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HomeMy WebLinkAbout2017-646-E Co. Mgr. - Community Empowerment Fund to coordinate entry database maintenance and development DocuSign Envelope ID:7F6941 BA-A8EF-47E6-80D8-B 1 F7F90D3351 [Departmental Use Only] TITLE OCPEH - CEF Contract FY 17-18 ORANGE COUNTY CONTRACT UNDER $15,000.00 NORTH CAROLINA THIS AGREEMENT, made and entered into this 1st day of November, 2016, ("Effective Date") by and between Orange County, North Carolina, a political subdivision of the State of North Carolina, (the "County"), party of the first part; and Community Empowerment Fund(the "Provider"), party of the second part; WITNESSETH: For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby contracts for the services of the Provider, and the Provider agrees to provide the following services to the County in accordance with the terms of this Agreement,time being of the essence: The services and/or materials (hereinafter referred to collectively as "Services") to be furnished under this Agreement are as follows: See Attachment A: Scope of Work The term of this agreement rendered shall be from November 1, 2016 to May 30,2017. Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner to the satisfaction of the County. Provider shall be responsible for all errors or omissions, in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. Provider agrees that Provider shall not sub-contract any of the services to be provided in this Agreement, nor shall Provider assign any right or responsibility granted or required by this Agreement,without the prior written approval of the County. SPECIFIC TERMS 1. Payment: The County agrees to pay at the rates specified for Services satisfactorily performed in accord with this Agreement. The amount to be paid by the County shall not exceed ten thousand dollars, ($10,000). Payment shall be made within thirty(30) days of an invoice properly submitted to County. Should Provider fail to perform its duties under the terms of this Agreement, County may,without fault or penalty,withhold any payment associated with the work to be performed until such time as said work is completed. 2. Non—waiver: Failure by County at any time to require the performance by Provider of any of the provisions hereof shall in no way waive or affect the County's right hereunder to enforce the same, nor shall any waiver by the County of any breach be held to be a waiver of any succeeding breach or a waiver of this Non-Waiver Clause. 3. Independent Contractor: The Provider shall operate as an independent contractor and the County shall not be responsible for any of the Provider's acts or omissions. The Provider shall not be treated as an employee with respect to the Services performed hereunder for federal or state tax, unemployment or workers' compensation purposes. The Provider understands that neither federal, nor state, nor payroll tax of any kind shall be withheld or paid by the County on behalf of the Provider or the employees of the Provider. 4. Insurance: Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is Revised 2/17 1 DocuSign Envelope ID:7F6941 BA-A8EF-47E6-80D8-B 1 F7F90D3351 incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing division/contracts.php). If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 5. Indemnity: The Provider agrees to defend, indemnify, and hold harmless Orange County from all losses, liabilities, claims, demands, suits, costs, damages or expenses (including reasonable attorney's fees) arising from bodily injury, including death, to any person or persons or damage to or destruction of any property caused in whole or in part by any negligent or intentional act or omission on the part of the Provider, its agents, or assigns directly or indirectly related to the Services to be performed pursuant to this Agreement on the part of the Provider. 6. Termination: This Agreement may be terminated at any time by mutual written agreement of the parties or by the County upon written notice to the Provider. County may suspend this Agreement upon reasonable notice to the Provider. 7. Entire Agreement and Signatures: The parties have read this Agreement and agree to be bound by all of its terms, and further agree that it constitutes the complete and exclusive statement of the Agreement between the parties unless and until modified in writing and signed by the parties. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. 8. Priority: In determining the basic services to be provided, should any documents be referenced in or attached to this Agreement, the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. 9. Governing Law: Both parties agree that this Agreement shall be governed by the laws of the State of North Carolina. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal anti-discrimination laws, policies,rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.). Any violation of this requirement is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. By executing this Agreement Provider affirms that Provider is and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer pursuant to G.S. 147-86.58. 10. Dispute Resolution: Any and all suits or actions to enforce, interpret, or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. 11. Non Appropriation: Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's Revised 2/17 2 DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. [SIGNATURE PAGE TO FOLLOW] Revised 2/17 3 DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 IN WITNESS WHEREOF, County and the Provider have signed this Agreement, effective as of the day first written above. ORANGE COUNTY PROVIDER r DocuSigned by: / DocuSigned by: By: 1150 but, lkam wtt..YSLU1 By: NAPhit. (JJt.Sf- Coun '- ,a;i!!.•:.C5E477... Title: •-96c92B63621445BQo-Di rector 200 S. Cameron St. Maggie West P.O. Box 8181 Co-Director Hillsborough,NC 27278 Community Empowerment Fund Revised 2/17 4 Docusz trlyv(Re.ip..7F6941BA-A8EF-47E6.80p8-131F7F90p3351 fl ("I OCT 24 2017 11111 111 H INVOICE No.0107 u"'YY14111111111,011PININ cost PROJECT: OC Connect: Coordinated Entry System & Annual Fees Sr ir wo (*. '111'111 5/30/1"7 $6700 1. OC Connect - Coordinated Entry System A. System lEntry and Illnlillilalll Screening $800 113, IDomestlit Violence Screen $300 C. IlDlilverslil,■,n To,nill $1800 ilD. $1600 2.0 Slinglle 2.0 Conversion from 1.0 System Illdentliflilcatlilo.,n Tool l $500 Consentlilng $500 G. Additional for HOME 1Referral l $500 H. View and Adrnlin Access $700 $3000 2. Ongoing Access and Support (annual fee) A. Unli du e User ll..ogi ns $1200 B. Data Verification and Updating $1800 TOTAL COST: $9700 pAymEOIST"TEIROVIS To be made payable to"Community Empowerment Fund." AlIDIDIRESS 208 N.Columbia St,Suite 100 Chapel Hill, NC,27514 DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 Community uu �" R�����IIII (IIIIIIIIII ,;;, OCT 24 2017 INVOICE No.0107 IIIIIII moo I IIIIIIIIII II11 .I IIIIIIII II IIII t CiI OC Connect was created as a first step towards Coordinated Entry(CE) and social service collaboration in Orange County. Originally it was designed as an online platform to utilize the VI-SPDAT,prevention resources, and a community resource database to coordinate homelessness services and resources.As of Feb 30th, 2015 it has been available through a training offered to individuals on the 100k Taskforce, and has served as the intake/entry process for referrals onto the HOME Taskforce.Since it's creation 334 assessments have been made via OC Connect.224 of those individuals scored high enough on the VI-SPDAT to be referred onto the 100k Taskforce, prioritized for services according to their VI-SPDAT score, and connected to resources through the resource database. As a community, Orange County is moving towards a more connected and collaborative approach to homeless services, moving beyond assessment that prioritizes services for the most chronic towards a fully coordinated entry system! Towards this end,this work will update our assessment tool(VI-SPDAT 2.0), expand assessment to serve families, while implementing a whole new suite of tools to incorporate a system entry tool, DV screening/referral, diversion best-practices, digital consenting, anonymous or unique Id identification, and greater demographic/circumstantial data.Additionally this work will ensure that the organizations are more securely identified through unique logins, and that the resource database contains the most up to date information available in our community. ""1 0111 Connect Cy m d rd VIII on a toe no Entry Sy'"o l o s son 1A. 5„r stem IIIIIIIII n t ry a IIII d 1 IIII Ilil Ilil I� Se IIUI I Ilu IIII Illrm t "T".„„, A set of question will be intelligently designed to assess which tools are appropriate for the client and in what order they should be administered.These questions sort out an individual's housing circumstance and their eligibility for deeper assessment and program referral. IIllllli. IIDa 110171 e st IIIItw iiio en c4 11111°1 Screen Individuals experiencing domestic violence are best served by DV agencies.To this end we are updating OC Connect to incorporate 3 separate tests to identify that a client is experiencing domestic violence. If the client is experiencing domestic violence, OC Connect will assist the interviewer in making the appropriate referral. 1 Dive iiii ors IIII uI I IIII I Individuals who are acutely at risk of homelessness will be guided through a diversion tool that will help them explore opportunities to sustain their current housing or re-access previous housing options.The system will explore what funding or resources might be needed and record the results of attempts towards diversion. If an individual is not diverted, the tool will guide the interviewer through a series of referral options. 1111111111 III 1111111111100 III III Illll I I j1 II III IllllluIillllll Illlllll A II (IIII III, „ „ I I I 1 I I1 CI l i ,01I IVI II _ 0 II VI 0 simmoommoommomme 1111111111 11111111 II II II 00111111111111111111100 III II III 11110l I IIuu1111111 IIIIIIIII IIIIIIIII 111111111 00 (IIIIIIIIII IIIIIIIII III IIII 111111 II IIIIIIIII 1011 IIIIIIIII 111111 II 111111 11111111111111111111 IIIIIIII IIIIIII IIIIIIIIIIIIIIIIIIII IIIIIIIII IIIIIIIII IIII0IIIII IIII011111 lI IIIIIIIII IIIIIIII II(IIII IIIIIIIII IIIIIIIIII II 00 00 11111101 IIIIIIIII III IIII IIIIIIIII III o111111100 DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 Community 1 I IIII �°1 oiiiii lllllllllllllllllllllllllll111111 ,;;, OCT 24 2017 INVOICE No.0107 IIIIIIII IIIIIIIIII IIIIIII IIIIIIIIIIIII IIIIIIII IIIIIIIIIIII IIIIIIIIIII III 111111111W 1111) VP S11115"DA""I"" Too da„,0 / 1Ilt iIIIIC ma y / eonye psi III I of isc3loin Y"s y We will are converting to the most recent version of the VI-SPDAT(2.0) assessment for individuals and families.The system will recalculate VI-SPDAT 1.0 assessments to be comparable to 2.0 scores. 11111111111 d yl l°It e m Id e on tliii IIII eat i a on Too Clients will given the option to identify using their name/birthdate,an automatically assigned ID, or a ID unique to their DV circumstance. 111111111112 D liidRai C 0 on sent i Ilu ig The system will administer the consent form for the HOME taskforce. 1211. Add liiil'iiim n IIII Questions far IIII°°IIII ff M OE Referral We are building in additional questions to the HOME taskforce referral process in OC Connect to connect more easily with clients and point them towards appropriate resources (Rapid-Rehousing/SOAR/Permanent Supportive Housing /VA Services). 11 OR lag p o Ira iii ng 111„„iii st di evf a n d A d 11111IIII111 CC e SS OC Connect will have an administrative login that can be used to view completed VI-SPDATs and serve as a foundation for future development and access to system reports! 121. IIIId g o hill on,r° c:c:e s s a on d S 9IIlii d 3 fa IlM s ��� iIII��W uir�l iii�I�.uu s 1�IIU s uir IIII oftl uirml In order to provide access to partners through unique logins,we will need to pay an annual fee of$1,200 to Salesforce.com.As stated above this cost will provide us with unique logins for each partner ' increasing the security and integrity of the platform while expanding the platform's potential for inter-agency collaboration'. 2111191. Dam ate uiriiir111Y"III s a dle on e nit pI1lIV 111pit a it IIII Ind The resources have been compiled from CEF's internal Resource Database and combined with databases used by our partners.Our team of over 160 Volunteer Advocates is trained to actively use the resource database and report any inconsistencies or necessary updates. In addition, CEF's Operation Coordinator will work with a team of Advocates and CEF Staff to annually comb through each resource and verify/update the information. The team will also seek out and incorporate other databases and resources that have not yet been included. 1111111111 m 1 IllI 1 III y I III 111111 111(IIIIIII IIIIIII 11iiill VIII IIII 11111111111111111011111111 II II IIII 1 1 I IIII VIII 111111111 IIIIIII II II II 11111111111 IIIIIIIIII 111111II IIII IIIIIII 10111 IIIIIIII111111 IIII IIII uu1111111 III 11111IIIIIIII 111111111 III III IIII111111IIIIIIII 111111II 111111 III IIIIIIIII III IIII IIIIIIIII 11111 11111111 IIIIIIIII1111111111�11111111 1111111 IIIIIIIIIIIIIIIIIIIII IIIIIIIII IIII IIII1111111111111111111111III IIII(IIIIIII 11111111 VIII 1IIII1IIII IIIIIIIIII uuull lllllllll IIIIIIIII III ull DocuSign Envelope ID:7F6941 1F7Fe0o3351 | ' --- DATE(M�DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I2/3I/2016 ^ THIS CERTIFICATEIS 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 CERTIFICATE HOLDER. -- - IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer n�ms��h°cerun=�e h��.rmn=uvv such enmo,sem°nqp). __ ��"C° CONTACT NAME: BB&T INSURANCE SERVICES INC/PBS PHONE m* (866) 467-8730 FAX (888) 443-6lI2 �=" __- 372545 P: (866) 467-8730 F: (888) 443-5II�2 °,""°°= PO BOX 29611 INSURER(S)AFFORDING ww� CHARLOTTE NC 28229 INSURER A: o°"��"�� z"" Co LTD INSURED INSURER B: --------- -- -- '="""«"' COMMUNITY EMPOWERMENT FUND ="""�"»' ' —"--- -- 208 N COLUMBIA ST STE 100 INSURER CHAPEL HILL NC 27514 INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 10 CERTIFY 1IIAr TI-IE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED [0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD /woICarEo NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH nsopsc/ ro WHICH THIS- CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE rsnmo.Exc/un/nwcxwocowomowsnrxoCnpouocx.umnnx*owwwxxHAveaspwnpooCeoovpmocLa/mx. ^mn ��ur�=u�^cu ^nmSmm � POLICY POLICY LIMITS - zuo urm ^�� .°°"°"'' ..i2uMIou/lzri,_ ______- rvMw�CwLGENERAL u^n/u= EA DAMAGE $2, 000, 000 »^Mmsc TO RENTED 111 vL^/wn'mne » OCCUR l OOO' O 0O pnsw/�S��cs���) , ' A x Genera l ',lab 22 uaM omyosz 01/26/2 017 01/26/2018 msoeP(Any°� =" > $10, 000 . psqaowm^mm/^u�x ,2, 00O, O0O -__ __ GENERAL $4, 000, 000 C^�'AGGREGATE uw/r^p�/sxPER: POLICY� � PRO-[^'�|mo | �e��\ � paonvmS'coMpmr^GG `4, 000, 0 00 | OTHER: $ --, ---- --- ------ --------- COMBINED — AUTOMOBILE LIABILITY S2, 000, 000 �u="�� ANY BODILY s --- — � �nwwcu m;�snv��o a 22 ��n amna�� o�/z*/znz/ o�/cs/zozo �w/������� � � AUTOS ONLY HIRED x NON-OWNED PR�rnr,DAMAGE �nwn � Own (Per ---- ---- � =**°� ° ` ��� __�� UMBRELLA OCCUR EACH OCCURRENCE , __ EXCESS LIAB CLAIMS-MADE AGGREGATE � _ __ D� R���w$ . "m"�"aOUP^musw UM- AND~=LOm=`LV°uTY ---S,~'` E ^_-"R_ , ANY rnvpmsroR/p "rwsRJEmrvnvEYw s.L.s^CnACCIDENT npnrsmwEwosRsxcLvncn, —�l -__�^ (Mandatary ������~^os E�_—^sm PL CJY -E ` __- "| If describe under E.�DISEASE'pp'/cYoM� - _I ocSC*IPnnwopopEnATION2**"° ___ DESCR1P DON OFmEF?AnONS/mCAnONS/VEHICORSORD,01.Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED w ACCORDANCE WITH THE POLICY PROVISIONS. Town of Chapel Hill AUTHORIZED"="ESE°'^"`= _ 405 MARTIN LUTHER KING JR BLVD '�m~r - � ' . / .—~.—' \-- . CHAPEL HILL, NC 27514 , ---©1988-2o15ACQRD Colk-15-orlIATION.All rights reserved. ACORQ25(3V1a/o3) The ACORD name and logo are registered marks of ACORD . I 6...--- CERTIFICATE OF LIABILITY INSURANCE , [12/31/2016 THIS CERTIFICATE'S ISSUED AS A MA I'l ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H:LDER.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),AUTHOPJZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ________ IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ,BB&T INSURANCE SERVICES INC/PHS CONTACT (Ale,No.Exly (866) 467-8730 1(rivAxc,No (888) 443-6112 PO BOX 29611 i INSURER(S)AFFORDING COVERAGE NAIC:. CHARLOTTE NC 28229 INSURER A, Ekt,TItt 1 Lel InS CO LID COMUNITY EMPOWERMENT FUND 208 N COLUMBIA ST STE 100 CHAPEL HILL NC 27514 INSURER C: INSURER 0: 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 INuICx/u/ NOTWITHSTANDING ANY REQUIREMENT, TERM OR `""°"~" OF ANY ^,"'"~'' OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS i��x� � � �� � � �� T� ��c �� � � p�� �� �� o �� � � � TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. misRT- lYPE Of INSURANCE ADDY 54/BR POLICY NUMIIER icr BIT - POLICY EXP TLWIT5 EACH OCCURRENCE s2, 000, 000 1 COMMERCIAL GENERAL LIABILITY I CLAIMS-MADE Eq- OCCUR I DAtVIAGE TO RENTED , 000, 000 I-- PERSONAL&ADV INJURY :i2, 000, 000 1 GENERAL AGGREGA Tr .,;4, 000, 000 _1 r _____,_ --k- .. ANY AUTO BODILY INJURY(Per person) OWNED I ' SCHEDULED A 22 .59M. E3N9653 01/26/2007 G1/26/2018 BODILY INJURY(Per accident) i 1 AUTOS ONI V F_._ AUTOS ONI Y (Per accident) ' 1 , -4- 1=9 r I UMBRELLA LIAB H GCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE I AGGREGATE IS r._ TR —1 AND EMPLOY EAV'LLA BWTY (Mancftory in NH) L , 1 L.L.DISEASE-EA EMPLOY II-4 * If yes.describe under E.L.DISEASE-POI ICY l IMIT , DESCRIPTION OF OPERATIONS below -LI t , ________1 "E^^,- ~,~_~~.~.~,~'LOCATIONS' .^...~~_._ .Additional_—_Remarks Schedule,may attached'more space is --- |Tbooe usual to the Insured's Operations. L____ CERTIFICATE HOLDER CANCELLATION -- r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Carrboro """°""�~"=^^~'^'',� ' 301 W MAIN ST C88RB0BD, NC 27510 i ' ©i1988-201 ON.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 ..41,G7C)02%Cr DATE(MM/DD/YYYY) 4.......-- CERTIFICATE OF LIABILITY INSURANCE 12/31/2016 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement( }. PHMUCER CONTACT Nme BB&T INSURANCE SERVICES INC/PHS PHONE Ex(); (866) 467-8730 (A/FAX C.Noj (888) 443-6112 272545 B: (866) 467-8730 F: (888) 443-6112—; F-1.1ADRIL..s,,„ PO BOX 29611 INEURER(S)AFFORDING COVERAGE NAICe CHARLOTTE NC 28229 INSURER A: f.i ell tj.1101. Ins Co LTD INSURED INSURER B: INSURER C CODIMUNITY EMPOWERMENT FUND . muilmo: 208 N COLUMBIA ST STE 100 INSURER E: =I CHAPEL HILL NC 27514 INSURERS COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEI_OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURAAICE ADDL WM MS'R FM) Poticr NUMBER POLICY EN. _4.At/p.D/Y111) POLICY.EA7? IMAI/DIVYYD:1 LIAITTS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 52, 000, 000 I CLAIMS-MADE I X I OCCUR DAMAGE TO RENTED .$1, 000, 000 PREMISES(Ea occurrence) X General Liab 22 SEE EN9653 0:112b/2017 01726/2018 MED EXP(Any one person) $10, 000 PERSONAL&ADV INJURY :2, 000, 000 GENERAL AGGREGATE ;4, 000, 000 GENE AGGREGATE LIMIT APPLIES PER: IPOLICY L_1 jex-_,_ X1 LOC PRODUCTS-COMP/OP AGG z,4, 000, 000 OTHER: $ COMBINED SINGLE LIMIT :.AUTOOMWONBEIDLE LIABILITY 2, 000, 000 (Ea accident) IIIANY AUTO BODILY INJURY(Per person) 22 SEE ON 9653 01/26/2017 02/26/201.8 BODILY INJURY Per accident) $ AUTOS ONLY _I ASCUFTioEsDULED HIRED x 1NON-OWNED I [ PROPERTY DAMAGE — : AUTOS ONLY ___,. AUTOS ONLY (Per accident) . UMBRELLA LIAB OCCUR EACH OCCURRENCE . EXCESS LIAB CLAIMS-MADE AGGREGATE ---___ s 0 IIII RETENTION$ • --- — km 'idLER,s—COMPENSA:ION AND EMPIOYERS'LLASRE7 ANY PROPRIETORJPARTNER/E.XECUTIVEY/N OFFICER/MEMBER EXCLUDED? OPERATIONS below N/A PER STATUTE I E.L.EACH ACCIDENT I-7- s (uMeasncdatRowryTii:NNI-01F) E.L.DISEASE EA EMPLOYEE "I If es.desclibe under yes. ET DISEASE-POLICY LIMIT DESCRIPTION OF OPERA DONS/LOCATIONS/VEHIGIAGORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the IhshreWs Operations. CERTIFICATE HOLDER CANCELLATION „.„.„. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Orange County DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PC Box 8181 AUTHORIZED REPRESENTATIVE 200 S CAMERON ST -767-7" - HILLSBOROUGH, NC 27278 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ......... ...1 DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 ER. I IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. 1 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 CONTAC1 NAME BB&T INSURANCE SERVICES INC/PUS CA1C.No Ett4 (866) 467-8730 5-'1—AX IDVC.No): (888) 443-6112 272545 P: (866) 467-8730 F: (888) 443-6112 AE.g,ARILEss PO BOX 29611 INSURER(.9)AFFORDING COVERAGE ttAICII CHARLOTTE NC 28229 INSURED INSURER B 1 COMMUNITY EMPOWERMENT FUND NSU 208 N COLUMBIA ST STE 100 CHAPEL HILL NC 27514 ! INSURER A: Seiltife..1 105 CO 'LTD - rRER D INSURER E : INSURER F n I ----- INSURER C. I 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 IHE TERMS,[XCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ 'NSW TYPE OF INSURANCE IDA,D41;_SUB12' POLICY NUMBER (POLICY EPP POLICY EA? LIMITS MALDIVYT 1 Yo P11111/DII/ITYD COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 2, 000, 006 , . li CLAIMS-MADE 1 X I OCCUR DAMAGE TO RENTED PREMISES(Ea ennUrtence) A, 000, 000 _ . A X General Liab 22 CB M EN9653 01/2()/20a`i 01/26/201B mru EXP(Any one person) A0, 000 PERSONAL&ADV INJURY s2, 000, 000 D TE , 9 1,GENT AGGREGATE LIMI 1'APPLIES PER. GENERAL AGGREGA 4, 000, 000 PRO- 1 POLICY H{ LOC PRODUCTS-COMP/OP AGG ,;4 000, 000 H JECT 1 I I OTHER: f; I AUTOMOBILE LIABILITY ____1_____ -I-COMBINED SINGLE OMIT (Ea acciderri) 72, 000, 000 _...... ANY AUTO RODII V INJURY(Per person) ,, ' 1, OWNED AUTOS ONI.Y , SCHEDULED 1. 22 Si2M EN9653 01/26/201`? 01/2 6/2 018 BODILY INJURY(Poraccident) ,;;. AUTOS _ _ x HIRED x NON-OWNED PROPERTY DAMAGE 1 9 AU 1 OS ONLY ,AU I OS ONLY (Per accident) -- — 111 UMBRELLA LIAB OCCUR ' ' EACH OCCURRENCE : —H — EXCESS LIAB III CLAIMS MADE 1 AGGREGATE ---— I DEL RETENTION S WORK FRS COMPE Nx4m7S ;poi TTOTTI- . I STATUTE ER AYDEMPLOYEAS"1,1401107 i ANY PROPRIETOR/PARTTIER/EXECUTIVEY/N EL.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory in NH) .1...DISEASE-EA EMPLOYEE ,If yes,describe Under DESCRIPTION OF OPERATIONS below I L DISEASE POLICY LIMIT .....1 MINIUM t I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICIATSORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insureds Operations. .--- 1 - 1 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE I DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CASA [AUTIIORIZ131)REPRESENTATIVE 624 W JONES ST RALEIGH, NC NC 27603 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD _..._ ■ ... DocuSign Envelope ID:7F6941BA-A8EF-47E6-80D8-B1F7F90D3351 ACCAIW DATE(MIVI/DWYYYY) ............-- CERTIFICATE OF LIABILITY INSURANCE 12/31/2016 THIS CERT1FICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS [- CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT L'1104- -- BB&T INSURANCE SERVICES INC/PHS A/ ( C.No.Ex1): (866) 467-8730 irAx (A/C.NC* (888) 443-6112 272545 P: (866) 467-8730 F: (888) 443-6112 ,-DmADR"-Ess: PO BOX 29611 INSUREFi(S)AFFORDING COVERAGE NAIGI CHARLOTTE NC 28229 INSURER A. Sentinel Ins On LTD i NS URED INSURER B. INSURER C COMMUN I T Y. EMPOWERMENT FUND INSURER TT 208 N COLUMBIA ST STE 100 INSURER E. Mill CHAPEL HILL NC 27514 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 ADDL SUBI? POLICY NUMBER POLICY EFT POLICY EV' LIMITS ."C INSIC if VD WM/DU/TIM DIM/DLVTITY) 3 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2, 000, 000 DAMAGE TO RENTED CLAIMS-MADE HOCCUR 1$ , 000, 000 PREMISES(Ea occurrence) -- A El General Liab 22150M EN9653 01/26/2017 01/26/2016 MED EXP(Any one person) S10, 000 _ PERSONAL&ADV INJURY s2, 000, 000 GENERAL AGGREGATE $4, 000, 000 GEN°L AGGREGATE LIMI1APPLIES PER: PRO- .POLICY 1___j,,„_,rq LOC PRODUCTS-comp/oP AGG s4, 000, 000 MOTHER: COMBINED SINGLE LIMIT S2, 000, 000 AUTOMOBILE LIABILITY (Ea accident) 1ANY AUTO BODILY INJURY(Per person) $ A _ AUTOS ONLY OWNED r SCHEDULED 22 SBM 559653 01/26/2017 01/26/2018 BODI LY INJURY(Per accident) s AUTOS x HIRED - NON-OWNED PROPERTY DAMAGE :S. i AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE _ EXCESS LIM r CLAIMS-MADE AGGREGATE .4_ _IRETENTION$ 1 TC PER 011-1- frOaXERS al.UPENSITION STATUTE ER AND EMPLOY OW LLABLLITY I ANY PROPRIETORJPARTNERJEXECUTIVEWN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.I.,,DISEASE-GA EMPLOYEE If yes,describe under NI A E.L.EACH ACCIDENT 9 E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below .- 1- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHIC(.63ORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. ..,,, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED CREH-SNOW LLC BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 331 W MAIN ST STE 202 ----7 --C___., -7a_at..-4 ---- DURHAM, NC 27701 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i