Loading...
HomeMy WebLinkAbout2017-571-E AMS - BIRS, Inc. for A & B flashing repairs at Whitted Bldg. DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1 NORTH CAROLINA CONSTRUCTION SERVICES AGREEMENT UNDER$50,000 ORANGE COUNTY THIS CONSTRUCTION AGREEMENT (hereinafter "Agreement"), is made and entered into this 23rd day of October, 2017 by and between Orange County, North Carolina (hereinafter the "Owner") party of the first part; and BIRS, Inc. (hereinafter the "Contractor"), party of the second part; WITNESSETH: For the purpose and subject to the terms and conditions hereinafter set forth, the Owner hereby contracts for the construction services of the Contractor, and the Contractor agrees to provide the construction services to the Owner in accordance with the terms of this Agreement. 1. TERM AND MAXIMUM AMOUNT PAYABLE Beginning and ending dates of contract: October 23, 2017 through December 31, 2017. The Project Commencement Date shall be October 23, 2017. Dollar Amount Not to Exceed: Ten Thousand Three Hundred Fifty-Seven Dollars ($10,357.00) 2. SERVICES Contractor agrees to provide the following construction services (the "Work"): Provide flashing repairs for Whitted Building A & B,per proposal dated 10/4/17. Contractor shall not sub-contract all or any part of the construction services provided for in this Agreement without prior written approval of the Owner. Contractor shall be responsible for all errors or omissions, in the performance of the Agreement. Contractor shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to Owner. 3. PAYMENT Contractor shall submit an invoice for construction services provided. The invoice shall contain Contractor's name and federal tax identification number and shall be signed and dated by an officer of Contractor. It shall detail all construction services provided in payment requests. The Owner will make payments to Contractor within thirty (30) days after receipt of and approval of the invoice by the contracting department. In the event the amount stated on an invoice is disputed by Owner, then Owner may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. In addition, should Contractor fail to perform its duties under the terms of this Agreement, Owner may, without fault or penalty, withhold any payment associated with the Work to be performed until such time as said work is completed. 4. RELATIONSHIP OF PARTIES Contractor is an independent contractor of the Owner. Contractor represents that it has or will secure, at its own expense, all personnel required in performing the construction services under this Agreement. Such personnel shall not be employees of or have any contractual relationship with the Owner. All personnel engaged in work under this Agreement shall be fully qualified Revised 2/17 1 DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1 and shall be authorized or permitted under state and local law to perform such construction services. It is further agreed that Contractor will obey all State and Federal statutes, rules and regulations which are applicable to provisions of the construction services called for herein. Neither Contractor nor any employee of the Contractor shall be deemed an officer, employee or agent of the Owner. 5. SUSPENSION AND TERMINATION This Agreement may be terminated by Contractor upon thirty (30) days' written notice to the Owner, and the Owner may terminate this Agreement upon thirty (30) days' written notice to Contractor. Owner may suspend the Work at any time for Owner's convenience and without penalty to Owner upon three (3) days' notice to Contractor. Upon any suspension by Owner Contractor shall discontinue the Work and shall not resume the Work until notified to proceed by Owner. The notice required by this section or any other notice shall be delivered via certified mail, return receipt requested to the parties at the addresses as shown on the signature page to this Agreement. Such notice is deemed given upon its delivery to, or deposit in a receptacle of the United States Post Office. 6. INSURANCE REQUIREMENTS Contractor shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by Owner's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php). If Owner's Risk Manager determines additional insurance coverage is required such additional insurance shall be designated here N/A (if no additional insurance required mark N/A as being not applicable). Contractor shall not commence construction work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. 7. INDEMNIFICATION Contractor agrees to defend, indemnify, save, and protect Owner and Owner's lender, if any, harmless from and against any and all claims, liens, liabilities, losses, damages, causes of action, and expenses (including court costs and reasonable attorney's fees related thereto) arising out of, in connection with, or resulting from any negligence, act or failure to act by the Contractor, the Contractor's agents, assigns or employees resulting in property damage or personal injury, including death, or other loss related to the Work. Contractor is responsible for all errors or omissions caused by its agents, contractors, employees, or assigns in the performance of this Agreement. It is the intent of this section to require Contractor to indemnify the Owner to the full extent permitted under North Carolina law. 8. NON-ASSIGNMENT Contractor shall not assign all or any part of this Agreement, including rights to payments, to any other party without the prior written consent of the Owner. 9. NON—APPROPRIATION Contractor acknowledges that Owner is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory Revised 2/17 2 DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1 mandate. In the event that public funds are unavailable and not appropriated for the performance of Owner's obligations under this Agreement, then this Agreement shall automatically expire without penalty to Owner immediately upon written notice to Contractor of the unavailability and non-appropriation of public funds. It is expressly agreed that Owner 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 Owner's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects Owner's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to Owner upon written notice to Contractor of such limitation or change in Owner's legal authority. 10. DISPUTE RESOLUTION Any dispute with respect to any provision of or the performance or non-performance of, this Agreement shall be subject to the Dispute Resolution Rules and Procedures for Orange County Design, Building Construction, Renovation, and Repair Projects. The policy is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php). 11. ENTIRE AGREEMENT The parties have read this Agreement and agree to be bound by all of its terms, and further agree that it, together with specifically referenced documents, constitutes the complete and exclusive statement of the Agreement between the parties unless and until modified by a written amendment to this Agreement signed by the parties. Modifications may be evidenced by telefacsimile signatures. Should any conflict arise in the terms of any documents referenced herein and this Agreement the terms of this Agreement shall be given priority and shall control over all other such documents. Should a request for proposals and a proposal be referenced the terms of the request for proposals shall have priority over the terms of the proposal. 12. COMPLIANCE WITH LAW/GOVERNING LAW Both parties agree that this Agreement shall be governed by the laws of the State of North Carolina and any action brought under this Agreement shall be brought in the General Court of Justice of the State of North Carolina in Orange County. Contractor 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 non-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. By executing this Agreement Contractor affirms that Contractor and any subcontractors of Contractor are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Contractor certifies that Contractor 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. This Agreement together with any amendments Revised 2/17 3 DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1 or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. [SIGNATURE PAGE TO FOLLOW] Revised 2/17 4 DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1 IN WITNESS WHEREOF Orange County and the Contractor have signed this agreement, effective as of the day and date first above written. ORANGE COUNTY CONTRACTOR —oosgea ey: r—oosyea ny: By botout,Na*murs( 10/18/2017 By A-"" 10/12/2017 County Manager BIRS Inc. 200 S. Cameron St. 207 Robbins St. P.O. Box 8181 Greensboro,NC Hillsborough,NC 27278 27416 Revised 2/17 5 DocuSign Envelope ID:9E1F9021-C474-4807-8F93-1C616BEBDEF1 o 3 Fry NORTh I CAROLINA Orange County Financial Services Department ADDENDUM #1 September 25, 2017 RFP 1726 Orange County Whitted Building Complex Flashing Repairs To all Vendors: PreBid Sign in sheet attached as page 2. Bidders shall include an allowance of$500 for repair of deteriorated wood. Provide a unit cost of$ per Board Board Foot. All other terms and conditions shall remain the same By: David E. Cannell, Purchasing Agent; dcannellaco.oranqe.nc.us / (919) 245-2651 Acknowledgement of receipt of this addendum shall be included with your submittal (page 1 only) Company Name: MOP k By: / Date Received: 1/27 '4070 .P O. ox 8181 200 South Cameron Street Hillsborough, North Carolina 27278 Telephones: Area Code 919-245-2651 Fax: 919-636-4913 TO00.0 Orange County, 200 S. Cameron Street, Hillsborough, North Carolina 27278 Page 1 DocuSign Envelope ID:9E1F9021-C474-4807-8F93-1C616BEBDEF1 COUNTY OF ORANGE FINANCIAL SERVICES — PURCHASING PO BOX 8181 HILLSBOROUGH, NORTH CAROLINA 27278 ORANGE COUNTY BID NO. 1726 September 15, 2017 ATTENTION: INTERESTED VENDORS Orange County requests your competitive quotation to furnish the item(s) listed below for Orange County Asset Management Services, Hillsborough, NC. A mandatory site visit is scheduled Friday, September 22, 2017 at 9:00am at the site. We will meet in the front of the Whitted Complex, 300 W. Tryon Road, Hillsborough NC 27278. This is the only scheduled time for contractors to view the site. By submission of a bid the contractor acknowledges he/she fully understands the extent of the project. Please transmit this quotation via facsimile or deliver by hand or U.S. Mail, to the Orange County Purchasing Agent-fax#(919) 636-4913, via email to dcannell • oransecount nc •ov or by hand to 200 South Cameron Street, Hillsborough, NC 27278 by October 5, 2017 at 3:00 PM ITEM # COMMODITIES/GOODS OR SERVICES 1 Bituminous Flashing repair at the Richard E. Whitted Buildings A and B per drawing 1.01 Roof Plan dated 8/2017. SUBMIT PRICING ON ATTACHMENT A PLEASE STATE FIRM DELIVERY TIME TO START AFTER RECEIPT OF PURCHASE ORDER: 0,4,0 DAYS PLEASE STATE NUMBER OF DAYS TO COMPLETE THE PROJECT AFTER COMMENCEMENT: 0/40. DAYS Will any people working on this job make less than $12.76 per hour YES tAlt7 NO 14. If yes, the lowest hourly wage to be paid any employee shall be $ '17 HOUR **SEE ATTACHED INSTRUCTIONS TO BIDDERS** License 25 tlitle 41 (if applicable) FIRM NAMEheit5 BY / (groposal m t be signed in writing) ADDRESS 261 eb."'63.5 (S+. FAX to) 2-1 7; 0 21 02 Ortertsbaap TELEPHONE: `33Cti 57 3-Duo EMAIL ,040 "rod) dm do er C Orange County Bid 1713 Page#1 DocuSign Envelope ID:9E1F9021-C474-4807-8F93-1C616BEBDEF1 o 3 Fry NORTh I CAROLINA Orange County Financial Services Department ADDENDUM #1 September 25, 2017 RFP 1726 Orange County Whitted Building Complex Flashing Repairs To all Vendors: PreBid Sign in sheet attached as page 2. Bidders shall include an allowance of$500 for repair of deteriorated wood. Provide a unit cost of$ per Board Board Foot. All other terms and conditions shall remain the same By: David E. Cannell, Purchasing Agent; dcannellaco.oranqe.nc.us / (919) 245-2651 Acknowledgement of receipt of this addendum shall be included with your submittal (page 1 only) Company Name: MOP k By: / Date Received: 1/27 '4070 .P O. ox 8181 200 South Cameron Street Hillsborough, North Carolina 27278 Telephones: Area Code 919-245-2651 Fax: 919-636-4913 TO00.0 Orange County, 200 S. Cameron Street, Hillsborough, North Carolina 27278 Page 1 DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1 COUNTY OF ORANGE FINANCIAL SERVICES — PURCHASING PO BOX 8181 0 200 South Cameron Street HILLSBOROUGH, NORTH CAROLINA 27278 Instructions to Bidders 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 Finance Department Purchasing Division,200 S Cameron Street, Hillsborough, North Carolina, 27278. 2.Orange County reserves the right to: o award lowest responsible bidder that is responsive, o to reject any or all bids, o and to waive minor irregularities. 3.The successful bidder shall comply fully with the requirements of General Statutes, Section 143-129 and 143-131, as amended. This is an informal range;therefore there will not be a formal opening. Results will be made available after award. 4.In the event of default by any contractor or vendor Orange County may procure from other sources whatever service or item is being bid, and holds 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 be included in the bid amount. 7.Bids submitted via facsimile shall be accepted. Fax to (919) 636-4913 or via email to dcannell @orangeountync.gov. 8.Proposals received after opening date and time shall not be considered. 9.Bids must be signed and submitted on the attached form of proposal 10. The successful contractor shall be responsible for obtaining all permits and inspections. 11. The successful contractor shall be required to agree to and sign the Orange County Construction Agreement (copy attached). Among the items included in that agreement are the County's Insurance requirements and sales tax. 12. All 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. 13. Please direct questions concerning this bid document to David Cannell, Purchasing Agent, Orange County Financial Services, (919)245-2651 or via email at dcannell@orangecountync.gov. Please direct any questions about the scope, site visit,details of the work, or the proposal to Angel Barnes,Orange Capital Projects Manager AMS 919-245-2628 abarnes @orangecountync.gov 14. A mandatory site visit is scheduled Friday, September 22, 2017 9:OOam at the site We will meet in the front of the Whitted Building Complex located at 300 W. Tryon Road. This is the only scheduled time for contractors to view the site. By submission of a bid the contractor acknowledges he/she fully understands the extent of the project. 15. 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. Orange County Bid 1713 Page #2 DocuSign Envelope ID:9E1F9021-C474-4807-8F93-1C616BEBDEF1 Attachment A (*Revised 340-2015) Bid Proposal Form: Whitted Building A & B Flashing Replacement Contractor agrees to furnish all materials, labor,wood and any other supplies necessary to complete the above work, for the sum of: $ 'I, Li ". Roof Flashing Building A $ i • Roof Flashing Building B i $ id 5 5 7; Total • All work must be completed within 90 days of the project start date (approx. October 23, 2017) • Contractor is willing to participate in the County's "Docusign" digital contracting process and enter into a standard contract with the County. ,‘7' (Sig, 1 ure,4f Contractor) ,, (Date) ' , i' ,,,#) ctre7bidjs,scheduled for 9:00am Friday, September 22, 2017 at the site** Orange County Bid 1713 Page #3 DocuSign Envelope ID:9E1F9021-C474-4807-8F93-1C616BEBDEF1 STATE OF NORTH CAROLINA AFFIDAVIT ORANGE COUNTY ******************* ****** "4'4 1 e .tor— (the individual attesting below), being duly authorized by and on behalf of * Co (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 epployees in this State. (mark Yes or No) a. YES V , or b. NO 4. Employer's subcontractors comply with E-Verify, and if Employer is the winning bidder on this project Employer will ensure cfm liance with E-Verify by any subcontractors subsequently hired by Employer. 110 0 tio' This r day of w ,000, S'inat I of Affiant 00," State of North Carolina Orange County ttloo Signed and sworn to (or affirmed) bet ori-, this 0„,1 0 0(--2• day of Orraii./Va , 2011. I My Commission Expires: co CO CO , 000 ,0" 1' cz) NotarfPublic Orange County Bid 1713 Page#4 DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1 *****Contractor Vendor or Bidder—Return This Form With All Other Re•uired Documentation***** IRAN DIVESTMENT ACT CERTIFICATION REQUIRED BY N.C.G.S. 143C-6A-5(a) Name of Contractor,Vendor or Bidder: 1116 NI" 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. di �� JVYO. +'ms nmy w 41 Sigyafure d' Date �/ n, � III 1. m�. , w 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 C 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/l:ran and will be updated every 180 days. *****Contractor,Vendor or Bidder—Return This Form With All Other Required Documentation***** DocuSign Envelope ID:9E1 F9021-C474-4807-8F93-1 C616BEBDEF1 BIRSI-2 OP ID: LE AC-COREY DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/25/2017 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). CONT PRODUCER NAMEACT Lynne A Meyer,CIC,CPIW.AINS Senn Dunn-GSO PHONE F 3625 N.Elm St. (A/c,No.Ext):336-346-1302 (A/C,No): 336-346-1397 Greensboro,NC 27455 ADDRESS:Imeyer @marshmma.COm David R.Clem INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:National Fire Ins Co of Hffd INSURED BIRS, Inc. INSURER B:Continental Casualty Company 20443 Mr. Raven Broeker INSURER C:Transportation Insurance Co. 20494 PO Box 36197 Greensboro,NC 27416-6197 INSURER D:Builders Premier Insurance Co. 13036 INSURER E:Columbia Casualty Company 31127 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. ILTR TYPE OF INSURANCE N W SD VD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR C1071978219 05/01/2017 05/01/2018 pREM SES Ea occur ante) $ 100,000 MED EXP(Any one person) $ 5,000 X PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) C X ANY AUTO C1071978222 05/01/2017 05/01/2018 BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X UT AOSWNED (Pea c dentDAMAGE $ Comp/Coll Ded $ 1,000/1,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE C1071978253 05/01/2017 05/01/2018 AGGREGATE $ 5,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION X PER 0TH- AND EMPLOYERS'LIABILITY STATUTE ER Y D ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A PWC10002907 05/01/2017 05/01/2018 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below , E.L.DISEASE-POLICY LIMIT $ 500,000 B Rental Equipment C1071978219 05/01/2017 05/01/2018 Limit 160,000 E E&0/Pollution 0E05091855996 05/01/2017 05/01/2018 Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ORANINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE 0 ot,p, C , 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD mD Eg D 1 o m 0 EE j n o on o .i• ® a ❑ \ \ \ \ \ \ \ \ \ ∎ \ \ \ \ 'I1 1I1 111 IIh o - ', • z Z1 > PwN - !En o ;' ® ® *9 z z ., z z : 0 o 0 Co } C C z ❑o z z ❑ `‘, mO °: ❑0❑❑❑100V'�❑❑❑ ❑❑❑AMID❑❑ ❑❑❑❑0❑ C rucH❑❑❑\��ir✓f❑0❑❑❑DD GI LAC❑V`V ❑❑❑❑cEs - z . . l l.o V V❑❑ ❑:o❑O❑❑V V ❑ - ,., ,,