apply to any "occurrence°' which takes The insurance does not apply to: place after the equipment lease expires. (1) "bodily injury', "property damage", or However, their status as additional "personal and advertising injury" arising insured under this policy ends when their out of the rendering of or the failure to lease, contract 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 "personal 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 GGREGATE LIMIT PER PROJECT subdivision's status as additional insured ��- ,. under this policy ends when the permit ECTION 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 i__ (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:AO5BAC11-3B82-4B08-8F14-C38030E0460A CG 72 BB 1111 MEDICAL PAYMENTS policy provided such failure to disclose all 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- e. $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 sfer of amended medical expenses because of 'bodily of Recovery Ag e injury"sustained by one person. to include: This coverage does not apply if Coverage C — It required by a written contract executed Medical Payments is excluded either by the prior to loss, we waive any right of provisions of any coverage forms attached to the subrogation we may have against the policy or by endorsement. contracting person or organization because KNOWLEDGE OF AN OCCURRENCE of payments we make for injury or damage arising out of your ongoing operations or SECTION IV — COMMERCIAL GENERAL our work' done under a contract with Thai LIABILITY CONDITIONS,The following is added person or organization and included in the to 2. Duties In The Event Of Occurrence, "produc+ts.c ompleted 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 e.above. 1. 3."Bodily injury"is deleted and replaced with UNINTENTIONAL FAILURE TO DISCLOSE the following: HAZARD "'Bodily injury' means physical injury, SECTION IV — COMMERCIAL GENERAL sickness or disease to a person and, if LIABILITY CONDITIONS,6.Representations is arising out of the foregoing, mental anguish, amended to Include: mental injury,shock or humiliation, including d. Your failure to disclose all hazards or prior death at any time resulting therefrom. "occurrences" or offenses existing as of the inception date of the policy shall not prejudice the coverage afforded by this All terms and conditions of this policy apply unless modified by this endorsement. Page 4 of 4 Includes copyrighted material of Insurance Services Office,Inc." CG 72 86 11 11 with its permission. DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A S t,""lflflflflflflflflfl nnnnnnnnnnnnnnron+ ,,,,,,: ,: m+❑0 k Identity Fraud, Inc. CONFIRMATION OF ENROLLMENT k THE TERMS AND CONDITIONS OF THIS CONFIRMATION OF ENROLLMENT, INSURANCE AND PROGRAM PROTECTION MAY NOT k COMPLY WITH THE SPECIFICATIONS SUBMITTED FOR CONSIDERATION. PLEASE READ THIS CONFIRMATION CAREFULLY AND k COMPARE IT WITH ANY QUOTE, APPLICATION AND SUBMISSION DOCUMENTS AND REVIEW THE POLICY FORMS FOR THE k ACTUAL COVERAGES PROVIDED. PLEASE NOTE: THIS IS NOT A BINDER OF INSURANCE. FOR SPECIFIC EVIDENCE OF k COVERAGE, PLEASE REVIEW THE POLICY AND/OR CERTIFICATE OR EVIDENCE AS APPLICABLE. CYBER LIABILITY INSURANCE k IS PROVIDED PURSUANT TO ENROLLMENT IN THE DATA THEFT RISK PURCHASING GROUP OR RELATED ENTITY. k k IN ACCORDANCE WITH YOUR INSTRUCTIONS,AND IN RELIANCE UPON THE STATEMENTS MADE BY YOU AND/OR THE RETAIL k BROKER IN THE ENROLLEE'S APPLICATION, WE HAVE OBTAINED PROGRAM PROTECTION BENEFITS AND INSURANCE AT k YOUR REQUEST SUMMARIZED AS FOLLOWS. k k k r DATE ISSUED: April 28, 2016 r r CLIENT/INSURED: ProNet Systems Inc r 3200 Glen Royal Rd r Raleigh, NC 27617-7419 r r CONTRACT NO: IF145765 r r PROGRAM/POLICY PERIOD(S): Effective: April 28, 2016 ) r Expiration: April 28, 2017 r r r PROGRAM/COVERAGE: Core Cyber 1000 (0-2.5MM), including: r r A. Data Risk Liability Insurance r B. Covered Expenses r C. Identity Insurance (Employee) r r r r r INSURER: Various, including: r A. AIG Specialty Insurance Company rB. AIG Specialty Insurance Company ) r C. AIG Specialty Insurance Company r r r r LIMITS: Annual aggregate limits and sublimits of insurance and protection include: r r r Section A: Data Risk Liability Annual Aggregate • $1,000,000 Sublimits: Data Risk Liability Insurance • $1,000,000 r r Regulatory •fines and penalties : $1,000,000 r r Cyber Extortion • $1,000,000 r Media Liability : $1,000,000 r r Payment •Card Industry (PCI) : $250,000 r r Privacy Loss Mitigation (Response) : $500,000 r r r r r r r r r ©All rights reserved. i" DocuSign Envelope ID:A05BAC11-3B82-4B08-8F14-C38030E0460A S zwwwwwwwwwwwww=120212 wn+Aaronfl,,,,,fl,,,, a,,,,, lfflfl nnron+nnnron+nron+nronnn+nron+ ,,,,: : ,: : ,,00 Section B: Breach Expense Protection Annual Aggregate $500,000 5 Sublimits: Network Interruption : $500,000 Data Destruction/Reconstruction : $500,000 Section C: Personal Identity Protection Annual Aggregate : NIL Identity Insurance (per enrollee) : $15,000 r RETENTIONS: Each and Every Claim / Incident r A. $1000.00 r B. $1000.00 r C. $0.00 r r r r PROGRAM PRICE: $999.00 r POLICY FEES: Not Applicable r STATE TAX: Included (Please refer to individual certificates of insurance) r STAMPING FEES: Included (Please refer to individual certificates of insurance) r STATE SURCHARGES: Included (Please refer to individual certificates of insurance) r BROKER FEES: NIL r r TOTAL: $999.00 r r RETROACTIVE DATE: April 28, 2016 r r r ADDITIONAL TERMS/CONDITIONS k k k TERMS AND CONDITIONS APPLY AS PER EACH RESPECTIVE POLICY FORM AND APPLICABLE k ENDORSEMENTS. IN ADDITION, PROGRAM TERMS ARE PROVIDED AND PURSUANT TO THE IFI CUSTOMER k AGREEMENT LOCATED AT HTTPS://BIZ.IDENTITYFRAUD.COM/CUSTOMER-AGREEMENT k k CANCELLATION: EACH POLICY IS SUBJECT TO THE CANCELLATION PROVISIONS AS FOUND IN THE POLICY (IES) OR k CERTIFICATE(S) CURRENTLY IN USE BY THE INSURER(S). THE INSURANCE EFFECTED BY EACH INSURER MAY BE k CANCELLED BY THE INSURER (SUBJECT TO STATUTORY REGULATION) BY MAILING, TO THE ENROLLEE AT THE ADDRESS k STATED ON THE FACE OF THIS DOCUMENT,WRITTEN NOTICE STATING WHEN SUCH CANCELLATION SHALL BE EFFECTIVE.IN k THE EVENT OF CANCELLATION BY THE ENROLLEE, A CUSTOMARY SHORT RATE RETURN OF AMOUNTS ALREADY PAID k SHALL APPLY SUBJECT TO THE MINIMUM EARNED PROGRAM PRICE. k THIS CONFIRMATION IS ISSUED SOLELY BASED UPON THE PROVIDERS AGREEMENT TO PROVIDE PROTECTION, TOGETHER k WITH THE INSURERS AGREEMENT TO PROVIDE INSURANCE AND IS ISSUED BY THE UNDERSIGNED WITHOUT ANY LIABILITY k WHATSOEVER AS AN INSURER. k k k ( T1ion/cas A. wia'n�aw kAuthorized Signature k kIdentity Fraud, Inc/Identity Fraud Insurance Services k 1700 N Broadway,Walnut Creek,CA 94596 925-296-2600;CA License:OD40585 ©All rights reserved. h, h, h,4,o