HomeMy WebLinkAbout2019-501-E AMS - Riley Surveying Efland stationRevised 12/18
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[Departmental Use Only]
TITLE EMS Stand-A-Lone
FY 2019/20
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
August, 2019, (“Effective Date”) by and between Orange County, North Carolina a political
subdivision of the State of North Carolina (hereinafter, the "County") and Riley Surveying, 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): Topographic Survey to include Field measurements,
computations and drafting required to perform a topographic survey and mapping of
the area as shown on the attached sketch to Stewart-Cooper-Newell Architects’
specifications with the following revised Items: Section B #2 Revised to be: area as
shown on the attached sketch and tied to USGS benchmark or as NAVD ’88 via
GPS observations #7 Revised to be: all trees 6” (dbh) and larger outside of wooded
areas to be shown Section C #1 Riley Surveying shall contact 811 for underground
utility locate and provide surveyed locations based on 811 markings only per
proposal dated July 23, 2019.
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.
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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
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): This checklist is intended to indicate the general
scope of survey information required for this project. All surveys shall be performed in
accordance with the Standards of Practice for Land Surveying in North Carolina. This
list does not attempt to identify all items which should be included on a complete survey,
however it does include many additional items which are needed to facilitate accurate
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site design. Provide all surveys in current AutoCAD format to include all survey points
with elevations with an attached, signed and sealed hardcopy. A. Boundary
Information: A. 1 Perform boundary survey of the subject property in order to locate
topographic survey area to existing site boundary and adjacent right-of-way. Obtain a
copy of the recorded boundary survey and include property lines in AutoCAD survey
file tied to NC Grid. 2. Indicate the name and address of property owner, existing
zoning, land use (residential, office, etc.), deed book references, plat book references and
PIN numbers of the subject property. 3. Zoning, Land Use (residential, office, etc.). 4.
Setbacks. 5. Indicate all public and private easements (including blanket easements)
within the survey limits. Include reference information. 6. Indicate FEMA floodplain
and/or floodway within subject property or provide note that no portion of the subject
property is located within flood hazard area. Indicate FEMA panel number referenced.
B. Topographic Information On-Site: Locate all of the above-ground features and below-
ground utilities listed herein located within the Survey Limit Areas including but not
limited to the following: 1. Ground (aerial will not be accepted) Topography with
contours at 1-foot intervals. 2. Topography taken 50’ past all property lines, spot
elevations at critical points. Tie topography to USGS benchmark if available within
2000 feet of the property. Indicate USGS reference. Include topography of adjacent
roadways at minimum to the opposite edge of pavement. 3. Establish and indicate
permanent and temporary site benchmarks sufficient to cover site. 4. Indicate FFE of
existing structures at all locations of ingress/egress. 5. Provide brief description of
existing structures (general construction type, number of stories, etc.) 6. Locate and
label all existing site improvements including signs (types), sidewalks (including curb
ramps), steps, ramps, pavement (indicate asphalt, concrete or gravel), curb & gutter
(indicate size and locate curb cuts), paint striping, dumpsters, fences (type, height),
benches, etc. 7. Locate and label (species, size) individual trees within the survey limits.
Locate and label edges of wooded areas. 8. Locate edges of all site landscaping areas
(include descriptions of shrubs/plantings). 9. Locate and label all natural and man-made
surface drainage features including culverts, streams, ditches, and channels. 10. Locate
and label all subsurface drainage features including inlets, junction boxes, cleanouts,
pipes (including roof leaders), headwalls and flared end sections. Information shall
include pipe sizes, materials, inverts, inlet structure types and rim elevations. Headwall
or outlet information shall include general structure dimensions, materials, invert and top
of wall elevations, and riprap apron dimensions. 11. Locate and label all above ground
utilities including meters of all types, backflow preventers, fire hydrants, post indicator
valves, power poles and power lines, HVAC equipment, etc. C. Subsurface Utility
Information: 1. Locate and label below grade utilities from best available sources (at a
minimum, surveyor shall contact local municipality, utility companies and property
owner for available information) and indicate sources of information on survey. Indicate
sizes, materials, valve locations, public or private ownership, service lines, easements,
etc… Field measurements, computations and drafting required to perform a topographic
survey and mapping of the area as shown on the attached sketch to Stewart-Cooper-
Newell Architects’ specifications with the following revised Items: Section B #2
Revised to be: area as shown on the attached sketch and tied to USGS benchmark or as
NAVD ’88 via GPS observations #7 Revised to be: all trees 6” (dbh) and larger outside
of wooded areas to be shown Section C #1 Riley Surveying shall contact 811 for
underground utility locate and provide surveyed locations based on 811 markings only
4. Duration of Services
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a. Term. The term of this Agreement shall be from August 1, 2019 to August 31, 2019.
b. Scheduling of Services.
i) The Provider shall schedule and perform its activities in a timely manner.
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 August 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 Six Thousand Eight
Hundred Fifty Dollars ($6,850.00). 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
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County Minimum Insurance Coverage Requirements (each document is incorporated
herein by reference and may be viewed at
http://www.orangecountync.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
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. Changes 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.
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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.
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.orangecountync.gov/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.
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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.
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 11A 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:Angel Barnes Riley Surveying P.A.
P.O. Box 8181 3326 DurhamChapelHillBlvd
Hillsborough, NC 27278 Suite B-100,Durham,NC
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[SIGNATURE PAGE TO FOLLOW]
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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: _________________________________
County Manager
By: __________________________________
Phillip W. Riley, PLS (President)
Printed Name and Title
DocuSign Envelope ID: 8D52AF4C-1EDC-4D62-A3C0-94DC276AC40F
Riley Surveying, P.A.
3326 Durham Chapel Hill Blvd. Suite B-100
Durham, North Carolina 27707
AGREEMENT
FOR THE PROVISION
OF LIMITED
PROFESSIONAL SERVICES
DATE: July 23, 2019
CLIENT: County of Orange
131 West Margaret Lane, Suite 300
Hillsborough, NC 27278
Attention: Angel Barnes, Capital Projects Manager
PROJECT NAME/LOCATION: Efland Stand-A-Lone Station
Topographic Survey
Efland, NC
SCOPE AND EXTENT OF SERVICES: Field measurements, computations and
drafting required to perform a topographic survey and mapping of the area as shown on the
attached sketch to Stewart-Cooper-Newell Architects’ specifications with the following
revised Items:
Section B
#2 revised to be: area as shown on the attached sketch and tied to USGS benchmark or as
NAVD ’88 via GPS observations
#7 revised to be: all trees 6” (dbh) and larger outside of wooded areas to be shown
Section C
#1 Riley Surveying shall contact 811 for underground utility locate and provide surveyed
locations based on 811 markings only
Fixed Fee: $6,850.00
Special Provisions- 1) We are prepared to begin within one week of notice to
proceed contract.
2) See Terms and Conditions regarding underground utility
mapping.
The Terms and Conditions following this form are a part of this Agreement. This
Agreement entered into as of the day and year first written above.
CLIENT SURVEYOR
_____________________ PPhillip Riley
Authorized Signature Phillip W. Riley, PLS
President
Phone – (919)667-0742 philr@rileysurveyingpa.com
NC Firm License C-1281
Page 1 of 3
DocuSign Envelope ID: 8D52AF4C-1EDC-4D62-A3C0-94DC276AC40F
Riley Surveying, P.A. Standard Terms and Conditions – 2019
Riley Surveying, P.A. hereinafter called the Firm, will perform the services outlined in this agreement for
the stated fee. This proposal of Agreement is valid for a period of 10 days from the date issued.
Access to Site: Unless otherwise stated, the Firm will have access to the site for activities necessary for the
performance of the services. The firm will take precautions to minimize damage due to these activities, but
has not included in the fee the cost of restoration of any resulting damage.
Fee: The total fee, unless stated as fixed fee, shall be understood to be an estimate. Fee assumes most
property corners are intact and closely related to deed/plat calls. Where the fee arrangement is to be on an
hourly basis, the rates shall be those that prevail at the time services are rendered. Current rates are as
follows:
Principal PLS $150.00 PLSII $140.00
1-man w/robotics/GPS $175.00 CADD Operator $95.00
2-man w/robotics $200.00 Survey Technician $85.00
2-man Survey Crew $175.00 Clerical $50.00
Reimbursables (copies, prints, stakes, sub-consultant fees, mileage, plat application fees, etc.) shall be
invoiced at cost plus 10%. Missing property corners shall be replaced at an additional cost of $100 each.
Billings/Payments: Invoices for the Firm's services shall be submitted, at the Firm's option, either upon
completion of such services or on a monthly basis. Invoices shall be payable upon receipt; a 2% discount
may be applied to invoices paid within ten days from date of invoice. If the invoice is not paid within 30
days, the Firm may, without waiving any claim or right against the Client, and without liability whatsoever
to the Client, terminate the performance of the service. Retainers shall be credited on the final invoice.
There shall be no retainage amount held on any amount invoiced.
Late Payments: Accounts unpaid 30 days after the invoice date are subject to a monthly service charge of
1.5% on the then unpaid balance (18.0% true annual rate), at the sole election of the Firm. In the event any
portion or all of an account remains unpaid 60 days after billing, the Client shall pay all costs of collection,
including reasonable attorney's fees.
Indemnification: The Client shall indemnify and hold harmless the Firm and all of its personnel from and
against any and all claims, damages, losses and expenses (including reasonable attorney's fees) arising out
of or resulting from the performance of the services, provided that any such claim, damage, loss or expense
is caused in whole or in part by the negligent act, omission, and/or strict liability of the Client, anyone
directly or indirectly employed by the Client (except the Firm), or anyone for whose acts any of them may
be liable. Claims and disputes shall be subject to non-binding mediation as defined under Article 7 of AIA
Document B141.
Risk Allocation: In recognition of the relative risks, rewards and benefits of the project to both the Client
and the Firm, the risks have been allocated such that the Client agrees that, to the fullest extent permitted by
law, the Firm's total of liability to the Client for any and all injuries, claims, losses, expenses, damages or
claim expenses arising out of this agreement from any cause or causes, shall not exceed our fee, listed on
reverse of this Agreement. Such causes include, but are not limited to, the Firm's negligence, errors,
omissions, strict liability, breach of contract or breach of warranty.
Termination of Services This agreement may be terminated by the Client or the Firm should the other fail
to perform its obligation hereunder. In the event of termination, the Client shall pay the Firm for all
services rendered to the date of termination, all reimbursable expenses, and reimbursable termination
expenses.
Construction Costs: Responsibility for construction costs will be in accordance with Article 5 of AIA
Document B141.
Ownership Documents: All documents produced by the Firm under this agreement shall remain the
property of the Firm and may not be used by the Client for any other endeavor without the written consent
of the Firm.
Applicable Laws: Unless otherwise specified, this agreement shall be governed by the laws of the State of
North Carolina.
Underground Utilities: Unless underground utilities are marked by a utility locating sub-consultant,
the Firm will endeavor to have underground utilities marked by contacting 811 should the client so
direct. If 811 or other utility locator marks or has marked any utilities, any mapping of said utilities
should be considered as approximate location only. The Firm shall not be held liable for any
markings or lack of markings by utility locators.
Page 2 of 3
DocuSign Envelope ID: 8D52AF4C-1EDC-4D62-A3C0-94DC276AC40F
DocuSign Envelope ID:8D52AF4C-1EDC-4D62-A3C0-94DC276AC40F
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CERTIFY-ATE MAY 9E 18SUED OR UAY PERTAIN, THE iNSURANCE Af FOCWMBD h3Y THE PDOCIES DE$CLR*W HEREfR JS SUBJECT TO ALL TIE TERXT$,
EXCLUSIONS MIC CONDITIONS OF SUCH POLICIES-LIMITS SHMN MAY HAVE SIrEN REDUCe D BY P_AID CLAWS.
wale TYPE OF1NtUFjM4CE AnnLB VjLm P4L1CY .K�' P 6C7 M 1erLTFL y
mmog4LLL%E Jrlr Y 93 GG,Z005 02f2rt2ma Q2t2b12019 EACH OCI'LIRRENCE I 1.I44.f1150
COMiMCRCIAL GENERAL LIAUILRY PRENt6ES a noaunvr & S 740,{}04
CLAIMSi-MADE MCUR MED Ow(wyy one ersrn} 1 5 S,oPP
KRSOKAL&ADV INAPRY 8 t,00¢,4U0
_ GIENEROSL GGRECa7E S {100,f]gp
GEWLA156A)EGATEL[MUTarPLICSP&R} PJ FR(MCTs-COMDRA_GG 3 2,000,{1d0
�. POLICY JEM
PR& f LUC S
h3 AWFONKMB ELIAEaJrY 0719714-D34-33 D413012018 04U QtZI)19 &2 D, w€�LELr er S
NYALTTO 0001LY INJURY MtorPw%m] $bq,ppp
ALL CriAmiF4 SCHEOULED ROINLY INJURY fvw accKW} $ 500,000
All! AUTOS
HIRE-DALi'OS pq AUTOS NON-OWNED �3otidwt1 E S 100-0U0
5
A LeLaReLLn4rAa { 00Cuft 93fisM-1111-1 fl8ttol2glll 413l44Y#414 €ACHOCCLMAENCE >t 1-�44,fid(r
fXCESt L!AU CLAIMS-NIADE AG4REGA_-M
r,IEDX RETENTIONS 10000 $
A WORKERS013WEMSAMN Y3GSTA3Li•
AND IMPLOYEAW 41ABILTY
Y f N
ANY PKQPRSETCQJPARTUEfaYnUVTrVE f.L E:aCl-eACC10€FfT 5 �,♦ 95)0
DF=ICE% WM5ff1 EXCLUDED? � NPA 93•CV�457-5 D2f2012018 D y2Q19
JF&Rdatary en wrq E1-❑ISEASE-EA I<MMPL 1r t,d00,000
■sue,dcxee14a c n&d :P 0 DFSEASE-F L3CY Uwr S 1.ta44.00CI
13E'&MPTM OF GVERATM3 i LOCATWHS i VEHICLES[Attaph Pr"b ia+,Addhloml FZWnVhl 3d zduW 7 Mum space Is mMUIrlq!)
CERTIFICATE HOLDER CANCELLATION
Orange$ County SFRAJLD ANY OF THE ABOVE DE3CRPMD POLICIES BE CANCELLED BEFORE
ty THE E PRATION DATX Ta`EREOP. NOTICE WtLL eF DELIVERED IN
PO Box 8181 ACCORDANCE W TH TAE POLICY PROVISIONS.
Hillsborough, NC 27278 f
AtpTl-ID RF,PRESEPeTAT]
i
198 0 AWED MRPORATION- !UI rights reserved-
ACORD;5;20101D5) The ACORD name and lop are regliatemdCrks ofACORD 1041486 1132EW).63 11-15-2010
DocuSign Envelope ID:8D52AF4C-1EDC-4D62-A3C0-94DC276AC40F
A ��0 CERTIFICATE OF LIABILITY INSURANCE DATE(M 10/01//2018 Y)
018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Trish Clark
NAME:
Trustpoint Insurance aCONN. Ext: (540)389-0261 ac,No): (888)872-5496
16 East Church Ave E-MAIL tclark@trustpointins.com
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC#
Roanoke VA 24010 INSURERA: AXIS Insurance Company
INSURED INSURER B:
Riley Surveying,P.A. INSURER C:
3326 Durham Chapel Hill Blvd INSURER D:
INSURER E:
Ste B-100 Dur NC 27707 INSURER F:
COVERAGES CERTIFICATE NUMBER: 18-19 Master 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 To CLAIMS-MADE OCCUR PREMISES 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 LIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA
E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Per Claim $1,000,000
A Professional Liability LHR882546206 08/10/2018 08/10/2020 Aggregate $2,000,000
Deductible $2,500
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
certificate provided as evidence of insurance
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Orange County Asset Management Services ACCORDANCE WITH THE POLICY PROVISIONS.
131 West Market Lane
AUTHORIZED REPRESENTATIVE
Hillsborough NC 27278 '-/
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:8D52AF4C-1EDC-4D62-A3C0-94DC276AC40F
ACCOR
CERTIFICATE FLEA DATE WWDDNY�
LIABILITY INSURANCE 7aW2019
THIS CERTIFICATE fS IS5UE0 AS A MATTER OF INFORMATION ONLY AND CONFERS NO BIGHTS �IIaI]N THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY Off NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI(;�ES
BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTMJTZ A CONTRACT BETWEEN THr= ISSUING lu'sURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT_ If tho certificate holder is an ADDITIONAL INSURED,the policAies)must bo endorsed. tF SUBROGATION IS WAIVED, subject tD the
term and aonditlans of the pu€ir;yr COrta,rrl Policies may "ulm an endorsernem. A atatemerrt an this ewiFlcat& does not eorlfor rights to the
certificate holder In lien of such endorsomerrt(.$),
PRO6LIgE GregLopem4in, CPCLJ H TACT GrewLoperngln _
State Farm Insurance P�Iftlr19-93,�7��0 „«�+-•u.� 9s9.933-7719
104-B NC Hwy 54 WaDD C Lx�1t3� �fah�farm.oprrl
CDrrboro, NC 27510 {hs4FiER[S}AI`f�PF16.COVMArE
B MRER a=.S�$fe Farm Fife and{,4�SSfaay.COfFIp�rIY
InsulzEo 251
RILEY SURVEYING PA ■JSUFMR a=$We Farm hdu9ual Wi6dmohi IregLrerrue Com�xarrY 25ir8
STE 10013 Inc;
3326 0URHAM CHAPEL 1-fILL BL D
DURHAM NC 27707-2695 �I9URET-0E
Ni R�ER F=
COVERAGES CERTIFICATE NUMBER; REVISION NUMBER:
THIS IS TO C-ERTIFY THAT THE P0LIGIES OF KSURANCE LISTED BELOW HAVE BirEH ISSUED TO THE FFISUREp NAMED ABOVE FOR THE POLrCY PERIOD
INOICATE.D. 140TWITHSTANDING ANY REQUFREME.NT- TERM OR CONprTIOrl OF ANY CONTRACT OR OTHER C)OCUMENdT VL9TH RESPECT t0 WFtICH TFIIS
CERTIFICATE WAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED DY THE POLJC;IES DESCRIBER) HEREIN IS $DEJECT TO ALL THE TI=RMS,
E9€IyLLISIONS ANO DONDPTI0NS OF SUCH POLFCIES-LIMPS SHOWN MAY HAVE BEEN REDUCF�G BY PAID CLAIMS-
N91! TYPE;rF INSLMARWE A 4L 3 OL"I rW g'—O Y W
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{ COMk€RCWLGEN €2Ai.LNHiLF7Y
CLAIMSAUdDE �OEkJJR pREMI5E5iEanrxilmearc� 6 300,ppp
IAEDE.LF (AWone�irsor�,l S 5,400
PERSONA«,ApyIFiRIRY $ 11040,OdQ
GEHERRLAGGREGATE I 2.000 )W
GENL✓GGREGATE LIINfTAPPUES PER:
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Pf vw.dMrgln NHl 93-CV-R 3 97ZJ'2Ql3Qt$ 0212RIJ2U20 E.L DISE ASE-L=+r+EMPL 1,404,090
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ELMEASI=-nLICYLIMIT 1,9HJO,OOQ
CESCRJPTION PF OFf9:LA7JOagr LOCATIONS I VF-H=E {ArbchACCMD 10t,Addldn"KwoksSchodule.irmae■pa isTwMroQ
Survwtor;.
CERTrFICATE HOLDER CANCELLATION
Orange County Asset Management SHOuL ANY F THE ABOVE DESCRIOED P01-10E9 BE CANCELLED I FORE
THE PIF 14 II DATE THEREOF, NOTICE Z9LL BE DELIVERED IN
"131 West Margaret Lane Suite 300 ACCOR A CE TFI THE POLICY PROYI6I0f1S-
HilEsborough, IBC 27278
abarnes orangecountyne.gow ATMORUW0 EV*ff3ENTA7IVG
(D 1988-2011D ACOFW C0RP0RATI0K II rights reserved.
ACORD25 (201ON5) The ACORD name and logo are regfstam4 marks ofACORD 10014 I .6 11-15-410