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Home My WebLink About2018-349-E AMS - WxProofing Link AgreementDocuSign Envelope ID: 7FD1AO11- 9DOA- 45F1- BOCO- FAC46DCE244F [Departmental Use Only] TITLE Link Waterproofing FY FY2018 -19 NORTH CAROLINA CONSTRUCTION AGREEMENT UNDER $250,000.00 ORANGE COUNTY THIS CONSTRUCTION AGREEMENT (hereinafter called "Agreement "), made as of the 1 st day of August, 2018, by and between WxProofing, LLC, (hereinafter called the "Contractor "), and Orange County, a body politic and a political subdivision of the State of North Carolina, (hereinafter called the "Owner "). WITNESSETH: That the Contractor and the Owner, for the consideration herein named, agree as follows: 1. CONTRACT DOCUMENTS; PRIORITY The Contract Documents consist of this Agreement, the Request for Proposals, Proposal, Construction Drawings, and Written Specifications. The Contract Documents form the Contract. In the event of any inconsistency between or among the Contract Documents the Contract Documents shall be interpreted in the following order of priority: a. This Agreement. b. Designer Approved Bulletins and/or Field Orders. c. Request for Proposals and addenda thereto. d. Proposal. 2. SCOPE OF WORK The Contractor shall furnish and deliver all of the materials, and perform all of the work required by this Agreement within the time period stipulated in a written Notice -to- Proceed to be executed by the Contractor and Owner and in accordance with the following enumerated documents, which are made a part hereof as if fully contained herein: a. Construction Drawings prepared by Summit Design & Engineering (Sheet EB -1 rev dated July 17, 2018) b. Written specifications prepared by the project engineer. c. WXProofing, LLC proposal dated July 31st, 2018 (proposal #18 -135r2 which fully describes the work to be performed. Such work will hereafter be called the "Work ". d. Related documents listed under Section 1 above. Revised 10/17 1 DocuSign Envelope ID: 7FD1AO11- 9DOA- 45F1- BOCO- FAC46DCE244F 3. TERM AND SCHEDULING a. The Contractor agrees to commence work pursuant to the written Notice to Proceed. b. The Contractor agrees to complete substantially all Work by September 10th, 2018. c. Time is of the essence with respect to all dates specified in the Contract Documents as Completion Dates. d. The Contractor shall perform the Work in the time, manner, and form required by the Contract Documents and as stipulated in a written Notice -to- Proceed to be executed by the Contractor and Owner. e. It is expressly understood that the Owner will employ other contractors to perform work as a part of the Project whose work will be performed simultaneously and sequentially with the performance of the Work by the Contractor. It shall be necessary for the Contractor to coordinate its activities with such other contractors, particularly with respect to access to work areas, storage of materials and other common facilities. f. Should the Owner determine that the Contractor is behind schedule Owner may require, at no additional cost to the Owner, the Contractor to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform the Work in accordance with the approved project schedule. 4. STANDARD OF CARE a. The Contractor shall exercise reasonable care and diligence in performing the Work in accordance with the highest generally accepted standards of this type of Contractor practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Contractor is solely responsible for the professional quality, accuracy and timely completion and/or submission of all work. b. The Contractor shall not load or permit any part of the Work to be loaded with a weight that will endanger its safety, intended performance or configuration. c. Contractor shall be responsible for all errors or omissions caused by its employees, agents, contractors, or assigns in the performance of the Agreement. Contractor shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the Owner. d. Contractor is an independent contractor of Owner. Any and all employees of the Contractor engaged by the Contractor in the performance of any work or services required of the Contractor under this Agreement, shall be considered employees or agents of the Contractor only and not of the Owner, 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 Contractor. e. If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Contractor represents that it and/or its employees, Revised 10/17 2 DocuSign Envelope ID: 7FD1AO11- 9DOA- 45F1- BOCO- FAC46DCE244F 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. 5. PAYMENT & TAXES a. The Owner hereby agrees to pay to the Contractor for the faithful performance of this Agreement, and the Contractor hereby agrees to perform all of the Work for a sum not -to- exceed Seventy Nine Thousand Eight Hundred Sixty Eight Dollars ($79,868). Not later than the fifth (5th) day of each calendar month the Contractor shall submit to the Owner's Representative, generally the architect if an architect is retained on the Work, a Request for Payment for work done during the previous calendar month. i. The Request for Payment shall be in form of a standardized invoice or AIA Document G702 -703 appropriately addressed to Owner's Representative at Orange County, PO Box 8181, Hillsborough, NC 27278 and shall show substantially the value of work done during the previous calendar month. ii. The amount due for payment shall be ninety -five percent (95 %) of the value of work completed since the last Request for Payment and this amount shall be paid by the Owner on or before the last business day of the month. Owner shall retain five percent (5 %). 1. Upon Owner's Representative's certification that ninety percent (90 %) of the Work has been satisfactorily completed retainage may be discontinued. Retainage may be discontinued, at Owner's Discretion, so long as work continues to be completed satisfactorily and on schedule. iii. Final payment shall not be due to the Contractor until thirty (30) days after one hundred percent (100 %) of the Work, including punch list work, has been satisfactorily completed and an appropriate affidavit as required in Section 7(c) below has been received by Owner. b. Should Owner reasonably determine that Contractor has failed to perform the Work related to a Request for Payment, Owner, at its discretion may provide the Contractor ten (10) days to cure the breach. Owner may withhold the accompanying payment without penalty until such time as Contractor cures the breach. i. Should Contractor or its representatives fail to cure the breach within ten (10) days, or fail to reasonably agree to such modified schedule, Owner may immediately terminate this Agreement in writing, without penalty or incurring further obligation to Contractor. ii. This section shall not be interpreted to limit the definition of breach to the failure to perform the Work related to a Request for Payment. c. The Contractor has included in the Contract Price and shall pay all taxes assessed by any authority on the Work or the labor and materials used therein. It shall be the Contractor's responsibility to furnish the Owner documentary evidence showing the materials used and sales and use tax paid by the Contractor and each of its subcontractors. 6. INSURANCE AND BONDS a. Minimum 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 Revised 10/17 3 DocuSign Envelope ID: 7FD1A011- 9DOA- 45F1- BOCO- FAC46DCE244F Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http: / /www.orangecountync. og v/ departments / purchasing= division /contracts.php). If Owner's Risk Manager determines additional insurance coverage is required such additional insurance shall be designated here N/A (if no additional insurance required mark N/A as being not applicable). Contractor shall not commence construction work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. b. Performance Bonds — Contractor shall furnish bonds covering the faithful performance of the Contract and payment of all obligations arising under any of the Contract Documents or related in any way to the Work. Contractor shall immediately furnish a copy of such bonds to any requesting person who appears to be a potential beneficiary of bonds covering payment obligations arising under any of the Contract Documents. This subsection 6(b) applies only to Contracts of fifty thousand dollars ($50,000.00) or more where the total cost for the project is three hundred thousand dollars ($300,000.00) or more. 7. INDEMNITY a. The Contractor shall indemnify, without limitation, and hold harmless to the maximum extent permitted by law the Owner and its agents and employees from and against any and all claims, damages, losses and expenses, including attorney's fees, arising out of or resulting from the performance or nonperformance of the Work, provided that any such claim, damages, loss or expense (A) is attributable to bodily injury, sickness, disease or death or injury to, or destruction of, property, including the loss of use resulting therefrom; and (B) is caused in whole or in part by any breach of any provision of the Agreement or by any negligent or wrongful act or omission of the Contractor, any Subcontractor, or supplier of the Contractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The indemnification obligation under this paragraph shall not be limited in any way by any limitation of the amount or type of damages, compensation or benefits payable by or for the Contractor or any subcontractor under workers' compensation acts, disability benefits acts or other employee benefit acts. b. The Contractor shall indemnify and hold harmless Owner from any lien of whatever type through the purchase of appropriate bonds and insurance as designated in Section 6 above. In the event any such lien is filed against Owner's property Contractor shall, through such bonds and insurance or at Contractors expense, defend Owner against all such claims of lien. c. Upon completion of the Work the Contractor shall execute an affidavit stating there are no unpaid debts for any work that has been done or materials that have been furnished to the Project prior to and as of the date of substantial completion and further stating that Contractor shall indemnify, save and protect Owner and Owner's lender, if any, harmless from and against any and all claims, 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 such debts and liens. Such indemnification shall be in a form and substance acceptable to Owner. Revised 10/17 4 DocuSign Envelope ID: 7FD1AO11- 9DOA- 45F1- BOCO- FAC46DCE244F d. By executing this Agreement Contractor agrees to abide by and be bound by the indemnification provisions herein and of Section 7(c) specifically. 8. DISPUTE RESOLUTION AND GOVERNING LAW a. 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 eg countyLac. og v /departments /purchasing division/contracts.php). b. The laws of the State of North Carolina shall apply to the interpretation and enforcement of this Agreement. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or nonperformance of, this Agreement or the Contract shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina and it is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. c. Notice of any claim by Owner or Contractor must be initiated by written notice to the other Party within thirty (30) days of the occurrence of the event giving rise to the claim or within thirty (30) days of the discovery of the event or condition giving rise to the claim, whichever is later. i. Should any claim be made, regardless of whether such claim is made by Owner or Contractor, Contractor shall continue to faithfully and diligently perform the Work in such a manner as to meet all scheduled timelines. Any failure to faithfully and diligently perform the Work may be deemed, by the Owner, a breach of the Contract. ii. If a claim is made such claim shall be made to the initial decision maker, if applicable, who may request more supporting data, reject the claim in whole or in part, approve the claim in whole or in part or advise the parties the claim is unable to be resolved. iii. If a claim is made by the Owner the Owner may, but is not obligated to, notify the surety. 9. NON — APPROPRIATION a. 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 mandate. b. 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. c. 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 Revised 10/17 5 DocuSign Envelope ID: 7FD1AO11- 9DOA- 45F1- BOCO- FAC46DCE244F shall automatically terminate without penalty to Owner upon written notice to Contractor of such limitation or change in Owner's legal authority. 10. NOTICES Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Owner: Contractor: Orange County WxProofing, LLC Attn: Jeff Thompson 309 Gallimore Dairy Road, Suite 104 P.O. Box 8181 Greensboro, NC 27409 Hillsborough, NC 27278 Attention: Robert McDowell 11. MISCELLANEOUS a. Duties and Obligations imposed by the Contract Documents shall be in addition to any Duties and Obligations imposed by state, federal or local law, rules, regulations and ordinances. b. No act or failure to act by the Owner or Contractor shall constitute a waiver of any right or duty granted them under the Contract Documents, nor shall any act or failure to act constitute any approval except as specifically agreed in writing. c. The Work shall be tested and inspected as required by the Contract Documents and as required by law. Unless prohibited by law the costs of all such tests and inspections related to state and federal codes such as ADA, Administrative, Electrical, Plumbing, Mechanical and Building Codes shall be borne by the Contractor. The costs for material and structural testing shall be conducted by an independent third party at the expense of the Owner. Delays related to any of the aforementioned tests and inspections shall not be grounds for delaying the completion of the work. If any such tests and inspections reveal deficiencies in the Work such that the Work does not comply with terms or requirements of the Contract Documents and/or the requirements of any code or law the Contractor is solely responsible for the cost of bringing such deficiencies into compliance with the terms of the Contract Documents and/or any code or law. d. Should the Architect, if an architect is retained for the project involving the Work, or Owner reject any portion of the Work for failing to comply with the Contract Documents Contractor shall immediately, at Contractor's expense, correct the Work. Any such rejection may be made before or after substantial completion. If applicable, any additional expense borne by the Architect under this section shall be paid at Contractor's expense. e. The Contractor shall not assign any portion of this Agreement nor subcontract the Work in its entirety without the prior written consent of the Owner. £ 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. g. 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 list created Revised 10/17 6 DocuSign Envelope ID: 7FD1AO11- 9DOA- 45F1- BOCO- FAC46DCE244F by the State Treasurer pursuant to G. S. 147 - 86.58. h. 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 list created by the State Treasurer pursuant to G. S. 147 - 86.81. i. 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 eg countync. og v /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. j. 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 intent of the Parties to comply with Article I I A and Article 40 of North Carolina General Statute Chapter 66. 12. CONSEQUENTIAL AND LIQUIDATED DAMAGES a. Owner and Contractor mutually waive any claim against each other for consequential damages. Consequential Damages include: i. Damages incurred by Owner for loss of use, income, financing, or business. ii. Damages incurred by Contractor for office expenses, including personnel, loss of financing, profit, income, business, damage to reputation, or any other non - direct damages. b. Liquidated damages shall be in accord with the Contract Documents. 13. TERMINATION OR SUSPENSION a. The Owner may, without cause, order the Contractor to terminate, suspend, delay or interrupt the Work in whole or in part for such period of time as the Owner may determine. i. If Owner issues a written order to delay, suspend, or interrupt the Work, and such order is not due to or as a result of any fault on the part of the Contractor or any subcontractor, the Contractor may recover a per diem amount of five hundred dollars ($500.00) per day with a not -to- exceed limit of ten thousand dollars ($10,000.00). ii. In the event of termination by the Owner under this Agreement, the Contractor shall be entitled to receive its reasonable and documented direct costs prior to termination, including the cost of materials purchased for the Work which purchases cannot be canceled or which material cannot reasonably be used by the Contractor on other work, and the cost of closing down the work in a safe and Revised 10/17 7 DocuSign Envelope ID: 7FD1A011- 9DOA- 45F1- BOCO- FAC46DCE244F efficient manner. iii. If Owner elects to suspend or terminate the contract pursuant to subparagraphs 13.a.i. or 13 a.ii. the sole remedy available to the Contractor are those listed in the subparagraphs and Contractor is not entitled to any right to further claims for any amount owed or disputed or for payment of damages alleged to have been sustained as a result of Owner's order to delay, suspend, or interrupt the Work. b. The Owner may, with cause, order the Contractor to suspend, delay or interrupt the Work in whole or in part for such period of time as the cause remains. i. If Owner issues a written order to delay, suspend, or interrupt the Work, and such order is due to or as a result of any fault on the part of the Contractor or any subcontractor, the Owner may reduce payment at a per diem amount of five hundred dollars ($500.00) per day. c. Contractor may terminate the Contract if, at the Owner's written direction, the Work is stopped for twenty one (21) consecutive days through no act or fault of the Contractor, their agents or employees, or a subcontractor or their agents or employees or any other person performing work pursuant to the Contract Documents. Contractor may terminate the Contract if a Court or other Public authority having jurisdiction enters a lawful order that requires all work to be stopped and such stoppage lasts for twenty one (21) consecutive days. 14. ENTIRE AGREEMENT All of the documents listed, referenced or described in this Agreement, the written Notice -to- Proceed, together with Modifications made or issued in accordance herewith are the Contract Documents, and the work, labor, materials and completed construction required by the Contract Documents and all parts thereof is the Work. The Contract Documents constitute the entire agreement between Owner and Contractor. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. If any provision of the Agreement shall be declared invalid or unenforceable, the remainder of the Agreement shall continue in full force and effect. [SIGNATURE PAGE TO FOLLOW] Revised 10/17 8 DocuSign Envelope ID: 7FD1A011- 9DOA- 45F1- BOCO- FAC46DCE244F IN WITNESS WHEREOF, the Parties hereto have executed this Agreement as of the day and date first above written wholly or in a number of counterparts each of which shall, without proof or accounting for other counterparts, be deemed an original contract. ORANGE COUNTY �� rh1y: ! bn tnlL C1LU�Vwt{ V 06J7T24B755E477... ff Signature County Manager CONTRACTOR D' S- 6y: Lt /dfAll.�.�, zGFA2 ?27R.4EC... Signature Robert McDowell, Senior Project Manager Printed Name and Title Revised 10/17 9 DocuSign Envelope ID: 7FD1A011- 9D0A- 45F1- B0C0- FAC46DCE244F WXF WxProofing LLC 309 Gallimore Dairy Road Suite 104 Greensboro, NC 27409 PO Box 8030 Greensboro, NC 27419 (336) 664 -8038 www.WxProofing.com July 31, 2018 Comprehensive Diagnostics. Practical Solutions. Mr. Jeffery E. Thompson (jethompsongoran eg countync.gov) Orange County Director — Asset Management Services 133 W. Margaret Lane Hillsborough, NC 27278 Proposal #: 18 -135r2 Reference: Link Government Center — Below Grade Waterproofing Dear Mr. Thompson, We propose to furnish all necessary labor, materials, equipment, and insurance to complete the work as outlined below. • Below Grade Waterproofing ..................................... ............................... .....................$25,550.00 • Provide & install shoring per detail on sheet EB -1 rev. 1 from Summit Design & Engineering. See attached. • Remove shoring prior to backfill by others. • Notes: • Turned shoring boards vertical as needed per sketch provided by Summit. • Added 2 x 6 x 8' at each 4 x 4 brace. • Added 4 x 4 braces (minimum of 2 per sheet). • Added shoring at stairs. • Finish removing existing waterproofing and prepping surface. • Install Grace Bituthene 3000 waterproofing system with drain mat. See attached. ■ Waterproofing will be installed in two lifts as the trench is approximately 10 feet high. • Check existing foundation drain by running water via garden hose. • Install foundation drain and tie into existing. • Install two downspout leaders and tie into existing. • Note: This proposal is only for the area which has been currently excavated. • Grading ........................................................................ ............................... .....................$34,633.00 • See attached proposal from SUNROCK Carolina Division. • All terms and conditions of the attached proposal apply. • Alternate — Through wall flashing induction above waterproofing ... .....................$19,685.00 • Note: It appears that the existing waterproofing level is above the grade line flashing which could be contributing to the water intrusion issues. • Remove and dispose three courses of existing brick units. Shore as required. • Clean cavity of mortar debris. • Furnish and install new through wall flashing consisting of top termination bar, flexible flashing membrane, cavity closure metal, drip edge metal, counter flashing metal and all appropriate lap splices and end dams. See sketch. • Furnish and install new brick veneer complete with wall ties and cell vent weep outlets spaced at 2'0" centers and in two passes. DocuSign Envelope ID: 7FD1A011- 9DOA- 45F1- BOCO- FAC46DCE244F • Note: This is only above the waterproofing as priced above. • Note: The unit price for this work is $190.00 per linear foot. • TOTAL PROPOSAL ..................... ............................... .....................$79,868.00 We have based our pricing on performance of said work during normal business hours and the owner furnishing suitable utility services required for the restoration process. i.e. water and electricity. Please be advised that all work shall utilize materials and methods in accordance with industry standards. We hope this information meets with your satisfaction and can proceed with signing of an agreement. We look forward to the possibility in working with you on this project. In the meantime, please feel free to contact me if you have any questions concerning the contents of this correspondence or if I can be of further assistance. Very truly yours, p4f Robert McDowell Senior Project Manager WxProofing LLC rmcdowell(aD,wxproofing com Cell: 336- 209 -7202 DocuSign Envelope ID: 7FD1A011- 9D0A- 45F1- B0C0- FAC46DCE244F 11SUNROCK q& Carolina Sunrock (Contracting Division) P.O. Box 5D9 Butner, NC 275D9 Phone: (919) 57 5-3 894 Fax: (919) 57544D1 To: Summit Design & Engineering Contact: Kevin O'Dell Address: Hillsbourgh, NC US Phone: 919 - 732 -3883 Fax: Project Name: Link Building Backfill Bid Number: Project Location: South Cameron Street, Hillsborough, NC Bid Date: Item # Item Description Estimated Quantity Unit Mobilization & General Conditions Mobilization & General Conditions 1.00 LS Total Price for above Mobilization & General Conditions Items: $5,070.00 Grading Backfill Foundation Wall With #57 Stone Up To 2' Below Finished Grade 400.00 TON Backfill Final 2' Of Fill With Stockpiled Dirt Onsite 90.00 CY Fine Grade Area To Drain Away From The Building 115.00 LF Seed And Straw Disturbed Area 0.10 ACRE Total Price for above Grading Items: $25,046.25 Total Bid Price: $30,116.25 Notes: • The Above Prices Assume that all Onsite Material is Suitable Structural Fill and is Located Next to the Hole. Importing Additional Fill will be an Additional Cost. • The Above Price Does Not Include Hauling Off Any Excess Material • Restoring Landscaping and Mulch by Others ACCEPTED: The above prices, specifications and conditions are satisfactory and hereby accepted. Buyer: Signature: Date of Acceptance: CONFIRMED: Carolina Sunrock Authorized Signature: Estimator: Blake Horning (919) 956 -9900 7/31/2018 1:54:29 PM Page 1 of 1 DocuSign Envelope ID: 7FD1A011- 9DOA- 45F1- BOCO- FAC46DCE244F 0 O O C m z O 0 m m m O O z m m D Z O 0 m Cf) G7 Z C Z7 m C m Z m m O 2 m ;7 m z D D Z Z C �7 C m z O Ti w m O m Z m m Z O m 0 O Z r m O 2 m C/) m m O m O C ZJ 0 O C/) m D z O r m z -Ti O D CO m m D m O 70 m C U) m O m D Z O O 0 m m 70 m r_ D Z O m O Z 2 0 O O C m z O C 70 70 m m Z D C 2 O m N D O Z D Z O D 0 D D O Z W N C m v) c> z D Z m Z G) Z m m ;7 Z G) m O m Cn D r r m O C r_ D co F- 0 Cn C 0 m Cn 0 z D Z 0 m Z G7 Z m m z C Cn m n m Cn DocuSign Envelope ID: 7FD1A011- 9D0A- 45F1- B0C0- FAC46DCE244F Esummi-Ir JOB DESIGN AND ENGINEERING SERVICES SHEET NO.— OF — — Creatively Inspired - Technically Executed 504 Meadowlands Drive Hillsborough, NC 27278 CALCULATED BY DATE _ Ph: 919- 732 -3883 Fax: 919 - 732 -6676 www.summitde.net CHECKED BY DATE SCALE. -73- ..Sad. i a DocuSign Envelope ID: 7FD1A011- 9D0A- 45F1- 1B000- FAC46DCE244F 'ACaRL7� CERTIFICATE OF LIABILITY INSURANCE DATE (MM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, O7/31/2018 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 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 Robin Turner NAME: Ascension Insurance Agency (336)665 -7829 FAX (336)907 -2173 AICONNo Ext : No): E -MAIL robin.turner @ascensionins.com 4900 Koger Blvd ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 450 INSURERA: Capitol Specialty Insurance Co 10328 Greensboro NC 27407 INSURED INSURER B: Ohio Security Insurance Cc 24082 INSURER C : Ohio Casualty Insurance Co 24074 WxProofing, LLC INSURER D: $ 5,000 INSURER E: PO Box 8030 INSURER F: Greensboro NC 27419 COVERAGES CERTIFICATE NUMBER: CL1792923876 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 INSD WVD POLICY NUMBER POLICY EFF MM /DD /YYYY POLICY EXP MM /DD /YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR DAMAGE PREMISES (Ea oicc E.Dence $ 100,000 MED EXP (Anv one person) $ 5,000 X Pollution Liability PERSONAL & ADV INJURY $ 1,000,000 A Y CT2017215101 10/01/2017 10/01/2018 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO - POLICY ® PRO ❑ LOC PRODUCTS - COMP /OPAGG $ 2,000,000 Pollution Liability $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y BAS58242107 10/01/2017 10/01/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE Y EV2017215901 10/01/2017 10/01/2018 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ ( Mandatory in NH) N/A XWS58157916 10/01/2017 10/01/2018 PER OTH- STATUTE I I ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ C Leased /Rented Equipment BM058242107 10/01/2017 10/01/2018 Leased /Rented Property $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Orange County is included as an Additional Insured with regard to General, Auto and Umbrella /Excess Liability as required by contract. CERTIFICATE HOLDER CANCELLATION @ 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE PO Box 8181 Hillsborough NC 27278 15�e el @ 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD