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HomeMy WebLinkAbout2019-709-E Health - SensoScientific DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 ADDENDUM TO SENSOSCIENTIFIC ANNUAL SUPPORT AND MAINTENANCE AGREEMENT This Addendum modifies the Annual Support and Maintenance Agreement by and between SensoScientific ("SensoScientific"or"Provider") and Orange County, a local political subdivision of the State of North Carolina("County"or"Customer")The Addendum takes precedence over all other conflicting terms and conditions of the Agreement. This Addendum supersedes and modifies the attached Agreement. This Addendum is attached to the Agreement is hereby incorporated by reference into that Agreement as if had been set out therein. 1. Revision to Section 4. Term and Termination or agreement extension: The subscription to the Monitoring Fees and the obligation to pay Service Fees will continue for a term of five(5)years from the effective date of installation, or within 15 days after shipment of products, after which it may continue for succeeding five(5)year periods upon duly executed written agreement,unless County shall send written notice to Provider on or before the date which is two(2)months prior to the end of the term of this Agreement. Such renewal shall be upon the same terms and conditions.Notwithstanding the foregoing, either County or Provider may terminate this Agreement at any time upon thirty(30)days written notice to the other. County may suspend this Agreement upon reasonable notice to the Provider. 2. Revision to Section 10. Loss,Repair,Maintenance, and Warranty: This provision is hereby struck from the Agreement. 3. Revision to Section 11. Confidentiality: To the extent permitted by the North Carolina Public Records laws, set forth at Chapter 132 of the North Carolina General Statutes,the prices and terms of this Agreement shall be treated by both SensoScientific and Customer as confidential and may not be disclosed or shown to a third party without the prior written consent of the other. Both Customer and SensoScientific may disclose that Customer has agreed to utilize the Products and Monitoring Fees,but shall not disclose any terms of this Agreement without the prior written consent of the other. Should SensoScientific fail to consent to disclosure pursuant to a legitimate records request under the North Carolina public records laws, SensoScientific agrees to indemnify and hold harmless County and its officers,employees, and agents from all costs, damages, and expenses incurred in connection with refusing to disclose the records. 4. Revision to Section 13. Default: If either party fails to comply with the terms of this Agreement, the other party shall be entitled to all remedies available at law or in equity, and in connection therewith both parties acknowledge that such breach will cause the other party immediate and irreparable injury for which remedies at law are inadequate. To the extent permitted by applicable law, if SensoScientific fails to comply with the terms of this Agreement, SensoScientific's entire liability arising from or in connection with the Products and/or any software or firmware provided in connection therewith shall be limited to the amounts paid by Customer hereunder. To the extent permitted by applicable law,neither party shall be liable to the other, or anyone claiming by,through, or under the other party, for any consequential, incidental, indirect, special, exemplary, or punitive damages. 1 DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 5. Revision to Section 15. Governing Law: This Agreement is governed by the laws of North Carolina without regard to the conflict of laws rules,provisions or statutes of any jurisdiction. SensoScientific and Customer each represent that each party shall comply with all applicable federal, state, and local laws. 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 anti-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 this requirement is a breach of the Agreement and County may 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, Provider affirms that Provider is 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, 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. 6. Revision to Section 17. Prevailing PartX: The entirety of this provision is hereby struck from the Agreement. 7. Agreement Amount. The maximum amount payable under this Agreement for products and support and maintenance services is Thirteen Thousand Dollars and 00/100 Cents($13,000.00). this amount shall not be exceeded without duly executed written amendment to this Agreement. 8. 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 the County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. 9. Signatures: This Agreement together with any amendments or modifications may be executed electronically.All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article I IA and Article 40 of the North Carolina General Statutes Chapter 66. 10. Remove duplicate,unnumbered provision titled"Limitation of Liability"below current Provision 17. Prevailing Party. [SIGNATURES ON FOLLOWING PAGE] 2 DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 OR - - --T-TT11 T('1llCl!'ITTI�TTTTT!'1 OacuSigned by: SEl` UocuSigned by: By 3C18F2�09E3445F. By. 8AA0629a5i38a488. Quintana Stewart Jennifer Davis Health Director Regional Sales Manager 3 DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 SensoScientific onso 5ci tific. Company Address 685 Cochran Street Created Date 8/6/2019 Suite 200 Quote expiration 12/31/2019 Simi Valley,California 93065 date United States Quote Name JD101618-002 Contact Information (PLEASE CONFIRM CONTACT INFO IS CORRECT) Account Name Orange County Health Department Prepared By Jennifer Davis Contact Name Cathy York Phone 805-915-4471 Title Public Health Nurse II Email jennifer.davis@sensoscientific.com Phone york@orangecountync.gov Email york@orangecountync.gov SO# Address Information (PLEASE CONFIRM CONTACT INFO IS CORRECT) Bill To Name Orange County Health Department Ship To Name Orange County Health Department Bill To 300 West Tryon St. Ship To 2501 Homestead Rd. Hillsborough,North Carolina 27278 Chapel Hill,North Carolina 27516 United States United States Quote Line Items VFC Node Vaccine Sensor in Celsius w/Min&Max Display in Celsius with 6 ft.long probe and LCD 6.00 B10-202-K202C2 (Celsius)w/ $297.50 $1,785.00 2 year Cert Display(-40°C to 70°C), Includes Glycol Vial, Mounting Accessories and Batteries. A21-A Biennial Certified, NIST Traceable Calibration A2LA Biennial Procedure:QCP-SOP-C3 ONE YEAR TERM includes 6.00 /A2LA2Y $65.00 $390.00 Calibration Decision Rule:Simple Decision Rule- certified documentation Svc Determines conformance solely by comparing the measurement result to the calibration limits (accuracy). Annual ONE YEAR TERM Cloud Service is billed Annually and Includes; Data Including cost free product 6.00 /CLOUD Support& Storage,Training ,Remote Technical Support, $55.00 replacement,24 hour tech $330.00 Maintenance Alerts,Automatic Cloud Updates support as well as free firmware upgrades Batteries Battery 4 pack(AA Lithium Thionyl Chloride) 6.00 ER14505T $15.00 optional $90.00 Wi-Fi 3.6 V 6.00 PS36VO01AUS Power 3.6V Power Supply $15.00 optional $90.00 Supply Totals Subtotal $2,685.00 Less Discount $0.00 DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 Tax $0.00 Shipping and $25.00 Handling Grand Total $2,710.00 Annual Support and Maintenance Agreement Terms and Conditions 1.Purchase of Products and Services.The individual or entity designated above as Customer("Customer")agrees to(a)purchase the services(which includes use of equipment and cloud data storage, the"Products"during the term of the agreement)and pay the other costs included in the Purchase—Total Charges designated as such above(the"Purchase Price"),and(b)subscribe to the monitoring and reporting services("Annual Services")available at the SensoScientific Customer Website(the"SensoScientific Portal")and pay the Total Annual Cloud and Calibration Services Fees designated as such above("Monitoring Fees")during the term of its subscription.This Sales Quote and the terms and conditions contained herein are sometimes referred to as the"Agreement". All orders are subject to acceptance by SensoScientific. By issuing a purchase order,signing a quote,or emailing approval for any purchases,Customer hereby acknowledges and agrees to all terms and conditions. 2.Pricing and Payment. (a)Sales Quote prices are expressed in U.S. Dollars,are not subject to offsets or price credits and are based on delivery of the Products F.O.B.point of shipment. The Sales Quote is valid for a period of 90 days from the date hereof. Payment Terms are net 30(thirty)days. (b)SensoScientific will invoice Customer approximately a month in advance for the Annual Services renewal. Payments for such amounts are due within thirty(30)days of the date of invoice.Amounts outstanding past their due dates may be assessed a late fee at SensoScientific's sole discretion in the amount of one percent(1.5%)per month or the maximum amount provided by applicable law,whichever is greater. SensoScientific shall not be obligated to accept or deliver orders from Customer if Customer does not or later cannot meet SensoScientific's credit requirements. If,in SensoScientific's judgment,the Customer's financial condition at any time does not justify continuing production or delivery on the above payment terms,SensoScientific may require full or partial payment in advance. (c)Prices do not include any taxes,fees,duties,licenses,tariffs or levies,however designated,now or hereafter enacted that are imposed on the items listed in this Sales Quote or to any transactions contemplated hereby or to the purchase,sale,transportation,delivery or use of the same,all of which shall be paid by the Customer. Taxes will be added to the price where SensoScientific is required by law to collect them and will be paid by the Customer unless Customer provides SensoScientific with the proper tax exemption certificate. (d) Once an order has been placed,all cancellations and/or returns must be requested in writing within 30 days of placing the order. Cancellation or returns are subject to a restocking fee ranging from 20 percent to 40 percent. Customer shall pay for all return shipping for any cancellations/returns. (e)The minimum customer order value is$75.00. 3. Installation of Equipment. If itemized in the Sales Quote above,SensoScientific or a designated installer shall install the Products.At the time of installation, more or less equipment and software may be necessary as a result of the conditions present at the installation site.Any installation charges, per diem and travel costs listed above are estimates only and shall be adjusted at the time of installation.The Setup Costs and Annual Fees will be adjusted up or down based on the Products actually installed and the actual cost of installation,per diem and travel as evidenced by the Installation Acceptance Form signed by Customer. Unless Customer otherwise indicates, upon signing of the Installation Acceptance Form,it shall be conclusively presumed that said equipment was in good condition when received and that Customer has accepted,and approved the same. 4.Term and Termination or agreement extension.The subscription to the Monitoring Fees and the obligation to pay Service Fees will continue for a term of five(5)years from the effective date of installation or within 15 days after shipment of products,after which it shall continue for succeeding five(5)year periods unless Customer shall send written notice to SensoScientific on or before the date which is two(2)months prior to the end of the term(or renewal term)of this Agreement.Such renewal shall be upon the same terms and conditions. 5.Website Access.SensoScientific shall make commercially reasonable efforts to make the services subscribed to by Customer and referenced herein available at the SensoScientific Portal 24 hours a day,365 days each calendar year for Customer. 6.Support.SensoScientific shall provide telephonic and email support to Customer at no charge to Customer.SensoScientific shall have the right to change the terms of its technical support, including without limitation,the right to limit the amount of technical support and/or charge for the same.SensoScientific on-site support is available on a time and materials basis with a minimum of two hours per incident plus actual travel expenses.Two(2)weeks advanced notification is provided to users via email before cloud updates are implemented.SensoScientific will provide on-going support of cloud ensuring a remission of anticipated or discovered vulnerabilities through maintenance. 7.Training. If itemized in the Sales Quote above,SensoScientific will train the individuals designated by Customer during the installation process and thereafter will provide either online or on-site training at its then current rates. 8.Customer responsibilities: a. Customer agrees to provide an available on-site responsible person to help SensoScientific with any issues related to installation or maintenance. b. For onsite installation,access to all equipment and rooms in locked areas will be made available within 5 minutes upon reasonable request. c. Customer agrees to provide any and all network information prior to shipment of Products or onsite installation. Delays caused by Customer are billable at common published rates beyond the quote or estimate which assumed the above responsibilities would be met. 9.SensoScientific Limited Warranty. (a)For a period of 3 years from the date of installation,SensoScientific will warrant that the Products,together with software and/or firmware embedded in any of the Products,are free from defects and materials and workmanship under normal use,subject to the following exceptions for software and for equipment not manufactured by SensoScientific: (i)Application Exception. Products used in environments where there are extreme changes in temperature such as cooking and chilling where sensors may repeatedly go from hot to cold. Food Probes and Transport Sensors and other mobile sensors subject to abuse are warranted for three(3)year. NOTE:Any product that demonstrates physical abuse is not covered by the warranty. SensoScientific will make its best efforts to complete all repairs or replacements in a timely manner. Resolution will not to exceed 30 days from the time the failed product is received and accepted by SensoScientific. All returned products must be accompanied by an authorized Return Materials Authorization number(RMA#). (ii)Equipment Not Manufactured by SensoScientific.The SensoScientific Limited Warranty does not cover any equipment not manufactured by SensoScientific,such as personal computers,adapters,cables,power supplies,antennas,tripods and other miscellaneous equipment. (b)SensoScientific shall have the option to repair or replace any items constituting the Products that do not conform to the SensoScientific Limited Warranty.SensoScientific may use functionally equivalent items that have been reconditioned,refurbished,or previously returned,or new items. No software updates are provided.Repairs of Products not covered by this warranty will be billed according to the repair policy for that specific product then in effect. (c)The SensoScientific Limited Warranty does not cover: (i)Products that are operated in combination with ancillary or peripheral equipment or software not manufactured,furnished,supplied or DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 any damage to the Products or such ancillary equipment because of such use.Any of tnese voias the warranty. (ii)Products if someone other than SensoScientific or a designated repair shop or technician authorized by SensoScientific,opens,tests, adjusts,installs,maintains,alters,modifies or services the Products in any way.The SensoScientific Limited Warranty also does not cover any of the Products with an altered or defaced serial number. (iii)Losses,defects, malfunction,failure or damage that result from,are attributable to,or caused by:(a)use of the Products in a manner that is not normal or customary or in an environment in which the Products are not intended to be installed; (b)improper maintenance, including physical abuse to the Products or use of corrosive,abrasive or improper cleaning materials,(c)any misapplication, improper modifications, unauthorized relocation;(d)activity intended to circumvent the security devices incorporated into the Products; (e)criminal activity, moisture, shipping,or high voltage surges from external sources such as power lines or other connected equipment;(f)improper operation or misuse;(g) accident or neglect such as dropping the Products onto hard surfaces; (h)contact with rain or extreme humidity; (i)an event or condition that could have been covered by casualty or liability insurance;Q)the failure of(A)the internet provider to which Customer subscribes;(B)failure of any phone/paging service, including phone lines, pagers,and cellular phone;(C)failure of any equipment such as serial ports, modems, wiring,cabling,other software or personal computers;and(D)failure of any radio frequency transmissions,or(i)contact with extreme heat (unless the Products are certified to be used with such extreme heat). (d)Limitation of Liability.TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL SENSOSCIENTIFIC BE LIABLE TO LICENSEE FOR ANY SPECIAL, PUNITIVE, INCIDENTAL, INDIRECT OR CONSEQUENTIAL DAMAGES WHATSOEVER (INCLUDING, BUT NOT LIMITED TO, DAMAGES FOR LOSS OF BUSINESS PROFITS, BUSINESS INTERRUPTION, LOSS OF BUSINESS INFORMATION,OR ANY OTHER LOSS)ARISING OUT OF THE USE OF OR INABILITY TO USE THE EQUIPMENT OR DOCUMENTATION (COLLECTIVELY"LOSSES"), EVEN IF SENSOSCIENTIFIC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES,AND REGARDLESS OF WHETHER LOSSES ARE SUFFERED BY LICENSEE. No Other Warranties. EXCEPT AS OTHERWISE STATED IN THIS AGREEMENT,SENSOSCIENTIFIC DISCLAIMS ANY AND ALL REPRESENTATIONS AND WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, BY STATUTE OR OTHERWISE,WITH RESPECT TO THE EQUIPMENT AND DOCUMENTATION, INCLUDING WITHOUT LIMITATION ANY REPRESENTATIONS OR WARRANTIES WITH RESPECT TO CONTENT,QUALITY, ACCURACY,TIMELINESS OF DELIVERY OR CURRENCY OF THE EQUIPMENT, PERFORMANCE, MERCHANTABILITY,TITLE, NON-INFRINGEMENT, DESIGN OR FITNESS FOR A PARTICULAR PURPOSE. EXCEPT AS OTHERWISE STATED IN THIS AGREEMENT,THE EQUIPMENT SHALL BE DELIVERED BY SENSOSCIENTIFIC TO LICENSEE ON AN"AS-IS"AND"WITH-ALL-FAULTS" BASIS,AND SENSOSCIENTIFIC MAKES NO REPRESENTATION OR WARRANTY THAT THE EQUIPMENT WILL BE ERROR-FREE 10.Loss, Repair, Maintenance and Warranty. Except as otherwise set forth herein, Customer shall bear the entire risk of loss,theft,damage or destruction of the Products from any cause whatsoever,and no loss,theft,damage or destruction of the Products shall relieve the Customer of the obligation to pay the Monitoring Fees or of any other obligation set forth in this Agreement. Provided that Customer makes all payments due hereunder,SensoScientific,at its sole option,shall repair or replace any damaged,failed or malfunctioning item of the Products,and the cost of such repair or replacement shall be the responsibility of Customer except during the period the Products are covered by the SensoScientific Limited Warranty. 11.Confidentiality.The prices and other terms of this Agreement shall be treated by both SensoScientific and Customer as confidential and may not be disclosed or shown to any third party without the prior written consent of the other. Both Customer and SensoScientific may disclose that Customer has agreed to utilize the Products and Monitoring Fees, but shall not disclose any terms of this Agreement without the prior written consent of the other. 12. Use and Ownership of Data.All data collected in connection with the Monitoring Fees shall belong to Customer and shall be treated by SensoScientific as confidential. Notwithstanding the foregoing,so long as SensoScientific does not disclose or publish the specifics of such data, including the location or origination of such data,SensoScientific reserves the right to use such data,statistics and other information that is collected about the system's operation and performance.SensoScientific will not place any customer information in the public domain. Except for information that the customer makes publicly available,or when agreed between SensoScientific and the customer. Data will be archived for as long as this Agreement is in effect.Customer may obtain a copy of its archived data at SensoScientific's then current rate. 13.Default. If Customer fails to comply with the terms of this Agreement,SensoScientific shall be entitled to all remedies available at law or equity and in connection therewith,Customer acknowledges that such breach will cause SensoScientific immediate and irreparable injury for which remedies at law are inadequate. If SensoScientific fails to comply with the terms of this Agreement, SensoScientific's entire liability arising from or in connection with the Products and/or any software or firmware provided in connection therewith shall be limited to the amounts paid by Customer hereunder.SensoScientific shall not be liable to Customer or anyone claiming by,through or under Customer,for any consequential, incidental, indirect,special,exemplary,or punitive damages. 14. Entire Agreement.This Agreement and the SensoScientific Limited Warranty constitute the entire agreement and understanding of the parties relative to the Products and the Monitoring Fees and supersede and replace all prior or contemporaneous agreements,written and verbal, between the parties regarding the same.This Agreement may only be amended by a writing signed by authorized representatives of SensoScientific and Customer. If any provision of this Agreement is for any reason held invalid, ineffective,and unenforceable or contrary to public policy,the remainder of this Agreement remains in full force and effect notwithstanding. 15.Governing Law.This Agreement is governed by the laws of California without regard to the conflict of laws rules, provisions or statutes of any jurisdiction.SensoScientific and Customer each represent that each shall comply with all applicable federal,state and local laws. 16.Nonwaiver.Waiver of any breach by either party,or failure of either party to exercise any rights under this Agreement on one or more occasions is not a waiver of any right to exercise that right on another occasion. 17.Prevailing Party. In the event that any action shall be instituted by either of the parties hereto for the enforcement of any of it rights or remedies in and under this Agreement,the prevailing party,whether in court or by way of out-of-court settlement,shall be entitled to recover from the non prevailing party or parties such prevailing party's attorney's fees,court costs,expert witness fees and/or other expense relating to such controversy, including attorney's fees,court costs and/or expense on appeal, if any. 18.Calibration:SensoScientific utilizes the QCP-SOP-C3 procedure and Simple Decision Rule. Purchase Order Reference Number(PLEASE PROVIDE PO#IF REQUIRED FOR PAYMENT) PO# TBD Quote ACUSigned by: CDO Ufa" S&WAkf- Signature LL 3C16F2D09E3445F. Name mintana Stewart Title Health Director Date 10/3/2019 DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 r� Ri CERTIFICATE OF LIABILITY INSURANCE DATE 1 20 1 9 Y} Q812812019 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 pOIICy(IGS)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAMEi EXECUTIVE ONE INSURANCE SERVICES PHONE FAX (AIC,No,Ext); IAIC,No]: 415 E.HARVARD ST.#103 E-MAIL ADDRESS: GLENDALE.CA 91205 INSURER(S)AFFORDING COVERAGE NAIL p INSURER A:.EVEREST PREMIER INSURANCE COMPANY INSURED INSURER B SENSOSCIENTIFIC,INC - 685 COCHRAM STREET#200 INSURER C SIMI VALLEY,CA 93065 INSURER D-.— INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 13E 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' -- - -'ADD#.SUSRI — --- POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM7DDIYYYY MMIDD)YYYY LIMITS GENERALLIA91LITY EACH OCCURRENCE -5 __ COMMERCIAL GENERAL LIABILITY 1 i ISES(Ea 2pL DL ej PREMISES.IEa oopmence]_ FCLAIMS-MADE l-_i OCCUR MED EXP(Any"person) $ PERSONAL&ADV INJURY S GENERAL AGGREGATE S I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO• LOG COM _ AUTOMOBILE LfABILrrY F qab I c G IN LE LIMIT — Ea accidep� S ANY AUTO i 9ODILY INJURY(Per person) S ALL OWNED SCHEDULED 930DILY INJURY(Parawdent) S AUTOS AUTOS NON-OWNED PROPERTY b-AMAGE S _ HIRED AUTOS AUTOS Per accident]-_,_ I � S UMBRELLA LIAR OCCUR 7 F_ EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADF. AGGREGATE S DF.D RETENTIONS 5 WORKERS COMPENSATION WC S7ATU• OTH• AND EMPLOYERS'LIABILITY x TQRY I 7 - ER�^ A ANY P ROPRIETORIPARTNEWEXECUTIV[ YIN C S 1 QQQQQO OFFICFIMEMI}ER E7(GLUDED� �X' N f A F 76000200571191 0112912018 01I2812020 E L EACH AC CI-- .- 'Mandatory in NH] I E.L DISEASE-EA EMPLOYEE 5 1000000 nIF yea,describe under 4:8CRIPTIQN OF OPERATIONS Wow E-L DISEASE•POLICY LIMIT S 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORO 1a7,Additional Rernarks Schedule,if more apace Is required] CERTIFICATE HOLDER CANCELLATION ORANGE COUNTY HEALTH DEPARTMENT SHOULD ANY OF THE ABOVE:DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 TRYON STREET ACCORDANCE WITH THE POLICY PROW NS, HILLSBOROUGH,NC 27278 AUTHORIZED REPRESENTATIVE 198 1 CORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered s of ACORD DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7g/25/2019 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 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 NAME: Tracy Bennett Arthur J. Gallagher&Co. Insurance Brokers of CA., Inc. PHONE o Est:g05-520-4997 FAX No:805 426-8802 License#0726293 E-MAIL 2775 Tapo Street, Suite 101 ADDREss: tracy_benneft@ajg.com Simi Valley CA 93063 INSURER(S)AFFORDING COVERAGE NAIC# License#:0726293 INSURER A:Admiral Insurance Company 24856 INSURED SENSINC-06 INSURER B: National Fire&Marine Insurance Co 20079 Sensoscientific, Inc. 685 Cochran Street, Suite 200 INSURER C Simi Valley CA 93065 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1533928021 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY CA000035999-01 9/29/2019 9/29/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREM SES(Ea occurrrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECTPRO ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 X PRO- OTHER: $ A AUTOMOBILE LIABILITY CA000035999-01 9/29/2019 9/29/2020 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �( NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLALIAB X OCCUR GX000002589-01 9/29/2019 9/29/2020 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DIED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? "/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B BUSINESS PERSONAL PROPERTY 12PRM032173-04 9/29/2019 9/29/2020 LIMIT: $650,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) "Certificate holder is listed as additional insured" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Orange County Health Dept 300 Tryon Street Hillsborough INC 27278 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD