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HomeMy WebLinkAbout2019-143-E AMS - Boomerang ES remediation design services DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 [Departmental Use Only] TITLE CA Services ES Bldg FY 2018-19 NORTH CAROLINA SERVICES AGREEMENT UNDER$90,000.00 NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter "Agreement"), made and entered into this 1st day of March, 2019, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Boomerang Design, P.A., (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): Construction Administration services for the renovation and remediation of the Phillip Nick Waters Emergency Services building located at 510 Meadowlands Rd, Hillsborough,NC 27278. 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 Revised 12/18 1 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 performance of these services. Provider is solely responsible for the professional quality, accuracy and timely completion and/or submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it and/or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) In determining the basic services to be provided, should any documents be referenced in this Agreement, the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. Should a request for proposals and a proposal be referenced the terms of the request for proposals shall have priority over the terms of any proposal. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Provide Construction Administraction services to oversee the contractor's work to ensure proper construction techniques, materials, equipment, and personnel are employed throughout the duration of the project and monitor the contractor's progress and compliance with the Contract Documents. 4. Duration of Services a. Term. The term of this Agreement shall be from March 1, 2019 to August 30, 2019. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. Revised 12/18 2 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 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 March 1, 2019. 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 Seventy Thousand Dollars ($70,000.00). 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. 6. Responsibilities of the County a. Cooperation and Coordination. 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/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.orangecountVnc.gov/departments/purchasing division/contracts.php). If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of N/A (if no additional insurance required mark N/A Revised 12/18 3 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. The Provider agrees, without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Chanizes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days' prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. Revised 12/18 4 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 e. Suspension. County may suspend the Basic Services and this Agreement at any time for County's convenience and without penalty to County upon three (3) days' notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the 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 eg countync• 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 paragraph is not intended to limit and does not limit the definition of breach to discrimination. d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. Revised 12/18 5 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. 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 IA 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:AMS Boomerang Design, P.A. P.O. Box 8181 6131 Falls of Neuse Rd#204 Hillsborough,NC 27278 Raleigh,NC 27609 [SIGNATURE PAGE TO FOLLOW] Revised 12/18 6 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 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: By f�akuit �a+uwty 3/5/2019 By. p �r1�q 3/4/2019 Cy County Manager Angela Crawford Easterday, AIA Printed Name and Title Revised 12/18 7 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037C1 EB7711 Angel Barnes From: Angie Crawford <ACrawford@thinkboomerang.com> Sent: Monday,January 28, 2019 4:17 PM To: Angel Barnes Subject: A/E Fees for 510 Meadowlands Angel- Right now fees/invoices are around $45K. PDC just sent us their invoice as did REI. Based upon this amount, you might say another $100K. I know this might seem high, but if between the 3 of our companies CA equates up to 20 hours a week (this includes shop drawings, questions, site visits, reports, etc.) for 4-5 months that could be around $70K plus travel and any reproduction expenses. Angie Angela Crawford Easterday, AIA Principal boomerang D E S I G N rethink, repurpose, results visit us at: thinkboomeranq.com acebook IinkedlN direct:(919)573-6403 1 DocuSign Envelope ID: BAM022E-FF90-4319-A182-3037C1 EB7711 Boomerang DESIGN Page 3 of 3 Letter to: J.Thompson October 17, 2018 REIMBURSABLE FEES Mileage Printing Reimbursable Expenses: Actual expenditures made by the Designer, the Designer's employees or the Designer's professional consultants in the interest of the project shall be billed at a multiple of 1.20 times the actual cost. BOOMERANG DESIGN HOURLY RATE SCHEDULE Principal/Senior Architect $175.00 per hour Architect/ Director of Interiors $150.00 per hour Project Manager $125.00 per hour Construction Administrator $115.00 per hour Project Architect/ Project Captain $100.00 per hour Senior Interior Designer $100.00 per hour Architectural Intern/ Interior Design Assistant $ 80.00 per hour Administrative $ 75.00 per hour PAYMENT Invoicing shall be monthly for the work completed to date; accounts shall be past due after thirty (30) days; one and one-half(1.5%) percent per month service fee will be added to past due accounts. Accounts will be adjusted to include legal fees for collection to the extent allowed by law if such fees become necessary. Services for professional consultants engaged for the normal structural, HVAC, plumbing and electrical engineering services at a multiple of 1.20 times the amount billed the Architect for such services. INSTRUMENTS OF SERVICE STATEMENT Drawings, reports and specifications are instruments of service and remain the property of this firm. None are to be used on other projects or extension of this project except by agreement in writing and with appropriate compensation. Sincerely, `�, AL'Or -A �l'�Ul&(Yb l 1v Angela Crawford Easterday,AIA Principal /ace Enclosure DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037C1 EB7711 E N G I N E E R S October 17, 2018 boomerang DESIGN 6131 Falls of Neuse Road, Suite 204 Raleigh,North Carolina 27609 Attention: Ms. Angela Crawford Easterday,AIA Principal Reference: Proposal for Engineering Services Phillip Nick Waters Orange County Emergency Services Center Exterior Walls and Roofing Systems Assessments REI Proposal No. P18RAL-149 Dear Ms. Easterday: In response to our recent discussion and site visit, we are pleased to submit this proposal for your consideration. It is our understanding that this assessment will address the Exterior Walls and Roofing Systems at the Phillip Nick Waters Orange County Emergency Services Center located at 510 Meadowlands Drive,Hillsborough,North Carolina. A summary of the work included in this proposal is as follows: I. VISUAL EVALUATION&PRELIMINARY REVIEW A. Meet with representatives of Client's onsite staff to discuss the history of moisture intrusion problems observed at the Exterior Walls. B. Review available archive/as-built building drawings for referencing building construction and details. C. Perform a visual survey of the building's Exterior Walls and Roof areas with reported moisture intrusion to document as-built conditions and identify conditions that may be contributing to reported moisture intrusion. D. Removal two areas (first floor level and second floor level) of the CMU masonry as necessary to observe the outside face of the interior wall sheathing. Removal and resetting of the CMU units will be done by a waterproofing contractor that specializes in masonry restoration. II. REPORT A. Provide a written report of observations. B. Based on conditions determined through careful review of the Exterior Wall components and Roof Systems components, an outline of necessary or desired remedial procedures will be provided. Engineering solutions for tomorrowTM Page 1 9121 Anson Way, Suite 100 reiengineers.com Raleigh, NC 27615 800.495.9028 DocuSi n Envelope ID: BA5A022E-FF90-4319-A182-3037C1 EB7711 �.I ENGINEERS Proposal No.P18RAL-149 These services will be provided at a fixed cost of Seven Thousand Six Hundred and Eighty Dollars ($7,680.00). Additional services will be provided in accordance with our standard fee schedule(available upon request). Schedule: On-site investigation will be completed within 15 business days of notice to proceed. Report will be issued within 15 business days of investigation. If this proposal meets with your approval, please forward a design contract for review and execution. This proposal will remain firm for a period of thirty (30) days. After that time, we reserve the right to review scheduled commitments and prices. If you have any questions regarding this matter,please do not hesitate to call. Respectfully submitted, REI Engineers Bob Tomlinson,RRC,BECxP Ron McKaskel,RRO Senior Project Engineer Branch Manager Engineering solutions for tomorrow'" Page 2 9121 Anson Way, Suite 100 reiengineers.com Raleigh, NC 27615 800.495.9028 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037C1 EB7711 Progressive Design Collaborative,Ltd Pd 3101 Popicvwood Court, Suite 320 Raleigh, North Carolina 27604 919-790-9989 October 16, 2018 Ms. Angela Crawford, AIA Boomerang Design 6131 Falls of Neuse Raleigh, North Carolina 27609 Re: Orange County Emergency Services— Humidity Investigation Angie: Thank you for asking for Progressive Design Collaborative to work with you on studying the humidity issues at the existing facility. Based on our phone call this one will be hourly with a not to exceed- I am proposing the following services: Services: • Site visit by senior engineer to investigate existing conditions. 4 hours at $175/hour • Review existing drawings 4 hours at $1751hour ■ Run loads for the existing space 6 hours at $1251hour • Report of our findings and recommendations 6 hours at $1751hour • Rough construction budget with estimated construction duration 4 hours at $1751hour • Owner meeting 4 hours at $1751hour Design Fee: $4.600 If you have any questions, please give me a call. Sincerely, �S� '0 W Steve Campbell, P . PROGRESSIVE SIGN COLLABORATIVE, LTD. Attachment: PDC Hourly Rates - 7 - � 6 pdcengineers.com DocuSign Envelope ID: BA5A022E-FF90-4319-Al82-3037Cl EB7711 70BDOMEDE$ ....�...,�. .t.z ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOIYYYY} 1or1s12o1s 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 he 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME* Sheila Walker BB&T Insurance Services, Inc. PHCO H a,:704481-2692 FAX LAX No: 704482-6244 5925 Carnegie Blvd Suite 400 ADDRESS: swalker@bbandt.com Charlotte, NC 28209 INSURER(S)AFFOR0INGCOVERAGE NAiCS 704 954-3000 14990 INSURER A:P""$yws"ia kat�u�Mutual roe Ina Co INSURED INSURER B: Boomerang Design PA INSURER C PO Box 2285 Shelby, NC 28151 INSURER D: 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. 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. �NSR ADOLSU POLICY EFr POLICY EXP TR 'TYPE OF INSURANCE R POLICY NUMBER (MM0DIYYYY) (MM0DIYYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY y BP90670238 2/11/2018 021111201 EACHOCC URRENCE $1 000 000 occuCLAIMS-MADE �OCCUR ppR IEa occurrence) s300 D00 MED ExP(Any one person) $5 000 PERSONAL SADVINJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- Lj POLICY Ll ECT LOC PROpUCTs-COMPIOP AGG s2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y AU9067023$ 7J1112018 4Z1111201 CO ao!Iden SINGLE LIMIT 1,000,000 x ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ HIRED AUTOS ONLY AUTOS x AUTOS ONLY x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY Per accident A X UMBRELLA LIAB X OCCUR Y UL9067023$ 2/11/2018 0211112019 EACH OCCURRENCE s3,000,000 EXCESS LIAR CLAIM MADE AGGREGATE s3,000,000 DEi] x RETENTION$10000 $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y 1 N ANY PROP RIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached tf more space is required) Certificate Holder is automatically listed as Additional Insured IF required in their written contract with the Insured.Blanket Additional Insured Endorsement applies. Project: 510 Meadowlands Assessment CERTIFICATE HOLDER CANCELLATION Orange Count Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S211866481M19444739 BW5 DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037C1 EB7711 ACa� ® DATE(MM/DDNYYY) ��. CERTIFICATE OF LIABILITY INSURANCE 10/19/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT DougFarber NAME: Insurance Management Consultants, Inc. PAHic NN Ext: (704)799-1600 AC No: (709)799-2955 P.O. Box 2490 E-MAIL ADDRESS: doug@imcipls.com INSURERS AFFORDING COVERAGE NAIC# Davidson NC 28036 INSURERA:RLI Insurance Company 13056 INSURED INSURER B Boomerang Design, P.A. INSURERC: 201 S. Washington Street INSURER D: Suite 200 INSURER E: Shelby NC 28150 INSURER F: COVERAGES CERTIFICATE NUMBER:10/31/17 PL/WC Renewals 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGES (RENTED PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL &ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑ N/A A (Mandatory in NH) PSW0001649 10/31/2017 10/31/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Professional Liability xDP0030633 10/31/2017 10/31/2018 Per Claim $1,000,000 Aggregate $1,0 00,0 0 0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION jethompson@orangecountync.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. 131 West Margaret Lane,Ste 300 AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 Jeff Todd/DGF 7;LW" ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037C1 EB7711 A ��0 CERTIFICATE OF LIABILITY INSURANCE DATE(M 02/25//2019 Y) 019 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 Doug Farber NAME: Insurance Management Consultants,Inc. (AHC. o Ext: (704)799-1600 ac,No: (704)799-2955 P.O.Box 2490 E-MAIL cert@imcipls.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Davidson NC 28036 INSURERA: RLI Insurance Company 13056 INSURED INSURER B: Boomerang Design,P.A. INSURER C: 201 S.Washington Street INSURER D: Suite 200 INSURER E: Shelby NC 28150 INSURER F: COVERAGES CERTIFICATE NUMBER: 10/31 PL&WC Renewals 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 ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE CLAIMS-MADE OCCUR PREM SESO(Ea occurrence)l $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) r $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION X STATUTE EORH PER AND EMPLOYERS'LIABILITY Y/N 1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ A OFFICER/MEMBEREXCLUDED? NIA PSW0001649 10/31/2018 10/31/2019 (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 $ Per Claim $1,000,000 A Professional Liability RDP0034244 10/31/2018 10/31/2019 Aggrgate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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,Ste 300 Hillsborough NC 27278 ��/✓ �s�� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037ClEB7711 page 2 of 3 E... Client#:121479 70BOOMEDES GATE(MM10O/yYYY) ACORD., CERTIFICATE OF LIABILITY INSURANCE 01/15/2019 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 an Ihis certlfIcate does not confer any rights to the certificate holder In IIou of such endorsement(s), PRODUCER NNA TAIT E! Charlotte Certificate Team McGriff Insurance Services ABC.NE No,E,a;704 954-3000 � No; 888-751-3197 5925 Carnegie Blvd Suite 400 E-MAIL ccertteam0mcgriff Charlotte,NC 29209 INSURER(S)RFFORi71NG COVERAGE NAIC Y 704 954-3004 14990 INSURER A:Panmylwnla Naavrnl hiuival Cae rra co INSURED — - — — -— - INSURER B: Boomerang Design PA INSURER C., PO Box 2285 INSURER D: Shelby, NC 28151 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, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE: AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE DD UBR pOu Y EFF POLICY EXP LIMBS LTRINSR WVD POLICY NUMBER MMID YYY MMIttO1YVY A X COMMERCIAL GENPRAL LUIBILtTY y 1090670238 2/11/2019 02111/202C EAgCCH OCCURRENCE $1 000 000 CLAIMS-MADE L OCCUR PREM SEs 0occu ence 000,000 MED EXP(Any an person) s 5 ODO PERSONAL&ADV 1N URY $1 000 000 GEN'✓_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000,000 PRO- POLICY❑JECT LOG PRODUCTS-COMPIOP AG s2,000,000 OTHER: $ A AUTOMOBILE LIABILITY y AU90670238 2/11/2019 021I t1202 COMBCNmeO SWGLELIMIT 1,000 OQO x ANY AUTO BODILY INJURY(Per person) $ OWNED SCAUTOS HEDULETI AUTOS ONLY BODILY INJURY{Per accidenS] $ HIRED NON-OWNED PROPERTY❑AMAGE $ X. AUTOS ONLY x AUTOS ONLY Per accoen 5 A X UMBRELLA LIAO NCLAiMS-MADE. 00CUR Y UL9067023$ 11/2019 02/11/202 EACH OCCURRENCE s3 000 000 EXCESS LIAB AGGREGATE s3,000,000 DED I I RETENTION$ WORKERS COMPENSATIbN I'ER OTH- AND EMPLOYERS'LIAaILRY CFMCERIMEMSER EXCLUpE ANY E?EIX17NE E.L.EACH ACCIDENT ❑ N 1A $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is automatically listed as A Did it Iona I Insured IF required in their written contract with the Insured. Blanket Additional Insured Endorsement applies. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Orange County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20O S Caiheron St PO Box 8181 ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough, NC 27278 AUTHORISED REPRESENTATIVE CP 1988-2015 ACORD CORPORATION,All rights reserved. ACORD 25(2016103) 1 of 2 The AC0RD name and logo are registered marks of ACORD 847 #S227486531M22748569 SMWA DocuSign Envelope ID: BA5A022E-FF90-4319-A182-3037C1 EB7711 page 3 of 3 ..,.. .., ..: :... ....................:DESCRIPTIONS INS �anuedfr m Page .= -. -_____--- -_- =___ -_-- _ - Orange County is listed as Additional Insured for General Liability when required by written agreement with the insured on BP04501/06. . . .............................................. -.-.:-.:::,.:_-_:.-..:_::. ---...-.. --.-..-.....,...._.. — - - - - SAGITTA 25.3(2016103) 2 of 2 #S227486531M22748569 84$