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HomeMy WebLinkAbout2019-260-E AMS - Sasser Companies DA remediation DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 NORTH CAROLINA CONSTRUCTION SERVICES AGREEMENT UNDER$50,000 ORANGE COUNTY THIS CONSTRUCTION AGREEMENT (hereinafter "Agreement"), is made and entered into this 30th day of April, 2019 by and between Orange County, North Carolina (hereinafter the "County" and/or "Owner") party of the first part; and Sasser Companies, Inc. (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: April 30, 2019 through June 30, 2019. The Project Commencement Date shall be April 30, 2019. Dollar Amount Not to Exceed: Thirty One Thousand One Hundred Forty Three Dollars ($31,143.00) 2. SERVICES Contractor agrees to provide the following construction services (the "Work"): Provide all labor and materials for - Remove existing caps on both chimneys, clean the brick and mortar, point and repair and damaged or missing brick, repair brick wash around top of chimneys, rework and seal roof flashing, relocate both restroom vents to roof, install new standing seam copper chimney caps. Provide soil remediation and vapor barrier installation within the crawl space. 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 Revised 12/18 1 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 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. 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 eg counrDc. 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 Revised 12/18 2 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 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 AND OWNER'S REPRESENTATIVE 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. The County has designated(Angel Barnes)to act as the County's representative with respect to the Work 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. 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 ec�ountync. 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 Revised 12/18 3 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 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 hlt2://www.oranaecogRtnc.gov/departments/Turchasing 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. 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 B tituit.�Iauuwty 4/29/2019 B w S,SSW 4/27/2019 YE P9, yCQ RAirr County Manager Sasser Companies, Inc 200 S. Cameron St. PO Box 10 P.O. Box 8181 Whittset,NC Hillsborough,NC 27278 27377 Revised 12/18 4 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 ORANGECOUNTY NORTH CAROLINA DISPUTE RESOLUTION RULES AND PROCEDURES FOR ORANGE COUNTY DESIGN,BUILDING CONSTRUCTION,RENOVATION,AND REPAIR PROJECTS RULE 1.INITIATING MEDIATED SETTLEMENT CONFERENCES A.Purpose of Mandatory Settlement Conferences.Pursuant to G.S.§143-128(f1)and 143- 135.26(11),these Rules are promulgated to implement a mediated settlement program designed to focus the parties'attention on settlement rather than on claim preparation and to provide an opportunity for orderly settlement negotiations to take place. Nothing herein is intended to limit or prevent the parties from engaging in settlement procedures voluntarily at any time prior to or during commencement of the dispute resolution process. B.Initiating the Dispute Resolution Process 1.Any party to a County public construction contract(referred to herein generally as the "Contract")governed by Article 8.Ch. 143 of the General Statutes and identified in G.S.§143- 128(f1)and who is a party to a dispute arising out of the Contract and the construction process in which the amount in controversy is at least$15,000 may submit a written request to the County for mediation of the dispute. 2.Prior to submission of a written request for mediation to the County,the party requesting mediation should give notice of any and all claims in accordance with their respective contracts, obtain decisions on the claims as required or allowed by their respective contracts,and attempt to resolve the dispute according to the terms and conditions in their respective contracts.The Mediator may adjourn any mediated settlement conference if the Mediator believes,in his or her sole discretion,that the parties have not satisfied all of the terms and conditions of their respective contracts and that doing so will enhance the prospects for a negotiated settlement. C.Condition Precedent to Litigation.Before any party to a Contract may commence a civil action against the County seeking remedies for breach or non-performance of the Contract by the County,said party must first initiate the dispute resolution process under these rules and attend and participate in good faith in the mediated settlement conference. RULE 2.SELECTION OF MEDIATOR A.Mediator Listing.A List of Mediators acceptable to the County is maintained by the County Attorney and that list is incorporated by reference into these Rules. B.Selection of Mediator.The party requesting mediation shall select a Mediator from the List of Mediators and shall file,with the County,a Notice of Selection of Mediator within 21 days of the request for mediation.Such notice shall state the name,address,and phone number of the Mediator selected. If Revised 10/17 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 the Mediator selected is not available or declines to participate for any reason,the requesting party shall select another person from the List of Mediators.If the party requesting mediation does not select and designate a mediator within 21 days of the request for mediation,the County shall have the right in its absolute discretion to appoint a mediator from its List of Mediators. C.Disqualification of Mediator.Any party may request replacement of the Mediator for good cause. Nothing in this provision shall preclude Mediators from disqualifying themselves. RULE 3.THE MEDIATED SETTLEMENT CONFERENCE A.Where Conference is to be Held. Unless all parties and the Mediator otherwise agree,the mediated settlement conference shall be held in county seat of Orange County.The Mediator shall be responsible for reserving a place,making arrangements for the conference,and giving timely notice of the time and location of the conference to all attorneys,unrepresented parties and other persons or entities required to attend. B.When Conference is to be Held.The mediation shall be completed within 90 days after selection of the Mediator unless all parties to the mediation agree to a different schedule. C.Request to Accelerate or Extend Deadline for Completion.Any party or the Mediator may request the County to accelerate or extend the deadline for completion of the conference.Such request shall state the reasons the acceleration or extension is sought and shall be served by the moving party upon the other parties and the Mediator.Objections to the request must be promptly communicated to the County and to the Mediator. The County,with the concurrence of the designated Mediator,may grant the request by adjusting the time for completion of the conference. D.Recesses.The Mediator may recess the mediation conference at any time and may set times for reconvening.If the Mediator determines the time and place where the conference is to reconvene before the conference is recessed,no further notice is required to persons present at the conference. E.Project Delay.The mediated settlement conference that results from a construction contract dispute shall not be cause for the delay of the construction project. RULE 4.DUTIES OF PARTIES AND OTHER PARTICIPANTS IN FORMAL DISPUTE RESOLUTION PROCESS A.Attendance. 1.All parties to the dispute must designate an official representative to attend the mediation. 2."Attendance"means physical attendance,not by telephone or other electronic means.Any attendee representing a party must have authority from that party to bind it to any agreement reached as a result of the mediation. 3.Attorneys representing parties may attend the mediation,but are not required to do so. Revised 10/17 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 4.Sureties and insurance company representatives are required to physically attend the mediation unless the Mediator and all of the other parties to the mediation excuse their attendance or consent to their attendance by telephone or other electronic means. 5.The parties who attend a duly scheduled mediation conference shall have the right to recover their share of the Mediator's compensation from any party or parties who fail to attend the conference without good cause. B.Finalizing Agreement.If an agreement is reached in the conference,the terms of the agreement shall be confirmed in writing and signed by all parties. C.Payment of Mediation Fee:Mediation Fees charged by the Mediator shall be paid in accordance with G.S.§143-128(f1). D.Failure to Compensate Mediator.Any party's failure to compensate the Mediators in accordance with G.S.§143-128(f1)shall subject that party to a withholding by the County of said amount of money from the party's payment or any other moneys owed by that party to the County. Should the County fail to compensate the Mediator,it shall hereby be subject to a civil cause of action from the Mediator for the County's portion of the Mediator's total fee as required by G.S.§143-128(f1). RULE 5.AUTHORITY AND DUTIES OF MEDIATORS A.Authority of Mediator. 1.Control of Conference.The Mediator shall at all times be in control of the conference and the procedures to be followed. 2.Private Consultation.The Mediator may communicate privately with any participant or counsel prior to and during the conference.The fact that private communications have occurred with a participant shall be disclosed to all other participants at the beginning of the conference. 3.Scheduling the Conference.The Mediator shall make a good faith effort to schedule the conference at a time that is convenient with the participants,attorneys and Mediator.In the absence of agreement,the Mediator shall select the date for the conference. 4.Determining good cause for a party's failure to appear at a scheduled mediation conference. B.Duties of Mediator. 1.The Mediator shall define and describe the following at the beginning of the conference: a.The process of mediation. b.The difference between mediation and other forms of conflict resolution. c.The costs of the mediated settlement conference. d.That the mediated settlement conference is not a trial,the Mediator is not a judge, and the parties retain their legal rights if they do not reach settlement; however,the Revised 10/17 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 Mediator will advise all parties that failure to appear at mediation without good cause may result in imposition of sanctions and may be asserted as a bar to lawsuits by claimants who have failed to exhaust this administrative remedy. e.The circumstances under which the Mediator may meet and communicate privately with any of the parties or with any other person. f.Whether and under what conditions communications with the Mediator will be held in confidence during the conference. g.The inadmissibility of conduct and statements as provided by G.S.§7A-38.1(1). h.The duties and responsibilities of the Mediator and the participants. i.That any agreement reached will be reached by mutual consent. 2. Disclosure:The Mediator has a duty to be impartial and to advise all participants of any possible bias,prejudice or partiality. 3. Declaring Impasse:The Mediator may determine at any time during the mediation conference that an impasse exists and that the conference should end. 4. Reporting Results of Conference.The Mediator shall submit a written report to the County and the other parties within 10 days of the conference stating whether or not the parties reached an agreement.The Mediator's report shall indicate the absence of any party from the mediated settlement conference without permission or good cause. 5.Scheduling and Holding the Conference. It is the duty of the Mediator to schedule the conference and conduct it prior to the deadline of completion set by the rules.The Mediator shall strictly observe deadlines for completion of the conference unless said time limit is changed by agreement of the parties. RULE 6.COMPENSATION OF THE MEDIATOR The parties shall compensate the Mediator for mediation services at the rate proposed by the Mediator and agreed to by the parties at the time the Mediator is selected. RULE 7.RULE MAKING These Rules may be amended by the County at any time.Amendments will not affect mediations where claims and/or requests for mediation have been filed at the time the amendment takes effect. RULE 8.DEFINITIONS A."County"shall mean Orange County North Carolina. B."Project Designer"is that person or firm stipulated as project designer in the Contract Documents for the project. Revised 10/17 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 C."Claim"is a demand or assertion by a party seeking adjustment or interpretation of Contract terms, payment of money,extension of time or other relief with respect to the terms of the Contract.The term "Claim"also includes other disputes and matters in question between the parties to a Contract involved in the County's building construction renovation and repair projects arising out of or relating to the Contract or the construction process.Claims must be initiated by a written notice.The responsibility to substantiate Claims shall rest with the party making the Claim. D."Good Cause"generally includes any circumstance beyond the control of a party,which prevents that party from meeting obligations.When good cause is asserted as an excuse for a party's failure to appear at a mediation conference or to otherwise comply with the requirements of these Rules,the Mediator, in his or her sole discretion,will determine whether good cause exists to excuse the party's failure to appear or otherwise comply with these rules. RULE 9.TIME LIMITS A.Any time limit provided for by these Rules may be waived or extended at the sole discretion of the County,if no Mediator has been selected,and at the discretion of the County with concurrence of the Mediator if a Mediator has been selected. Revised 10/17 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 Contract Startup Checklist It is the responsibility of each agency to ensure all contractual obligations are met and contract monitoring is documented. This checklist serves as a tool to assist the agency during that process. (Include in the contract monitoring folder/binder.) Completed By: Angel Barnes Department:AMS Contract Begin/End Date:4/21 thru 6/30/19 Name of Vendor/Contractor: Sasser Companies Contract Management Activities YES NO N/A General Does the contract file contain a copy of the signed, executed current contract? X Does the contract file have a copy of all attachments listed in the contract? X Does the contract file have all bid addendums? X Does the contract file contain contact information and a call log for Contractor's key X personnel? Does the contract file contain a copy of Dispute Resolution Rules and Procedures? X Does the contract file clearly state the Contractor's "Legal Notices" address? X Does the contract file include a copy of the insurance certificate? X Does the contract file contain any necessary licenses, certifications, etc.? X Does the contract file contain all warranty information? X Does the contract file contain all specifications, drawings or manuals incorporated into X the contract by reference? Does the contract file contain a list of all information furnished to the contractor during X bidding? Does the contract file contain a list of government furnished property or services? X Signatures: Q Capital Projects Manager �K�a Date 5/2/2019 g Q }avn nv 5/3/2019 Asset M mt. Services Director D ate 5 vtaM1 5/3/2019 Deputy County Manager �A9 Date Note: Once all signatures are received on contract and checklist, notice to proceed shall be issued. Version 1 3/20/2019 Page 1 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 Angel Barnes From: Shawn Cassell <shawnc@sassercompanies.com> Sent: Friday, January 04, 2019 6:09 PM To: Angel Barnes Cc: Kevin Sasser Subject: Chimney Quotes Angel, the following is the budget numbers for the chimney repairs .One chimney on the BOE Building will need some extensive repair .The other chimneys will not need this amount of repair .We based our budget numbers from this one chimney .The scope and budget numbers are as follows BOE Building - (4 chimneys) 1 - Remove existing caps 2 - Clean brick and mortar 3 - Point up and repair any damaged or missing brick 4 - Repair brick wash around top of chimneys 5 - Install clear waterproofing sealant on entire chimney 6 - Rework and seal roof flashing 7 - Install new standing seam copper chimney caps 8 - lift rental 9 - Supervision Total Budget - $30,200.00 DA Building- (2 chimneys) 1 - Remove existing cps 2 - Clean brick and mortar 3 - Point up and repair any damaged or missing brick 4 - Repair brick wash around top of chimneys 5 - Install clear waterproofing sealant on entire chimney 6 - Rework and seal roof flashing 7 - Relocate bath vent to roof 8 - Install new standing seam copper chimney caps 9 - lift rental 10 - Supervision Total Budget - $18,100.00 Please let me know if you need anything additional. Thanks, i DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 Shawn Cassell shawnc(a)sassercompanies.com/336-516-4725 Sasser Companies Office:844-449-1144/Fax:336-449-1151 7237 Pace Drive I Whitsett,NC 27377 http://www.sassercompanies.com 2 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 TMI ' I Orange County District Attorney's Office 144 E Margaret Ln. Hillsborough, NC. 27278 December 18, 2018 Dear Ms. Barnes, Thank you for the opportunity to provide you with a proposal for the Orange County DA's office located at 144 E Margaret Ln. Hillsborough,NC. The project is generally described as crawl space soil remediation, and vapor barrier. The attached description will detail all items included in our scope of work. The items of work required to complete the crawl space soil remediation and vapor barrier located at 144 E Margaret Ln. Hillsborough, NC will be performed for The Total Investment of $10,784.36. Thank you, Kevin Sasser President Office (336) 449-1144 Cell (336) 516-5140 kevin2(a),sassercompanies.com Phone: (336)449-1144 PO Box 10,Whitsett NC 27377 Fax: (336)449-1151 www.SASSERCOMPANIES.com DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 Orange County District Attorney's Office 144 E Margaret Ln. Hillsborough, NC. 27278 December 18, 2019 GENERAL CONDITIONS Site supervision Dumpster Clean up CRAWLSPACE Material and labor to remove and dispose of all debris in crawlspace, remove the top layer of soil where fungal growth is visible using industry procedures to prevent the likelihood of fungi, bacteria and dust at the remediation areas from entering the building envelope. Install an 8 mil white reinforced vapor barrier over 100% of the crawlspace sealed at the seams and along the edges at the foundation wall. ITEMS NOT INCLUDED Any work other than noted above Page 12 DocuSign Envelope ID:CB3A5C75-8281-47AC-85EF-3ADE6B082159 SASSCOM-01 DEIAKER ,d►C�►e�- CERTIFICATE OF LIABILITY INSURANCE DATE{MMI°DIYYYYJ 02107/2019 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rig hts to the certificate holder in lieu of such endorsements). PRODUCER License#1000009384 Co NA TncT Hub International Carolinas PHONE EAx PO Box 939 Arc,No,Ft):(336)228-0541 wc,No:(868)590-4281 Burlington,NC 27216 E--MAIL INSURERS AFFORDING COVERAGE NAICR _ INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B:Accident Fund General Insurance Company .12304 Sasser Companies Inc INSURER C: P 0 Box 10 INSURERD: Whitsett, NC 27377 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, INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXPLTR L1AIrT5 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE l "I OCCUR S 2253759 0210112019 02/01/2020 DAMAGE TO RENTED $00,000 MED EXP(Any one arson s 15,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE a 3,000,000 POLICY PE OT LOG PRODUCTS-COMPIOP AGG 3,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 x ANY AUTO S 2253759 02/01/2019 02/01/2020 BODILY INJURY Per arson OWNED SCHEDULED AUTOS ONLY AUTOS E BODILY INJURY Per accident AUTOS ONLY Al]TOS ONLY Pea'.'; nt AMAGE S S A )C UMRRELLA UAB x OCCUR EACH OCCURRENCE 10,000,000 EXCESS UAB CLAIMS-MADE S 2253759 02(01/2019 02/01/2020 AGGREGATE 10,000,000 QED RETENTION$ 13 WORKERS COMPENSATION PER 07H AND EMPLOYERS'LIABILITY YIN WCV6139124 02101/2019 0210112020 1,000,000 � ANY PRO PRIETORIPARTNERIEXECuI IVE ❑ NIA E.L EACH ACCIDENT $ QFFIGERIM MBER EXCLUDED? 1'000,000 andatory�n NFi] E-L DISEASE-EA EMPLOYE $ Ifyes,describe under 11000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE"-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Orange County is an additional insured under the General Liability for work performed by the named insured for such additional insured,if required by contract signed by an authorized representative of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 y ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ACORD 25(2018103) 01988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD