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HomeMy WebLinkAbout2018-596-E AMS - RPS Environmental Courthouse sediment control DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF [Departmental Use Only] TITLE DC CourtH Sediment l+Y 17118 NORTH CAROLINA SERVICES AGREEMENT UNDER$90,+000.00 NO RFPIRFQ ORANGE COUNTY This Services Agreement(hereinafter"Agreement"), made and entered into this 14th day of March, 2018, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and RPS Environmental, (hereinafter,the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. I i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): OC Courthouse- JetVac the two storm ceptors as identified in the inspection report dated 61312017. Remove debris from yard inlet and dispose offsite. Stabalize any areas affected due to performing this scope of work and cleanup work area. Demobilize from site. ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent,professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof, Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 4 2. Responsibilities of the Provider � a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance Revised 10117 1 DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF with applicable federal, state and local laws and regulations applicable to the performance of these services, Provider is solely responsible for the professional quality, accuracy and timely completion and/or submission of all work related to the Basic Services.. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County,and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it and/or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) In determining the basic services to be provided, should any documents be referenced in this Agreement, the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. Should a request for proposals and a proposal be referenced the terms of the request for proposals shall have priority over the terms of any proposal. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement arc as follows (fully describe services to be provided): OC Courthouse-JetVac the two storm ceptors as identified in the inspection report dated 6/3/2017. Remove debris from yard inlet and dispose offsite. Stabalize any areas affected due to performing this scope of work and cleanup work area. Demobilize from site, . 4. Duration of Services a. Term. The terns of this Agreement shall be from 3/2.0/2018 to 12/31/2018. b. Schedulinp-of Services. Premised 10/17 2. DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF i) The Provider shall schedule and perform its activities in a timely manner. ii) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. iii) The Commencement Date for the Provider's Basic Services shall be 03/20/2018. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services under this Agreement. The maximum amount payable for Basic Services shall not exceed Four Thousand Three Hundred Fifty Dollars ($4350.00). Payment for Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. G. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Paul Sorrell) to act as the County's representative with respect to the Project and shall have the authority to render decisions within guidelines established by the County Manager and/or the County Board of Commissioners and shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance a. General Requirements. Provider shall obtain,at its sole expense, Commercial General Liability Insurance,Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements(each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing division/cantracts.php}. If County's Disk Manager determines additional insurance coverage is required such additional insurance shall consist of (if no additional insurance required mark Revised 10117 3 DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF NIA as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. The Provider agrees, without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven(7) days' prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. ii} Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. Revised 10/17 4 DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF e. Suspension. County may suspend the Basic Services and this Agreement at any time for County's convenience and without penalty to County upon three (3) days' notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties,responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina.By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified,and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c, Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the Grange County Non-Discrimination Policy and Orange County Living Wage Policy(each policy is incorporated herein by reference and may be viewed at htto://www.oran eg couptync. opartmentslpurchasing division/contracts.phn.} Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County,North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties, Modifications may be evidenced by facsimile signatures. Revised 10117 5 DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Nan-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis. In the event of a change in the County's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects County's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County's legal authority. i. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. j. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail,return receipt requested to the following: Orange County Provider's Name AttentionTaul 'Sorrell RPS Environmental P.O. Box 8181 P.O Box 12121 Hillsborough,NC 27278 Wilmington,NC 284015 [SIGNATURE PAGE TO FOLLOW] f Revised 10/17 5 DocuSign Envelope ID:21062090-0lC4-4767-8741-B555A48854EF IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. ORANGE COUNTY: PROVIDER: DocuSigned by: DocuSigned by: Dye 06379946755E477... By: 56340A98CAF8429... County manager - Jayme McGuire Printed Name and Title Revised 10117 7 DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF R EN+IIRONMENTAL. Pending Repairs: 211x/2018 Orange County—Courthouse Expansion 200 S.Cameron Street Hillsborough,NC Summary of Issues: RPS was asked to provide a proposal to jet/vac 2 StormCeptors to remove sediment as stated in the inspection report by G213esign dated 61312017,The areas of concern are identified below. Scope of Work: Work will consist of the following: ❑ Mobilize to site. • Jet/Vac---Jet/Vac the two StormCeptors as identified in the inspection report dated 06103/2017 by Timothy P.Grady,RLA. Dispose of sediment offsite. • Yard Inlet—Remove debris from yard inlet and dispose offsite. • Stabilize any areas affected due to performing this scope of work and cleanup work area. • Demobilize from site. Total Cost:$4,350.10 - BMP: Hydrodynamic Separator (North) (LOIN TED IN A PA;IX;NG ISLAND A i SOUTHE45T P'%fiPON C)F PARKING!OT N fROW OF CC'URTnOU4 Y m Access , DocuSign Envelope ID:21062O9O-01C4-4767-8741-B555A48854EF RPS EiUViRONMr=[\JTAL :.4 I a M� t.; BMP: Hydrodynamic Separator (South) {LOC'AFED ff^J PA'EMEW AT THE 5C/rr*EAS C Pt+E,�i(7F Pw°K+is'ta LD? ''1 °G{.T G�C OURTI lCIUti f ` a i y Access siM M :mom'• n n$gn Envelope ID:2c 2O9@c-672«-e SA4 bgEF RPS ENVr0NMENT E Clean Out Area Drain Located.at Front of Bmmb§ (L__UAI,!EDWELY w_«e TH6 SULDWGNEAR r e__TH ems mLUNa&mmALA) - : *VIEW OF L=TION OF THE SUBJ ECT AREA DAN YAFIO INLET TO BE COED } � DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF IF�NTAl,. d f z }T B e �e�x x`w . i *Scope of work and the associated pricing along with the attached Terms and Conditions are hereby agreed to by both parties. Aut o ti© �Y r, ignature �Ar Print Name G' 1 r~ Title Date r DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF RPS ENVJRONMENTAL Terms and Conditions 1. RPS will provide a contact for communication between RPS and Customer. Likewise, Customer will provide a singular representative for communication who is authorized to act on behalf of customer. While in the field performing work, RPS crews will answer to RPS management only. It is understood that Customer will contact their designated RPS contact to address any questions or concerns that may arise. Customer acknowledges that RPS crew foremen or on-site employees do not have the requisite authority to bind RPS in any way. Authorized Representative for Customer: Authorized Representative for RPS: 2.Customer is responsible for providing access to the work site.When an access area or method is detailed or described in a bid, it is understood that Customer has confirmed that the access proposed by RPS is acceptable.To the extent that access will require RPS to utilize any portion of property not owned by the Customer, it is agreed that Customer is solely responsible for obtaining written permission from the other property owner(s)for RPS to utilize the property. It is also understood that Customer is solely responsible for providing RPS with written notice of any inherent issues with the access area(s)and work area(s)that are not readily identified.The inherent issues may include, but are not limited to, irrigation pipes, sprinklers,underground tanks, underground utilities that Customer has reason to know are not marked or are not identified on plans/prints provided by Customer to RPS,masked sink holes and areas protected by an agreement,easement or restrictive covenant.RPS is not responsible to the Customer for any damage caused to property damaged by RPS that is inherent and was not disclosed to RPS. THE CUSTOMER IS RESPONSIBLE FOR PRIVIDING RPS WITH A DETAILED IRRIGATION PLAN INCLUDING THE LOCATION OF ALL IRRIGA'T'ION PIPES AND SPRINKLER HEADS OR MARKING ALL IRRIGATION PIPES AND SPRINKLER HEADS IN THE ACCESS AREA(S)OR WORK AREA(S). 3. RPS is not responsible for any permitting, bonding, surveying, as-built certifications,or other fees unless otherwise provided in the scope above or agreed to by the parties in writing. 4.Any change order to the scope of work or modification of the bid or the Terms and Conditions set forth herein must be approved by all parties in writing and is subject to all of the terms and conditions set forth in this Document. 5.After RPS has mobilized to the site, any delays in RPS 'ability to perform the scope of work that are attributable to the customer may result in additional charges including, but not limited to, mobilization charges, DocuSign Envelope ID:21062090-01C4-4767-8741-B555A48854EF RP Gf W IRO N MC—N TAL 6. Customer will pay RPS for the services performed and materials provided as described in the Bid, or as necessary to complete the scope of work described in the bid, along with any change order(s)thereto, Upon completion of the scope of work and any change order(s)thereto,an invoice will be presented to Customer. Unless stated otherwise in the Bid or invoice, full payment is due and payable NET 30 from the invoice date. Late payments shall be subject to a Late Payment Charge of 1.5%(1.5 percent)per month on the past due outstanding balance from date of invoice until paid in full. 7.Customer is to notify RPS in writing of any questions or dissatisfaction Customer may have regarding work performed or the invoicing of the work performed within 10 days of the invoice date. Customer agrees to not withhold full payment of the invoice amount as a result of any dissatisfaction Customer may have with RPS so long as the agreed to scope of work has been performed by RPS. Should Customer withhold payment for any reason and it is determined that payment was wrongfully withheld then RPS shall be entitled to the Late Payment Charge described in numbered paragraph 6 above. 8. Customer's obligation to pay for the services contracted for and materials provided is not dependent upon the Customer's ability to obtain financing,payment from third parties,approval of governmental or regulatory agencies,successful completion of any other particular project,or any other contingencies or conditions, unless expressly set forth in this document. 9.Customer warrants and covenants that sufficient funds are available or will be available upon receipt of the RPS invoice to make payment in full for the services rendered by RPS. 10.Unless stated otherwise in the Bid, RPS provides the sole warranty that the work will be performed in a workman like manner consistent with the agreed to scope. 11.The Terms and Conditions as set forth within along with the scope of work and pricing above supersede and take precedence over any other written agreement or contract between the parties. 12. Should it become necessary for either RPS or Customer to seek legal action to enforce the terms and conditions of the bid,the Terms and Conditions set forth in this Document, the invoice or any other written agreement between the parties then it is agreed that all actions must be brought in New Hanover County,North Carolina and are subject to the laws of the State of North Carolina.The prevailing party in any legal proceeding shall be entitled to reimbursement of their reasonable legal fees,costs and expenses i I r DocuSign Envelope ID:21062O9O-01C4-4767-8741-B555A48854EF P.O. REQUISITION REQUEST FORM DATE: REQUESTED BY: IPaul Sorrell VENDOR NUMBER: VENDOR NAME: Account Number: Building repairs 0-570000 Building Improvements 110240330-800000 0240320-570001 Capita! Equip. DESCRIPTIO ACCOUNT# Contract $TOTAL 7wv (40-6-- Rkwet ofvo YIN $TOTAL $0.00 ty NOTES: f � r�r� f,, I �.�.c�/�.� ��� + �"1�i`�r��r'�► 1'1��ta1S�- �C.{�l'IQ f4id 7(l uok, alp (ITI�e 1-/0 f PO—Req_Frm.xls f; DocuSign Envelope ID:21062O9O-01C4-4767-8741-B555A48854EF Client#:1745716 21 RETENPON ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDl1NYYY) 212812018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONT CT Sylvia Bertz BB&T-Woodbury PHONE -- FAX $77-297-1096 {APB No,Ext): ____ (AIC No 1111 Military Cutoff Road E-MAIL FAX sbertz @6bandt.com Suite 221 Wilmington, NC 2$405 INSURERS)AFFORDING COVERAGE NAIC# - INSURER A:Clulnnell In-ranee Campnny 10677 INSURED INSURER B•clnclnnall Ind a..nycompany 23280 Retention Pond Services Inc. P.O.Box 12121 INSURER C Wilmington,NC 28405 INSURER D: INsuRER E.- INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR (TYPE OF IN ADDL SUBR POLICY EFF POLICY EkP LIMITS LTR S WV_Q_ ____POLICYNUMBER MMIODNYYY MMfDDlYYYY .__ • X COMMERCIAL GENERAL LIABILITY CPP0869233 ----- 10/3112017 101311201 EACH OCCURRENCE $1,000,()00 DAMAGET RENTE7 CLAIMS-MADE F OCCUR PREMISES Ea o[xtq{ertce) $500,000 MED EXP(Any one person) $10,000 PERSONAL a AOV INJURY S 1 000 000 OWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 _ POLICY✓=.I JET LOC PRODUCTS-COMPIOPAGG $2y{IQ 00,0�I�} OTHER: $ - • AUTOMOBILE LIABILITY CPA0869233 - - 10/31/2017 101311201 (EM'tl$DSINGLE LIMIT 1,000,000 IX ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED 80DILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS }( NON-OWNED PROPERTY DAMAGE S AUTOS Per acadent $ A X UMBRELLA LIAR �( OCCUR CPP0869233 10/3112017 10131/201 EACH OCCURRENCE $10000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000,000 OED x RETENTION so $ B WORKERS COMPENSATION EWC0461964 10131/2017 10131/201 X PER OTH- AND EMPLOYERS'LIABILITY A ER ANY PROPRIETOFJPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $1,000,000 OFFICEWMEMBEREXCLUDED? L N NIA (Mandatory In NH) E,L,DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below - ._ _ _.-- ._ E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Addllional Remarks Schedule,maybe attached If more space Is required) CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 S.Cameron Street ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,INC 27278 AUTHORIZED REPRESENTATIVE hsfw '��', yArr�t'afsL f�31988.2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered.marks of ACORD #S795909421M18961701 SYSE