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Home My WebLink About2018-388-E AMS - Gonzalez Link Interior Waterproofing RepairDocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 NORTH CAROLINA ORANGE COUNTY CONSTRUCTION SERVICES AGREEMENT UNDER $50,000 THIS CONSTRUCTION AGREEMENT (hereinafter "Agreement "), is made and entered into this 30th day of July, 2018 by and between Orange County, North Carolina (hereinafter the "Owner ") party of the first part; and Gonzalez Painters & Contractors, Inc (hereinafter the "Contractor "), parry 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 25, 2018 through August 31, 2018. The Project Commencement Date shall be July 25, 2018. Dollar Amount Not to Exceed: nine thousand seven hundred fifty dollars ($9,750) 2. SERVICES Contractor agrees to provide the following construction services (the "Work "): interior drywall repair and paint in Link Government Services building lower level for water proofing project, located at 200 S Cameron Street, as detailed in provided proposal dated July 25, 2018. 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 Revised 10/17 1 DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 with the Owner. All personnel engaged in work under this Agreement shall be fully qualified 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 htip: / /www.oran ec�oun!Mc. _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 (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 Revised 10/17 2 DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 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. 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 eg coppt c. og v /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.orangecopntync.gov/departments/Turchasing 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 Revised 10/17 3 DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 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 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] Revised 10/17 4 DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 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 DocuSigned by: UocuSigned by: By _ �6lnJlnil.twtt Y'i� t By _ a637994B755E477..- C71F21F&5t17B6D497 & C ounty ivianager Got.- -. Contractors, Inc 200 S. Cameron St. P.O. Box 8181 4302 Bennett Memorial Road Hillsborough, NC 27278 Durham, NC 27705 Revised 10/17 5 DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 Gonzalez Painters & Contractors Inc. ta4301 Bennett Memorial Road Durham, NC 27705 Phone: (919) 477-6058 00 IZA IJt F%n1rTrL i $a C(]f dT�C:r �, INC Angel Barnes Management Services 200 South Cameron Street Hillsborough, NC 27278 (919) 610 -8182 Interior Painting Section Interior Estimate Job: 2018 - 10554: Angel Barnes 07/25/2018 JOB DESCRIPTION: a) Customer preparation before GPC arrives (recommended to do at least 1 -day before job begins): • Removal of valuable items from work area (small electronics, plants, art work) • Identify preferred access points for GPC staff to enter your home to ensure privacy Identify a safe area to keep your pets and small children while GPC staff is doing the job. b) GPC preparation of work area before painting: • Protect work areas to avoid damage to furniture and fixtures (cover floors, cover light- fixtures /curtains) • For Walls & Non - Textured Ceilings: minor drywall repairs. If major drywall repairs needed, it must be specified as separate item on this estimate (ex: replacement of water - damaged drywall) For Trim: light sanding & minor caulking. If trim replacement needed, it must be specified as separate item on this estimate (ex: Trim is damaged, broken, chewed). c) GPC is not responsible for existing damage in the work area (existing floor /furniture scratches, existing paint on fixtures). d) At completion of Job, GPC will remove all job - related debris, materials and tools to leave the work area in broom -clean condition. The Interior Paint scope is for the following areas: Interior Drywall and Paint Basement office. Drywall. Finish new drywall apply 2 to 3 coats of mud. Spackle Seams Spackle Inside and Outside Corners - Spackle Screw Heads Apply Subsequent Coats - Apply a second coat of compound to all the joints. Allow this second coat to dry before sanding and repeating the process. Leave ready for paint Protect work areas to avoid damage to furniture and fixtures Remove all job - related debris and materials and leave in broom -clean condition Paint. Apply 1 coat of primer and 2 coats of paint. Only at new walls. PAINT PRODUCTS: GPC will use Sherwin Williams (Promar -200) paint products or GPC will use Benjamin Moore (Super Hide) paint products. Customer to choose paint FINISH, GPC recommends: Walls: Flat, Low Sheen, or Eggshell finish, Additional work Price $2,800.00 $2,800.00 Price DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 Hang Drywall. Install new drywall at block walls. Mark Stud Locations If there is wiring or plumbing to avoid, mark those locations as well. - Cut Drywall , cut holes for electrical outlets or lights on ceiling if needed Hang Drywall - Attach metal Corner beading. Includes only labor. Paint hallway walls Repair existing drywall as needed (holes) Paint walls 2 coats. Additional work Build a chase box at hallway (frame and drywall) and prime and paint Paint wall at reception area (in the middle lobby) and repair drywall Paint a new door and frame (prime and paint) Strip paint and prep a door to the receptio area Repair drywall and paint small wall inside of the office Prep and paint Metal roll door $4,450.00 $2,500.00 $6,950.00 TOTAL $9,750.00 DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 TERMS: Gonzalez Painters and Contractors, Inc. to be referred as 'GPC'. The Customer to be referred as 'You'. INSURANCE: GPC has Liability Insurance & Worker's Compensation and it is available upon your request. LIMITED WARRANTY: GPC guarantees that all work executed under this contract will be free of defects in materials and workmanship for one year from the date of final acceptance, all defects occurring within that period shall be repaired or replaced at no cost to the customer. This warranty excludes, and in no event GPC will be responsible for, consequential or incidental damages caused by accident or abuse, temperature changes, settlement, or moisture - including cracks caused by expansion and /or contraction. For Roof Replacement, the warranty is provided in the Roof Section of this estimate. WORK STANDARD: All work is to be completed in a manner according to standard practices. GPC will remain on job premises until completion of project. Work site will be cleaned daily and upon project completion. All agreements may be delayed or suspended temporarily upon unforeseeable and /or force majeure events. CHANGE ORDERS: This estimate is a proposal and your acceptance is subject to GPC approval in order to make this contract biding. Changes (including additional work) to this estimate must be approved by GPC with a new estimate. GPC workers are instructed not to undertake additional work without authorization. Start Date is to be agreed verbally or through e-mail. Change of Start Date may require additional charge. COST: GPC will provide "Materials and Labor" (unless otherwise specified, for example "Labor Only "). PAYMENT: Acceptable forms of payment are cash, check, money order, or credit card. The total on this Estimate is due on the last day of the job. Partial Payments will be requested when the job lasts longer than two weeks. ACCEPTANCE OF ESTIMATE: Customer to indicate acceptance of this estimate by signing below - within 30 days of the date of the estimate. GPC must have a signed estimate to secure a Start Date for the job. Company Authorized Signature Customer Signature Customer Signature Date Date Date DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 A� [ice CERTIFICATE OF L1.4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITL REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the the terms and conditions of the policy, certain policies may require an e certificate holder In lieu of such endorsement(s). PRODUCER STRICKLAND INSURANCE BROKERS INC 400 COMMERCE COURT GOLDSBORO. NC 27534 INSURED (aUNLALEZ PAINTERS & CONTRACTORS 1 4301 BENNETT MEMORIAL ROAD DURHAM, NC 27705 INSURANCE DATE(MMIDDIYYYY) ,BILITY 06/252018 ALJ Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED palicy(ies) must he endorsed. If SUBROGATION IS WAIVED, subject to idorsement. A statement on this certificate does not confer rights to the CONTACT NAME: AROUND THE CORNER INS AGENCY INC SIGNS. Ex t), 919 -286 -9500 FAx 919-286-9501 AJC No EMAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A: ATLANTIC CASUALTY INSURANCE COMPANY 3 INSURER B INSURER C I NISURER D : INSURER E 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 REOUIREMENT, 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. NSR A S - POLICY EFF POLICY ExP LTR TYPE Of INSURANCE POLICY NAJMBER MMJDDlYYYY ICY LIMITS COMMERCIAL GENERAL LIABILITY L001039496 -2 03/1712018 03/172019 EACH OCCURRENCE $ 1,000,000 CLAIMS- MADE � OCCUR _ o_ A GEN'L AGGREGATE LIMIT APPLIES PER X POLICY ❑ LOC OTHER. AUTOMOBILE LIABILITY ANY ALTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAR OCCUR EXCESSLIAO CLAIM DE DED RETENTION WORMERS COMPENSA17ON AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE CFFICERIMEMBEREXCLUDED? NIA (Mandatory In NH) If yes, desc+ibe under DESCRIPTION OF OPERATInmq h.r,w PREMISES EacCwrrence $ 100,000 MED EXP �Ary one perspnl $ 5,000 PERSONAL &ADV INJURY $ 1,000.,000 GENERALAGGREGATE $ 2,000,000 PRODUCTS- COMPIOPAGG $ 1,000.000 E L EACH ACCIDENT $ FL DISEASE -EA EMPLOY $ EL DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 10I, Additional Remarks Schedule, maybe attached if snore apace Is requimd) PER POLICY CERTIFICATE HOLDER ORANGE COUNTY PO BOX 8181 HILLSBOROUGH, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988 -2014 ACORD CORPORATION. All rights rese ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD COM8INE SINGLELM_ Ea accidert. $ BODILY INJURY (Perperson) $ BODILY INJURY (Peraccident) $ PROPERTYDAMAGE Pe a- ld'ent $ UM/UIM EACH OCCURRENCE $ $ AGGREGATE 3 E L EACH ACCIDENT $ FL DISEASE -EA EMPLOY $ EL DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 10I, Additional Remarks Schedule, maybe attached if snore apace Is requimd) PER POLICY CERTIFICATE HOLDER ORANGE COUNTY PO BOX 8181 HILLSBOROUGH, NC 27278 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988 -2014 ACORD CORPORATION. All rights rese ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD t DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 lei' �, �• ,ac - CERTIFICATE OF 1' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY A THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSUR E If SUBROGATION IS WAIVED, subject to the terms and conditi AROUND THE CORNER INS 1431 BROAD ST NC 27705 767HB N7 UKCU GONZALEZ PA =NTERS AND CONTRACTORS TNC 4301 SEENNETT MEMORIAL RD DURHAM NC 27705 LIABILITY INS UMNCE DATE(MMIDDIYYYY) 06/26/2016 ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS MEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE D, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. ons of the policy, certain policies may require an endorsement. A statement ier in lieu of such endorsement(s). CONTACT NAME PHONE FAX AIC, No, Ext : AIC. No E -MAIL ADDRESS: INSURERISI AFFORDING COVERAGE NAIC # INSURERA:TRAVELERS ?ROPERTY CASUALTY COMPANY OF AMERICA INSURER B: INSURER C: INSURER D' INSURER E, INSURER F - -- - i � irurnpen. KEVISIUN NUMBER: THIS IS TO CERTIFY THAT THE PCLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 1NSURED 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, IN ADDL SUBR POLICY EFF POLICY EXP L11 TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMInn1Y4VY1 rmminrir v L:61,1 ERGIAL GENERAL iLIABILI7Y CLAIMS -MADE ❑OCCUR GEN'L AGGREGATE LIMIT APPLIES PER. POLCYO PROJECT ❑ LOC AUTOMOBILE LIABILITY ANY AUTO DWNEOAUTOS SCHEDULED ONLY AUTOS HIREDAUTOS NON -OWNEE ONLY AUTOS ONLY UMBRELLA LIAB OCCUR —iEXCESS LIAR HCLAIMS-MAI )EDl IRETENTION S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED> Y (Mandatory In NHl r 7 yes• describe under L CERTIFICATE HOLDER ORANGE COUNTY PO BOX 8181 HILLSBOROUGH ACORD 25 (2016103) WA I N (6JUB- 9F56581 -2 -18) 03- 18- 18103 -18 -19 may be attached if more space E one RAL AGGREGATE UCTS - COM Plop) 'NED SINGLE LIMIT CIDENT is 1, 000, 000 -EA EMPLOYEE S 1, 00 O, 0 00 - POLICY LIMITS 1.000.000 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE NC 27219 �/_ f Q1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - -- - i � irurnpen. KEVISIUN NUMBER: THIS IS TO CERTIFY THAT THE PCLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 1NSURED 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, IN ADDL SUBR POLICY EFF POLICY EXP L11 TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMInn1Y4VY1 rmminrir v L:61,1 ERGIAL GENERAL iLIABILI7Y CLAIMS -MADE ❑OCCUR GEN'L AGGREGATE LIMIT APPLIES PER. POLCYO PROJECT ❑ LOC AUTOMOBILE LIABILITY ANY AUTO DWNEOAUTOS SCHEDULED ONLY AUTOS HIREDAUTOS NON -OWNEE ONLY AUTOS ONLY UMBRELLA LIAB OCCUR —iEXCESS LIAR HCLAIMS-MAI )EDl IRETENTION S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED> Y (Mandatory In NHl r 7 yes• describe under L CERTIFICATE HOLDER ORANGE COUNTY PO BOX 8181 HILLSBOROUGH ACORD 25 (2016103) WA I N (6JUB- 9F56581 -2 -18) 03- 18- 18103 -18 -19 may be attached if more space E one RAL AGGREGATE UCTS - COM Plop) 'NED SINGLE LIMIT CIDENT is 1, 000, 000 -EA EMPLOYEE S 1, 00 O, 0 00 - POLICY LIMITS 1.000.000 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE NC 27219 �/_ f Q1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 National General► Auto, Home & Health Insurance PO Box 3199 • Winston Salem, NC 27102 -3199 GREEN RIVER PROPERTIES INC 4301 Bennett Memorial Rd Durham, NC 27705 Policy Number: 2005697718 To Whom It May Concern: COMMERCIAL VEHICLE INTEGON INDEMNITY CORPORATION A National General Insurance Company Agency Around The Corner Ins Agy Inc 1431 Broad St Durham NC 27705 (919) 286 -9500 LETTER OF COVERAGE Date: 06/28/2018 Policy Period: 10/11/2017 - 10/11/2018 Driver(s) and Household Residents: 1 Florencio Gonzalez Owner Driver Insured Vehicle(s) and Schedule of Coverage(s): 1 2008 HOND CIVIC EX 1 HGFA16838LO72879 Coverages Provided Limits /Deductibles Bodily Injury 7 $30,000 Each Person / $60,000 Each Accident Property Damage 7 $25,000 Each Accident Uninsured Motorist Bodily Injury 7 $30,000 Each Person / $60,000 Each Accident Uninsured Motorist Property Damage 7 $25,000 Each Accident 2 2017 CHEV SILVERADO C1500 CUSTOM 1GCRCPEClHZ356183 Coverages Provided Bodily Injury 7 Property Damage 7 Uninsured Motorist Bodily Injury 7 Uninsured Motorist Property Damage 7 3 1994 CHEV ASTRO Coverages Provided Bodily Injury 7 Property Damage 7 Uninsured Motorist Bodily Injury 7 Uninsured Motorist Property Damage 7 Limits /Deductibles $30,000 Each Person / $60,000 Each Accident $25,000 Each Accident $30,000 Each Person / $60,000 Each Accident $25,000 Each Accident 1 GNDM19ZXRB135993 Limits /Deductibles $30,000 Each Person / $60,000 Each Accident $25,000 Each Accident $30,000 Each Person / $60,000 Each Accident $25,000 Each Accident Email: CVService @NGIC.com • Fax: 1- 800 - 405 -4302 • Call us toll free: 1- 877 - 468 -3466 Visit us at www.MyNatGenPolicy.com 05923 (09012013) Page 1 of 2 DocuSign Envelope ID: C525D914- C9F9- 41C7- BOB4- 962FB2B66847 Please call us at 1- 877 - 468 -3466 if you have any questions. Sincerely, National General Insurance 05923 (09012013) Page 2 of 2