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HomeMy WebLinkAbout2017-223-E Housing - Brian Ashburn for contract services DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD [Departmental Use Only] TITLE HOME Funds General Contractor FY 2016-17 ORANGE COUNTY CONTRACT UNDER $15,000.00 NORTH CAROLINA THIS AGREEMENT, made and entered into this 30th day of March, 2017, ("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 Brian Ashburn(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: Licensed General Contractor Services for County Rehabilitation Program as provided in the Orange County, North Carolina Housing Finance Agency and HOME Program Guidelines. The term of this agreement rendered shall be from April 1, 2017 to March 31, 2018. 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 Fifteen Thousand dollats, ($15,000), payable a provided in Attachment A, which shall be incorporated into this Agreement as if set forth herein. 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 Revised 2/17 1 DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD 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 incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing division/contra cts.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 consent of the Parties to utilize electronic signatures and 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 Non-Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.). 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. Revised 2/17 2 DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD 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 2/17 3 DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD IN WITNESS WHEREOF,County and the Provider have signed this Agreement, effective as of the day first written above. O ,INTY PR AIDE Red by: �jbin,but tkeumwtt,V'Stu1 f jVic A, QStt 1i t&, By u o s€a�... By 144C3C601-8bb4Ab... County IVlanager Title: 200 S. Cameron St. Brian Ashburn P.O. Box 8181 100 Hillside Drive Hillsborough,NC 27278 Louisburg, NC 27549 Revised 2/17 4 DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD Attachment A Contract Pricing Urgent Repair Jobs (URP) Initial inspection with work write up and Final Inspection- $300 Big Urgent Repair Jobs (BURP) Initial inspection with work write up and Final Inspection- $400 CDBG Jobs /HOME Program Jobs Initial Inspection with work write-up - $650 Lead rewrite - $200 Draw Inspections - $100 Final Inspection with close out paperwork- $125 SFR Jobs Initial Inspection with work-write-up - $800 Blower door testing - $100 each Lead rewrite - $200 Draw Inspections - $100 Final Inspection with close out paperwork- $150 Hourly Rate for other services requested- $75 DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD Brian Ashburn Resume 1 r.l r; 1 1-1 .1 1 t Rehabilitation Specialist 1 1 ' << I I.1 Visual Basic Programming Professional Career Development Institute-Atlanta,GA Carpentry-Eastland Vocational Center— Groveport, OH Certified Rehabilitation Specialist Professional Housing Rehabilitation Association of North Carolina(PHRANC) Certified Fair Housing Administrator Community Revitalization Training Center Housing Quality Standards MasiMax Resources Lead safe work practices training. AAA Environmental-Lead Supervisor Training Risk Assessor workshop North Carolina General Contracting License License#27912 Principles of Home Inspection for Housing Rehabilitation,PHRANC Healthy Homes Specialist—The National Environmental Health Association and The National Center for Healthy Housing Lead Safety For Renovation, Repair, and Painting Initial Improving Home Performance Including Energy Building Science Understanding the 2012 NCECC 'P 1 i r 1 t 1 J�1 1,1 1 1 0. North Carolina Community Development Association Professional Housing Rehabilitation Association of NC(PHRANC) PP 01J;' J J ( Jac. Brian Ashburn has over thirty-four years experience as a carpenter and a contractor,working in new construction as well as in housing rehabilitation.Mr.Ashburn holds a NC Contractors License,as well as certifications from PHRANC as a Certified Rehabilitation Specialist and certifications on the Principals of Home Inspection for Housing Rehabilitation through PHRANC. Mr. Ashburn also has both State and Federal certifications in lead based paint. Mr. Ashburn is a Certified Rehabilitation Specialist with Carolina Governmental Services, LLC. He was employed with Hobbs, Upchurch&Associates,PA for nine(9)years in his capacity as a Housing Programs and Rehabilitation Specialist.His Project experience includes: DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD IIJ2 ( ll, (, `111 ,. , ( '(r 1 �L1 ,1- oT�llE ll �1 U 1I, 1 ioco/ll rein/},, /)rdr DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD 17/i'l, 7 01/1111, Of III 011110 • FY2010 — $ 400,000.00. Project Rehabilitation Specialist and Project Inspector for the Davie County Scattered Site Project to include the rehabilitation of 6 homes and emergency repairs to 8 homes. Duke HELP funds are used to offset the rehabilitation costs. • FY2007—$400,000.00-Project Rehabilitation Specialist and Project Inspector for the Davie County Scattered Site Project. This Project included the rehabilitation of five(5)homes,the relocation of one(1)home and emergency repairs to eight(8)homes. Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2004—$400,000.00-Project Rehabilitation Specialist and Project Inspector for the Davie County Scattered Site Project. This Project included the rehabilitation of ten(10)homes. • FY2001 —$400,000.00-Project Rehabilitation Specialist and Project Inspector for the Davie County Scattered Site Project.Project included the rehabilitation of fourteen(14)homes. /1(1,1 ,,,,i tl 1111)/11'1// • FY2010 — $ 500,000. Project Rehabilitation Specialist and Project Inspector for the Town of Norwood's NC Economic Recovery Scattered Site Housing Project to include the rehabilitation of 12 homes.Duke HELP funds are used to offset the rehabilitation costs. • FY2010 — $ 400,000.00. Project Rehabilitation Specialist and Project Inspector for the Rockingham County Scattered Site Project to include the rehabilitation of 8 homes. Duke HELP funds are used to offset the rehabilitation costs. • FY2009—$ 537,964.71.Project Administrator for the Rockingham County CDBG Recovery Scattered Site Project to include the rehabilitation of 10 homes and emergency repairs to 33 homes. Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2008/09-$50,000. Project Rehabilitation Specialist and Project Inspector for the Rockingham County World Changers 09 USDA Housing Preservation Grant. Project to include emergency repairs to 25—30 homes. • FY2007—$400,000.00-Project Rehabilitation Specialist and Project Inspector for the Rockingham County Scattered Site Project to include the rehabilitation of seven(7)homes and emergency repairs to twenty-two(22)homes.Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2004—$400,000.00-Project Rehabilitation Specialist and Project Inspector for the Rockingham County Scattered Site Project to include the rehabilitation of 10 homes. • FY2001 —$400,000.00-Project Rehabilitation Specialist and Project Inspector for the Rockingham County Scattered Site Project to include the rehabilitation of 14 homes. • FY2009—$475,000. Rehabilitation Specialist for the Anson County Scattered Site Project to include the rehabilitation of 8 homes and emergency repairs to 8 homes. . Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2003—FY2009—$6,000,000.00-Project Rehabilitation Specialist and Project Inspector for the City of Burlington. City of Burlington is an Entitlement City and receives$1,000,000.00 per year from HUD. 10111 11/;rrri /1()Imo • FY2009—$400,000. Rehabilitation Specialist for the Yadkin County Scattered Site Project to include the rehabilitation of 8 homes and emergency repairs to 8 homes. Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD c 'i/i 77)/r l/recid, )// il/I/i/I ,\rrr7/r ll,o/ilrtr, • FY2006—$400,000.00- Project Rehabilitation Specialist and Project Inspector for the City of Lexington/Davidson County Scattered Site Project to include the rehabilitation of 9(nine) sub- standard homes and emergency repairs to(ten) 10 homes. • FY2006—$400,000.00-Project Rehabilitation Specialist for the Stanly County Scattered Site Project.This Project will include the rehabilitation of ten(10) sub-standard homes. ,s7(//77,1, ' rlr,l )('r/7 iarolrlr • FY2011-$75,000. Project Rehabilitation Specialist and Project Inspector for the County's Water/Sewer Infrastructure Hook-Up Project to include service connections to 30 low to moderate income homes. • FY2007—$960,500.00.Project Rehabilitation Specialist and Project Inspector for the County's Community Revitalization Project to include rehabilitation,relocation, clearance and water,street, drainage and street improvements. 11‘f, 101,v, °= la'rlr • FY2010—$ 100,000. Project Rehabilitation Specialist for the Town's Community Revitalization Phase II Project to include rehabilitation and street improvements. Duke HELP funds are used to offset the rehabilitation costs. • FY2008—$ 821,000.Project Rehabilitation Specialist for the Town's Community Revitalization Project to include rehabilitation and water,street,flood/drainage improvements.Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. (oval/Ito • FY2010—$ 500,000.Project Rehabilitation Specialist for the City of Mebane's NC Economic Recovery West End Housing Project to include rehabilitation,relocation and clearance improvements.Duke HELP funds are used to offset the rehabilitation costs. Gull), :ul'lll C nlulitr • FY2010—$ 529,539.Project Rehabilitation Specialist for the City's Cavel Village Phase II Neighborhood Community Revitalization Project to include rehabilitation improvements. • FY2008—$ 1,023,000.Project Rehabilitation Specialist for the City's Cavel Village Phase I Neighborhood Community Revitalization Project to include rehabilitation,sewer, street, flood/drainage, sidewalk improvements and the purchase,rehabilitation and creation of a police residence.Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. c r/Inv, 111%„ .k7)rll1 • FY2010—$ 309,024.46.Project Rehabilitation Specialist for the Town's Community Revitalization Phase II Project to include rehabilitation,relocation and clearance improvements. • FY2009—$ 500,000.00.Project Rehabilitation Specialist for the Town of Yanceyville's CDBG Recovery Housing Project to include the rehabilitation of 11 homes,demolition/relocation to 3 homes and demolition to 1 structure.Duke HELP and Lead Abatement Partnership Program (LAPP)funds are used to offset the rehabilitation costs. • FY2008—$909,500.00.Project Rehabilitation Specialist for the Town's Community Revitalization Project to include rehabilitation,relocation,clearance and water and drainage improvements. DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD dm,.'a/'7// • FY2009—$ 850,000.00.Project Rehabilitation Specialist for the City's Community Revitalization Project to include rehabilitation,relocation, clearance and water,drainage and street improvements. • FY2009—$ 1,000,000.00.Project Rehabilitation Specialist for the City's Community Revitalization Project to include rehabilitation,relocation,clearance,construction of a new park and water,drainage and street improvements. • FY2007—$ 1,310,000.Project Rehabilitation Specialist and Project Inspector for the City's Community Revitalization Project to include rehabilitation,relocation and clearance,pedestrian improvements, drainage improvements,street improvements, street lighting and the construction of a new park. • FY2006-$770,000. Project Rehabilitation Specialist and Project Inspector for the Town's Concentrated Needs Project to include the clearance of 1 vacant dilapidated structure,the rehabilitation of 16 homes,the installation of 880 LF of 6"water lines, 8800 LF of 24'paved street,curb and gutter improvements and drainage piping.Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2001 —$ 700,000.00-Project Rehabilitation Specialist and Project Inspector for the Town's Alene Loop Road Project to include rehabilitation,relocation, clearance,water and sewer. • FY2006—$ 700,000.00-Project Rehabilitation Specialist and Project Inspector for the Town's Concentrated Needs Project to include rehabilitation, acquisition,disposition,relocation, clearance,water and sewer. • FY2005—$200,000.00-Project Rehabilitation Specialist and Project Inspector for the Town's Wayne Street Project to include rehabilitation, relocation,clearance. 1�/. mom', arid//rat • FY2013—$ 75,000.00.Project Rehabilitation Specialist and Project Inspector for the Urgent Repair Program to 14 homes. • FY2012—$ 160,000.00.Project Rehabilitation Specialist and Project Inspector for the SFR Project to include the rehabilitation of 3 homes. • FY2012—$ 75,000.00.Project Rehabilitation Specialist and Project Inspector for the Urgent Repair Program to 14 homes. • FY2009—$400,000.00. Project Rehabilitation Specialist for the SFR Project to include the rehabilitation of 10 homes. Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2002—$ 525,000.00-Project Rehabilitation Specialist and Project Inspector for the SFR and Duke HELP Projects.Projects included the rehabilitation of fourteen(14)homes and provided emergency housing repairs to sixteen(16)homes. • FY2001—$ 575,000.00-Project Rehabilitation Specialist and Project Inspector for the SFR and Duke HELP Projects. These Projects included the rehabilitation of fourteen(14)sub-standard homes. DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD • FY2013—$ 75,000.00.Project Rehabilitation Specialist and Project Inspector for the Urgent Repair Program to 14 homes. • FY2012—$ 75,000.00.Project Rehabilitation Specialist and Project Inspector for the Urgent Repair Program to 14 homes. • FY2008—$400,000.00.Project Rehabilitation Specialist and Project Inspector for the SFR Project to include the rehabilitation of 10 homes. Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. /iirtii' 1 OViill,, nl/li roliirri • FY2012—$ 75,000.00.Project Rehabilitation Specialist and Project Inspector for the Urgent Repair Program to 14 homes. • FY2006—$ 233,000.00-Project Rehabilitation Specialist and Project Inspector for the SFR Project to include the rehabilitation of six(6)sub-standard homes. Duke HELP funds are used to offset the rehabilitation costs. • FY2012—$75,000.00.Project Rehabilitation Specialist and Project Inspector for the Urgent Repair Program to 14 homes. l/n--n },/, (Y (r,°i/ rtrr( • FY2012—$ 75,000.00.Project Rehabilitation Specialist and Project Inspector for the Urgent Repair Program to 14 homes. • FY2011—$ 160,000.00.Project Rehabilitation Specialist and Project Inspector for the SFR Project to include the rehabilitation of 3 homes. Duke HELP funds are used to offset the rehabilitation costs. • FY2008—$400,000.00.Project Rehabilitation Specialist and Project Inspector for the SFR Project to include the rehabilitation of 10 homes. Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. ,l«ir,!r/rc) IMII71„ (11111 P0111( • FY2009—$400,000.00.Project Rehabilitation Specialist for the SFR Project to include the rehabilitation of 10 homes. Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2009—$ 75,000.00. Project Rehabilitation Specialist for the Urgent Repair Program to 14 homes. • FY2007—$75,000.00- Project Rehabilitation Specialist and Project Inspector for the Urgent Repair Program.Project included emergency housing repairs to fourteen(14)homes. • FY2010—$200,000.00.Project Rehabilitation Specialist for the SFR Project to include the rehabilitation of 4 homes. Duke HELP funds are used to offset the rehabilitation costs • FY2009—$ 75,000.00.Project Rehabilitation Specialist for the Urgent Repair Program to 14 homes. • FY2006—$200,000.00—Project Rehabilitation Specialist and Project Inspector for the SFR Project. This Project included rehabilitation to five sub-standard(5)homes. Duke HELP funds are used to offset the rehabilitation costs. • FY2005—$ 50,000.00-Project Rehabilitation Specialist and Project inspector for the Urgent Repair Program. Project included emergency housing repairs to fourteen(14)homes. DocuSign Envelope ID:356CF144-9145-419B-82D1-1 F4A9099C3BD ()//////?!f u171/1 //I 01 fdl/71l • FY2009—$ 72,000.00. Project Rehabilitation Specialist for the Urgent Repair Program to 14 homes. • FY2009—$ 75,000.00.Project Rehabilitation Specialist for the Urgent Repair Program to 14 homes. lfr/ (.'�l�`r�lilri • FY2008—$400,000.00.Project Rehabilitation Specialist and Project Inspector for the SFR Project to include the rehabilitation of 10 homes. Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2007—$200,000.00—Project Rehabilitation Specialist and Project Inspector for the SFR Project.This Project included rehabilitation to five sub-standard(5)homes. //Ill/I/ ol)111j fil of 011110 • FY2007—$ 333,020.00—Project Rehabilitation Specialist and Project Inspector for the SFR Project.This Project included rehabilitation to five sub-standard(8)homes.Duke HELP and Lead Abatement Partnership Program(LAPP)funds are used to offset the rehabilitation costs. • FY2002—$ 350,000.00-Project Rehabilitation Specialist and Project Inspector for the SFR and Duke HELP Projects to include the rehabilitation of seven(7)homes and the emergency housing repairs to sixteen (16)homes. 4/0/1/,"0l/, kill/// //inlnl// • FY2001—$275,000.00—Project Rehabilitation Specialist Project Inspector for the SFR and Duke HELP Projects. This included the rehabilitation of(seven) 7 sub-standard homes. • FY2001—$350,000.00—Project Rehabilitation Specialist and Project Inspector for the SFR and Duke HELP Projects. These Projects involved the rehabilitation of(seven)7 sub-standard homes and emergency repairs to sixteen(16)homes. °,t lll /Ylll7lf • FY2001—$450,000.00-Project Rehabilitation Specialist and Project Inspector for the SFR and Duke HELP Projects. These Projects included the rehabilitation of eleven(11)homes and providing emergency repairs to sixteen(16)homes. • 2015 to current—Commercial and Residential construction project coordinator. Project management, estimator and CAD specialist working with multiple owners and projects. Creation of architectural, structural and shop drawings. Job cost analysis and feasibility. 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',(I■P(Orf(/1,4,1,11(7((',''PAY',■ OP,. 1(4 au ANIAM "(Ota(,1(0,101.1(11 I 911,(1,11,ilr(0,101(JUT- 1;1'11 11'211, Lead Syttrisor finitid) IA'P,,,li Tiviathg((Lobe Ito, oryt„„„ ,t,' 7;,-,;;; --,7, ; ;---- 'F' „„ o --'' ,?1,.',-,,,, •-• 5;'1,;,, ' VOI y, o lor )11111' 11■11!:',1! 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CERTIFICATE OF LIABILITY INSURANCE 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). INSURED BRIAN D ASHBURN CERTIFICATE RENEE D HOLMES NAME AND 110 HILLSIDE DR HOLDER HOUSING PROGRAMS COORDINATOR ADDRESS LOUISBURG NORTH CAROLINA 27549 ORANGE COUNTY HOUSING , HUMAN RIGHTS AND COMMUNITY DEVELOPMENT 300 W. TRYON STREET HILLSBOROUGH , NC 27278 COVERAGES 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. X TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSD WVD (MMlDDlYYYY)(MMIDDIYYYY) Es COMMERCIAL GENERAL To be assigned 04/19/2017 04/19/2018 GENERAL AGGREGATE $2,000,000 LIABILITY-OCCURRENCE PRODUCTS-COMP/OPS $2,000,000 AGGREGATE PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE APPLIES PER EACH OCCURRENCE $1,000,000 POLICY DAMAGE TO RENTED $100,000 PREMISES (Ea Occurrence) MED EXP (Any one person) $5,000 © BUSINESSOWNERS EACH OCCURRENCE _AGGREGATE AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT LI SCHEDULE AUTOS (Each accident) ❑ HIRED AUTOS BODILY INJURY(Per person) ❑ NON-OWNED AUTOS BODILY INJURY(Per accident) ❑ GARAGE LIABILITY PROPERTY DAMAGE ❑ (Other) (Per accident) EXCESS LIABILITY- EACH OCCURRENCE ❑ OCCURRENCE AGGREGATE WORKERS WC STATUTORY LIMITS COMPENSATION AND N/A ❑ EMPLOYERS' LIABILITY E.L. EACH ACCIDENT POLICY APPLIES TO THE WORKERS E.L. DISEASE- EA EMPLOYEE COMPENSATION LAW IN THE STATE - OF NC E.L. DISEASE-POLICY LIMIT ❑OTHER: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES: CANCELLATION AU •RIZED REPRESENTATIVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DATES /67-74V7 DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ilk' COI 0910