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HomeMy WebLinkAbout2017-233-E Planning - Transstate LLC to clean, video Phase 4 of Efland Sewer System DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 [Departmental Use Only] TITLE EflandSewerCleaning FY 16-17 NORTH CAROLINA SERVICES AGREEMENT UNDER $90,000.00 RFP ORANGE COUNTY This Services Agreement (hereinafter"Agreement"), made and entered into this 14th day of June, 2017, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") andTransstate LLC, (hereinafter, the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Services Agreement ("Agreement") is for professional services to be rendered by Provider to County with respect to (insert type of project): This project consists of cleaning and videoing (CCTV) Phase 4 (approximately 5,600 linear feet) of the gravity sewer lines in the Efland Sewer System. Please see the attached Exhibit A that includes the scope of work as requested in the RFP. Additionally, the phase to be cleaned is illustrated in Exhibit B. Phase 4 is shown as Phase 2 on the attached Exhibit B. Cleaning and videoing is a State sewer requirement. ii) By executing this Agreement, the 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. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. Revised 2/17 1 DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional quality, accuracy and timely completion and/or submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, and assigns 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. iii) The Provider 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. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider 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 Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider 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. 3. Basic Services a. Basic Services. i) The Provider shall perform as Basic Services the work and services described herein and as specified in the County's Request for Proposals or Request for Qualifications (the "RFP") "RFP Number 1724 for "Phased cleaning of existing sewer in Efland NC" issued April 5, 2017, and the Provider's proposal, which are fully incorporated and integrated herein by reference together with Attachments as shown in the Transstate PDF (designate all attachments). In the event a term or condition in any document or attachment conflicts with a term or condition of this Agreement the term or condition in this Agreement shall control. Should such conflict arise the priority of documents shall be as follows: This Agreement, the County's RFP together with attachments, Provider's Proposal together with attachments. Revised 2/17 2 DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 ii) The Basic Services will be performed by the Provider in accordance with the following schedule: (Insert task list and milestone dates) Task Milestone Date 1. Cleaning and videoing Phase 4 of the Efland Sewer System To be completed within 3 weeks of the commencement of the start of cleaning 2. 3. 4. 5. 6. 7. 8. 9. 10. iii) Should County reasonably determine that Provider has not met the Milestone Dates established in Section 3(a)(ii), County shall notify Provider of the failure to meet the Milestone Date. The County, at its discretion may provide the Provider seven (7) days to cure the breach. County may withhold the accompanying payment without penalty until such time as Provider cures the breach. In the alternative, upon Provider's failure to meet any Milestone Date the County may modify the Milestone Date schedule. Should Provider or its representatives fail to cure the breach within seven (7) days, or fail to reasonably agree to such modified schedule, County may immediately terminate this Agreement in writing, without penalty or incurring further obligation to Provider. This section shall not be interpreted to limit the definition of breach to the failure to meet Milestone Dates. 4. Duration of Services a. Term. The term of this Agreement shall be from June 14, 2017 to October 30, 2017. b. Scheduling of Services i) The Provider shall schedule and perform its activities in a timely manner so as to meet the Milestone Dates listed in Section 3. ii) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. iii) The Commencement Date for the Provider's Basic Services shall be Within 60 days after contract execution. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services under this Agreement. Revised 2/17 3 DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 The maximum amount payable for Basic Services is FIFTEEN THOUSAND NINE HUNDRED AND SIXITY Dollars ($15,960.00). In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Payment for Basic Services shall become due and payable in direct proportion to satisfactory services performed and work accomplished. Payments will be made as percentages of the whole as Project milestones as set out in Section 3(a)(ii) are achieved. (For example, if there are 10 Project Tasks with Milestone Dates then Provider may invoice for the first 10% of the whole upon County's acknowledgement of the satisfactory completion of Task one. Upon the County's acknowledgement that the second Task has been satisfactorily completed Provider may invoice for the next 10% of the whole.) b. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Allison Reinert, Staff Engineer) 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/or 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. 7. Insurance a. General Requirements. 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 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 N/A (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. The Provider agrees to defend, 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 property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider 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 Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement Revised 2/17 4 DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 a. Changes in Basic Services. 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 Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days prior written notice to the Provider. b. Other Termination. The Provider 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 Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. c. Compensation After Termination. i) In the event of termination, the Provider 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 Provider. ii) Should this Agreement be terminated, the Provider 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. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider 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 for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. e. Suspension. County may suspend the Services at any time for County's convenience and without penalty to County upon three (3) days' notice to Provider. Upon any suspension by County, Provider shall discontinue the work and shall not resume the work until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns, and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations, and rights of respective parties hereunder shall be governed by the laws of the State of North Revised 2/17 5 DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are 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. c. Non-Discrimination and Living Wage. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations. 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 the Orange County Non-Discrimination Policy 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. d. 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. e. Entire Agreement. This Agreement, together with the RFP and its attachments and the Proposal and its attachments, represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severability. 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. g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items, or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things 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. h. 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. Revised 2/17 6 DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 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. 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 Provider of such limitation or change in County's legal authority. i. Signatures. 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. j. Notices. 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 Provider's Name &Address Attention: Allison Reinert, PE Todd A. Reeves P.O. Box 8181 PO Box 545 Hillsborough,NC 27278 Denver, NC 28037 [SIGNATURE PAGE TO FOLLOW] Revised 2/17 7 DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 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. ORANGE COUNTY: PROVIDER: By LiDocuSigned by: DocuSigned by: ,OlAkUt, C1iV6IMt 'SkL 6/22/2017 By: Todd 2ccvcs 6/12/2017 filralitater To 7RWW,9eTransstate LLC President Printed name and title Revised 2/17 8 DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 COUNTY OF ORANGE FINANCIAL SERVICES PO BOX 8181 200 SOUTH CAMERON STREET HILLSBOROUGH, NORTH CAROLINA 27278 ORANGE COUNTY BID NO. 1724 April 5, 2017 ATTENTION: INTERESTED VENDORS PROJECT: Phased cleaning of existing sewer in Efland, NC. The older sections of the Central Efland Phase 1 Sewer System have been divided up into five (5)different cleaning phases, composed of one or more segments or areas. Phases 1 &2 have been cleaned previously. This solicitation is only for Phases 3, 4 & 5 as depicted on Exhibit B. Please be aware that there are other existing sewer lines in the exhibit area but they have not been shown for clarity. Orange County has a detailed sewer atlas for the Efland Sewer System, which is available upon request for vendor reference. Orange County requests your competitive quotation to furnish the service(s) listed below for the Orange County Engineer, Hillsborough, NC. Due to budgetary limitations, the County Engineer seeks flexibility with respect to when each of these phases gets cleaned. Therefore, three timeframes are provided and your quotation for each is requested. As noted, more than one phase may be authorized at a time, subject to availability of funds. You will also note you are requested to provide a unit price up to the total shown. The intention is to contract for the actual length cleaned based on the unit price provided, not to exceed the total shown. The final structure of the contract payment provisions will be subject to approval by the County Attorney. Please transmit this quotation to David E Cannel!, Orange County Purchasing Agent, 200 South Cameron Street, PO Box 8181, Hillsborough, NC 27278 via email dcannell @orangecountync.gov or via fax to 919-636-4913 (f) by April 25, 2017 at 2:00 PM DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 BID SUMMARY FEES FOR SERVICES: Clean phase of 8" gravity sewer, as described, and produce a video (DVD)after cleaning that shows the condition of the inside of the lines per the attached specifications and drawings, Efland, NC. Please provide your quotations below. COMMODITIES / ONE OR MORE ONE OR MORE ONE OR MORE PHASE # GOODS OR PHASES CLEANED IN PHASES CLEANED IN PHASES CLEANED IN SERVICES FY2016-17 FY2017-18 FY2018-19 PRIOR TO 06/30/17 PRIOR TO 06/30/18 PRIOR TO 6/30/19 CLEAN AND 7300 LF 7300 LF 7300 LF 3 VIDEO- $/LF $/LF $/LF DOCUMENT PHASE 3 Total $ Total $ Total $ CLEAN AND 5600 LF 5600 LF 5600 LF 4 VIDEO- $/LF $/LF $/LF DOCUMENT PHASE 4 Total $ Total $ Total $ CLEAN AND 5900 LF 5900 LF 5900 LF 5 VIDEO- $/LF $/LF $/LF DOCUMENT PHASE 5 Total $ Total $ Total $ PLEASE STATE FIRM DELIVERY TIME TO START AFTER RECEIPT OF PURCHASE ORDER: DAYS PLEASE STATE NUMBER OF DAYS TO COMPLETE THE PROJECT AFTER COMMENCEMENT: DAYS **SEE ATTACHED INSTRUCTIONS TO BIDDERS** LICENSE FIRM NAME BY (Proposal must be signed in writing) ADDRESS TELEPHONE: FAX: DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 COUNTY OF ORANGE FINANCIAL SERVICES PO BOX 8181 200 SOUTH CAMERON STREET HILLSBOROUGH, NORTH CAROLINA 27278 GENERAL CONDITIONS 1. All bids and proposals shall be for furnishing apparatus, supplies, materials, equipment and/or work and services in accordance with the applicable plans and specifications prescribed by Orange County. Plans and/or specifications may be obtained at the Orange County Purchasing and Financial Services Department, 200 South Cameron Street, Hillsborough, North Carolina 27278. 2. Orange County reserves the right to award the bid that is in the best interest of Orange County or to reject any or all bids, and to waive minor irregularities. 3. The successful bidder shall comply fully with the requirements of General Statutes, Section 143-129, as amended. 4. In the event of default by any contractor or vendor Orange County may procure from other sources whatever service or item is being bidded and hold the contractor responsible for any excess cost occasioned thereby. 5. Payment by check is due thirty days after completion and inspection unless otherwise specifically provided; subject to any discounts allowed. 6. North Carolina sales and use tax shall not be included in the bid amount. 7. Bids submitted via facsimile shall be accepted. 8. Proposals received after opening date and time shall not be considered. 9. Bids must be signed and submitted on the attached form. 10.All bids must be returned in a sealed envelope with the bid number, opening date and license number prominently displayed. 11.The successful contractor shall be responsible for obtaining any and all required permits and inspections from Hillsborough. 12.Please direct any questions concerning the bid process to David Cannel!, Purchasing Agent, 919- 245-2651 or dcannell @orangecountync.gov. 13.The Contractor shall purchase from an insurance company authorized to write casualty insurance in the State of North Carolina the following limits of insurance: a. Worker's Compensation Insurance-Worker's Compensation insurance as required by law for all of the Contractor's employees. The Contractor shall also require his subcontractors to provide Worker's Compensation for all of the latter's employees, unless the Contractor affords protection to such employees. DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 b. Comprehensive General Liability Insurance-Comprehensive General Liability Insurance shall be carried in the following amounts: One Million Dollars ($1,000,000)bodily injury each person, One Million Dollars ($1,000,000) property damage. Comprehensive General Liability Insurance shall include Premises and Operations Liability, Independent Contractors Liability, Contractual Liability and Completed Operations Liability, and will also contain a provision for "u" (underground) hazard liability. c. Automobile Liability Insurance - Automobile Liability Insurance shall be carried in the following limits: One Million Dollars ($1,000,000) bodily injury each person, One Million Dollars ($1,000,000) bodily injury each accident, One Million Dollars ($1,000,000) property liability. Automobile Liability Insurance shall cover liability arising out of the use of owned, non-owned and hired motor vehicles. The cost of all insurance shall be included in the price(s) bid. The Contractor shall not commence work until he has obtained all the insurance required herein. Insurance shall be maintained in full force and effect until the Contract has been fully and completely performed, as evidenced by final acceptance payment. Contractor shall provide Certificate of Insurance reflecting aforementioned coverages as proof of coverage. Certificate of Insurance shall provide for a thirty (30) day written notice to the Owner in the event of any modifications, cancellation, or expiration of said policies. Work shall not commence until the contractor has obtained all required insurance and the owner has approved verifying certificates of insurance in writing. 14.AII contractors are hereby notified that they must have proper license under the State laws governing their respective trades. Please display license number on your submittal. 15.Please supply a list of 3 commercial references with phone numbers and contact people. 16.A pre-bid site visit is not seen as necessary by the County Engineer. By submission of a bid the contractor acknowledges he/she fully understands the extent of the project. 17.Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies it funds to pursue the same goal. A copy of Orange County's Living Wage Contractor Policy is included 18.HB786 imposes E-Verify requirements on contractors who enter into certain contracts with state agencies and local governments. The legislation specifically prohibits governmental units from entering into certain contracts "unless the contractor and the contractor's subcontractors comply with the requirements of Article 2 of Chapter 64 of the General Statutes." (Article 2 of Chapter 64 establishes North Carolina's E-Verify requirements for private employers). It is important to note that the verification requirement applies to subcontractors as well as contractors. The new laws specifically prohibit governmental units from entering into contracts with contractors who have not (or their subs have not) complied with E-Verify requirements. Complete the attached affidavit, and include it with your submittal. 19.Please complete the attached Iran Divestment Act Certification Requirements And Include With Your Submittal DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 Exhibit A: Project Specifications for Sewer Line Cleaning and Video Recording Overview It is the intent of these specifications to provide enough information for a Contractor with the proper equipment to clean the gravity sewer lines and produce a video (DVD) after cleaning that shows the condition of the inside of the lines. For this project, Orange County will supply the following: • A map of the lines to be cleared — Exhibit B • A water source, likely a hydrant on the Orange Alamance Water System (OAWS) in the vicinity of the lines to be cleaned. • Coordination with and by our sewer maintenance entity, the City of Mebane, to control pump station operations such that they do not interfere with your sewer cleaning operation. • Coordination with the City of Mebane to allow the disposal of waste from the cleaning process at the City of Mebane Wastewater Treatment Plant at no charge. • Notification to all the Efland Sewer customers that line cleaning and video recording will be taking place. The Contractor will be expected to provide all equipment and labor to clean and video the specified gravity sewer lines of the sewer system, as described more completely below. The selected Contractor will be responsible for maintaining a safe working environment and adhering to all confined space and/or sewer work requirements. SCOPE OF WORK Cleaning This project consists of cleaning and videoing (CCTV) 8" gravity sewer lines. The project is divided into three (3) phases as followings: • Phase 3 — approximately 7,300 linear feet • Phase 4 — approximately 5,600 linear feet • Phase 5 — approximately 5,900 linear feet Some of the lines to be cleaned are off-road, in cross-country easements. These easements will be cleared prior to cleaning and will be passable, i.e. stumps will be cut to ground level and overhanging limbs will be removed, but there is no "road" along the easement. Contractors interested in bidding the project are encouraged to investigate the project area beforehand and bid accordingly. Water for cleaning will be supplied by Orange County, most likely from a nearby hydrant. The hydrant does not belong to Orange County, but rather to the Orange-Alamance Water System (OAWS). There will be no charge to the contractor for the water used, but the contractor will need to coordinate with OAWS to get a water meter installed on the hydrant they will use and record the amount of water used and will need to coordinate the withdrawal of water with OAWS directly. Sewer line cleaning shall be performed to remove foreign material from the sanitary sewer lines for clear viewing of the interior surface of the pipe during the video inspection and restore the pipe to at least 95% original capacity. Conditions discovered in the pipe, such as protruding pipes, blockages, roots, etc. that can be removed by conventional means, e.g. cutting, should be removed by the Contractor as part of the performance of DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 Exhibit A: Project Specifications for Sewer Line Cleaning and Video Recording this contract. Conditions such as broken pipe and major blockages that prevent cleaning from being accomplished without further damage to the sewer lines should be reported to Orange County's Staff Engineer. The Contractor will not be responsible for cleaning the specific pipe portions if a situation like this is determined by the Staff Engineer to exist, unless Orange County has the obstruction removed. Cleaning equipment should be capable of removing dirt, sand, grease, roots, rocks, and other obstructions or materials as necessary to clean the sewer lines. Due diligence and precaution shall be taken while using this cleaning equipment in order to prevent the flooding of public or private property during the course of the cleaning procedure and in order to prevent any damage to the sewer lines themselves. All material cleaned from the lines, e.g. sludge, dirt, sand, rocks, grease, etc., shall be removed from the sewer lines at the downstream manhole of the section of the line being cleaned. Allowing material cleaned from the lines to pass from pipe segment to pipe segment will not be allowed. The material, once removed from the lines, must be removed from the work site and disposed of properly at the end of every day. Material shall not be allowed to be stored in direct contact with the ground during the workday. Foreign material from the cleaning process may be disposed of at no cost at the City of Mebane Wastewater Treatment Plant at 636 Corrigidor Street, Mebane, NC 27302. All foreign material must be free of chemicals to be disposed of at the City of Mebane Wastewater Treatment Plant. Additionally, disposal must be coordinated with Greg Barts at the City of Mebane. After sewer pipe segments have been cleaned, the Contractor will perform a video inspection of the lines. If the inspection shows that the cleaning previously done is unsatisfactory, the Contractor will need to re- clean and re-inspect the lines at his expense. The determination of satisfaction shall be up to the County Engineer. Video Inspection When performing the video inspection, the flow must be below 20% of the pipe diameter, as determined by inspecting the flow in the upstream manhole of the section to be videoed. If the flow is higher than this, the Contractor will need to either plug the flow during the inspection, or reschedule the inspection to a low-flow time, which could entail working after dark. At no time will it be acceptable to cause an overflow due to any Contractor action. Bypass pumping will not be allowed, and should not be necessary, on this project. The Contractor shall perform CCTV inspections of all sewer components that were cleaned within the scope of this project. All video recordings shall be submitted in a digital format approved by the County Engineer and stored on a DVD. The data on the DVD's shall be labeled and indexed in an orderly manner such that a selected pipe segment can be queried without viewing the entire contents of the DVD. VHS video tape recordings will not be accepted. All video recordings shall be presented to the County at the completion of the project. The camera equipment shall produce a clear, crisp color image. Lighting shall be adequate to display a panoramic view of the pipe including all visible defects within the pipe segment regardless of pipe diameter. All sewer connections shall be displayed with adequate lighting to determine if pipe fittings and connections are leaking or otherwise defective. The camera shall be able to change the direction of view by at least 90 degrees from the axis of the camera and shall be able to rotate 360 degrees. The length from beginning point of each segment shall be displayed by numbers within the video display. Measurement units shall be recorded in standard units and the video display readout shall read in units of one tenth of a foot. DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 Exhibit A: Project Specifications for Sewer Line Cleaning and Video Recording The project area may contain a number of deep manholes that may be difficult for insertion and placement of a sled or track mounted camera. The selected Contractor shall have specialized camera units available for these difficult to access situations. All cameras shall be suitably compact to navigate around minor pipe protrusions and debris, such as protruding taps. Once the successful Contractor has been notified to begin work, please note that time is of the essence and work on this project should commence as soon as possible and continue without interruption until the project is completed. PLEASE LIST ANY AND ALL VARIANCES AND CLARIFICATIONS BELOW DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 STATE OF NORTH CAROLINA AFFIDAVIT ORANGE COUNTY ************************** I, (the individual attesting below), being duly authorized by and on behalf of (the entity bidding on project hereinafter"Employer") after first being duly sworn hereby swears or affirms as follows: 1. Employer understands that E-Verify is the federal E-Verify program operated by the United States Department of Homeland Security and other federal agencies, or any successor or equivalent program used to verify the work authorization of newly hired employees pursuant to federal law in accordance with NCGS§64-25(5). 2. Employer understands that Employers Must Use E-Verify. Each employer, after hiring an employee to work in the United States, shall verify the work authorization of the employee through E-Verify in accordance with NCGS§64-26(a). 3. Employer is a person, business entity, or other organization that transacts business in this State and that employs 25 or more employees in this State. (mark Yes or No) a. YES , or b. NO 4. Employer's subcontractors comply with E-Verify, and if Employer is the winning bidder on this project Employer will ensure compliance with E-Verify by any subcontractors subsequently hired by Employer. This day of , 201_. Signature of Affiant Print or Type Name: State of North Carolina Orange County Signed and sworn to (or affirmed) before me,this the day of , 2014. a' My Commission Expires: v Notary Public DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 *****Contractor,Vendor or Bidder—Return This Form With All Other Required Documentation***** IRAN DIVESTMENT ACT CERTIFICATION REQUIRED BY N.C.G.S. 143C-6A-5(a) Name of Contractor,Vendor or Bidder: As of the date listed below, the contractor, vendor or bidder listed above, and all subcontractors utilized by the contractor,vendor or bidder listed above, is not listed on the Final Divestment List created by the State Treasurer pursuant to N.C.G.S. 143-6A-4. The undersigned hereby certifies that he or she is authorized by the contractor,vendor or bidder listed above to make the foregoing statement. Signature Date Printed Name Title Notes to persons signing this form: N.C.G.S. 143C-6A-5(a)requires this certification for bids or contracts with the State of North Carolina, a North Carolina local government, or any other political subdivision of the State of North Carolina. The certification is required at the following times: ❑When a bid is submitted ❑When a contract is entered into (if the certification was not already made when the vendor made its bid) ❑When a contract is renewed or assigned N.C.G.S. 143C-6A-5(b)requires that contractors with the State, a North Carolina local government, or any other political subdivision of the State of North Carolina must not utilize any subcontractor found on the State Treasurer's Final Divestment List. The State Treasurer's Final Divestment List can be found on the State Treasurer's website at the address www.nctreasurer.com/Iran and will be updated every 180 days. *****Contractor,Vendor or Bidder—Return This Form With All Other Required Documentation***** DocuSign Envelope ID: 18C4E672-1 DB7-4020-9D85-083D0D588F92 Section I: General Government and Administration Policy 10.0: Living Wage Contractor Policy Reviewed by: County Attorney/County Manager Approved by: County Manager Original Effective Date: April 21,2016 Revisions: Policy Statement It is the policy of Orange County to ensure its employees, and all individuals who provide services for Orange County, are paid a living wage. Purpose To encourage all vendors and contractors to pay a living wage to all employees who perform work pursuant to a contract with Orange County. Applicability Applies to all Orange County contracts and purchases. Policy 10.1 Living Wage 10.1.1 Orange County is committed to providing its employees with a living wage and encourages all contractors and vendors doing business with Orange County to pursue the same goal. Orange County's living wage is $13.16 per hour. To the extent possible, Orange County recommends that contractors and vendors seeking to do business with Orange County provide a living wage to their employees. 10.1.2 Prior to final execution of a contract with Orange County all contractors and vendors seeking to do business with Orange County shall submit to the County's representative a statement indicating whether those employees who will perform work on the Orange County contract are paid at least the living wage amount set out above. If such employees do not make at least the living wage amount set out above the contractor or vendor shall indicate in the statement the actual amount paid to such employees. For bid projects this statement should be submitted as part of the bid packet. This policy may be reviewed annually and updated as needed by the Manager's Office N C N p� O U N R,ry N _2N N CN r a„c'O 0,u a 1S ONV1A3 s N , 11 1 y,,, - ,i1"°fffff(I11IIUI ' v NO# °i or w 10D11; N7 /i V-DR I > a CU 5 ' y � 0 F 0/ o ObNOS1tlM DAOII o z 5,� Z ,,, ,,,,,, \ O U 0N N 70b8 Isom" ° d *Or w �,,,,, w w N ti>ooH�s �° Q (n -ro /' 0 0 � ; c � r E as ! S o — ■ o m � U�I• °` � 1111r0 ; ° o N ,70.,v, ,,) Il �+Uo 1J , a v/l J c LL z ' % , o O 0o X 00 1Uw " - /V ,w w 0 r �-,Y ,/ c o ��3 Li, V �/ / " CO W 1 55 a Y co> a , ' 19) a - o a �, o 5 „,, „,' „,5 ,,,' th , N CO 5 W j� ,,,,, �'�,,' 1 0 co Cr) 67 LC) U M �r t ,pa,: d ■ N ---,07.0 9/ , N 1.0 CO ..Q N CO O> 1111111 �u ■ 0 ■ L ■ a • 0 as Nvwo3a D „ , DocuSign Envelope ID: 18C4E672-1DB7-4020-9D85-083D0D588F92 COUNTY OF ORANGE FINANCIAL SERVICES PO BOX 8181 200 SOUTH CAMERON STREET HILLSBOROUGH, NORTH CAROLINA 27278 ORANGE COUNTY BID NO. 1724 April 5, 2017 ATTENTION: INTERESTED VENDORS PROJECT: Phased cleaning of existing sewer in Efland, NC. The older sections of the Central Efland Phase 1 Sewer System have been divided up into five(5)different cleaning phases, composed of one or more segments or areas. Phases 1 &2 have been cleaned previously. This solicitation is only for Phases 3, 4 & 5 as depicted on Exhibit B. Please be aware that there are other existing sewer lines in the exhibit area but they have not been shown for clarity. Orange County has a detailed sewer atlas for the Efland Sewer System, which is available upon request for vendor reference. Orange County requests your competitive quotation to furnish the service(s)listed below for the Orange County Engineer, Hillsborough, NC. Due to budgetary limitations, the County Engineer seeks flexibility with respect to when each of these phases gets cleaned. Therefore, three timeframes are provided and your quotation for each is requested. As noted, more than one phase may be authorized at a time, subject to availability of funds. You will also note you are requested to provide a unit price up to the total shown. The intention is to contract for the actual length cleaned based on the unit price provided, not to exceed the total shown. The final structure of the contract payment provisions will be subject to approval by the County Attorney. Please transmit this quotation to David E Cannel!, Orange County Purchasing Agent, 200 South Cameron Street, PO Box 8181, Hillsborough, NC 27278 via email or via fax to 919- (f) by April 25, 2017 at 2:00 PM DocuSign Envelope ID: 18C4E672-1DB7-4020-9D85-083D0D588F92 BID SUMMARY FEES FOR SERVICES: Clean phase of 8"gravity sewer, as described, and produce a video(DVD)after cleaning that shows the condition of the inside of the lines per the attached specifications and drawings, Efland, NC. Please provide your quotations below. COMMODITIE ONE OR MORE ONE OR MORE ONE OR MORE S/ PHASE # GOODS OR PHASES CLEANED IN PHASES CLEANED IN PHASES CLEANED IN SERVI FY2016-17 FY2017-18 FY2018-19 CES PRIOR TO 06/30/17 PRIOR TO 06/30/18 PRIOR TO 6/30/19 CLEAN AND 7300 LF 7300 LF 7300 LF VIDDOCUMENT EO- 3 $/LF a4.1 ' 4 $/LF 3, 0 0 $/LF 3, 1S- PHASE 3 Total $ ,...4 go s-,O0 Total $ ...1/eV°, 0 6 Total CLEAN AND 5600 F 5600 LF 5600 LF VIDEO- 4 DOCUMENT $/LF a\1 ' .S 3, 00 $/LF PHASE 4 Total $ ir- 460,00 Total $ 16, O0 .00 Total $ 171 64040 CLEAN AND 5900 F 5900 LF 5900 LF VIDEO- 5 DOCUMENT $/LF 6: $/LF .1_00_ $/LF ,I PHASE 5 Total $ I ,G, gir. oci Total $ 17, 700100 Total $ /g, s gs-40 PLEASE STATE FIRM DELIVERY TIME TO .TART AFTER RECEIPT OF PURCHASE ORDER: Go DAYS BY er,ti PLEASE STATE NUMBER OF DAYS TO COI PLETE THE PROJECT AFTER COMMENCEMENT: 15 DAYS / MIAS'S **SEE ATTACHE, INSTRUCTIONS TO BIDDERS** II LICENSE -7 1 6 4c1 FIRM NAME -nzrytts. )1 --)E. C II alio (Proposal must be signe 8 in n rig) ADDRESS go. Bak, 545 Dvi...g,I I . : r7 TELEPHONE: --7 0 If- 403 -- 176..r FAX 1 , DocuSign Envelope ID: 18C4E672-1DB7-4020-9D85-083D0D588F92 C NTY OF ORANGE Fl NCIAL SERVICES PO BOX 8181 200 SO TH CAMERON STREET HILLSBORO H, NORTH CAROLINA 27278 GENERAL CONDITIONS . All bids and proposals shall be for rnishing apparatus, supplies, materials, equipment and/or work and services in accordance ith the applicable plans and specifications prescribed by Orange County. Plans and/or spec lications may be obtained at the Orange County Purchasing and Financial Services Departmen , 200 South Cameron Street, Hillsborough, North Carolina 27278. 2. Orange County reserves the right t III ward the bid that is in the best interest of Orange County or to reject any or all bids, and to wai - minor irregularities. 3. The successful bidder shall compt fully with the requirements of General Statutes, Section 143-129, as amended. 4. In the event of default by any co ractor or vendor Orange County may procure from other sources whatever service or item being bidded and hold the contractor responsible for any excess cost occasioned thereby. 5. Payment by check is due thirty daysl.fter completion and inspection unless otherwise specifically provided; subject to any discounts .fiowed. 6. North Carolina sales and use tax s all not be included in the bid amount. 7. Bids submitted via facsimile shall b - accepted. 8. Proposals received after opening d ;te and time shall not be considered. 9. Bids must be signed and submitte on the attached form. 10.All bids must be returned in a seal d envelope with the bid number, opening date and license number prominently displayed. 11.The successful contractor shall be responsible for obtaining any and all required permits and inspections from HillsboroUgh. 12.Please direct any question concer ing the bid process to David Cannell, Purchasing Agent, 919- 245-2651 or 13.The Contractor shall purchase from n insurance company authorized to write casualty insurance in the State of North Carolina t e following limits of insurance: a. Worker's Compensation Insuranc:, -Worker's Compensation insurance as required by law for all of the Contractor's employees. T Ile Contractor shall also require his subcontractors to provide Worker's Compensation for all oft e latter's employees, unless the Contractor affords protection to such employees. H onnunign Envelope ID: 1eC4En7u1oe7-4oco-9oen-0ua000noareu b. Comprehensive General Liability In:urance -Comprehensive General Liability Insurance shall be carried in the folloWing amounts: 0 Million Dollars ($1,000,000)bodily injury each person,One Million Dollars($1,000,000)prope i damage. Comprehensive General Liability Insurance shall include Premises nd Operations L ability, Independent Contractors Liability, Contractual Liability and Completed Cperations Liabili , and will also contain a provision for "u" (underground) hazard liability. 1 , c. Automobile Liability Insurance - A ()mobile Liability Insurance shall be carried in the following limits: One Million Dollars ($1,000,000) bodily injury each person, One Million Dollars ($1,000,000) bodily injury each a cident, One Million Dollars ($1,000,000) property liability. Automobile Lia oili y Insurance shal cover liability arising out of the use of owned, non-owned and hired motor ye icl-s. The cost of all ns ranee shall be included in the price(s) bid. The Contractor ..h.11 not commence work until he has obtained all the insurance required herein. Insurance shall b- maintained in II force and effect until the Contract has been fully and completely perf or ed, as evidenced by final acceptance payment. Contractor shall provide Certificate of In Iv.rice reflecting af 0 rementioned coverages as proof of coverage. Certificate of Insurance shall I provide for a thirt 1 (30) day written notice to the Owner in the event of any modifications, c:n ellation, or expir:tion of said policies. Work shall n not c 4-n ence until the . tractor has obtained all required insurance and the owner CI has approved yel 'fy rig certificates o insurance in writing. 14.All contractors :re hereby notified that they must have proper license under the State laws governing their es oective trades. "lease display license number on your submittal. 15.Please supply a lis of 3 cornmercia references with phone numbers and contact people. 16.A pre-bid site vi..it i. not seen as net essary by the County Engineer. By submission of a bid the contractor ackniOwl-dges he/she ful y understands the extent of the project. 17.Living Wage. Mr.nge County is c?mmitted to providing its employees with a living wage and encourages ag-ncies it funds to purl:ue the same goal. A copy of Orange County's Living Wage Contractor Poli o i.. included 18.HB786 imposes E- erify requireme ts on contractors who enter into certain contracts with state agencies and lo al governments. Ihe legislation specifically prohibits governmental units from entering into ce ai 'contracts"unle-.1 s the contractor and the contractor's subcontractors comply with the require I,e ts of Article 2 of) hapter 64 of the General Statutes." (Article 2 of Chapter 64 establishes No ih Orolina's E-Veri 1 requirements for private employers). It is important to note that the verifica lio requirement ap IP lies to subcontractors as well as contractors. The new laws specifically proh bit governmental ulits from entering into contracts with contractors who have not (or their subs hai e ot)complied wit E-Verify requirements. Complete the attached affidavit, and include it with ygu submittal. I 19.Please conriplet,i t 0 attached Iran Pivestment Act Certification Requirements And Include With Your Sub litt.:I H | 1 |U onnunign Envelope ID: 1eC4En7u1oe7-4oco-9oen-0ua000noareu Exhibit A: Pr.je t Specification. for Sewer Line Cleaning and Video Recording Overview It is the intent f t ese specificatio s to provide enough information for a Contractor with the proper equipment to cl-a the gravity sew:r lines and produce a video (DVD)after cleaning that shows the condition of the in 'd- of the lines. For this project, Orang- ounty will suppl the following: • A water source, ik:Iy a hydrant on t e Orange Alamance Water System (OAWS)in the vicinity of the lines to be cleaned. • Coordination with :nd by our sewe maintenance entity, the City of Mebane, to control pump station operatioris .uch that they d not interfere with your sewer cleaning operation. • Coordination wi!) t e City of Meban- to allow the disposal of waste from the cleaning process at the City of Meb ,n- Wastewater Tr-atnnent Plant at no charge. • Notification to all th- Efland Sewer c stomers that line cleaning and video recording will be taking place. J The Contractor will bel e pected to provid- all equipment and labor to clean and video the specified gravity sewer lines of the -ewer system, as described more completely below. The selected Contractor will be responsible for rnai taining a safe wo rking environment and adhering to all confined space and/or sewer work requirements SCOPE OF WORK Cleaning This project consists of clr aning and video ng (CCTV) 8" gravity sewer lines. The project is divided into three (3) phases as follo ings: • Phase 3 — approxi ately 7,300 line:r feet • Phase 4 — approxi ately 5,600 line:r feet • Phase 5 — approxi ately 5,900 line.r feet Some of the lines to be 'leaned are off-road, in cross-country easements. These easements will be cleared prior to cleaning . nd will be passable, i.e. stumps will be cut to ground level and overhanging limbs will be removed, bu there is no "roa " along the easement. Contractors interested in bidding the project are encourage4 t investigate the roject area beforehand and bid accordingly. Water for cleaning will be supplied by Ora ge County, most likely from a nearby hydrant. The hydrant does not belong to Orang- County, but rat er to the Orange-Alamance Water System (OAWS). There will be no charge to the ontractor for the water used, but the contractor will need to coordinate with OAWS to get a water met-r installed on th hydrant they will use and record the amount of water used and will need to coordinai- the withdrawal of water with OAWS directly. Sewer line cleaning shall e performed to r move foreign material from the sanitary sewer lines for clear viewing of the interior surf:ce of the pipe d iring the video inspection and restore the pipe to at least 95% original capacity. Conditions discovered in t e pipe, such as rotruding pipes, blockages, roots, etc. that can be removed by conventional means, e g. cutting, shoul be removed by the Contractor as part of the performance of U Uonnunign Envelope ID: 1eC4En7u1oe7-4oco-9oen-0ua000noareu Exhibit A: Project Specifications for Sewer Line Cleaning and Video Recording this contract. Conditions such as broken pipe and major blockages that prevent cleaning from being accomplished without further damage to the sewer lines should be reported to Orange County's Staff Engineer. The Contractor will not be responsible for cleaning the specific pipe portions if a situation like this is determined by the Staff Engineer to exist, unless Orange County has the obstruction removed. Cleaning equipment should be capable of removing dirt, sand, grease, roots, rocks, and other obstructions or materials as necessary to clean the sewer lines. Due diligence and precaution shall be taken while using this cleaning equipment in order to prevent the flooding of public or private property during the course of the cleaning procedure and in order to prevent any damage to the sewer lines themselves. All material cleaned from the lines, e.g. sludge, dirt, sand, rocks, grease, etc., shall be removed from the sewer lines at the downstream manhole of the section of the line being cleaned. Allowing material cleaned from the lines to pass from pipe segment to pipe segment will not be allowed.The material, once removed from the lines, must be removed from the work site and disposed of properly at the end of every day. Material shall not be allowed to be stored in direct contact with the ground during the workday. Foreign material from the cleaning process may be disposed of at no cost at the City of Mebane Wastewater Treatment Plant at 636 Corrigidor Street, Mebane, NC 27302. Ail foreign material must be free of chemicals to be disposed of at the City of Mebane Wastewater Treatment Plant. Additionally, disposal must be coordinated with Greg Baas at the City of Mebane. After sewer pipe segments have been cleaned, the Contractor will perform a video inspection of the lines. If the inspection shows that the cleaning previously done is unsatisfactory,the Contractor will need to re- clean and re-inspect the lines at his expense. The determination of satisfaction shall be up to the County Engineer. Video Inspection When performing the video inspection, the flow must be below 20% of the pipe diameter, as determined by inspecting the flow in the upstream manhole of the section to be videoed. If the flow is higher than this, the Contractor will need to either plug the flow during the inspection, or reschedule the inspection to a low-flow time, which could entail working after dark. At no time will it be acceptable to cause an overflow due to any Contractor action. Bypass pumping will not be allowed, and should not be necessary, on this project. The Contractor shall perform CCTV inspections of all sewer components that were cleaned within the scope of this project. All video recordings shall be submitted in a digital format approved by the County Engineer and stored on a DVD. The data on the DVD's shall be labeled and indexed in an orderly manner such that a selected pipe segment can be queried without viewing the entire contents of the DVD. VHS video tape recordings will not be accepted. All video recordings shall be presented to the County at the completion of the project. The camera equipment shall produce a clear, crisp color image. Lighting shall be adequate to display a panoramic view of the pipe including all visible defects within the pipe segment regardless of pipe diameter. All sewer connections shall be displayed with adequate lighting to determine if pipe fittings and connections are leaking or otherwise defective. The camera shall be able to change the direction of view by at least 90 degrees from the axis of the camera and shall be able to rotate 360 degrees. The length from beginning point of each segment shall be displayed by numbers within the video display. Measurement units shall be recorded in standard units and the video display readout shall read in units of one tenth of a foot. DocuSign Envelope ID: 18C4E672-1DB7-4020-9D85-083D0D588F92 Exhibit A: Project Specifications for Sewer Line Cleaning and Video Recording The project area may contain a number of deep manholes that may be difficult for insertion and placement of a sled or track mounted camera. The selected Contractor shall have specialized camera units available for these difficult to access situations. All cameras shall be suitably compact to navigate around minor pipe protrusions and debris, such as protruding taps. Once the successful Contractor has been notified to begin work, please note that time is of the essence and work on this project should commence as soon as possible and continue without interruption until the project is completed. PLEASE LIST ANY AND ALL VARIANCES AND CLARIFICATIONS BELOW onnunign Envelope ID: 1eC4En7u1oe7-4oco-9oen-0ua000noareu STATE OF NORTH CAROLINA AFFIDAVIT ORANGE COUNTY **~*****^***************** ���� {� I, V����~ 0�' U«����'��8��� Athe individual attesting below), being duly authorized by and on behalf of ME (the entity bidding on project hereinafter'Employer )after first being duly sworn hereby swears or affirms as follows; 1. Employer understands that E-Verify is the federal E-Verify program operated by the United States Department of Homeland Security and other federal agencies,or any successor or equivalent program used to verify the work authorization of newly hired employees pursuant to federal law in accordance with NCGS§64'25(5). Z. Employer understands that Employers Must Use E-Verify. Each employer, after hiring an employee to work in the United States, shall verify the work authorization of the employee through E-Verify in accordance with NCGS§64-26(a). 3. Employer is a person, business entity,or other organization that transacts business in this State and that employs 25 or more employees in this State. (mark Yes or No) a. YES ' or .� b. NO �� 4. Employer's subcontractors comply with E-Verify, and if Employer is the winning bidder on this project Employer will ensure compliance with E-Verify by any subcontractors subsequently hired by Employer. This ? 4day of pspizic , 2017 0" Signature of Affiant --A. State of North Carolina Orange County Signed and sworn to (or affirmed) before me this the r�»� day of AC1/r , Ia}lr My Commission Expires: \\ �\ a�>\ ~^K Notary Public U '� ^` �1 DocuSign Envelope ID: 18C4E672-1DB7-4020-9D85-083D0D588F92 *****Contractor,Vendor or Bidder—Return This Form With All Other Required Documentation***** IRAN DIVESTMENT ACT CERTIFICATION REQUIRED BY N.C.G.S. 143C-6A-5(a) Name of Contractor, Vendor or Bidder: As of of the date listed below,the contractor,vendor or bidder listed above, and all subcontractors utilized by the contractor,vendor or bidder listed above, is not listed on the Final Divestment List created by the State Treasurer pursuant to N.C.G.S, 143-6A-4. The undersigned hereby certifies that he or she is authorized by the contractor,vendor or bidder listed above to make the foregoing statement. 4- (94- (2417 Signature Date 1-01, L. ef pasoe-,e1- Printed Name Title Notes to persons signing this form: N.C.G.S. I 43C-6A-5(a)requires this certification for bids or contracts with the State of North Carolina,a North Carolina local government, or any other political subdivision of the State of North Carolina. The certification is required at the following times: El When a bid is submitted EWhen a contract is entered into(if the certification was not already made when the vendor made its bid) El When a contract is renewed or assigned N.C.G.S. 143C-6A-5(b)requires that contractors with the State, a North Carolina local government, or any other political subdivision of the State of North Carolina must not utilize any subcontractor found on the State Treasurer's Final Divestment List. The State Treasurer's Final Divestment List can be found on the State Treasurer's website at the address and will be updated every 180 days. *****Contractor,Vendor or Bidder—Return This Form With AU Other Required Documentation***** onnunign Envelope ID: 1eC4En7u1oe7-4oco-9oen-0ua000noareu Section I: General Government and Administration Policy 10.0: Living Wage Contractor Policy Reviewed by: County Attorney/County Manager Approved by: County Manager Original Effective Date: April 21, 2016 Revisions: Policy Statement It is the policy of Orange County to ensure its employees, and all individuals who provide services for Orange County, are paid a living wage. Purpose To encourage all vendors and contractors to pay a living wage to all employees who perform work pursuant to a contract with Orange County. Applicability Applies to all Orange County contrac and purchases. Policy 10.1 Living Wage 10.1.1 Orange County is committed to providing its employees with a living wage and encourages all contractors and vendors doing business with Orange County to pursue the same goal. Orange County's living wage is $13.16 per hour. To the extent possible,Orange County recommends that contractors and vendors seeking to do business with Orange County provide a living wage to their employees. 10.1.2 Prior to final execution of a contract with Orange County all contractors and vendors seeking to do business with Orange County shall submit to the County's representative a statement indicating whether those employees who will perform work on the Orange County contract are paid at least the living wage amount set out above. Ti such employees do not make at least the living wage amount set out above the contractor or vendor shall indicate in the statement the actual amount paid to such employees. For bid projects projects this statement should he submitted as part of the bid packet. This policy may be reviewed annually and updated as needed by the Manager's Office DocuSign Envelope ID: 18C4E672-1DB7-4020-9D85-083D0D588F92 Exhibit B- Efland Sewer Line Cleaning Phasing Map YecANCEYpe 1 EP*C"I' A m 1,5 il BUCKWALTER LN i i 6 GREGG ST % t, l'<tlIORLIER CT BE14,. 0 70 \ ci.3.5e.RD criA, 6 .9 -1, 6 1) FULLEit ii,i, 13, -4.4N w tti a g ._,_..........,....., I0 I ke' 0 ti 4460austea,,„0 I . "41,404famangs.mmmmm szamam. sianama. Fraj *7'5' 1 a 0R ti le * 8 6 4 ..,- a ..1-1 • X i e 442 211 1 .e. cti nita 4 g zs I.SANDERS RD FORREST AVE NIABIONIIII to. 12 s roial'Es1 l'Nfr s s 0 2 12 2 'I 1011'6E"DR. , Phase . m s. -------- 1 (7,235.31 ft) P RD 0/('''' '''N, N A i in e 70C1 gPfeet *aim. 2(5 SOUTRO*C4' ( ,524.95 ft) The sewer data was compiled from multiple sources.This map is not ' ti meant to show the exact location of sewer lines or pump stations.Please z 3(5,823.51 ft) refer to the record drawings for more information. 4%, 2 ,,,,, ti Orange County Plannlng and Inopootono Bow Carson 11/19E2017) DocuSign Envelope ID: 18C4E672-1DB7-4020-9D85-083D0D588F92 TRANS-4 OP ID: ASU1 ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE[MMlDDrIYYY] 0610812017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CT Rebekah Rosko Aquesta Insurance-Cornelius PHONE 704 FAX -892-6411 PO Box 189 (A/C,No,Ext): (A1C,No): 704-892-3266 Cornelius, NC 28031 ADDRESS: Nico lannelli INSURER(S)AFFORDING COVERAGE NAIC p INSURER A:Auto-Owners Insurance Co 18988 INSURED Transstate LLC INSURER B:Carolina Casualty Ins Co PO Box 545 Denver, NC 28037 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE INSD WVp POLICY NUMBER POLICY EFF POLICY EXP LIMITS {MMlDD1YYYY) (MMlDD1YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X 35853599 08/28/2016 08/28/2017 DAMAGETO RENTED 300,000 PREMISES(Ea occurrence} $ MED EXP(Any one person) $ 10,000 PERSONALS ADS INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT PRODUCTS-COMP/OP AUG $ 2,000,000 JECT OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO 5085359900 08/28/2016 08/28/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N B ANY PROPRIETOR/PARTNER/EXECUTIVE BN UWC0137911 08/28/2016 08/28/2017 EL.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Y N!A (Mandatory in NH) E .DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E1_DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Orange County is listed as an additional insured as when required by written contract. CERTIFICATE HOLDER CANCELLATION ORANGEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County Planning and ACCORDANCE WITH THE POLICY PROVISIONS. Inspections Department 131 W. Margaret Lane AUTHORIZED REPRESENTATIVE PO Box 8181 (Hillsborough, NC 27278 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD