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Home My WebLink About2018-738-E Planning - Hazen and Sawyer Lake Orange Dam Inspection contract amendmentNORTHCAROLINA ORANGECOUNTYCONTRACTAMENDMENT#1 THISCONTRACTAMENDMENT("Amendment")ismade and enteredintothis12thdayofNovember2018byandbetweenORANGE COUNTY(hereinafterreferredtoas"County")andHazenandSawyer,P.C., (hereinafterreferredtoas"Provider"). WITNESSETH: THATWHEREAS,theCountyandProviderenteredintoacontractdated 12July2018(titledSERVICESAGREEMENTUNDER$90,000.00NO RFP/RFQ(L.O.DamInspect.2018)andinternallydesignatedas2018-290), fortheprovisionofservices(LakeOrangeDamInspectionServices2018)to theCounty(hereinafterthe"OriginalAgreement");and WHEREAS,theCountyandProviderdesiretomodifytheOriginalAgreement whilekeepingineffectalltermsandconditionsoftheOriginalAgreementnot inconsistentwiththetermsandconditionssetforthbelow. NOWTHEREFORE,forandinconsiderationforthemutualcovenantsand agreementsmadeintheOriginalAgreementandherein,thepartiesagreeto amendtheOriginalAgreementasfollows: 1.TheTermoftheOriginalAgreementfoundin section 4(a) is hereby amendedto befrom July12, 2018 to December31, 2018; and, 2.Exceptforthechangesmadeherein,theOriginalAgreementshallremain infullforceandeffecttotheextentitisnotinconsistentwiththis Amendment. INTESTIMONYWHEREOF,thisAmendmenthasbeenexecutedbythe partieshereto,asofthedatefirstabovewritten. ORANGECOUNTY:PROVIDER: BonnieHammersley,CountyManagerChristopherPhillips, P.E.AssociateVP| 112318 v1 DocuSign Envelope ID: 9B3E4DCD-E515-4478-B6AB-CB885F37A67E DocuSign Envelope ID:9B3E4DCD-E515-4478-B6AB-CB885F37A67E A�� ® DATE 12018 fYYYY) CERTIFICATE OF LIABILITY INSURANCE a6lzslzDle 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL_INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of Such endorsement(s). PRODUCER CONTACT Marsh USA,Inc. NAME: FA1C-- ------ 1166 Avenue of the Americas PHONE A Nei: New York,NY 10036 MRLEft Attn:NewYork-certs@Marsh.oDm Fax:(212)94&0540 INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Hartford Fire Insurance Company 19682 INSURED HAZEN AND SAWYER INSURER B:Hartford Casual Insurance CompAny 29424 498 SEVENTH AVENUE INSURER c:Twin Cily Fire Insurance Oompgny 29459 NEW YORK,NY 10018 INSURER D:Zurich Anericarl Insurance Corriggy 16535 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-410311127-01 REVISION NUMBER: 3 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. ILTR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP Man VWVD POLICY NUMBER M n YY M b LIMITS A X COMMERCIAL GENERAL LIABILITY 10 UUN 000890 030 018 0312912019 EACH OCCURRENCE $ 1,000,000 AGETO CLAIMS-MADE �OCCUR PRE"'El Me,occu D $ MED EXP(A,ny one -an $ 10,ODD PERSONAL 3 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY JECOT- F—]LOG PRODUCTS-COMPIOPAGG $ 2.000.000 OTHER: $ B AUTOMOBILE LIABILITY 1OUENUU0960(ADS) 031291201$ 0312912019 COMBINED SINGLE LIMIT $ 1,000,0M Ea acrid n A X ANY AUTO 1OUENAN2667(MA) 03QM018 03129/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Par accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY P r acci sn Comp.IColl.Deductible $ 1,000 X UMBRELLA LIAR X OCCUR AUC-5747241.05 03/2912018 0312912019 EACH OCCURRENCE $ 1,OXODO EXCESS L1AB CLAIMS-MADE AGGREGATE $ 1,000,I)DO DE 1 X I RETENTION$10 000 __. $ C WORKERS COMPENSATION 10 WB AT3837 0312912019 X PER U 0TH- AND EMPLOYERS'LIABILITY YIN STAT rE ANYPROPRIETORIPARTNERIEXECUTIVE � NIA E.L.EACH ACCIDENT _ _ $ 1,000,000 OFFICERIMEMBEREXCLUE - - -- (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $ 1,Op0,000 If yes,desenbe under 1 , DESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 1 01,Additional Remarks Schedule,may be attached K more space is required) Orange County Planning and inspections Department is included as additional insured(except workers'compensation)where required by written eanuact. CERTIFICATE HOLDER CANCELLATION Orange County Planning and Inspections SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Depariment THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELRIERED IN PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. 131 W.Margaret Lane Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee O 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03] The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:9B3E4DCD-E515-4478-B6AB-CB885F37A67E HAZE&SA-01 ACC7R[7 CERTIFICATE OF LIABILITY INSURANCE DATE(MMI201YI 07fOT101 8 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER C NTACT p �_t�IAME. — Ames&Gough - PHONE ---. .. -...--.- FAX 8300 Greensboro Drive (AIC,Mo,Ex_tl:(703)827-2277 (ARC,Nv;(i Y93 _I 827-2219 Suite 980 Ea"I I admin amos OLI h.com McLean,VA 22102 INSURE AFFORDING COVERAGE _ NAICF INSURER A.Continental CasualtV Companv MINIM A XV 20443 INSURED INsuRER B:Ironshore Specialty Insurance Company,A 25445 Hazen and Sawyer INSURER C: 498 Seventh Avenue INSURER D: Mew York,NY 10018 INSURETL E: INSURER F: COVERAGES CERTIFICATE N MBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER[DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE .WOOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3 CLAIMS-MADE ]OCCUR DAMAGE TO RENTED S(Ek MEO EXP(Any one rson PERSONAL&_AOV INJURY - GEN'L AGGREGATE LIMIT APPLIES PER GENERAL_AGGREGATE _ POLICY El Ppa ❑LOC PRODUCTS-COMPIOP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT `ANY AUTO BODILY INJURY(Per Person) S OWNED SCHEDULED AUTOS ONLY AUTOS yyy p BODILY INJURY Per accident S At TOS ONLY AllTOS f7NLY �I�OPERpYt GE S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE OED FT-RETENTION WORKERS COMPENSATION 57ATUTE OTH- AND EMPLOYERS'LIABILITY YIN CA�N�Y PROPRIIET6OERR+PARTNERIEXECUTIVE E.L..EACH ACCIDENT (MFandaED MirMiHI{}EXCLUDED? NIA EL DISEASE-EA EMPLOYE IT yyes,deswbe under _-- _- OESCRIPTION OF OPERATIONS be E.L DISEASE-POLICY LIMIT S _ A Professional Liab ;AEHDO8231489 03129/2018 0312912019 Per ClaimiAggregate 1,000,000 B Cyber Liability 002880201 08/0912017 08/0912018 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addi"rml Remarks Schedule,may be attached ff more space is required) CERTIFICATE HOLD CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Coon Planning&Ins Inspections Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g County J p P ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 131 W Margaret Lane Hillsborough,NC 2727$ 1 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD