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HomeMy WebLinkAbout2019-270-E AMS - Mobile Communications change order request DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 ORANGE COUNTY NORTH CAROLINA Asset Management Services Date: May 7, 2019 Project: Emergency Services Remediation PSAP Removal & Installation This contract amendment is to decrease the contract amount by $6,236.25 Background: In April, 2019 Mobile Communications was awarded a contract for the removal of the Watson Console furniture and the Vesta E-9-1-1 System from the Emergency Services Communication Center. Change Order Description: This change order is to decrease the scope of work for this project. This decrease removes the scope of work related to the removal and reinstallation of the Watson Console furniture equipment. Under the revised budget for the Emergency Services Remediation project, the console furniture will be removed and new console furniture will be purchased and installed by others. Change Order Line Item Cost: The credit for this change is: ($6,236.25) This contract amendment is to decrease the contract amount by ($6,236.25) Original Contract: $67,431 Credit for CO #1: ($6,236.25) Total Project Costs: $61,194.75 P.O. Box 8181 * 131 West Margaret Lane,3rd Floor* Hillsborough, North Carolina 27278 Telephone:919 245-2625 Fax:919-644-3001 E-mail:AMService@orangecountync.gov DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 ORANGE COUNTY CHANGE ORDER REQUE NORTH CAROLINA Date: 5/7/19 Project: Emergency Services Remediation Change Order No. 1 Department: AN Department Address: 510 Meadowlands Drive, Hillsborough, NC 27278 Project: Emergency Services Remediatioi 880000-10068) Contractor: Mobile Communications America Contractor Address: 315 Kitty Hawk Drive, Morri Effective date of original contract: 2/5/2019 This change order❑ increases ❑ decreases the contract time by 0 days. Check here if no impact to contract time ®. Will this change order impact the date of substantial completion? ❑ Yes ❑ No. If yes,the amended date of sub completion is: N/A Full Description of Change:This change order is to decrease the scope of work for this project.This decrease removes the related to the removal and reinstallation of the Watson Console furniture equipment. Reason for Change: Under the revised budget for the Emergency Services Remediation project, the console furniture will and new console furniture will be purchased and installed by others. Original contract sum: $ 67,431.00 Contract sum prior to this change order: $ 67,431.00 Amount of this change order: $-6,236.25 Total sum of the contract including this change order: $ 61,194.75 This change order is executed to amend the contract time and/or contract sum. It shall not be construed to impact the o project, services, or work in any other manner. Annroved and executed this 7th day of May, 2019.0 m u 5/8/2019 At.A-eu'Kwty' " 5/12/2019 Contractor Owner Architect (when retainer By:General Manager By: county Manager By: Revised 10/17 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 CHANGE ORDER MOBILE COMMUNICATIONS N o.: 1 —AMERECA— Date: April 9,2019 Project Name: PM and Installation Services Customer Name: Orange County,NC Customer Project Mgr: Angel Barnes MCA Project Manager: Bruce Williams MCA Account Manager: Bruce Williams The purpose of this change order is to remove the Watson console furniture removal and installation services from the MCA quote 444000131 and Orange County PO 1901419-00. In accordance with the terms and conditions of the Sales Agreement between Mobile Communications, Inc. and Orange County,the following changes are approved: 1. Contract Price Adjustments: Original Contract Value : $67,431.00 Change Order#1 -$6,236.25 2. Changes in Services: This change order removes all services for removal and installation of the Watson console furniture. 3. Payment Schedule: The change order amount of-$6,236.25 will be adjusted with the project total and due according to the terms of the Statement of Work. Unless amended above, all other terms and conditions of the Sales Agreement shall remain in full force. If there are any inconsistencies between the provisions of this Change Order and the provisions of the Sales Agreement, the provisions of this Change Order will prevail. IN WITNESS WHEREOF the parties have executed this Change Order as of the last date signed below. Mobile Communications,Inc. Customer: By: By: Printed Printed Name: Name: Title: Title: Date: Date: 1of1 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 _ 1 MOBILE COMMUNICATIONS ---AMERICA-- Orange County E-9-1-1 System Detailed Statement of Work Orange County Vesta E-9-1 -1 System Removal and Re-Installation Detailed Statement of Work Overview This document describes the statement of work (SOW) provided by Mobile Communications America, Inc. ("MCA") to remove the existing VESTA 9-1-1 telephone equipment from the Orange County, NC ("Orange County") Primary Communications Center and re-install this equipment following the remediation process. This document and other supporting information is provided to Orange County for the stated improvements, subject to the terms and conditions described in this document. Removal and installation services will be supplied for the following subsystems: • 9-1-1 VESTA telephone switch; • 9-1-1 VESTA Computer Workstations; • 9-1-1 VESTA System Software; • Spectracom NetClock. Equipment The following sections provide general descriptions of the implementation details provided under this contract. VESTA Enhanced 9-1-1 (E-9-1-1) System Removal The existing VESTA Enhanced 9-1-1 Side A telephone server will be removed from Orange County's Primary Communications Center and installed in the Backup Communications Center equipment room. MCA will provide remote assistances via video web interface with disconnection and removal of the VESTA 9-1-1 equipment including all backroom and workstation equipment. MCA will power off the Vesta telephony backroom equipment remotely. The County sub-contractor will be responsible for equipment removal and the sanitization process. 1 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Orange County E-9-1-1 System Detailed Statement of Work The VESTA 9-1-1 Call Taker workstations will also be powered off remotely and removed from the existing console furniture by the County's sub-contractor. The County sub-contractor will be responsible for the sanitization process. The Spectracom NetClock will also be powered off and removed from the backroom equipment rack by the County's sub-contractor. The NetClock will also be turned over to the County sub-contractor for the sanitization process. VESTA Enhanced 9-1-1 (E-9-1-1) System Re-Installation Upon notice from Orange County that the Primary PSAP remediation process and remodeling has been completed MCA will provide the following installation services. VESTA E9-1-1 Backroom Equipment The E9-1-1 equipment rack will be secured to the floor and positioned such that sufficient space is available around the rack for technicians to access the equipment and connections mounted to the wall behind the rack, and a minimum of 36" of clear space will be provided between the rack and the front of any electrical distribution panel. Standard 66-type punch blocks will be mounted on a 3/4" plywood backboard, and will connect to the electronics in the equipment rack via standard Centronics-type 25-pair cables to provide the interface between VESTA interfaces and Orange County 's 9-1-1 telco trunks. A single cable assembly will connect each workstation to the appropriate operator interface. The VESTA equipment rack assembly will be installed in Orange County's primary communications center equipment room. Cabling will be installed between the FXO and FXS Gateways and their respective punch blocks. The 9-1-1 trunk interface modules will be configured and connected to the West A9-1-1 network router. Preliminary alignment will be performed on the trunk interfaces to work with connected 9-1-1 trunks. The computer aided dispatch (CAD) interface from the VESTA will be configured and connected to the CAD server to verify correct communications parameters and transmission of ANI/ALI data to the CAD system. Punch Blocks A finished 4' x 4', 3/4" plywood board will be mounted to the wall of the equipment room, near the planned equipment rack location. The punch block interfaces for the VESTA system, and additional punch blocks as needed to provide appropriate industry-standard connection points for 2 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Orange County E-9-1-1 System Detailed Statement of Work other interconnected equipment, will be mounted to the board. All inbound telco circuits will terminate on this board. Cable management devices (e.g., spools, U-rings) will be installed on the board to provide clean routing for cabling and jumpers. VESTA E94-1 Call Taker Workstations The eleven (11) VESTA Call Taker workstations will be installed in Orange County's Primary communications center. The system printer will be configured and connected to the VESTA servers and the VESTA workstations will be connected to the E-9-1-1 Ethernet network. Each VESTA workstation computer will be installed at an operator position and connected to the VESTA switch via the 9-1-1 Ethernet network. The monitors will be connected via high-quality shielded video cables to the video port on the computer, and will be set on the desktop. The audio logging output of the Sound Arbitration Module ("SAM") card will be connected to the Console Interface Electronics ("CIE") of the radio dispatch console system to allow concurrent use of the headset for both telephone and radio operations. Cables will be routed and dressed neatly and cleanly, in a manner which allows access for service and maintenance. GPS Time Standard The Spectracom NetClock Master Clock will be installed in the Orange County's communications center equipment room to provide system timing. Implementation The implementation of the Orange County E-9-1-1 system relocation will be accomplished by MCA factory-trained and experienced technicians. A project manager will be assigned to the project to provide a single point of contact for the Orange County, and to schedule and coordinate activities relevant to the implementation. Project Management A project manager will be assigned by MCA to facilitate and oversee the complete project, and will be a single contact point for Orange County for all items concerning the implementation of this project. The Project Manager will provide the following services toward maintaining an organized and orderly project implementation: • Inventory of all equipment upon arrival, and deliver equipment inventory list to the Orange County; 3 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Orange County E-9-1-1 System Detailed Statement of Work • Determine and coordinate any site improvements required to ensure the final system operates reliably, according to the manufacturer's specifications, and consistent to Orange County's expectations. This includes the connection of all MCA supplied 911 equipment to an acceptable customer provided grounding system meeting manufacturer's specifications; • Schedule, coordinate, and facilitate the installation of all equipment; • Provide responses and coordination with Orange County personnel on any areas that are in question during system installation and acceptance; • Project scheduling; • Generation and distribution of progress reports throughout the project duration. The assigned Project Manager will have the power to make significant decisions relevant to the project, and will have direct access to MCA's top management for resolving problems beyond the Project Manager's direct authority. The Project Manager will be on site during critical points of the installation of this system, and will perform the following tasks: • Review all specifications and familiarize himself/herself with the requirements of the project; • Schedule the delivery, and keep the Orange County informed at all times of the delivery schedule of all equipment pertaining to this project; • Coordination of any required engineering; • Perform all site visitations with a Orange County representative; • Coordinate all site preparation required for the successful installation of this system; • Provide to Orange County all installation documentation, wiring diagrams and as-built documentation; • Will be on site during the installation of the fixed equipment installation and provide or arrange for additional information and assistance as required by the installation personnel and/or Orange County; • Coordinate the entire optimization effort of this system until accepted by Orange County; • Coordinate training and cutover schedules with Orange County; • Resolve all punch list items to the satisfaction of Orange County prior to final acceptance of the system; 4 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Orange County E-9-1-1 System Detailed Statement of Work • Schedule and attend monthly or weekly meetings, depending on the status and progress of the project, during the system installation, to keep Orange County up to date on the status of the system installation. Cutover and Workstation Permanent Installation After the VESTA 9-1-1 switch has been relocated and network connectivity has been established and tested, the system will be ready for cutover. When all workstations have been installed, the process of testing the 9-1- 1 trunks, ALI, and administrative lines will occur. If any major incident or disaster occurs, or at any time as directed by authorized Orange County personnel, the implementation will stop. If this occurs during a testing or alignment cycle, MCA technicians will stabilize the system as quickly as possible and cease operations until notified by authorized Orange County personnel that implementation may continue. Final Acceptance Once all equipment is installed and working, Orange County will be invited to submit a "punch list" to MCA of any problems, deficiencies, or other unsatisfactory conditions. MCA will commit a time period to resolve all punch list items, and will act to clear up any identified issues. Orange County's Responsibilities The following items are the responsibility of the Orange County, or its agents: • Provide a safe work environment in the building for MCA employees to complete the project. If special equipment is required to be in the building Orange County will notify MCA; • Power on all electronic equipment and verify that each item is operating to its pre-existing condition prior to the infestation of mold; • Provide certification that all Vesta 9-1-1 equipment has been cleansed of all mold; • All responsibility for the Vesta 9-1-1 equipment during the sanitation process and storage until the PSAP is ready for occupation; • High speed internet (DSL preferred with Static IP address) access for remote maintenance access; if DSL is PPPoE a router for authentication will be required; 5 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Orange County E-9-1-1 System Detailed Statement of Work • A sufficiently sized ground bus cable between building's main electrical entrance ground and the communications equipment room; • Two (2) dedicated single outlet 20A circuits to each equipment room, within six (6) cable feet of each VESTA equipment rack. The termination for these circuits will be with a receptacle TBD and at location to be specified by MCA. Power should be sourced via emergency generator-backed uninterruptible power supply ("UPS"); • One (1) dedicated 15A circuit into two (2) duplex 5-15R receptacles at each workstation area, at locations specified by MCA. Power should be sourced via emergency generator-backed uninterruptible power supply ("UPS"); • One (1) RS-232 interface cable, terminated into a DB-9 male connector, from the CAD system for ANI/ALI transfer. Orange County is also responsible for coordination with CAD vendor for clarification, testing, and modification (if necessary) of CAD communications protocols; • Adequate wall space to mount a finished 4' x 4', 3/4" plywood board within six feet (6') of each VESTA equipment rack location. • Provide and/or order the necessary telco facilities, including (but not limited to): • West A9-1-1 router; • Admin circuits. • The West A9-1-1 Network circuits shall terminate at the VESTA firewall and be connected to the West A9-1-1 network router located within six feet (6') of the VESTA equipment rack location. Admin lines shall terminate on a separate Type-66 block mounted to the plywood board within six feet (6') of each VESTA equipment rack location. • Provide parking for at least two (2) mid-sized vans for equipment delivery, and one (1) mid-sized service van for the implementation period; • Provide MCA personnel with timely and accurate decisions and responses to requests for technical, operational, and other information. 6 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Orange County E-9-1-1 System Detailed Statement of Work Terms and Conditions The following terms and conditions apply to this project and associated contract: A. General A.1. The "Customer" is the end-user or owner of the equipment affected by this Statement of Work, and who will receive the direct benefits from the items in this quotation. The "Client" is the contractor who will provide payment to Mobile Communications America, Inc. A.2. This is a non-union Statement of Work. A.3. Mobile Communications America, Inc. is an Equal Opportunity Employer. A.4. A Professional Engineer's stamp will not be required by the Customer or Client on any drawings. B. Limits to Quotation and Statement of Work B.1. Pricing is valid only for those items stated within the Statement of Work. Any modifications to the equipment or the statement of work for the original quote must be re- negotiated. B.2. Equipment not described or not stated within this Statement of Work that later requires installation and maintenance will require an additional quote, and the associated costs will be borne by Customer or Client. B.3. Pricing is valid for 90 days from the date of any quote, and will be invalid if the installation does not commence within six months from the date of the quote. When conditions dictate an excessive delay in a system installation then a re-negotiated quote may be required. B.4. Unless specified, this Statement of Work does not include Customer training. B.S. No additional equipment will be installed, other than that listed on the provided equipment list or as described in this Statement of Work. B.6. No costs are included to relocate equipment, other than as specified in the Statement of Work. The impact of any modifications, improvements, relocations, or enhancements to the site, to site furniture, or to other equipment, is outside the scope of this Statement of Work, unless specified. B.7. This Statement of Work does not include project management, or related tasks (e.g., inventory, project oversight, engineering, etc.), unless such services are specifically enumerated in this Statement of Work. B.B. This Statement of Work does not include any spare or backup equipment or services, unless specified in the Statement of Work. C. Site Readiness and Accessibility C.1. All construction, including painting, flooring, ceiling, wall treatments, electrical, and plumbing, will be complete prior to commencement of installation activities. C.2. Mobile Communications America, Inc. will not be responsible for additional trips to ascertain the status of work by others. Site visits precipitated by indications of site readiness from either the Customer or Client, where preconditions for installation have not been met, will be billed to the appropriate party at the prevailing rate. C.3. Installation areas will be dry, well-lit, clear of debris, and secure from unauthorized trespass. CA. Customer will be required to provide on-site parking for at least one Ford "Econoline"type van. C.S. Installers are to have free access to all work areas either by keys or a Customer escort to stay with them at all times. The Customer bears sole responsibility for compensation of Customer escort(s). C.6. Statement of Work is based on access to all sites as required by Mobile Communications America, Inc. and their assigned subcontractor(s). Deviations to the specified site locations will require revised pricing. 7 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Orange County E-9-1-1 System Detailed Statement of Work C.7. All installation schedules and work will be based upon local weather conditions. C.B. Any stated response time(s) is/are based on access to all sites. Mobile Communications America, Inc. Service Center will not be responsible for delays or additional costs which arise due to inaccessible sites. C.9. Clear, clean, unobstructed space is provided by the Client or Customer in which to install and mount all equipment. C.1 Connections for all cabling is readily accessible (as defined in the 2002 National Electrical 0. Code)to technicians during installation. D. Customer/Client Responsibilities D.1. Customer is to furnish all AC power and phone lines, and is responsible for all recurrent costs for power and telco service. D.2. The Customer or Client will obtain and provide any required telephone, power, and grounding terminations within four feet of equipment as applicable to make the system operational. Power will include both utility and emergency power. D.3. Cable raceways, conduit, and cable support structures (e.b., cable ladders, ice bridges) required by the NEC and by local codes for cable routing and installation are the responsibility of the Client or Customer, unless specifically included in the Statement of Work. DA. Penetrations and seals of walls, roofs, flooring (e.g., core drilling), and other barriers as required for cable entry and routing are the responsibility of the Client or Customer, unless specifically included in the Statement of Work. D.S. All permits and/or licenses required for the duration of the contract will be the responsibility of the Customer or Client. D.6. It is assumed that all data provided by the Customer, the Client, their agents, and their vendors, is accurate and reliable. Costs incurred as a result of inaccurate information will be billed to the Client at the prevailing rates. D.7. All documentation will be based upon visual observation of current facilities and upon information documented by Customer or Client. D.B. Additional testing as required by the Customer or Client for acceptance, other than that specified herein, will be charged on a time and material basis, and payment will be the sole responsibility of the Client. D.9. All equipment, hardware, parts, and supplies are the responsibility of the Customer and/or the Client, unless specifically provided for in this Statement of Work. E. Software, Firmware, and Data Entry E.1. This Statement of Work does not include creation of any software or manipulation of any spreadsheets or databases, unless specifically enumerated in this Statement of Work. E.2. Determination of the compatibility, reliability, and appropriateness for the intended use, of any and all versions of software, firmware, or other programs or databases, either affected by, used in, or modified as a result of this statement of work, is the responsibility of the Customer or Client. E.3. The validity of data provided to Mobile Communications America, Inc., and subsequently entered into any Customer-owned databases, spreadsheets, or other software applications will be the responsibility of the Customer or the Client. F. Intellectual Property F.1. The statement of work contained herein, and all technical information related to this quotation, is proprietary and confidential to Mobile Communications America, Inc. and may not be disclosed publicly, privately, or in any manner, to anyone other than the indicated Customer or Client, without the express written permission of Mobile Communications America, Inc. F.2. This statement of work, and all attached addenda or documentation, is copyrighted by Mobile Communications America, Inc., effective the date shown on the statement of work. G. Payment Schedule G.1. Unless otherwise specified in this SOW, payment to MCA for the equipment and/or services as described in this SOW will be made per the following milestone schedule: 25% with Customer purchase order, or upon written notice to proceed, with written order, 8 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Orange County E-9-1-1 System Detailed Statement of Work or upon award, as applicable; 25% upon physical delivery to Mobile Communications America Inc.; 20% upon physical delivery of equipment to Customer; 20% upon physical installation at Customer premise; and, 10% upon the Customer's final acceptance of the system. G.2. Payments are due at completion of each milestone. G.2. Multiple milestone payments may be made simultaneously, so long as both (or all) payments are made at the time the earliest payment is due. Terms and Conditions Revised 1011812002 9 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 AC R e DATE(MMIDD/YYYY) _ CERTIFICATE OF LIABILITY INSURANCE 612112018 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 endorsements). ONTACT PRODUCER Stephens Insurance, LLC NAME: Stephanie Jones . 111 Center Street, Suite 100 PHONE o 501 377-3445 FWC AX,No; 501 210-4627 Little Rock, AR 72201 E-MAIL ADDRESS: Ste ha nie.Jon esO Step hens.com INSURER(S)AFFORDING COVERAGE NALC'$ www.stephens.com INSURERA: Massachusetts Bay Insurance Company 22306 INSURED INSURER B. The Hanover Ins Uran Ce Company_ 22292 Mobile Communications America, Inc. INSURERC: Allmedca Financial Benefit Insurance Co 41640 & Subsidiaries 885 Cripple Creek INSURERD; Lawrenceville GA 30043 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER.- 43742355 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INnIC;ATED. NOTWITHSTANDING ANY REQUIREMENT, TFRM OR CONDITION OF ANY CONTRACT OR OTHER ❑OCUMENT 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 ADDLSl1BR POLICYNUMBER lP MDffYrr MM?DDY7YYYY LIMITS EXII LTR A V COMMERCIAL GENERAL LIABILITY ZDT-D351274-61 8/23/2018 8/23/2019 EACH OCCURRENCE $1 000 000 CLAIMS-MADE F OCCUR PREMiS S Ea ocrurcence $100 000 MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1 000 000 GERL AGGREGATE LI MIT APPLIES PER: GENERAL AGGREGATE $2.000,000 PODGY[7]jR O- LOC PRODUCTS-COMPIOP AGG s2,000,000 OTHER: $ A AUTOMOBILE LIABILITY ADT-D342535-01 8/23/2018 8/23/2019 LE9 a dQOI51NG E LIMIT $1 000 000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYCAMAGE $ AUTOS ONLY AUTOS ONLY Per accident) J Ga rage kes e L al Liabi litv $ B UMBRELLA LIAR M,/ OCCUR UHT-1)351276-01 8/23/2018 8/23/2019 EACH OCCURRENCE $10 000 000 EXCESS LIAR CLAIMS-MADE Commercial Follow AGGREGATE $10 000 000 DE❑ I VI RETENTIONsNII Form Policy $ C WORKERS COMPENSATION W2D-D343901-01 8/23/2018 8/23/2019 �/ STATUTE ER AND EMPLOYERS'LIABILITY ANYPRDPRIETORIPARTNERIEXECUTIVE YIN NIA F 1,EACH ACCIDENT $1 000 000 orrICERIMEMSE R EXCLUDE67IN (MandaloryIn NH) E.L.DISEASE-EA EMPLOYEE $ I#yes,deacribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY OMIT $1 000 000 B Professional Liability LHT-D351277-01 8/23/2018 8/23/2019 Each Claim Limit$2,000.000 Aggregate Limit$2,000,000 DESCRIPTION Or OPERATIONS I LOCATIONS I VEHICLES(ACORR 1e1,Additional Remarks Schedule,may be attached itmore space is required) CERTIFICATE HOLDER CANCELLATION Orange County Emergency Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE PO BOX 81 S 1 ACCORDANCE W THTHE POL CYPROVISION WILL BE DELIVERED IN 200 S Cameron Street Hillsborough NC 27278 A U TH O R rZ E D FR EPRESEN TATiVE Sian Payne ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and Toga are registered marks of AGOR❑ 43742355 I ]g119 Master Certificate I Stephanie Jones 18121J2Mfl 5;39;03 PM (CI]T) I Page 7 of 2 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 AGENCY CUSTOMER ID: LOC#: �► �o ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Stephens Insurance,LLC Mobile bsldlanesunications America,Inc. POLICY NUMBER 885 Cripple Creek Lawrenceville GA 30043 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TIT LE.Ce rtifica te of Liability(03/16) HOLDER:orange County Emergency Services ADDRESS:PO Box 8181 200 S Cameron Street Hillsborough NC 27278 ADDITIONAL NAMED INSUREDS Amerizon of North Carolina, LLC DBA Amerizon Wireless DBA Carter Electronic Service Company DBA Communications & Electronics DBA Communication Service DBA Communications Specialists of Columbia SC DBA East Georgia Communications DBA First Communications DBA First Georgia Communications DBA Infinity Technology Distributors & Consulting 5 DBA Mobile Communications Albany DBA Mobile Communications Athens DBA Mobile Communications Columbus DBA Mobile Communications of Charleston DBA Mobile Communications Valdosta DBA Seamless Mobility Solutions DBA Ward Bell Communications DBA Wireless Communications Infinity Technology Solutions, LLC Mobile Communications of Dekalb, Inc. Mobile Communications of Hall, LLC Mobile Communications of the Carolinas, LLC DBA Myrtle Beach Communications I ' ACORD 101 (2008101) G 200B ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT 43742355 1 18119 Master Certificate I Stephanie Janes 18/21/2018 5;39;03 PH (CDT) I Fag. 2 of 2 DocuSign Envelope ID:47205FAF-9CD2-4A40-BD26-FF33C4A659C6 Stephens Insurance,LLC t 1 i Center Street,Suite 100 Little Rock,AR 72201 MAIL DOCUMENT fsurei sl Orange County Emergency Services Sender: Stephanie Janes PO Box 8181 Phone: 1-800-643-9691 200 S Cameron Street Hillsborough NC 27278 Subject: Cert No.43742355-Certificate of Liability:Mobile Communications America,Inc.- Date: 8/21/2018 No. of Pages: 3 URL: www,stephens.com The attached or linked document{s7 contain certification of insurance coverage for the insured named in the subject above.Your company is listed as the organization requesting receipt of these documents. 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