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Home My WebLink About2017-715-E AMS - Brown Bros jail drain repair DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C [Departmental Use Only] TITLE Jail Drain Repair FY 2017/2018 NORTH CAROLINA SERVICES AGREEMENT UNDER$90,000.00 NO RFPIRF Q ORANGE COUNTY This Services Agreement (hereinafter "Agreement"), made and entered into this 7th day of December, 2017, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Brown Brothers Plumbing& bleating Company, Inc, (hereinafter, the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): ]ail Shower Drain Repair ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional Revised 10117 1 DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C 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 term of any proposal. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Remove concrete floor slab in pipe chase and excavate from that point to the shower pan outlet and connect. New piping and fittings shall be cast iron. Patch floor cut with concrete of matching thickness as existing. 4. Duration of Services a. Term. The term of this Agreement shall be from 10/11/2017 to 12/30/2017. i b. Scheduling of Services. i) The Provider shall schedule and per£orrn its activities in a timely manner. Revised 10117 2 DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C 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 12/11/2017. 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 Fight Thousand Four Hundred Ninety Three Dollars ($8,493.00). 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/contracts.php). If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. Revised 10/17 3 DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C S. 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. c. 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 Revised 10/17 4 DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C 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 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,oranMcountync.gov/departments/purchasing divisionfcontracts. h .) 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. 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. Revised 10/17 5 DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis. In the event of a change in the County's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects County"s authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County's legal authority. i. 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 I i A 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 Attention:Paul Sorrell ,Leff Addison P.O. Box 8181 PO Box 15668 N Roxboro Hillsborough,NC 27278 Durham,NC 27744 [SIGNATURE PAGE TO FOLLOW] Revised 10/17 6 DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C 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: OocuSigned by: DoccuSigned by: 76 A, N*Mt.YS[" WS&A, By 0637994B755E477... �J OE8BBBSA.77584A.0... County manager Jeff Addison Printed Name and Title i Revised 10/17 7 4 DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C i{ 1 1 ti R .. SINCE 1933 PLUMBING & HEATING COMPANY, INC. E%X QUOTE FROK: BROWN BROTEERS PIXIMING & HEATING. CO. INC. PH.#919-220-2554. . N.C. LIC. #292. . FAX #919-220-2531 DATE: October 19, 2017 ----------------------------------------------------------- JOB tow: Orange County Ja11 Attn: Jeff Tho=sson .Email: jethomPson@co,Orange.no.us f Phone: (919) 245-2655 Location: Hillsborough J Ref; Shower Drain Replacement Scope of Work: Provide ma.terxal and labor to replace drainage for one shower adjacent to pipe chase 17. y Uption One: Remove concrete floor slab in pipe chase and excavate from that point to the shower pare outlet and conaect_ Not piping and fittings sh—.11 be cast. iron. Patch floor scut with concrete of matching thickness as existing. FOR THE PRICE OF: $8,493.00 Option two: (In addition to option one) Pamove and replace stainless shower base to allow access to and replacement of piping. FOR THE ADDITIONAL PRICE OF: $4,31111.00 Labor rates are based on working hours of 7.30 am to A:3D pm weekdays. EXCLUSIONS: Bond Proposal may be withdrawn thdrawn if not accepted within 30 days, PAYNIENTS TO BE MWE AS 3I?01WWS: Monthly r ` AUTHORIZED SIB..,. A sae -- Project Manager PO Box 15668-2820 Noah Roxboro Road-Durham,NC 27704-0668 Telephone(919)220-2554 Fax(919) 220-2531 DocuSign Envelope ID: lA2F6F38-EEE5-4EO8-B32B-FD2AF5679B8C OP ID:DL CERTIFICATE OF LIABILITY INSURANCE DATE 111071201 YYI ��1a7r2Q17 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 CERTI'FICATI=HOLDER. IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED,the policy(les) 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 nut Confer rights to the certificate holder in lieu of such endorsernent(s). PRODUCER CONTACT Tyson Insurance Services,Inc. NAME: Kirk Brown-- PHONE 2609 N Duke St Suite 102 AJC ,,Ext)g919 471-8222 _ FACX Ne:919 471 $Gfl7 P.O-Box E•MAII kbrown t SoninsuranCe.vom. Durham,NCC 27 277Ud- nDaREss: Diane S.Long PUSTTO RID n_BROW13RO — -- -- __ INSURE%$)AFFORDING COVERAGE - ,FIAIGp IrssuftED Brown Brothers Plumbing and INSURER A:Builders Premier Insurance Co. 10844 Heating Company — - -- Z820 N.Roxboro Road INSURER s:Builders Mutual Insurance Co, 10,844 Durham, NC 27704 INSURER C:Admiral Insurance Co. _ 44318 INSURER D:Travelers Prop"Icasualty 36161 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. NO'IWiTHSTANDING 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, IL7R TYPE OF INSURANCE UU POLICY NUMBER MM/DD?YYYT Mi011liDDNYYY LIMITS GENERAL LIABILITY "EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY �PCP0000055 08 1213112016 12/31/2017 �b�€h'E - � PREMISESEaec.u�rence3 5 300,UQ CLAIMS-MADE I��E OCCUR - A1EU EXP[Amone parson $ 10,00 X contractualliab. PERSONALS ADVINJ_UR_Y $ 1,000,00 We X Uctitlle g5Q0, GENERAL AGGREGATE _ f 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S 21000,00 POLICY X-]PRO- LOC - AUTOMOBILE LIA101-n-Y I COMBINED SINGLE LIMIT 8 1,0Q0,00 A X ANY AUTO PCA0006942 06 12/31/2016 12/31/2017 (F.accideni) X ALL OWNED AUTOS BODILY INJURY(Per pemn) 5 SCHEDULED AUTOS BODILY INJURY(Per acdclant) $ _._. X HIRED AUTOS PROPCRTY DAMAGE {PER ALGID€NT) $ X NON•OWNEDAUTOS T) 5 X Deductible -0- s X UMORELLA I" =]ILAIMS-MAIJE EACH OCCURRENCE S 5,000,00 6JLCES3LFA8 r';G' .eraATE g 5,000,00. A UMBO010121 08 12/3112016 1213112017 DEDUCTIBLE i $ X RETENTION 5 10,0t1U S WORKERS COMPENSATION WC STFlTU- OTYi- AND EMPLOYERS'LIABILITY _ X T Y061` B ANY PROPRIETORIPARTNERrEkFCUTIIE YIN VVCP0044365 08 1213112016 12/31/2017 E.L.EACH ACCIDENT s 1,000,00 (1.FFIGEiiRrkEMBER EXCLUf1FD7 N I A IMandalory in NH) C.L.DISEASE-EA EMPLOYFE1 S 1,000,00( II yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 11000100 C Pollution Liam. FEI-ECG-22903-01 08/0312017 03/03/2018 QeclAggr. 2,000,001 D Third Party Crime 1495SES201 01/2012017 01/2012018 100,000 5000,ded. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IANach ACORD 101,AddAlonai Remarks Schedule,it more apace Is required) email to;arooper@orangecountync-.gov CERTIFICATE HOLDER CANCELLATION ORANC07 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.D.Box 8181 Hillsborough, NC 2727$ AUTHORIZED REPRESENTATIVE Diane S.Long , 01988-2009 ACORD CORPORATION. AI righ# reserved. ACOItD 25(200,4109) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: lA2F6F38-EEE5-4E08-B32B-FD2AF5679B8C NOTEPAD _ _th _ _ se �w —. PAGE 2 I hlS UR�[3'S NAME Brawn Brothers Plumbing and OP ID; D E]L nate 1 110712{}'17 The following forms apply if required by written/executed contract, before a lass: Additional Insured for General Liability Ongoing & Completed Operations and Primary & Non Contributory wording; CG7034(07/09) , CG7024(03/09) and CG2001(4/13) . Blanket Additional Insured applies to Contractors Pollution Liability for Ongoing & Completed Operations, when required by written contract, per ECC3200712 and ECC5480712. Designated Insured for Auto Liability; CA2048 (02/99) . Blanket Waiver of Subrogation for General Liability: CG7051 (06/15) . Blanket Waiver of Subrogation for Workers Compensation: WC 000313 (04/84) Blanket Waiver of Subrogation for Contractors Pollution Liability: per CC3190712. Contractors Pollution Liability; Self Insured Ratention $10,000. Contractors Pollution Liability: Mold deductible $25,000. Umbrella follows form, for General Liability, Automobile Liability, & Workers Compensation. A.U, Best Rating A. DocuSign Envelope ID: 1A2F6F38-EEE5-4EO8-B32B-FD2AF5679B8C OP ID:DL CERTIFICATE OF LIABILITY INSURANCE BAT€ 71120171I 1110017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEN, 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(les)most be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statemenl on this certificate does not confer rights to the certificate holder in lieu of such endarsernent s, PR41SUCER CgNTRCT - - Tyson Insurance Services,Inc. NAME: Kirk Brown 2609 N Duke St Suite 102 PHON€ P.v.Box 16734 E"' ;�°earl;9t_9-471-8222 -— w N_a:919 471-68fl7 Durham,NC 27704- AgeREss.kbrown9tysoninsurance.com Diane S.Long PRODUCER B Q,AtF,RID# ROWBRO _ _ INSURER S AFFORDING COVERAGE 1 NAIG# INsuftEq Rroyylt Brothers Plumbing and — NSURERa;Builders Premier Insurance Co. 10844 28 20Heating Company Su 2820 INSURERu: nders MutualCo..Roxboro Road Mutul I C 10844 — .. INsuRER c:Admiral Insurance Co. Durham,TIC 27704 _ 44318 INSURER D:Travelers Property/GasLlal —r_-- 36161 ---- INSURER E: INSURER r: ---— -- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS � CER riFICATE MAY BE ISSUES] 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 - - - - POU LTR TYPE OF INSURANCE ;----1 POLICY NUMBER MM gel E P Ip®ilk LIMITS EACHLIABILITY - - - - - EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY PCPGODO055 00 12/3112016 1213112017�D AG '�ENTE -- -- ��`I aR€IUISFS €�Occur ente 5- 300,04L3 CLAIMS MADE L-!!%-J Occun MEo EXP IwFv one persar,} s J 10,00 X contractual Hatt. PERSONALSADVINJURY S 1,000,00 x Deductible$600. GEN1 RALAGGREGATE S 2,000,00 GEN'L AGGREGAT'IE LIMITAPPLIES PER PRODUCTS-GOMPIOP AG_G S 2,000,00 POLICY X f PRO- F- LOG $ AVTOMOBILE LIA131UTY I COMBINED SINGLE LIMIT A X ANY Aura PCA000694206 12131/2096 12131/2017 (Faamdert) s 1,000,00 BODILY INJURY(per person) X ALL OWNED AUTOS $ SeHEnuL€o nuTos BODILY INJURY(Per aueeni)..s .—.. PROPERTY DAMAGE HIRED AUTOS (PER ACCIDENT) $ X NON-OWNED AUTOS J - - X Deductible -0- ] --- - - s X UMORELLA LIAR X I OCCUR EACH OCCOnRENCE $ 5,000,00 EXCESS LIAR CLAIMS-MACE ,AGGREG ATE $_ 5,000,00 A UMBfl010121 0$ 12/3112016 12131/2017 - DEDUCTIBLE � RETENTION s 10,000 WORKERS COMPENSATION Y)N RY LIMIU T_ _ AND EMPLOYERS'LIABILITY B ANY PROPRIETOROPARTNEWEXECUTiVE WCP0044355 08 12/31/2018 1 W3112017 E-L EACH ACCIDENT $.. 1,000 00 OFFICER)MEMBErd EXCLIJDED7 N 1 A - r [Mandatary in es,descflM!unde r nder a E.L.DISEASE-F-A EMPLOYEE s _ 1,000,000 yy DESCRIPTION OF OPERATIONS bdloar E.L.DISEASE-POL=LIMIT 5 1,000,00 C Pollution Liab, FEI-ECC 22903-01 08103/2017 08103/2018 Occ/Aggr. 2',000,00( D Third Party Crime 96SE8201 01/20/2017 01120/2018 100,000 5000.ded. DESCRIPTION OF OPERATIONS 1 LOCATIONS)VEHICLES(Attach ACORD 101,Additional RalnarRs Schedulo,Ir more space Is requlrady email to;acooper@orangeaountync.gov CERTIFICATE HOLDER CANCELLATION ORANCO7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF, NOTICE WILL OF DELIVERED IN P.O.Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE Diane S.Long , 01988-2009 ACORD CORPORATIQN. AI right reserved, ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 1A2F6F38-EEE5-4E08-B32B-FD2AF5679B8C NOTEPAD - �BROWBRO - PAGE z INSURIZUSNAME Brown Brothers Plumbing and OP ID: DL Dale 1110712017 The following forms apply if required by written/executed contract, before a loss: dditional Insured for General Liability ongoing & Completed Operations and Primary & Non Contributory wording: CG7034(07/DCo Ceted4(perat and CG2001(4/13) , Blanket Additional Insured applies to Contractors Pollution Liability for Ongoing & Completed Operations, when required by written contract, per £CC3200712 and ECC5480712. Designated Insured for Auto Liability; CA2048 (02/99) . Blanket Waiver of Subrogation for General Liability: CG7051 (06/15) . Blanket Waiver of Subrogation for Workers Compensation: WC 000313 (04/84) Blanket Waiver of Subrogation for Contractors Pollution Liability: per ECC3190712. Contractors pollution Liability: Self Insured Retention $1o,000. Contractors Pollution Liability: Mold deductible $25,000. Umbrella follows form, for General Liability, Automobile Liability & Workers Compensation. A.M. Aest Rating A. I