HomeMy WebLinkAbout2018-298-E AMS - Harris Bros Electric Lower Level Link FA UpgradeDocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
NORTH CAROLINA
ORANGE COUNTY
CONSTRUCTION SERVICES
AGREEMENT UNDER $50,000
THIS CONSTRUCTION AGREEMENT (hereinafter "Agreement "), is made and entered
into this 1 st day of July, 202018 by and between Orange County, North Carolina (hereinafter the
"Owner ") party of the first part; and Harris Bros. Electric & Controls, 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: July 1, 2018 through July 23, 2018. The Project
Commencement Date shall be July 1, 2018. Dollar Amount Not to Exceed: Twenty Thousand
Nine Hundred Ninety Eight Dollars ($20,998.00)
2. SERVICES
Contractor agrees to provide the following construction services (the "Work "): Provide labor
and materials to upgrade the Fire Alarm system in lower level link per drawings.
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
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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 (3 0) 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.oran eg c�tync. og v /departments /purchasing division/contracts.ph�). 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, without limitation, 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
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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.oran ec�ogLi y c.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.oran ec�ountync ova/ 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 identified, on the lists
created by the State Treasurer pursuant to G.S. 147 -86.58 and G.S. 147 - 86.81. This Agreement
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DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
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
intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute
Chapter 66.
[SIGNATURE PAGE TO FOLLOW]
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DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
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
� —w.
By A-OAKwty'bj 7/20/2018 B YEo f�aws 7/5/2018 1
County Manager Calvin Harris
200 S. Cameron St. Harris Bros. Electric & Controls, Inc
P.O. Box 8181 2712 Hillsborough Road
Hillsborough, NC 27278 Durham, NC 27705
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DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
540 Civic Blvd Ste 105
RALEIGH, NC 27610 -2935
�'j (919) 279 6400
Johnson FAX: (919) 279 6439
Controls
Johnson Controls Quotation
TO:
Harris Bros Electric & Control Project: John Link Bldg LL Alterations
2712 Hillsborough Rd Customer Reference: SimplexGrinnell Fire Alarm
DURHAM, NC 27705 -4044 Johnson Controls Reference: 250439764
Proposal #: P35509- 000605
Date: 06/19/2018
Page 1 of 7
Johnson Controls is pleased to offer for your consideration this quotation for the above project.
Comments
John Link Building
Lower level Alterations
Johnson Controls Fire Protection
Scope of Work
Please read the notes below and let me know if you have any questions.
This project will require the replacement of all Horn Strobe devices on this floor and the installation of
a 4009 NAC panel. This is because the existing devices will not audibly or visually synchronize. The
NAC panel will need to be mounted on this level, will need to be connected to the existing Horn Strobe
circuit and will need emergency 120V power.
Contact Information:
Steve W. Moore
Electronic System Sales Representative
P. 919- 279 -6416
M. 919- 906 -5310
steve.w.moore @jci.com
JCFP will provide the fire alarm equipment, installation labor, drawings and submittals, panel
terminations, and system testing.
Exceptions and /or Clarifications:
JCFP is not responsible for the design of this project unless design build is selected in the following
section below. Additional devices may be deemed necessary by the AHJ and could result in additional
cost.
Unless specified below , the electrical contractor will provide and install all conduit or bridal rings, all
back boxes (including the installation of specialty SimplexGrinnell provided weatherproof boxes and
cabinets), pull strings, flexible piping, box blank covers, electrical breakers, terminal cabinets, breaker
locks, wire, devices, terminations.
THIS QUOTATION AND ANY RESULTING CONTRACT SHALL BE SUBJECT TO THE GENERAL TERMS AND CONDITIONS ATTACHED HERETO.
Fire, Security, Communications, Sales & Service
Offices & Representatives in Principal Cities throughout North America
DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
Project: John Link Bldg LL Alterations
r Customer Reference: SimplexGrinnell Fire Alarm
Johnson Controls Reference: 250439764
Johnson Date: 06/19/2018
Controls Page 2 of 7
Johnson Controls Quotation
Comments (continued)
THIS PROPOSAL IS BASED UPON ONLY THOSE ITEMS DENOTED BY [X]"
[] Specification section:
[x] Information from plan Drawing Number and Date: E2.1 by RN &M dated 5 -25 -18
[] Up to and including addendum:
[] Customer provided bill of material
[] Verbal request/ Counts provided by contractor no plans or specification
[] Value engineering
[] Design Build
THIS QUOTATION INCLUDES ONLY THOSE ITEMS DENOTED BY "[X] ":
[x] Equipment as listed in this proposal
[x] Installation of FA wiring and devices in conduit provide by others
[] Installation of fire alarm conduit system
[] Installation of free run / open air wiring with J hooks & Stub ups by SimplexGrinnell
[x] Installation of free run / open air wiring with J hooks & Stub ups by Contractor
[] Demolition of existing fire alarm devices
[x] NC State Sales Use Tax
[x] Freight (F.O.B. shipping point)
[x] Shop Drawings
[] PE Sealed Drawings
[x] Panel terminations
[x] Technical installation support including programming
[x] Permit
[] Inspection Fees
[] Customer fees for bypass /shutdown of systems
[] Payment/Performance Bonds
[x] 1 functional system certification test
[x] 1 AHJ test
[] 1 10% Re -Test
[] 2 Hours of operation and maintenance training
[] Close out documentation
[x] Interface to non - SimplexGrinnell provided equipment i.e.: HVAC and elevator
[x] One year standard warranty
[] Monitoring
[] AHCA Inspection
[] UL Certification
THIS QUOTATION DOES NOT INCLUDE THE FOLLOWING:
Conduit or Bridal Rings
Phased Checkout
Standard electric boxes, including ceiling mounted devices
120vac power (New NAC Panel next to existing FRCP)
Fire protection switches or gas solenoids
Phone lines
Remote station monitoring contract (available upon request)
Fire, Security, Communications, Sales & Service
Offices & Representatives in Principal Cities throughout North America
DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
Project: John Link Bldg LL Alterations
r Customer Reference: SimplexGrinnell Fire Alarm
Johnson Controls Reference: 250439764
Johnson Date: 06/19/2018
Controls Page 3 of 7
Johnson Controls Quotation
Comments (continued)
Knox box
Cutting, drilling, patching, fire caulking or painting
Interface to non - SimplexGrinnell provided equipment i.e.: HVAC and elevator
Fire watch
Weatherproof and conditioned control equipment housing
No asbestos abatement is identified, expected or included in this contract. All policies and procedures
referenced in the specification will be followed as required.
No Lead paint abatement is identified, expected or included in this contract. All policies and
procedures referenced in the specification will be followed as required.
Cost for CAD files
It is SimplexGrinnell's (SG) understanding that these drawings and specifications represent the work
to be accomplished in its entirety and no additional work or materials is expected or required. This
quote covers direct costs only and we reserve the right to claim for impact and consequential costs.
SCHEDULE MILESTONES:
Configured Submittals and Shop- drawings: 20 Days to develop upon Receipt of P.O
Fab and Delivery of Equipment- nonstandard Back Boxes: 15 Days
Fab and Delivery of Equipment- Devices: 30 Days
Fab and Delivery of Panels /Transponders: 45 Days
Electrical Contractor Mechanically /Electrically complete -30 days from project completion to
Commission System.
TIME IS OF THE ESSENCE with regard to this quotation as it relates to the project schedule which is
[ ] known [ x ] unknown at this time.
ADDITIONAL NOTES:
If SimplexGrinnell is awarded this project we will need:
A complete set of bid documents including specifications and any addendums
An electronic CAD file in AutoCAD shall be sent to INSERT NAME OR EMAIL ADDRESS or
mailed to the branch address on this quote.
A complete schedule
A copy of the "Notice of Commitment"
Your P.O. or contract will need to reference this proposal # and amount. This proposal and its
terms and condition shall take precedence. Your Purchase Order or contact is subject to review and
must be mutually agreeable.
Quotation is valid for a period of 30 days ONLY unless modified in writing by SimplexGrinnell.
All work is to be performed during normal SimplexGrinnell hours of 8am to 5pm Monday through
Friday with the exception of company sponsored holidays unless specifically noted otherwise.
We reserve the right to correct this quote for errors and omissions.
As stated above, SimplexGrinnell will perform the work pursuant to the attached Terms and
Conditions. Should the parties fail to execute a mutually agreeable definitive agreement, all work
Fire, Security, Communications, Sales & Service
Offices & Representatives in Principal Cities throughout North America
DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
Project: John Link Bldg LL Alterations
r Customer Reference: SimplexGrinnell Fire Alarm
Johnson Controls Reference: 250439764
Johnson Date: 06/19/2018
Controls Page 4 of 7
Johnson Controls Quotation
Comments (continued)
performed by SimplexGrinnell on or related to the above captioned project (with the exception of any
monitoring services anticipated, which will only be performed pursuant to the unaltered terms and
conditions of SimplexGrinnell's standard Monitoring Agreement) will be performed pursuant to the
attached Terms and Conditions.
Please indicate your approval of this quotation by signing the last page and returning to my attention
as noted below.
QUANTITY MODEL NUMBER DESCRIPTION
Drawings and Submittals
DSGN LAB
CAD LAB
PM LAB
DESIGN LABOR
CAD LABOR
PROJECT /CONSTRUCTION MGMT
Programming and Testing
COMM LAB Commissioning Labor
Installation
DPIM INSTALLATION MATERIALS
DPSVC DP SVCS (PERMITS /FEES /BONDS)
INST LAB INSTALLATION LABOR
Total net selling price, FOB shipping point, $19,089.00
Fire, Security, Communications, Sales & Service
Offices & Representatives in Principal Cities throughout North America
Fire Alarm Equipment
1
4009 -9201
NAC EXTENDER 120VAC, IDNET
2
2081 -9274
BATTERY 10AH
1
DTK- 120HW -SS
AC HARD WIRED TRANSIENT 120 VO
10
4906 -9101
STROBE MC RED
8
4906 -9127
HORN /STROBE MC RED
4
4098 -9601
PHOTO DETECTOR
4
4098 -9788
DETECTOR 2 -WIRE BASE
1
DPFA
FIRE ALARM EQUIPMENT
Drawings and Submittals
DSGN LAB
CAD LAB
PM LAB
DESIGN LABOR
CAD LABOR
PROJECT /CONSTRUCTION MGMT
Programming and Testing
COMM LAB Commissioning Labor
Installation
DPIM INSTALLATION MATERIALS
DPSVC DP SVCS (PERMITS /FEES /BONDS)
INST LAB INSTALLATION LABOR
Total net selling price, FOB shipping point, $19,089.00
Fire, Security, Communications, Sales & Service
Offices & Representatives in Principal Cities throughout North America
DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
Johnson *
Controls
1. Payment. Payments shall be invoiced and due in accordance
with the terms and conditions set forth above. Work performed
on a time and material basis shall be at Company's then -
prevailing rate for material, labor, and related items, in effect at
the time supplied under this Agreement. Company shall invoice
Customer for progress payments to one hundred (100 %)
percent based upon equipment delivered or stored, and services
performed. Customers without established satisfactory credit
shall make payments of cash in advance, upon delivery or as
otherwise specified by Company. Where Customer establishes
and maintains satisfactory credit, payments shall be due and
payable thirty (30) days from date of invoice. Company reserves
the right to revoke or modify Customer's credit in its sole
discretion. Customer's failure to make payment when due is a
material breach of this Agreement. If Customer fails to make any
payment when due, in addition to any other rights and remedies
available, Company shall have the right, at Company's sole
discretion, to stop performing any Services and /or withhold
further deliveries of materials, until the account is current. In the
event payment is not received when due, Company may, at its
discretion, assess late fees at the rate of 1.5% per month or the
maximum rate allowed by law. Customer agrees to pay all costs
of collection, including without limitation costs, fees, and
attorneys' fees. Customer's failure to make payment when due
is a material breach of this Agreement until the account is
current.
2. Pricing. The pricing set forth in this Agreement is based on
the number of devices to be installed and services to be
performed as set forth in the Scope of Work ( "Equipment" and
"Services "). If the actual number of devices installed or services
to be performed is greater than that set forth in the Scope of
Work, the price will be increased accordingly. If this Agreement
extends beyond one year, Company may increase prices upon
notice to the Customer. Customer agrees to pay all taxes,
permits, and other charges, including but not limited to state and
local sales and excise taxes, however designated, levied or
based on the service charges pursuant to this Agreement. Prices
in any quotation or proposal from Company are subject to
change upon notice sent to Customer at any time before the
quotation or proposal has been accepted. Prices for products
covered may be adjusted by Company, upon notice to Customer
at any time prior to shipment, to reflect any increase in
Company's cost of raw materials (e.g., steel, aluminum) incurred
by Company after issuance of Company's applicable proposal
or quotation.
3. Alarm Monitoring Services. Any reference to alarm
monitoring services in this Agreement is included for pricing
purposes only. Alarm monitoring services are performed
pursuant to the terms and conditions of Company's standard
alarm monitoring services agreement.
4. Code Compliance. Company does not undertake an
obligation to inspect for compliance with laws or regulations
unless specifically stated in the Scope of Work. Customer
acknowledges that the Authority Having Jurisdiction (e.g. Fire
Marshal) may establish additional requirements for compliance
with local codes. Any additional services or equipment required
will be provided at an additional cost to Customer.
5. Limitation of Liability; Limitations of Remedy. It is
understood and agreed by the Customer that Company is
not an insurer and that insurance coverage shall be
obtained by the Customer and that amounts payable to
company hereunder are based upon the value of the
services and the scope of liability set forth in this
Agreement and are unrelated to the value of the Customer's
property and the property of others located on the
premises. Customer agrees to look exclusively to the
Customer's insurer to recover for injuries or damage in the
event of any loss or injury and that Customer releases and
waives all right of recovery against Company arising by way
Project: John Link Bldg LL Alterations
Customer Reference: SimplexGrinnell Fire Alarm
Johnson Controls Reference: 250439764
Date: 06/19/2018
Page 5 of 7
TERMS AND CONDITIONS (Rev. 4/18)
of subrogation. Company makes no guaranty or Warranty,
including any implied warranty of merchantability or fitness
for a particular purpose that equipment or services supplied
by Company will detect or avert occurrences or the
consequences therefrom that the equipment or service was
designed to detect or avert. It is impractical and extremely
difficult to fix the actual damages, if any, which may
proximately result from failure on the part of Company to
perform any of its obligations under this Agreement.
Accordingly, Customer agrees that, Company shall be
exempt from liability for any loss, damage or injury arising
directly or indirectly from occurrences, or the
consequences therefrom, which the equipment or service
was designed to detect or avert. Should Company be found
liable for any loss, damage or injury arising from a failure of
the equipment or service in any respect, Company's liability
shall be limited to an amount equal to the Agreement price
(as increased by the price for any additional work) or where
the time and material payment term is selected, Customer's
time and material payments to Company. Where this
Agreement covers multiple sites, liability shall be limited to
the amount of the payments allocable to the site where the
incident occurred. Such sum shall be complete and
exclusive. IN NO EVENT SHALL COMPANY BE LIABLE FOR
ANY DAMAGE, LOSS, INJURY, OR ANY OTHER CLAIM
ARISING FROM ANY SERVICING, ALTERATIONS,
MODIFICATIONS, CHANGES, OR MOVEMENTS OF THE
COVERED SYSTEM(S) OR ANY OF ITS COMPONENT
PARTS BY THE CUSTOMER OR ANY THIRD PARTY.
COMPANY SHALL NOT BE LIABLE FOR INDIRECT,
INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY
KIND, INCLUDING BUT NOT LIMITED TO DAMAGES
ARISING FROM THE USE, LOSS OF THE USE,
PERFORMANCE, OR FAILURE OF THE COVERED
SYSTEM(S) TO PERFORM. The limitations of liability set
forth in this Agreement shall inure to the benefit of all
parents, subsidiaries and affiliates of company, whether
direct or indirect, company's employees, agents, officers
and directors.
6. Reciprocal Waiver of Claims (SAFETY Act). Certain of
Company's systems and services have received Certification
and/or Designation as Qualified Anti - Terrorism Technologies
( "QATT ") under the Support Anti - terrorism by Fostering Effective
Technologies Act of 2002, 6 U.S.C. §§ 441 -444 (the "SAFETY
Act "). As required under 6 C.F.R. 25.5 (e), to the maximum
extent permitted by law, Company and Customer hereby agree
to waive their right to make any claims against the other for any
losses, including business interruption losses, sustained by
either party or their respective employees, resulting from an
activity resulting from an "Act of Terrorism" as defined in 6 C.F.R.
25.2, when GATT have been deployed in defense against,
response to, or recovery from such Act of Terrorism.
7. General Provisions. Customer has selected the service level
desired after considering and balancing various levels of
protection afforded, and their related costs. All work to be
performed by Company will be performed during normal working
hours of normal working days (8:00 a.m. — 5:00 p.m., Monday
through Friday, excluding Company holidays), as defined by
Company, unless additional times are specifically described in
this Agreement. Company will perform the services described in
the Scope of Work section ( "Services ") for one or more
system(s) or equipment as described in the Scope of Work
section or the listed attachments ( "Covered System(s)"). The
Customer shall promptly notify Company of any malfunction in
the Covered System(s) which comes to Customer's attention.
This Agreement assumes the Covered System(s) are in
operational and maintainable condition as of the Agreement
date. If, upon initial inspection, Company determines that
repairs are recommended, repair charges will be submitted for
approval prior to any work. Should such repair work be declined
Company shall be relieved from any and all liability arising
therefrom. UNLESS OTHERWISE SPECIFIED IN THIS
AGREEMENT, ANY INSPECTION (AND, IF SPECIFIED,
TESTING) PROVIDED UNDER THIS AGREEMENT DOES
NOT INCLUDE ANY MAINTENANCE, REPAIRS,
ALTERATIONS, REPLACEMENT OF PARTS, OR ANY FIELD
ADJUSTMENTS WHATSOEVER, NOR DOES IT INCLUDE
THE CORRECTION OF ANY DEFICIENCIES IDENTIFIED BY
COMPANY TO CUSTOMER. COMPANY SHALL NOT BE
RESPONSIBLE FOR EQUIPMENT FAILURE OCCURRING
WHILE COMPANY IS IN THE PROCESS OF FOLLOWING ITS
INSPECTION TECHNIQUES, WHERE THE FAILURE ALSO
RESULTS FROM THE AGE OR OBSOLESCENCE OF THE
ITEM OR DUE TO NORMAL WEAR AND TEAR. THIS
AGREEMENT DOES NOT COVER SYSTEMS, EQUIPMENT,
COMPONENTS OR PARTS THAT ARE BELOW GRADE,
BEHIND WALLS OR OTHER OBSTRUCTIONS OR EXTERIOR
TO THE BUILDING, ELECTRICAL WIRING, AND PIPING.
8. Customer Responsibilities. Customer shall furnish all
necessary facilities for performance of its work by Company,
adequate space for storage and handling of materials, light,
water, heat, heat tracing, electrical service, local telephone,
watchman, and crane and elevator service and necessary
permits. Where wet pipe system is installed, Customer shall
supply and maintain sufficient heat to prevent freezing of the
system. Customer shall promptly notify Company of any
malfunction in the Covered System(s) which comes to
Customer's attention. This Agreement assumes any existing
system(s) are in operational and maintainable condition as of the
Agreement date. If, upon initial inspection, Company
determines that repairs are recommended, repair charges will be
submitted for approval prior to any work. Should such repair
work be declined Company shall be relieved from any and all
liability arising therefrom. Customer shall further:
• supply required schematics and drawings unless they are to
be supplied by Company in accordance with this Agreement;
• Provide a safe work environment, in the event of an
emergency or Covered System(s) failure, take reasonable
safety precautions to protect against personal injury, death,
and property damage, continue such measures until the
Covered System(s) are operational, and notify Company as
soon as possible under the circumstances.
• Provide Company access to any system(s) to be serviced,
• Comply with all laws, codes, and regulations pertaining to the
equipment and /or services provided under this agreement.
9. Excavation. In the event the Work includes excavation,
Customer shall pay, as an extra to the contract price, the cost of
any additional work performed by Company dues to water,
quicksand, rock or other unforeseen condition or obstruction
encountered or shoring required.
10. Structure and Site Conditions. While employees of
Company will exercise reasonable care in this respect,
Company shall be under not responsibility for loss or damage
due to the character, condition or use of foundations, walls, or
other structures not erected by It or resulting from the excavation
in proximity thereto, or for damage resulting from concealed
piping, wiring, fixtures, or other equipment or condition of water
pressure. All shoring or protection of foundation, walls or other
structures subject to being disturbed by any excavation required
hereunder shall be the responsibility of Customer. Customer
shall have all things in readiness for installation including,
without limitation, structure to support the sprinkler system and
related equipment (including tanks), other materials, floor or
suitable working base, connections and facilities for erection at
the time the materials are delivered. In the event Customer fails
to have all things in readiness at the time scheduled for receipt
of materials, Customer shall reimburse Company for all
expenses caused by such failure. Failure to make areas
Fire, Security, Communications, Sales & Service
Offices & Representatives in Principal Cities throughout North America
DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
Johnson 0
Controls
available to Company during performance in accordance with
schedules that are the basis for Company's proposal shall be
considered a failure to have things in readiness in accordance
with the terms of this Agreement.
11. Confined Space. If access to confined space by Company
is required for the performance of Services, Services shall be
scheduled and performed in accordance with Company's then -
current hourly rate.
12. Hazardous Materials. Customer represents that, except to
the extent that Company has been given written notice of the
following hazards prior to the execution of this Agreement, to the
best of Customer's knowledge there is no:
• "permit confined space," as defined by OSHA,
• risk of infectious disease,
• need for air monitoring, respiratory protection, or other
medical risk,
• asbestos, asbestos - containing material, formaldehyde or
other potentially toxic or otherwise hazardous material
contained in or on the surface of the floors, walls, ceilings,
insulation or other structural components of the area of any
building where work is required to be performed under this
Agreement.
All of the above are hereinafter referred to as "Hazardous
Conditions ". Company shall have the right to rely on the
representations listed above. If hazardous conditions are
encountered by Company during the course of Company's work,
the discovery of such materials shall constitute an event beyond
Company's control and Company shall have no obligation to
further perform in the area where the hazardous conditions exist
until the area has been made safe by Customer as certified in
writing by an independent testing agency, and Customer shall
pay disruption expenses and re- mobilization expenses as
determined by Company. This Agreement does not provide for
the cost of capture, containment or disposal of any hazardous
waste materials, or hazardous materials, encountered in any of
the Covered System(s) and /or during performance of the
Services. Said materials shall at all times remain the
responsibility and property of Customer. Company shall not be
responsible for the testing, removal or disposal of such
hazardous materials.
13. OSHA Compliance. Customer shall indemnify and hold
Company harmless from and against any and all claims,
demands and /or damages arising in whole or in part from the
enforcement of the Occupational Safety Health Act (and any
amendments or changes thereto) unless said claims, demands
or damages are a direct result of causes within the exclusive
control of Company.
14. Interferences. Customer shall be responsible to coordinate
the work of other trades (including but not limited to ducting,
piping, and electrical) and for and additional costs incurred by
Company arising out of interferences to Company's work caused
by other trades.
15. Modifications and Substitutions. Company reserves the
right to modify materials, including substituting materials of later
design, providing that such modifications or substitutions will not
materially affect the performance of the Covered System(s).
16. Changes, Alterations, Additions. Changes, alterations
and additions to the Scope of Work, plans, specifications or
construction schedule shall be invalid unless approved in writing
by Company. Should changes be approved by Company, that
increase or decrease the cost of the work to Company, the
parties shall agree, in writing, to the change in price prior to
performance of any work. However, if no agreement is reached
prior to the time for performance of said work, and Company
elects to perform said work so as to avoid delays, then
Company's estimate as to the value of said work shall be
deemed accepted by Customer. In addition, Customer shall
pay for all extra work requested by Customer or made necessary
because of incompleteness or inaccuracy of plans or other
information submitted by Customer with respect to the location,
type of occupancy, or other details of the work to be performed.
In the event the layout of Customer's facilities has been altered,
or is altered by Customer prior to the completion of the Work,
Project: John Link Bldg LL Alterations
Customer Reference: SimplexGrinnell Fire Alarm
Johnson Controls Reference: 250439764
Date: 06/19/2018
Page 6 of 7
Customer shall advise Company, and prices, delivery and
completion dates shall be changed by Company as may be
required.
17. Commodities Availability. Company shall not be
responsible for failure to provide services, deliver products, or
otherwise perform work required by this Agreement due to lack
of available steel products or products made from plastics or
other commodities. In the event Company is unable, after
reasonable commercial efforts, to acquire and provide steel
products, or products made from plastics or other commodities,
if required to perform work required by this Agreement,
Customer hereby agrees that Company may terminate the
Agreement, or the relevant portion of the Agreement, at no
additional cost and without penalty. Customer agrees to pay
Company in full for all work performed up to the time of any such
termination.
18. Project Claims. Any claim of failure to perform against
Company arising hereunder shall be deemed waived unless
received by Company, in writing specifically setting forth the
basis for such claim, within ten (10) days after such claims
arises.
19. Backcharges. No charges shall be levied against Company
unless seventy -two (72) hours prior written notice is given to
Company to correct any alleged deficiencies which are alleged
to necessitate such charges and unless such alleged
deficiencies are solely and directly caused by Company.
20. System Equipment. The purchase of equipment or
peripheral devices (including but not limited to smoke detectors,
passive infrared detectors, card readers, sprinkler system
components, extinguishers and hoses) from Company shall be
subject to the terms and conditions of this Agreement. If, in
Company's sole judgment, any peripheral device or other
system equipment, which is attached to the Covered System(s),
whether provided by Company or a third party, interferes with
the proper operation of the Covered System(s), Customer shall
remove or replace such device or equipment promptly upon
notice from Company. Failure of Customer to remove or replace
the device shall constitute a material breach of this Agreement.
If Customer adds any third party device or equipment to the
Covered System(s), Company shall not be responsible for any
damage to or failure of the Covered System(s) caused in whole
or in part by such device or equipment.
21. Reports. Where inspection and /or test services are
selected, such inspection and/or test shall be completed on
Company's then current Report form, which shall be given to
Customer, and, where applicable, Company may submit a copy
thereof to the local authority having jurisdiction. The Report and
recommendations by Company are only advisory in nature and
are intended to assist Customer in reducing the risk of loss to
property by indicating obvious defects or impairments noted to
the system and equipment inspected and/or tested. They are not
intended to imply that no other defects or hazards exist or that
all aspects of the Covered System(s), equipment, and
components are under control at the time of inspection. Final
responsibility for the condition and operation of the Covered
System(s) and equipment and components lies with Customer.
22. Limited Warranty. Subject to the limitations below,
Company warrants any equipment (as distinguished from the
Software) installed pursuant to this Agreement to be free from
defects in material and workmanship under normal use for a
period of one (1) year from the date of first beneficial us or all or
any part of the Covered System(s) or 18 months after Equipment
shipments, whichever is earlier, provided however, that
Company's soles liability, and Customer's sole remedy, under
this limited warranty shall be limited to the repair or replacement
of the Equipment or any part thereof, which Company
determines is defective, at Company's sole option and subject to
the availability of service personnel and parts, as determined by
Company. Company warrants expendable items, including, but
not limited to, video and print heads, television camera tubes,
video monitor displays tubes, batteries and certain other
products in accordance with the applicable manufacturer's 26. Default. An Event of Default shall be 1) failure of the
warranty. Company does not warrant devices designed to fail in Customer to pay any amount within ten (10) days after the
protecting the System, such as, but not limited to, fuses and
circuit breakers. Company warrants that any Company software
described in this Agreement, as well as software contained in or
sold as part of any Equipment described in this Agreement, will
reasonably conform to its published specifications in effect at the
time of delivery and for ninety (90) days after delivery. However,
Customer agrees and acknowledges that the software may have
inherent defects because of its complexity. Company's sole
obligation with respect to software, and Customer's sole remedy,
shall be to make available published modifications, designed to
correct inherent defects, which become available during the
warranty period. If Repair Services are included in this
Agreement, Company warrants that its workmanship and
material for repairs made pursuant to this Agreement will be free
from defects for a period of ninety (90) days from the date of
furnishing.
EXCEPT AS EXPRESSLY SET FORTH HEREIN, COMPANY
DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO ANY IMPLIED
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A
PARTICULAR PURPOSE WITH RESPECT TO THE
SERVICES PERFORMED OR THE PRODUCTS, SYSTEMS
OR EQUIPMENT, IF ANY, SUPPORTED HEREUNDER.
Warranty service will be performed during Company's normal
working hours. If Customer requests warranty service at other
than normal working hours, service will be performed at
Company's then current rates for after ours services. All repairs
or adjustments that are or may become necessary shall be
performed by and authorized representative of Company. Any
repairs, adjustments or interconnections performed by Customer
or any third party shall void all warranties.
23. Indemnity. Customer agrees to indemnify, hold harmless
and defend Company against any and all losses, damages,
costs, including expert fees and costs, and expenses including
reasonable defense costs, arising from any and all third party
claims for personal injury, death, property damage or economic
loss, including specifically any damages resulting from the
exposure of workers to Hazardous Conditions whether or not
Customer pre - notifies Company of the existence of said
hazardous conditions, arising in any way from any act or
omission of Customer or Company relating in any way to this
Agreement, including but not limited to the Services under this
Agreement, whether such claims are based upon contract,
warranty, tort (including but not limited to active or passive
negligence), strict liability or otherwise. Company reserves the
right to select counsel to represent it in any such action.
24. Insurance. Customer shall name Company, its officers,
employees, agents, subcontractors, suppliers, and
representatives as additional insureds on Customer's general
liability and auto liability policies.
25. Termination. Any termination under the terms of this
Agreement shall be made in writing. In the event Customer
terminates this Agreement priorto completion for any reason not
arising solely from Company's performance orfailure to perform,
Customer understands and agrees that Company will incur costs
of administration and preparation that are difficult to estimate or
determine. Accordingly, should Customer terminate this
Agreement as described above, Customer agrees to pay all
charges incurred for products and equipment installed and
services performed, and in addition pay an amount equal to
twenty (20 %) percent of the price of products and equipment not
yet delivered and Services not yet performed, return all products
and equipment delivered and pay a restocking fee of twenty
(20 %) percent the price of products or equipment returned.
Company may terminate this Agreement immediately at its sole
discretion upon the occurrence of any Event of Default as
hereinafter defined. Company may also terminate this
Agreement at its sole discretion upon notice to Customer if
Company's performance of its obligations under this Agreement
becomes impracticable due to obsolescence of equipment at
Customer's premises or unavailability of parts.
Fire, Security, Communications, Sales & Service
Offices & Representatives in Principal Cities throughout North America
DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
Johnson 0
Controls
amount is due and payable, 2) abuse of the System or the
Equipment, 3) dissolution, termination, discontinuance,
insolvency or business failure of Customer. Upon the
occurrence of an Event of Default, Company may pursue one or
more of the following remedies, 1) discontinue furnishing
Services, 2) by written notice to Customer declare the balance
of unpaid amounts due and to become due under the this
Agreement to be immediately due and payable, provided that all
past due amounts shall bear interest at the rate of 1 '/% per
month (18% per year) or the highest amount permitted by law,
3) receive immediate possession of any equipment for which
Customer has not paid. 4) proceed at law or equity to enforce
performance by Customer or recover damages for breach of this
Agreement, and 5) recover all costs and expenses, including
without limitation reasonable attorneys' fees, in connection with
enforcing or attempting to enforce this Agreement.
27. Exclusions. Unless expressly included in the Scope of
Work, this Agreement expressly excludes, without limitation,
testing inspection and repair of duct detectors, beam detectors,
and UV /IR equipment; provision of fire watches; clearing of ice
blockage; draining of improperly pitched piping; replacement of
batteries; recharging of chemical suppression systems;
reloading of, upgrading, and maintaining computer software;
system upgrades and the replacement of obsolete systems,
equipment, components or parts; making repairs or
replacements necessitated by reason of negligence or misuse of
components or equipment or changes to Customer's premises,
vandalism, corrosion (including but not limited to micro -
bacterially induced corrosion ( "MIC ")), power failure, current
fluctuation, failure due to non - Company installation, lightning,
electrical storm, or other severe weather, water, accident, fire,
acts of God or any other cause external to the Covered
System(s). Repair Services provided pursuant to this Agreement
do not cover and specifically excludes system upgrades and the
replacement of obsolete systems, equipment, components or
parts. All such services may be provided by Company at
Company's sole discretion at an additional charge. If Emergency
Services are expressly included in the scope of work section, the
Agreement price does not include travel expenses.
Project: John Link Bldg LL Alterations
Customer Reference: SimplexGrinnell Fire Alarm
Johnson Controls Reference: 250439764
Date: 06/19/2018
Page 7 of 7
28, No Option to Solicit. Customer shall not, directly or
indirectly, on its own behalf or on behalf of any other person,
business, corporation or entity, solicit or employ any Company
employee, or induce any Company employee to leave his or her
employment, for a period of two years after termination of this
Agreement.
29. Force Majeure; Delays. Company shall not be liable for any
damage or penalty for delays or failure to perform work due to
acts of God, acts or omissions of Customer, acts of civil or
military authorities, Government regulations or priorities, fires,
epidemics, quarantine, restrictions, war, riots, civil disobedience
or unrest, strikes, delays in transportation, vehicle shortages,
differences with workmen, inability to obtain necessary labor,
material or manufacturing facilities, defaults of Company's
subcontractors, failure or delay in furnishing compete
information by Customer with respect to location or other details
of work to be performed, impossibility or impracticability of
performance or any other cause or causes beyond Company's
control, whether or not similar to the foregoing. In the event of
any delay caused as aforesaid, completion shall be extended for
a period equal to any such delay, and this contract shall not be
void or voidable as a result of the delay. In the event work is
temporarily discontinued by any of the foregoing, all unpaid
installments of the contract price, les an amount equal to the
value of material and labor not furnished, shall be due and
payable upon receipt of invoice by Customer.
30. One-Year Limitation on Actions; Choice of Law. It is
agreed that no suit, or cause of action or other proceeding shall
be brought against either party more than one (1) year after the
accrual of the cause of action or one (1) year after the claim
arises, whichever is shorter, whether known or unknown when
the claim arises or whether based on tort, contract, or any other
legal theory. The laws of Massachusetts shall govern the validity,
enforceability, and interpretation of this Agreement.
31. Assignment. Customer may not assign this Agreement
without Company's prior written consent. Company may assign
this Agreement to an affiliate without obtaining Customer's
consent.
32. Entire Agreement. The parties intend this Agreement,
together with any attachments or Riders (collectively the
"Agreement) to be the final, complete and exclusive expression
of their Agreement and the terms and conditions thereof. This
Agreement supersedes all prior representations, understandings
or agreements between the parties, written or oral, and shall
constitute the sole terms and conditions of sale for all equipment
and services. No waiver, change, or modification of any terms
or conditions of this Agreement shall be binding on Company
unless made in writing and signed by an Authorized
Representative of Company.
33. Severability. If any provision of this Agreement is held by
any court or other competent authority to be void or
unenforceable in whole or in part, this Agreement will continue
to be valid as to the other provisions and the remainder of the
affected provision.
34. Legal Fees. Company shall be entitled to recover from the
customer all reasonable legal fees incurred in connection with
Company enforcing the terms and conditions of this Agreement.
35. License Information (Security System Customers): AL
Alabama Electronic Security Board of Licensure 7956 Vaughn
Road, Pmb 392, Montgomery, Alabama 36116 (334) 264 -9388:
AR Regulated by: Arkansas Board of Private Investigators And
Private Security Agencies, #1 State Police Plaza Drive, Little
Rock 72209 (501)618 -8600: CA Alarm company operators are
licensed and regulated by the Bureau of Security and
Investigative Services, Department of Consumer Affairs,
Sacramento, CA, 95814. Upon completion of the installation of
the alarm system, the alarm company shall thoroughly instruct
the purchaser in the proper use of the alarm system. Failure by
the licensee, without legal excuse, to substantially commence
work within 20 days from the approximate date specified in the
agreement when the work will begin is a violation of the Alarm
Company Act: NY Licensed by N.Y.S. Department of the State:
TX Texas Commission on Private Security, 5805 N. Lamar Blvd.,
Austin, 78752 -4422, 512 - 424- 7710.License numbers available
at www.ici.com or contact your local Johnson Controls office.
Offered By:
Johnson Controls Fire Protection LP License#:
540 Civic Blvd Ste 105
RALEIGH, NC 27610 -2935
Telephone: (919) 279 6400
Accepted By: (Customer)
Company:
Address:
Representative: Steve W. Moore
Email: stepmoore @simplexgrinnell.com
Signature:
Title:
P.O.* Date:
Fire, Security, Communications, Sales & Service
Offices & Representatives in Principal Cities throughout North America
DocuSign Envelope ID: 25BB104C- 540C- 40B8- B9F5- F9CF8C4AACE9
A 131' Q0 CERTIFICATE CAF LIABILITY INSURANCE DAT 07 /14 DfYYYlI
7/1412ti17
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 have ADDITIONAL INSURED provisions or he endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may rewire an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement s .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 32$
CONTACT
ME: CLIENT CONTACT CENTER
PHONE I FAX
AIC No Ext : 888-333 -4949 AIC No): 507- 44�i -456A
E -MAIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIL #
r0711'412017
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
$1,000,000
INSURED 252_856 -0
INSURER B:
$1000
HARRIS BROTHERS ELECTRIC AND CONTROLS, INC.
INSURER C:
EXCLUDED
2712 HILLSBOROUGH RD
INSURER D.
PERSONAL & ADV INJURY
DURHAM, NC 27705AO44
INSURER E:
GENERAL AGGREGATE
$2,000,000
INSURER F:
$2,000,000
COVERAGES CERTIFICATE NUMBER: 36 REVISION NUMBER: 1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 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
DOL
INSR
SUER
WVD
POLICY NUMBER
LCY EFF
DDdYYYY
POLICY EXP
MMlDDdYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
N
N
6048918
r0711'412017
07/14/2018
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
P E S a currence
$1000
MED EXP (Any one person)
EXCLUDED
GEN'L
X
PERSONAL & ADV INJURY
$1,p00,000
AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGG
$2,000,000
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED AUTOS ONLY SCHEDULED
AUTOS
HIRED AUTOS ONLY NON -OWNED
AUTOS ONLY
N
N
6448918
07/14/2017
07/1412018
COMBINED SINGLE LIMIT
Ea acciden9
X1,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident]
PROPERTY DAMAGE
jftr acciden
A
X
UMBRELLA LIAD
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
6048919
07114/2017
07/14/2018
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000,000
DED I I RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YfN
ANY PROPRIETORfPARTNER;EXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatary, in NHI
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
N
6048920
07/14/2017
07/14/2018
X
PER STATUTE
0TH.
ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L DISEASE - POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS d VEHICLES (ACORD 101. AddlOnal Remarks Schedule, may be attached II more space Is required)
CERTIFICATE HOLDER CANCELLATION
252 -855-0 361
ORANGE COUNTY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO BOX 8181
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
HILLSBOROUGH, INC 27278 -8181
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
Q 1988 -2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD