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HomeMy WebLinkAbout2018-027-E AMS - Riley Surveying Hwy 70 Property SurveyDocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C [Departmental Use Only] TITLE Hwy 70 Prop. Survey FY 2017/18 SERVICES AGREEMENT UNDER $90,000.00 NO RFP /RFQ ORANGE COUNTY This Services Agreement (hereinafter "Agreement "), made and entered into this 29th day of January, 2018, ( "Effective Date ") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County ") and Riley Surveying, P.A., (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 Agreement is for services to be rendered by Provider to County with respect to (insert type of project): Efland Real Property Boundary/Physical Surveys per proposal dated January 19, 2018 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. 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 Revised 10/17 DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C 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, or 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. vi) In determining the basic services to be provided, should any documents be referenced in 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. Should a request for proposals and a proposal be referenced the terms of the request for proposals shall have priority over the terms of any proposal. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Deed research, field measurements, computations and drafting necessary to perform a Boundary Survey with mapping for the location of property lines and easements as found in the public record, all observable structures and improvements and any encroachments crossing property lines for four tracts comprising 5.7+ acres. The survey shall conform in all respects with 21 NCAC 56(NC Standards of Practice) and G.S. 47- 30(Plat mapping for recordation standards) per proposal dated January 19, 2018. 4. Duration of Services a. Term. The term of this Agreement shall be from January 29, 2018 to June 30,2018. Revised 10/17 2 DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. 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 January 29, 2018. 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. The maximum amount payable for Basic Services shall not exceed Four Thousand Six Hundred Dollars ($4,600.00). Payment for Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. 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. 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. c. 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 (Jeff Thompson) 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.orangecountVnc.gov /departments /purchasing division /contracts.php). If Revised 10/17 3 DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C 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, without limitation, 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 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. 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 Revised 10/17 4 DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C 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 Basic Services and this Agreement 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 work on the Basic Services and shall not resume the Basic Services 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 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 identified, on the list created by the State Treasurer pursuant to G.S. 147 - 86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G. S. 147 - 86.81. Non - Discrimination. 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 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.oran ec�ountync. ov�/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 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 Revised 10/17 5 DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C 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. 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. Si nom. 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. 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 Attention:Jeff Thompson P.O. Box 8181 Hillsborough, NC 27278 27707 [SIGNATURE PAGE TO FOLLOW] Revised 10/17 6 Provider's Name Riley Surveying, P.A. 3326 Durham Chapel Hill Blvd. Ste 100, Durham, NC DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C 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: M. County Manager Revised 10/17 2/5/2018 7 PROVIDER: By. Kt" 1/22/2018 Phillip W. Riley, PLS, President Printed Name and Title DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C Riley Surveying, P.A. 3326 Durham Chapel Hill Blvd. Suite B -100 Durham, North Carolina 27707 AN AGREEMENT FOR THE PROVISION OF LIMITED PROFESSIONAL SERVICES DATE: January 19, 2018 CLIENT: County of Orange 131 West Margaret Lane, Suite 300 Hillsborough, NC 27278 Attention: Jeff Thompson, Dir. Asset Management Services PROJECT NAME/LOCATION: Efland Real Property, LLC Properties Boundary /Physical Surveys Efland, NC SCOPE AND EXTENT OF SERVICES: Deed research, field measurements, computations and drafting necessary to perform a Boundary Survey with mapping for the location of property lines and easements as found in the public record, all observable structures and improvements and any encroachments crossing property lines for four tracts comprising 5.7+ acres. The survey shall conform in all respects with 21 NCAC 56(NC Standards of Practice) and G.S. 47- 30(Plat mapping for recordation standards). Fixed Fee: $4,600.00 Special Provisions- 1) We are prepared to begin work immediately upon receipt of executed separate County Contract. Please allow up to 2 weeks thereafter for completion and delivery of the survey. The Terms and Conditions following this form are a part of this Agreement. This Agreement entered into as of the day and year first written above. CLIENT Authorized Signature SURVEYOR PAM v Vie% Phillip W. Riley, PLS President Phone — (919)667 -0742 Fax — (919)402 -0234 NC Firm License C -1281 Pagel of 2 DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C RILEY SURVEYING, P.A. STANDARD TERMS AND CONDITIONS - 2018 Riley Surveying, P.A. hereinafter called the Firm, will perform the services outlined in this agreement for the stated fee. This proposal of Agreement is valid for a period of 10 days from the date issued. Access to Site: Unless otherwise stated, the Firm will have access to the site for activities necessary for the performance of the services. The firm will take precautions to minimize damage due to these activities, but has not included in the fee the cost of restoration of any resulting damage. Fee: The total fee, unless stated as fixed fee, shall be understood to be an estimate. Where the fee arrangement is to be on an hourly basis, the rates shall be those that prevail at the time services are rendered. Current rates are as follows: Principal PLS $145.00 PLSII $135.00 1 -man w /robotics /GPS $165.00 CADD Operator $95.00 2 -man w /robotics $190.00 Survey Technician $85.00 2 -man Survey Crew $165.00 Clerical $50.00 Reimbursables (copies, prints, stakes, sub - consultant fees, mileage, plat application fees, etc.) shall be invoiced at cost plus 10 %. Missing property corners shall be replaced at an additional cost of $100 each. Billings/Payments: Invoices for the Firm's services shall be submitted, at the Firm's option, either upon completion of such services or on a monthly basis. Invoices shall be payable upon receipt; a 2% discount may be applied to invoices paid within ten days from date of invoice. If the invoice is not paid within 30 days, the Firm may, without waiving any claim or right against the Client, and without liability whatsoever to the Client, terminate the performance of the service. Retainers shall be credited on the final invoice. There shall be no retainage amount held on any amount invoiced. Monies due paid by credit card will incur a 3% convenience surcharge. Late Payments: Accounts unpaid 30 days after the invoice date are subject to a monthly service charge of 1.5% on the then unpaid balance (18.0% true annual rate), at the sole election of the Firm. In the event any portion or all of an account remains unpaid 60 days after billing, the Client shall pay all costs of collection, including reasonable attorney's fees. Indemnification: The Client shall indemnify and hold harmless the Firm and all of its personnel from and against any and all claims, damages, losses and expenses (including reasonable attorney's fees) arising out of or resulting from the performance of the services, provided that any such claim, damage, loss or expense is caused in whole or in part by the negligent act, omission, and/or strict liability of the Client, anyone directly or indirectly employed by the Client (except the Firm), or anyone for whose acts any of them may be liable. Claims and disputes shall be subject to non - binding mediation as defined under Article 7 of AIA Document B 141. Risk Allocation: In recognition of the relative risks, rewards and benefits of the project to both the Client and the Firm, the risks have been allocated such that the Client agrees that, to the fullest extent permitted by law, the Firm's total of liability to the Client for any and all injuries, claims, losses, expenses, damages or claim expenses arising out of this agreement from any cause or causes, shall not exceed our fee, listed on reverse of this Agreement. Such causes include, but are not limited to, the Firm's negligence, errors, omissions, strict liability, breach of contract or breach of warranty. Termination of Services This agreement may be terminated by the Client or the Firm should the other fail to perform its obligation hereunder. In the event of termination, the Client shall pay the Firm for all services rendered to the date of termination, all reimbursable expenses, and reimbursable termination expenses. Construction Costs: Responsibility for construction costs will be in accordance with Article 5 of AIA Document B 141. Ownership Documents: All documents produced by the Firm under this agreement shall remain the property of the Firm and may not be used by the Client for any other endeavor without the written consent of the Firm. Applicable Laws: Unless otherwise specified, this agreement shall be governed by the laws of the State of North Carolina. Underground Utilities: Unless underground utilities are marked by a utility locating sub - consultant, the Firm will endeavor to have underground utilities marked by contacting 811 should the client so direct. If 811 or other utility locator marks or has marked any utilities, any mapping of said utilities should be considered as approximate location only. The Firm shall not be held liable for any markings or lack of markings by utility locators. Page 2 of 2 DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E -1 D36C995542C RILEY -1 OP ID: RS ACORO CERTIFICATE OF LIABILITY INSURANCE TE (MM /DD/YYYY) 708/21/2017 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). PRODUCER Chas. Lunsford Sons & Assoc. P.O. Box 2571 CONTACT NAME: Robert M. Swindell, Jr. a/c° No El: ; 540 - 982 -0200 pIC, No): 540 - 344 -4096 E -MAIL bswindel @chaslunsford.com ADDRESS: Roanoke, VA 24010 Robert M. Swindell, Jr. COMMERCIAL GENERAL LIABILITY INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:The Hanover Insurance Co 22292 $ INSURED Riley Surveying, P.A. 3326 Durham Chapel Hill Blvd Ste B -100 Durham, INC 27707 INSURER B: INSURER C: INSURER D: $ INSURER E: MED EXP (Any one person) $ 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 LTR TYPE OF INSURANCE DDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE F7 OCCUR RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO - POLICY F7 PRO ❑ LOC PRODUCTS - COMP /OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ D? OFFICER/MEMBER EXCLUDE F—] N / A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liab LHR882546206 08/10/2017 08/1012018 Ea Claim 1,000,000 Deductible $2,500 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ORANGEA Orange Count g y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 131 West Margaret Lane ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE 40-64 I, , /L_ I ACORD 25 (2014/01) © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- 1D36C995542C CERTIFICATE OF LIABILITY INSURANCE °01/24/2201177 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 Greg Lopeman, CPCU A NAME cTGre Lo em in -_ State Farm Insurance A1c°. "r3%Ext):919- 933 - 7770 AIC No): 919-933-7713 ADDRESS: Greg. eman.NYSL Statefarm.com 104 -B NC Hwy 54 UV _ Carrboro, NC 27510 INSURERIS) AFFORDING COVERAGE NAIC # INSURER A: State Farm Fire and Casualty Company 25143 INSURED RILEY SURVEYING PA INSURER B: State Farm Mutual Automobile Insurance Compaq 25178 STE 1006 INSURER C: - 3326 DURHAM CHAPEL HILL BLVD INSURER _D: _ DURHAM NC 27707 -2695 INSURER E: _ INSURER F: COVERAGES CFRTIFICATF NIIMRFR• RFVICIrIAI Kill IMRCR- 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. [NSR LTR ADDL TYPE OF INSURANCE INSR SU R WVD POLICY NUMBER POLICY EFF MWDDI POLICY EXP MMID LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ❑Y 93- B$- KS46 -3 93- CG- Z00$ -$ 02!2012016 02120/2017 02124/2017 0712412018 EACH OCCURRENCE $ 1,001),1300 AMA GE TO RENTED PREMISES Ea occurrence $ 300,004 MED EXP (Any one person) $ 5,000 PERSONAL &ACV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO - JE T 7 LOC PRO_ DUCTS- COMPIOPAGG $ 2,000,000 S B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X, AUTOS SCHEDULED AUTOS HIRED AUTOS X NON -OWNED AUTOS ^ I I L�J ❑ 1)71 9714- D3D -33 10/30/2016 1013012017 Ea accden SINGLE LIMIT $ BODILY INJURY (Per person) S 500,1)1)0 BODILY INJURY (Per accident ) $ 500,oDU PROPERTY DAMAGE Per accident $ 100,01)0 A IMBRELLA IJAB EXCESS LIAR_ _ X OCCUR CLAIMS -MADE 93 -GM- 9111 -1 08110/2016 08190/2017 I EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 ❑ED X RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRiFTORIPARTNERIEXECUTIVE OE�:iCF;MEMBER EXCLUDED? '� {Mandatary in NH) If yes, deschle under NIA 1 l 'mil 93- BX- W682 -8 93- CC- C931 -6 0212012016 02120/2017 ` j 0 212 012 01 7 I ". 02!2012018 WC STATU- 0TH- TORY LIMITS R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMY 1 $ 1,01)1),1)1)0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) Certificate Holder is listed as additional insured on above referenced General Liability Policy HOLDER Orange County PO Box 8181 Hillsborough, NC 27278 ACORD 25 (2010/0$) SHOU�OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE XPi TION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCO DAN WITH THE POLICY PROVISIONS. - REPRESENTATIVE ©1988 -2010 ACORD COTOkATION. All rights reserved. The ACORD name and logo are registered marks of ACORD `11001486 132849.6 11 -15 -2010 DocuSign Envelope ID: F072540D- EB2B- 4CA8- AA8E- lD36C995542C Ac CERTIFICATE OF LIABILITY INSURANCE °02/02/20 a 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 Greg LOpeman, CPGIi 'NANNEACT Greg Lopeman State Farmfrlsurarlce PHet(e.Ext7:9199337770 _..__ wc,No):919 -933 -7713 E -MAIL 104 -B NC Hwy 54 W ADDRESS: Gre .LD eman.NYSL Statefamn.cQm Carrboro, NC 2 510 _ INSURERJS) AFFORDING COVERAGE NAIL 9 ._ _ ___ INSURER A. State Farm Fire and Casualty Company 25143 INSURED RILEY SURVEYING PA INSURER B _ State Farm Mutual Automobile Insurance Company � 25175 STE 100B INSURE az C : — — 3326 DURHAM CHAPEL HILL BLVD INSURER D; - DURHAM NC 27707 -2695 INSURER E: --- _._ $ NSURER F : COVERAGES CERTIFICATF NIiMRFR• Pr- viclnm NIIu ni=R. 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. _.. 1NSR 'ADDLiSUBR POLICY EFF " P[11LICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIO07YYY1( kIM1DDlYYYY A GENERAL X LIABILn'Y COMMERCIAL, GENERAL LIABILITY � CLAIMS -MADE ' - 1 OCCUR _ Y �`� 'I I LJ 93 G�i Z{11T-$ 93-CG-ZOOS-8 D2)ZOI2Qt$ 0212012017 I D$I2UI20 tS D2f20f2ti18 EACH OCCURRENCE DAMAGE $ (Ea oc PREMISES nccurrence $ 7 >QUfl.QQCI $ 3[DO.UUO ME_D EXP (Any one as s n) $ 5,000 PERSONAL & ADV INJURY GENERALAGGREGATE S 1,000,000 S 2000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMPIOP AGG S _ 2,DOO,000 S B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS AUTOS HIRED AUTOS X NON -OWNED _ AUTOS ❑ ❑ 071 97'14- D30 -33 10/3012017 1013012fl18 1 Ee acV d.D SINGLE LIMIT S 50fl,DQa BODILY INJURY (Pat pemen) J BODILY INJURY IPeracelden[ ) - PR©PERTY DAMAGE Par accident 1 $ 500,006 _ $ 160,600 $ rA UMBRELLA LIAR }( OCC QR EXCESS LIAR J CLAIMS -MADE DED i X RETENTIONS 10,000 I 93- GM- 1111 -1 08110120'17 0811D1�2018 EACH OCCURRENCE $ 1,000,000 $ 1,000,000 AGGREGATE ! . -. -.__ S W ORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERJFXFCUTIVE M I OFFICE'MEMSER EXCLUDED'? 1 (Mandatory 1. NH) 1 If yes, describe under r3r1;CR1PT1C1N OF OFF RATIONS beIM NIA � 93- CV- L457 -5 93- CC- C931 -6 0212012018 j 02/20/2017 02!2012019 0212012018 I WC STATU- OTH- - -'- 1,Qflfl;Dflfl E.L. EACH ACCIDENT — - - ° E.L. DISEASE - EA EMPLOYE E "L" ©ESEASE • POLICY L1M17 _5 S 1,000,000 S 1,060,0DiJ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 8181 ACCOR NCE WITH TH POLICY PROVISIONS. Hillsborough, NC 27278 _.._ -.J.11 ---------- 11 01988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849 -6 11 -15 -2010