Loading...
HomeMy WebLinkAbout2018-704-E AMS - Summit Design freezer installationRevised 10/17 1 [Departmental Use Only] TITLE PFAP Freezer FY NORTH CAROLINA CONSULTING SERVICES AGREEMENT UNDER $90,000 ORANGE COUNTY This Agreement, made and entered into this 20th day of August, 2018, (“Effective Date”) by and between Orange County, North Carolina a body politic and corporate of the State of North Carolina (hereinafter, the "County") and Summit Design and Engineering Services, (hereinafter, the "Consultant"). WITNESSETH: That the County and Consultant, for the consideration herein named, do hereby agree as follows: ARTICLE 1 SCOPE OF WORK 1.1 Scope of Work 1.1.1 This Services Agreement (“Agreement”) is for professional consulting services to be rendered by Consultant to County with respect to (insert type of project)Piedmont Food & Ag Center Freezer Addition. 1.1.2 By executing this Agreement, the Consultant represents and agrees that Consultant 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. 1.1.3 Time is of the essence with respect to this Agreement. 1.1.4 The services to be performed under this Agreement consist of Basic Services, as described and designated in Article 3 hereof. Compensation to the Consultant for Basic Services under this Agreement shall be as set forth herein. ARTICLE 2 RESPONSIBILITIES OF THE CONSULTANT 2.1 Services to be Provided. The Consultant shall provide the County with all services required in Article 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. 2.2. Standard of Care 2.2.1 The Consultant shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Consultant practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Consultant is solely responsible for the professional quality, accuracy and timely completion and submission DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Revised 10/17 2 of all reports, drawings, specifications, plans, documents and services (hereinafter “Deliverables”) related to the Basic Services. 2.2.2 The Consultant shall be responsible for all errors or omissions, in the deliverables prepared by the Consultant. 2.2.3 The Consultant shall correct at no additional cost to the County any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts in any Deliverables prepared by the Consultant. 2.2.4 The Consultant shall assure that all Deliverables prepared by it hereunder are in accordance with applicable laws, statutes, and that any necessary or appropriate applications for approvals are submitted to federal, state and local governments or agencies in a timely manner so as not to delay the Project. 2.2.5 The Consultant 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. 2.2.6 Any and all employees of the Consultant engaged by the Consultant in the performance of any work or services required of the Consultant under this Agreement, shall be considered employees or agents of the Consultant 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 Consultant. 2.2.7 If activities related to the performance of this agreement require specific licenses, certifications, or related credentials Consultant 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. ARTICLE 3 BASIC SERVICES 3.1 Basic Services 3.1.1 The Consultant shall perform as Basic Services the work and services described herein and as described in Exhibit A - Proposal Dated March 16, 2018 Revised: 7/9/18; 7/12/18. Includes fixed price for design services in the amount of $8,750.00, with an additional $2,000.00 included in contract to cover reimbursables. ARTICLE 4 DURATION OF SERVICES 4.1 Scheduling of Services 4.1.1 The Consultant shall schedule and perform its activities in a timely manner. DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Revised 10/17 3 4.1.2 Should the County determine that the Consultant is behind the agreed upon schedule, it may require the Consultant to expedite and accelerate his efforts, including providing additional resources and working overtime, as necessary, to perform his services in accordance with the approved project schedule at no additional cost to the County. 4.1.3 The Commencement Date for the Consultant's Basic Services shall be August 20, 2018. ARTICLE 5 COMPENSATION 5.1 Compensation for Basic Services 5.1.1 Compensation for Basic Services shall include all compensation due the Consultant from the County for all services under this Agreement except for any authorized Reimbursable Expenses which are defined herein. The maximum amount payable for Basic Services is Ten Thousand Seven Hundred Fifty Dollars ($10,750.00). Payment for Basic Services shall become due and payable in direct proportion to satisfactory services performed and work accomplished. ARTICLE 6 RESPONSIBILITIES OF THE COUNTY 6.1 Cooperation and Coordination 6.1.1 The County has designated Angel Barnes 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 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. 6.1.2 The County shall be solely responsible for determining whether Consultant as satisfactorily completed Tasks. It is agreed that County shall not unreasonably withhold its determination of satisfactory completion of any Task. In the event the amount of an invoice is disputed County may withhold payment until the dispute is resolved by the parties. County may also withhold payment on an invoice until the satisfactory completion of a Task by Consultant. ARTICLE 7 INSURANCE AND INDEMNITY 7.1 General Requirements 7.1.1 Consultant shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers’ Compensation Insurance, Professional Liability Insurance, and any additional insurance as may be required by Owner’s Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/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 DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Revised 10/17 4 applicable). Consultant shall not commence work until such insurance is in effect and certification thereof has been received by the Owner's Risk Manager. 7.2 Indemnity 7.2.1 The Consultant agrees, without limitation, to 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 Consultant 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 Consultant to indemnify the County to the fullest extent permitted under North Carolina law. ARTICLE 8 AMENDMENTS TO THE AGREEMENT 8.1 Changes in Basic Services 8.1.1 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 Consultant. The Consultant shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. ARTICLE 9 TERMINATION 9.1 Termination for Convenience of the County 9.1.1 This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days prior written notice to the Consultant. 9.2 Other Termination 9.2.1 The Consultant 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 Consultant shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. 9.3 Compensation After Termination 9.3.1 In the event of termination, the Consultant 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 Consultant. 9.3.2 Should this Agreement be terminated, the Consultant 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. 9.4 Waiver DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Revised 10/17 5 9.4.1 The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Consultant 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. 9.5 Suspension 9.5.1 County may suspend the work at any time for County’s convenience and without penalty to County upon three (3) days’ notice to Consultant. Upon any suspension by County, Consultant shall discontinue the work and shall not resume the work until notified to proceed by County. ARTICLE 10 ADDITIONAL PROVISIONS 10.1 Relationship of Parties 10.1.1 Consultant is an independent contractor of the County. Neither Consultant nor any employee of the Consultant shall be deemed an officer, employee or agent of the County. Consultant's personnel shall not be employees of, or have any contractual relationship with, the County. 10.2 Limitation and Assignment 10.2.1 The County and the Consultant each bind themselves, their successors, assigns, and legal representatives to the terms of this Agreement. Neither the County nor the Consultant shall assign or transfer its interest in this Agreement without the written consent of the other. 10.3 Governing Law 10.3.1 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. Consultant 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 anti-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.orangecountync.gov/departments/purchasing_division/contracts.php). Any violation of this requirement 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 the definition of breach to discrimination. By executing this Agreement Consultant affirms that Consultant and any subcontractors of Consultant are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. Where applicable, failure to maintain compliance with the requirements of Article 2 of Chapter 64 of the General Statutes constitutes Consultant’s breach of this Agreement. By executing this Agreement Consultant affirms Consultant is in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement, Consultant certifies that Consultant has not been identified, and has not utilized the services of any agent or subcontractor, on the Iran divestment list created by the State Treasurer pursuant to G.S. 147- 86.58 and the Israel boycott list created pursuant to G.S. 147-86.81. DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Revised 10/17 6 10.4 Dispute Resolution 10.4.1 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 and it is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. The Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. Under no circumstances shall any dispute be addressed through binding arbitration. 10.5 Extent of Agreement 10.5.1 This Agreement, together with the Request for Proposals together with attachments distributed by the County and the Consultant’s submitted Proposal, all of which constitute the Contract Documents, represents the entire and integrated agreement between the County and the Consultant and supersedes all prior negotiations, representations or agreements, either written or oral. In the event of a conflict among the terms of the Contract Documents, the priority of documents shall be This Agreement, the County’s Request for Proposals, attachments to the County’s Request for Proposals, the Consultant’s Proposal. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. 10.6 Severability 10.6.1 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. 10.7 Ownership of Deliverables 10.7.1 All Deliverables, together with all supporting materials, source documentation, data collected, field notes, and working drafts, developed in the performance of this Agreement shall become the property of the County and may be used on any other project without additional compensation to the Consultant. The use of the Deliverables 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. 10.8 Non-Appropriation 10.8.1 Consultant 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 Consultant 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. DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Revised 10/17 7 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 Consultant of such limitation or change in County’s legal authority. 10.9 Notices and Signatures 10.9.1 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. 10.9.2 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 Consultant’s Name & Address Attention: AMS Summit Design and Engineering Services P.O. Box 8181 504 Meadowlands Drive Hillsborough, NC 27278 Hillsborough, NC 27278 [SIGNATURE PAGE TO FOLLOW] DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Revised 10/17 8 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. COUNTY: Orange County CONSULTANT: Summit __________________________ ____________________________ County Manager James W. Parker, Jr., PE, PLS Printed Name and Title DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654  March 16, 2018 (EXHIBIT A) Revised: 7/9/18; 7/12/18 Piedmont Food & Ag Processing Center Attn: Eric Hallman 500 Valley Forge Road Hillsborough, NC 27278 Re: Piedmont Food & Ag – Freezer Addition Orange County Tax Parcel PIN 9874315787 Dear Mr. Hallman: SUMMIT is pleased with the opportunity to provide this scope and fee proposal for consulting services for the proposed improvements and new construction at the Piedmont Food & Ag Processing Center on Valley Forge Rd. in Hillsborough, NC. It is our understanding that you are proposing to add a Freezer facility on the east side of the existing building. It is also our understanding that to obtain approval from the Town of Hillsborough for this work that a Zoning Compliance Permit will need to be submitted, reviewed and approved by the Town. We propose to provide the nessesary site Civil and Structural Engineering design drawings and details for these improvements and our proposed full Scope of Work for this project is outlined in the following sections of our proposal. We look forward to working with you to help meet the needs and goals of your business. SCOPE OF WORK Task 1A – Zoning Compliance Permit (ZCP) Site Plan Design Drawings: For the proposed site modification to add the Nitrogen Tank and Freezer expansion SUMMIT will prepare a Plot Plan design drawing in accordance with the requirements of Appendix G of the Town of Hillsborough UDO. This drawing will be included with the ZCP application submittal package as outlined under Task 3 (Permitting and Applications) below. The Plot Plan drawing will include the items as noted under the provisions of Appendix G including property lines and dimensions, existing and proposed structures, offset dimensions of the structures to the property line, streams, creeks and ponds and all other site improvements on the property. (Sidewalks, Drives, Parking, etc.) DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 For the Plot Plan Design the following deliverables are to be provided by SUMMIT with this scope: Deliverables: 1. Cover Sheet 2. Existing Conditions Plan sheet 3. Plot Plan Sheet 4. Site Details Sheet Task 1B – Structural Engineering Services: For this project we propose providing the following structural engineering services: x Research pre-fabricated freezer system (in particular floor insulation systems) x Design a new structural retaining wall type foundation system for the proposed two side-by-side 15’-6” x 20’ x 8’ H exterior freezer boxes. x Provide structural plans and details suitable for permitting and construction of foundation system x Provide note form specifications on the drawings x Provide 2 site visits during construction, to review the footing reinforcement before concrete placement, and to review the wall reinforcement before concrete placement. Task 1C – Electrical Engineering Services: For this project we propose providing the following electrical engineering services: x Provide an assessment of the load requirements for the proposed new side-by-side freezer installation, to determine if the existing freezer electrical service is sufficient. x Provide design for connection to existing service if practical, or a new design for service connection if needed. Task 2 – ZCP Review Process: SUMMIT will follow up with the Town of Hillsborough Planning Director and/or staff to obtain receipt of comments from the Technical Review Committee and other departmental staff. Upon receipt of the review letter and comments, SUMMIT will prepare one (1) set of revised plans and comment responses and submit back to the Town of Hillsborough for action. The scope of work for this Task will include attendance at one (1) TRC meeting. Any additional meetings or revisions required for subsequent review cycles will be done on a time-and-material basis according to the attached Schedule of Standard Rates. DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Task 3 – Permitting and Applications: We anticipate that the following permits will be required for this project and SUMMIT will prepare and submit the applications to be reviewed by each authority. The scope of this task also includes plan/application revisions as may be requested from each authority for minor changes to the plans and documents. Any major changes or requests will be done on a time- and-material basis according to the attached Schedule of Standard Rates: x Town of Hillsborough Zoning Compliance Permit o SUMMIT will prepare and submit the required ZCP permit application and supporting documents to the Town of Hillsborough Planning Department. Task 4 – Opinion of Probable Cost (OPC): Upon acceptance of the Final Concept Plan by the owner/client, SUMMIT will prepare an Engineer’s Estimate/Opinion of Probable Cost (OPC) for the proposed development. This OPC will be based upon the best assumptions that can be made from the Concept Plan at that time. The OPC will be made with the best information available at the time for construction materials and labor costs. Task 5 – Hourly Services: Open task to address any additional miscellaneous services that may be required, additional meetings with the client or regulatory agencies or other items beyond the scope of work in Items 1-4. ASSUMPTIONS & EXCLUSIONS: x Additional services outside this scope of services will be provided if requested by the client for a negotiated lump sum fee or at our standard hourly billing rates under the provisions of Task 5. x This proposal is for the scope of work as specifically outlined in Tasks 1-4 above for the project design and permit approvals only. x This proposal is based upon receipt of a CAD file from the prior Engineering design firm for the project. (CAD file was received on 3/12/2018) CLIENT RESPONSIBILITIES: It shall be the responsibility of the Client to provide the following items: 1. Access to the site. 2. Decisions on critical design issues as necessary in a timely manner. 3. Payment of all invoices per conditions of the agreement. 4. Client/Owner to be responsible for the payment of all regulatory agency fees for plan reviews and permitting, etc. DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 COMPENSATION SUMMIT agrees to provide professional services as outlined above in the Scope of Services. Our fee proposal is based on man-hour projections and applicable billing rates for the scope of work and schedule as described and anticipated for this project. SUMMIT proposes a lump sum fee to be invoiced monthly on a percent complete basis, with payment due upon receipt. SCOPE OF SERVICES FEE TASK 1A – Zoning Compliance Permit/Plot Plan Drawing $1,500 TASK 1B – Structural Engineering Services $4,150 TASK 1C – Electrical Engineering Services $1,000 TASK 2 – Zoning Compliance Permit Town Review Process $1,000 TASK 3 – Permitting (ZCP Permit Only) $500 TASK 4 – Opinion of Probable Cost $600 TASK 4 – Hourly Services $Hourly TOTAL FEES $8,750 Reimbursable expenses shall be paid in accordance with the Rate Schedule and General Conditions, as attached hereto. CONCLUSION This document may serve as an Owner-Consulting Engineers Agreement. Included in the agreement are the standard Hourly Rate Schedule and Conditions of the Agreement. If this proposal is acceptable, please execute and return a copy of the Agreement to this office. Do not hesitate to contact us if you have any questions regarding our proposal. Please give us the opportunity to clarify any details of this proposal or to revise this proposal if it appears that we misunderstood some portion of the scope of services. Respectfully submitted: SUMMIT DESIGN AND ENGINEERING SERVICES, PLLC Timothy A. Smith, PLS, PE Senior Project Manager Attachments: Schedule of Standard Rates DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 Architectural Services Unit Rate Lead Architect$165.00Per Hour Project Manager$130.00Per Hour Project Architect $120.00Per Hour Design Architect$100.00Per Hour Contract Administrator I$110.00Per Hour Contract Administrator II$120.00Per Hour Interior Designer$100.00Per Hour Intern Architect$85.00Per Hour Revit Designer$85.00Per Hour Land Development ServicesUnit Rate Lead Engineer$165.00Per Hour Senior Project Manager$135.00Per Hour Project Manager$130.00Per Hour Associate Project Manager$120.00Per Hour Senior Project Engineer$125.00Per Hour Project Engineer II$120.00Per Hour Project Engineer$110.00Per Hour Engineering Intern$85.00Per Hour Project Coordinator$110.00Per Hour Civil Designer I$75.00Per Hour Civil Designer II$85.00Per Hour Civil Designer III$95.00Per Hour CAD Designer I$65.00Per Hour CAD Designer II$75.00Per Hour CAD Designer III$85.00Per Hour Structural Engineering ServicesUnit Rate Lead Engineer$165.00Per Hour Senior Project Engineer$125.00Per Hour Project Engineer II$120.00Per Hour Project Engineer $110.00Per Hour Engineering Intern$85.00Per Hour CAD/Revit Designer$65.00Per Hour CAD/Revit Designer II$75.00Per Hour CAD/Revit Designer III$85.00Per Hour Survey ServicesUnit Rate Project Manager$130.00Per Hour Senior Project Surveyor$125.00Per Hour Project Surveyor$100.00Per Hour CAD Designer III$85.00Per Hour 1 Man Survey Crew$80.00Per Hour 2 Man Survey Crew$132.00Per Hour 3 Man Survey Crew$150.00Per Hour MiscellaneousUnit Rate Direct ExpensesCost + 15% Senior Project Manager$165.00Per Hour Admin/Clerical50.00$ Per Hour Drilling & Laboratory Rates - Available Upon Request 1. All rates are billed on a portal to portal basis. 2. Scheduling of field services requires no less than 24 hours notice. 3. Prices are in effect for 30 days from the date of the proposal. 4. Rates are subject to a 5% Annnual Escalation. Rev. 3/2018 Schedule of Standard Rates DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 09/27/2018 Business Insurers of Carolinas 800 Eastowne Drive, Suite 208 PO Box 2536 Chapel Hill NC 27515-2536 Crystal Ireland (919) 968-4611 (919) 968-8991 cireland@business-insurers.com Summit Design and Engineering Services PLLC 504 Meadowlands Drive Hillsborough NC 27278 Travelers Indeminity 25658 Phoenix 25623 Travelers Property Cas Co of America 36161 CL1832121689 A 6304K089149 01/01/2018 01/01/2019 1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000 B 810-2J958216 04/02/2018 04/02/2019 1,000,000 Experience Mod Factor 2 C 10,000 CUP4K264429 01/01/2018 01/01/2019 6,000,000 6,000,000 B N UB4K258355 01/01/2018 01/01/2019 1,000,000 1,000,000 1,000,000 Excess Policy over GL, AU, WC Orange County Attn: Angel Barnes 131 West Margaret Lane 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. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DEDRETENTION$ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADEOCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654 10/19/2018 Colonial Insurance Agency Hillsborough PO Box 490 HILLSBOROUGH NC 27278 (919) 732-2191 (919) 732-2192 SUMMIT DESIGN AND ENGINEERING SERVICES PLLC 504 MEADOWLANDS DRIVE HILLSBOROUGH NC 27278 STARR SURPLUS LINES INS. CO.13604 CL1832602710 A Professional & Contractors Pollution Liability SLSL-PRO-262380-18 04/02/2018 04/02/2019 Occurence $5,000,000 Aggregate $5,000,000 Orange County Asset Management Services Angel Barnes 131 West Margaret Lane 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. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DEDRETENTION$ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADEOCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: 3BB200F6-4761-46CD-8B69-0FE9970D5654