HomeMy WebLinkAbout2019-045-E AMS - Triangle Office for Library additional offices DocuSign Envelope ID:65EDE2B8-3578-4B96-9EDC-73B4CA12AFB5
NORTH CAROLINA CONSTRUCTION SERVICES
AGREEMENT UNDER$50,000
ORANGE COUNTY
THIS CONSTRUCTION AGREEMENT (hereinafter "Agreement"), is made and entered
into this 1 lth day of February, 2019 by and between Orange County, North Carolina (hereinafter
the "Owner") party of the first part; and Triangle Office Equipment (hereinafter the
"Contractor"), party of the second part;
WITNESSETH:
For the purpose and subject to the terms and conditions hereinafter set forth, the Owner
hereby contracts for the construction services of the Contractor, and the Contractor agrees to
provide the construction services to the Owner in accordance with the terms of this Agreement.
1. TERM AND MAXIMUM AMOUNT PAYABLE
Beginning and ending dates of contract: February 4, 2019 through March 15, 2019. The
Project Commencement Date shall be February 4, 2019. Dollar Amount Not to Exceed: Seven
Thousand Nine Hundred Fifty One Dollars and Ninety Six Cents ($7,951.96)
2. SERVICES
Contractor agrees to provide the following construction services (the "Work"): Provide and
install office walls per quote dated January 21, 2019.
Contractor shall not sub-contract all or any part of the construction services provided for in
this Agreement without prior written approval of the Owner. Contractor shall be responsible for
all errors or omissions, in the performance of the Agreement. Contractor shall correct any and all
errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to
Owner. Contractor is solely responsible for obtaining all permits necessary to complete the
Work in compliance with local, state, and/or federal law. The Contractor is responsible for all
physical damage to owned or rented machinery, tools, equipment, forms, and other items owned,
rented or used by the Contractor and/or Subcontractor(s) in the performance of the Work
including all of Owner's property in Contractor's care, custody, or control, and all such property
while it is in transit.
3. PAYMENT
Contractor shall submit an invoice for construction services provided. The invoice shall
contain Contractor's name and federal tax identification number and shall be signed and dated by
an officer of Contractor. It shall detail all construction services provided in payment requests.
The Owner will make payments to Contractor within thirty (30) days after receipt of and
approval of the invoice by the contracting department.
In the event the amount stated on an invoice is disputed by Owner, then Owner may
withhold payment of all or a portion of the amount stated on an invoice until the parties resolve
the dispute. In addition, should Contractor fail to perform its duties under the terms of this
Agreement, Owner may, without fault or penalty, withhold any payment associated with the
Work to be performed until such time as said work is completed.
Revised 12/18 1
DocuSign Envelope ID:65EDE2B8-3578-4B96-9EDC-73B4CA12AFB5
4. RELATIONSHIP OF PARTIES
Contractor is an independent contractor of the Owner. Contractor represents that it has or will
secure, at its own expense, all personnel required in performing the construction services under
this Agreement. Such personnel shall not be employees of or have any contractual relationship
with the Owner. All personnel engaged in work under this Agreement shall be fully qualified
and shall be authorized or permitted under state and local law to perform such construction
services. It is further agreed that Contractor will obey all State and Federal statutes, rules and
regulations which are applicable to provisions of the construction services called for herein.
Neither Contractor nor any employee of the Contractor shall be deemed an officer, employee or
agent of the Owner.
5. SUSPENSION AND TERMINATION
This Agreement may be terminated by Contractor upon thirty (30) days' written notice to the
Owner, and the Owner may terminate this Agreement upon thirty (30) days' written notice to
Contractor. Owner may suspend the Work at any time for Owner's convenience and without
penalty to Owner upon three (3) days' notice to Contractor. Upon any suspension by Owner
Contractor shall discontinue the Work and shall not resume the Work until notified to proceed by
Owner. The notice required by this section or any other notice shall be delivered via certified
mail, return receipt requested to the parties at the addresses as shown on the signature page to
this Agreement. Such notice is deemed given upon its delivery to, or deposit in a receptacle of,
the United States Post Office.
6. INSURANCE REQUIREMENTS
Contractor shall obtain, at its sole expense, Commercial General Liability Insurance,
Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may
be required by Owner's Risk Manager as such insurance requirements are described in the
Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage
Requirements (each document is incorporated herein by reference and may be viewed at
http://www.oran ecountync. og v/departments/purchasing_division/contracts.php). If Owner's Risk
Manager determines additional insurance coverage is required such additional insurance shall be
designated here N/A (if no additional insurance required mark N/A as being not applicable).
Contractor shall not commence construction work until such insurance is in effect and
certification thereof has been received by the Owner's Risk Manager.
7. INDEMNIFICATION
Contractor agrees, without limitation, to defend, indemnify, save, and protect Owner and
Owner's lender, if any, harmless from and against any and all claims, liens, liabilities, losses,
damages, causes of action, and expenses (including court costs and reasonable attorney's fees
related thereto) arising out of, in connection with, or resulting from any negligence, act or failure
to act by the Contractor, the Contractor's agents, assigns or employees resulting in property
damage or personal injury, including death, or other loss related to the Work. Contractor is
responsible for all errors or omissions caused by its agents, contractors, employees, or assigns in
the performance of this Agreement. It is the intent of this section to require Contractor to
indemnify the Owner to the full extent permitted under North Carolina law.
8. NON-ASSIGNMENT
Revised 12/18 2
DocuSign Envelope ID:65EDE2B8-3578-4B96-9EDC-73B4CA12AFB5
Contractor shall not assign all or any part of this Agreement, including rights to payments, to
any other party without the prior written consent of the Owner.
9. NON—APPROPRIATION
Contractor acknowledges that Owner is a governmental entity, and the validity of this
Agreement is based upon the availability of public funding under the authority of its statutory
mandate. In the event that public funds are unavailable and not appropriated for the performance
of Owner's obligations under this Agreement, then this Agreement shall automatically expire
without penalty to Owner immediately upon written notice to Contractor of the unavailability and
non-appropriation of public funds. It is expressly agreed that Owner shall not activate this non-
appropriation provision for its convenience or to circumvent the requirements of this Agreement,
but only as an emergency fiscal measure during a substantial fiscal crisis.
In the event of a change in the Owner's statutory authority, mandate and/or mandated
functions, by state and/or federal legislative or regulatory action, which adversely affects
Owner's authority to continue its obligations under this Agreement, then this Agreement shall
automatically terminate without penalty to Owner upon written notice to Contractor of such
limitation or change in Owner's legal authority.
10. DISPUTE RESOLUTION
Any dispute with respect to any provision of, or the performance or non-performance of, this
Agreement shall be subject to the Dispute Resolution Rules and Procedures for Orange County
Design, Building Construction, Renovation, and Repair Projects. The policy is incorporated
herein by reference and may be viewed at
http://www.oran e�tync. o�partments/purchasing division/contracts.php).
11. ENTIRE AGREEMENT
The parties have read this Agreement and agree to be bound by all of its terms, and further
agree that it, together with specifically referenced documents, constitutes the complete and
exclusive statement of the Agreement between the parties unless and until modified by a written
amendment to this Agreement signed by the parties. Modifications may be evidenced by
telefacsimile signatures. Should any conflict arise in the terms of any documents referenced
herein and this Agreement the terms of this Agreement shall be given priority and shall control
over all other such documents. Should a request for proposals and a proposal be referenced the
terms of the request for proposals shall have priority over the terms of the proposal.
12. COMPLIANCE WITH LAW/GOVERNING LAW
Both parties agree that this Agreement shall be governed by the laws of the State of North
Carolina and any action brought under this Agreement shall be brought in the General Court of
Justice of the State of North Carolina in Orange County. Contractor shall at all times remain in
compliance with all applicable local, state, and federal laws, rules, and regulations including but
not limited to all state and federal non-discrimination laws, policies, rules, and regulations and
the Orange County Non-Discrimination Policy and Orange County Living Wage Policy(each
policy is incorporated herein by reference and may be viewed at
http://www.oran ec�ountync. ov�/departments/purchasing division/contracts.php). Any violation
of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may
immediately terminate this Agreement without further obligation on the part of the County. This
Revised 12/18 3
DocuSign Envelope ID:65EDE2B8-3578-4B96-9EDC-73B4CA12AFB5
paragraph is not intended to limit and does not limit the definition of breach to discrimination.
By executing this Agreement Contractor affirms that Contractor and any subcontractors of
Contractor are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina
General Statutes. By executing this Agreement Contractor certifies that Contractor has not been
identified, and has not utilized the services of any agent or subcontractor identified, on the lists
created by the State Treasurer pursuant to G.S. 147-86.58 and G.S. 147-86.81. This Agreement
together with any amendments or modifications may be executed electronically. All electronic
signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and
intent of the Parties to comply with Article I IA and Article 40 of North Carolina General Statute
Chapter 66.
IN WITNESS WHEREOF Orange County and the Contractor have signed this agreement,
effective as of the day and date first above written.
ORANGE COUNTY CONTRACTOR
0 Sig—by: Docusigned by:
By��a�t'hmmun 1/30/2019 fi 36V'LS 1/28/2019
een� � By �
�srssaai
County Manager Triangle Office Equipment
200 S. Cameron St. 300B South Elliot Rd
P.O. Box 8181 Chapel Hill,NC
Hillsborough,NC 27278 27514
Revised 12/18 4
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Triangle Office Equip►neld Prepared For: Andrea Tullos o
orange County Public Library W
3008 South Elliott Rd 137 W.Margaret Lane Prepared By: Madison Dail w
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Chapel Hill, NC 27514 Rep Trey]ones
P:919-929-4203 F:919-929-7647 Hillsborough,NC m
www.triangleofficeequipment-com P: 919.245.2529 Rep Phone: 919-291-1998 9"
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Item QTY Product A
1 ESI 2VT-LX-C48-30-E Victory LX HT.ADJ w/Adjustable Cross Channel(42.7-71")w/29" $514.50 $514.50
j Feet, BLACK Finish LT N
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2 1 TRW SIZFLDTOP3066 RECTANGULAR DESK TOP 3066 INT $213.18 $213.18
]LAMINATE SELECTION .1 GRADE I HIGHEST GRADE THERMOFUSED LAMINATE
TOP COLOR .1B TOP GRDI WOOD GRAIN THERMOFUSED LAMINATES
AIN LAMINATE COLORS XZ3 EMPIRE MAHOGANY
'SURFACE EDGE COLOR .1B GRDI WOODGRAIN VINYL EDGE COLORS
IN VINYL EDGE COLORS XZ3 EMPIRE MAHOGANY
3 1 TRW SICCLEGS C-LEG SHORT $153.68 $ 153.68
BASE TRIM COLOR X CHARCOAL
4 1 TRW ZFMP612W INT LAMINATE 3/4 MOBILE PED W/CNTRBLNC WGHT,6/12,22D X $381.90 $381.90
15 I/2W X 23H
PULL STYLE L CLASSIC APPLIED PULL
]LAMINATE SELECTION .1 GRADE 1 HIGHEST GRADE THERMOFUSED LAMINATE
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UNIT COLOR .1B UNTf-GRDl WOOD GRAIN THERMOFUSED LAMINATES - - m
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AIN LAMINATE COLORS XZ3 EMPIRE MAHOGANY 0D
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TOP COLOR 1B TOP GRDI WOOD GRAIN THERMOFUSED LAMINATES 0
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AIN LAMINATE COLORS m EMPIRE MAHOGANY 0000
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SURFACE EDGE COLOR AB GRDI WOODGRAIN VINYL EDGE COLORS 4
IN VINYL EDGE COLORS .XZ3 EMPIRE MAHOGANY co
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DOOR COLOR AB DOOR GRDI WOOD GRAIN THERMOFUSED LAMINATES �.o
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AIN LAMINATE COLORS .XZ3 EMPIRE MAHOGANY n
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OPTION-SILVER LOCK R RANDOM 00
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$ f TRW ZFSR2442.H.EP.F INT RETURN W/HALF MOD&GMT, FULL END PNL, 24D X 42W $234.08 $234.08 D
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]LAMINATE SELECTION 1 GRADE 1 HIGHEST GRADE THERMOFUSED LAMINATE
TOP COLOR 1B TOP GRDI WOOD GRAIN THERMOFUSED LAMINATES
AIN LAMINATE COLORS XZ3 EMPIRE MAHOGANY
'SURFACE EDGE COLOR AB GRDI WOODGRAIN VINYL EDGE COLORS
IN VINYL EDGE COLORS X7-3 EMPIRE MAHOGANY
BASE COLOR AB BASE GRDI WOOD GRAIN LAMIINATES
AIN LAMINATE COLORS -XZ3 EMPIRE MAHOGANY
I TRW ZFP1212 INT LAMINATE MODULAR PEDESTAL, 12/12 $308.94 $308.94
PULL STYLE L CLASSIC APPLIED PULL
}LAMINATE SELECTION .1 GRADE 1 HIGHEST GRADE THERMOFUSED LAMINATE
UNIT COLOR AB UNIT GRDI WOOD GRAIN THERMOFUSED LAMINATES
AIN LAMINATE COLORS .XZ3 EMPIRE MAHOGANY
DOOR/DRAWER COLOR JB DRAWER GRDI WOOD GRAIN THERMOFUSED LAMINATES
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AIN LAMINATE COLORS XZ3 - EMPIRE MAHOGANY - - m
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OPTION-SILVER LOCK R RANDOM 0D
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7 1 TRW ZFP1212 INT LAMINATE MODULAR PEDESTAL, 12/12 $308.94 $308.94 m
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PULL STYLE L CLASSIC APPLIED PULL 00
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UNIT COLOR AB UNIT GRDI.WOOD GRAIN THERMOFUSED LAMINATES p
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AIN LAMINATE COLORS XL3 EMPIRE MAHOGANY w
W
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DOOR/DRAWER COLOR AB DRAWER GRDI WOOD GRAIN THERMOFUSED LAMINATES D
AIN LAMINATE COLORS XL.3 EMPIRE MAHOGANY y
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OPTION-SILVER LOCK R RANDOM W
8 1 TRW RDTTF38.8C ROUND TRAINING TABLE,STD HEIGHT,W/CASTERS,30" DIA $295.62 $295.62
I-PRESSURE LAMINATES GRIL GRADE 1 LAMINATES
.LAMINATES/PATTERNS .1 LAMINATES W/MATCHING VINYL EDGE
IG VINYL EDGE COLORS )2A EMPIRE MAHOGANY 38
TRIM COLOR .T2 TEXTURED TRIM COLORS
TEXTURED TRIM COLOR T1 TEXTURED STUCCO
fL EDGE COLOR TABLES W7 EMPIRE MAHOGANY
9 1 RFM 1535 Evolve Managers High Back Task.Chair $319.68 $319.68
Multi-furiction 05 control,ratchet back,seat slider
25A-Vertical&Horizontal adjustable°-I"arm
Grade C Fabric
SKIP-Mushroom
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10 Z9 TRW SP — Sound Parking — - $7.68 $ 145.92 m -
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11 2 TRW TFP Floor Plate, 12` $24.64 $49.28 W
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Trim Color .] Stucco 0°
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4 TRW TSB Straight Base Trim, 12'Length $17.28 $69.12 0
12
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Trim Color .] 5tu0co n
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2 TRW TWC09 Wall Channel Condition Kit,9'and less $46.40 $92.80 y
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Trim Color M Textured Trim Colors
Textured Trim Color M Textured Stucco
14 2 TRW TCS Straight Crown,12' $37.76 $75.52
Trim Color .T2 Textured Trim Colors
Textured Trim Color M Textured Stucco
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2 TRW SITEPIC09 Inside Corner Pilaster,9'and less $41.60 $83.20
Ceiling Height .108 108 inches
plus Fraction .0 none
Grade Selection GOB Textured Vinyls
Textured Vinyl Colors X49 Textured Stucco
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- 1 TRW WCSCO9 Comer Condition,Standard,9'and less— -- $56,00 $56.00 - o
16
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Ceiling Height 108 108 inches N
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plus Fraction .0 none
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Grade Selection Outside GOB Textured Vinyls o0
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Textured Vinyl Colors .V49 Textured Stucco rn
Trim Color .T2 Textured Trim Colors m
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Textured Trim Color TJ Textured Stucco w
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Base Trim Color 71 Smooth Trim Colors D
Smooth Trim Color .] Stucco
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1 TRW VVPF1809 Filler Panel, 18"centerline width $ 10].84 $107.84 W
Ceiling Height .108 108 inches
plus Fraction .0 none
Grade Selection .V Vinyl/Com Both Sides
Side 1-GradelPattem GOB Textured Vinyls-Shc
Textured Vinyl Colors .V49 Textured Stucco
Side 2-Grade/Pattern GOB Textured Vinyls-Sd2
Textured Vinyl Colors V49 Textured Stucco
Trim Color .T2 Textured Trim Colors
Textured Trim Color T1 Textured Stucco
18 1 TRW WPF3009 Filler Panel.30"centerline width $180.16 $ 180.16
Ceiling Height .108 108 inches
plus Fraction .O none
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-Grade Selection .V - Vinyl/Corn Both Sides - - - m
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Side 1-Grade/Pattern GOB Textured Vnyls-Sd1 rn
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Textured Vinyl Colors .V49 Textured Stucco 0
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Side 2-Grade/Pattern GOB Textured Vinyls-Sd2 oWo
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Textured Vinyl Colors .V49 Textured Stucco
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Trim Color T2 Textured Trim Colors 0°
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Textured Trim Color M Textured Stucco `.o
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1 TRW WPS18O9 Solid Panel, 18"centerline width $ 107.84 $ 107.84 9
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Panel Width .18 18 inches y
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Panel Height .108 108 inches
plus Fraction .0 none
Grade Selection .V Vriyl/Com Both Sides
Side 1-Grade/Pattem GOB Textured Vinyls-Shc
Textured Vinyl Colors .V49 Textured Stucco
Side 2-Grade/Pattern .GOB Textured Vinyls-Sd2
Textured Vinyl Colors .V49 Textured Stucco
Trim Color T2 Textured Trim Colors
Textured Trim Color T7 Textured Stucco
5 TRW WCSSO9 Straight Condition,Standard,9'and less $51.20 $256.00
Ceiling Height .108 IOB inches
plus Fraction .O none
Grade Selection .05 Vinyl Same Vinyl All Sides
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-All Sides-Gradefflattem - .GOB Textured Vinyls-Ali
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Textured Vinyl Colors V49 Textured Stucco rn
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Punchouts .1 Punchouts m
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Punchouts Side 1 CN No Punchout
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Punchouts Side 2 CN No Punchout
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:omponent Mounting K'd .1 Mounting Kit 0°
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Mountng Kit Side 1 NKI No Kit `.o
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Mounting Kit Side 2 NK2 No Kit n
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—Base Trim Color —31 Smooth Trim Colors 00
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Smooth Trim Color _a Stucco D
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21 I TRW WPGW4809 Glazed Panel,Window Light,48"centerline width $406.08 $406.08 w
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Pane[Width .48 48 inches
plus Fraction .0 none
Ceiling Height .108 108 inches
plus Fraction 0 none
Grade Selection V Vinyl(Com Both Sides
Side 1-Grade/Pattern GOB Textured Vinyls-Sdi
Textured Vinyl Colors V49 Textured Stucco
Side 2-Grade/Pattem GOB Textured Vinyls-Sd2
Textured Vinyl Colors V49 Textured Stucco
Door Height .7H 7 Foot 0 Inch Door
Glazing Options G2 TW Tempered Glass 0ption
ered Glass Color options TO3 Tempered Glass
Trim Color T2 Textured Trim Colors
Textured Trim Color TJ Textured Stucco,
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- Panel Options PO No Opening - - - m
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2 TRW WPGH4$09 Glazed Panel,Hi Light,48"centerline width $413.44 $826.88 0D
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Panel Width .48 48 inches
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plus Fraction .0 none
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Ceiling Height .108 108 inches
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plus Fraction .0 none n
Grade Selection .V Vinyl/Cam Both Sides V
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Side 1-Grade/Pattern GOB Textured Vinyls-Shc D
Textured Vinyl Colors V49 Textured Stucco y
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Side 2-Grade/Pattem GOB Textured Vinyls-Sd2 co
Textured Vinyl Colors V49 Textured Stucco
Door Height .7H 7 Foot 0 Inch Door
Glazing Options G2 TW Tempered Glass Option
ered Glass Color Options J03 Tempered Glass
Trim Color .72 Textured Trim Colors
Textured Trim Color .T] Textured Stucco
Panel Options PO No Opening
23 1 TRW WDSLL4809 48"cntrline 34 3/4"clear opening Sliding floor Section, Left Hand,8' $ 1,S64.80 $ 1,564.80
1/4"h to Th
Panel Height .108 108 inches
plus Fraction .0 none
Grade Selection .V Vinyl/Com Both Sides
Side 1-GradelPattem GOB Textured Vinyls-Shc
Textured Vinyl Colors V49 Textured Stucco
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Side 2-Grade/Pattem GOB -Textured Vinyls-5d2 - - - m
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Textured Vinyl Colors .V49 Textured Stucco 0D
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Door Height .7H 7 Foot 0 inch Door m
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Door Type FL Full Light T
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Door Surface Color .V Vinyl Covered Door
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Vinyl Color .1 Smooth Vinyl Colors co
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Smooth Vinyl Colors .AS3 Russian Maple `.o
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Door Glazing Options GIZ TW.25 Tempered Door Glass Option n
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ered Glass Color Options 32A Tempered Glass 00
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Door Hardware .18L 18"Post Pull(12"co)w/Lock(non SFIC) D
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Key Set AK Random Q
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Trim Color T2 Textured Trim Colors
Textured Trim Color TI Textured Stucco
Base Trim Color 71 Smooth Trim Colors
Smooth Trim Color J Stucco
Installation Installation $ 1,200.00 $ 1,200.00
$7,451.96
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The attached quotation is good for 60 days. Any drawing or specification revisions are subject to re-quote at the current pricing in effect at the time of order. `D
The above quote, drawing,and specifications should be reviewed carefully before ordering. All orders are custom and can not be returned unless a 400A)
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restocking fee is applied.
Triangle Office's design and sales team have made ry effort to complete accurate plans and specifications. End User approval and signature is required mp
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DocuSign Envelope ID:65EDE2B8-3578-4B96-9EDC-73B4CA12AFB5
A ��0 CERTIFICATE OF LIABILITY INSURANCE DATE(M 10/30//2018 Y)
018
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 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 Patty Miller
NAME:
Business Insurers of Carolinas PHONE
Ext: (919)968-4611 IX No: (919)968-8991
800 Eastowne Drive,Suite 208 E-MAIL pmiller@business-insurers.com
ADDRESS:
PO Box 2536 INSURER(S)AFFORDING COVERAGE NAIC#
Chapel Hill NC 27515-2536 INSURERA: Tri-State Ins Co of Minnesota 31003
INSURED INSURER B: Acadia Insurance Company 31325
Triangle Office Equipment,Inc. INSURER C:
PO Box 2372 INSURER D:
INSURER E:
Chapel Hill NC 27515 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL18103023879 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE RENTE
CLAIMS-MADE Fx_] OCCUR PREM SESO(Ea occurrence) $ 300,000
MED EXP(Any one person) $ 10,000
A Y ADV435917042 11/01/2018 11/01/2019 PERSONAL&ADV INJURY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
JECT
OTHER: Employee Benefits $ 1,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
(Ea accident)
X ANYAUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED CNA4359171-42 11/01/2018 11/01/2019 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED HNON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
Underinsured motorist BI $ 1,000,000
UMBRELLA LIAB _r"`"""` 1,000,000
X OCCUR EACH OCCURRENCE $
B EXCESS LAB CLAIMS-MADE CNA4359171-42 11/01/2018 11/01/2019 AGGREGATE $ 1,000,000
DED I RETENTION $ Follows form GL/AL/WC $
WORKERS COMPENSATION X1 SPERTATUTE EORH
AND EMPLOYERS'LIABILITY YIN 1'000'000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
B OFFICER/MEMBER EXCLUDED? N NIA WCA4359172-42 11/01/2018 11/01/2019
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Hired Auto Physical Damage
B CNA4359171-42 11/01/2018 11/01/2019 Limit/ACV $65,000
deductible $1,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Certificate holder is included as additional insured in reference to the General Liability policy per written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Orange County ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 8181
AUTHORIZED REPRESENTATIVE
131 West Margaret Lane
Hillsborough NC 27278 �j �,
Wh-
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