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HomeMy WebLinkAbout2020-178-E AMS - Nice and Green various locations DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D [Departmental Use Only] TITLE FLOORING MULTI FY 2020 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter"Agreement"), made and entered into this 26th day of Febr, 2020, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Nice & Green Commercial Floor Care Services, (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 ofproject): Floor care for West Campus, Seymour Center, Seymour Theatre (Room 107 & Theatre 203, 204), Passmore &Adult Day ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional Revised 11/19 1 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D 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. vii) Should this Agreement involve project designs, the construction or creation of which is to be bid out and/or fulfilled by other contractors, and bidding or negotiation with contractors produce prices which, when added to the other elements of the approved total project cost, produce a cost that is in excess of the approved total project cost, the Provider shall participate with the County in negotiation and design adjustments to the extent such are necessary to obtain prices within the approved total project cost. All activity of the Provider with respect to these matters shall constitute Basic Services and shall be performed by the Provider without additional compensation. If negotiation and design adjustments fail to bring costs within the total project cost the County may reject all bids and Provider will redesign and/or reduce portions of the project in an effort to reduce the bid prices to within the total project cost and rebid the project. One such redesign is included within Basic Services. If this second letting for bids does not produce bids that are within the approved total project cost initially or after negotiations with the contractor the cost is not reduced to an amount within the total project cost, the Provider is not obligated to engage in further redesign. Revised 11/19 2 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Floor Care to multi locations: West Campus, Seymour Center, Seymour Theatre room 107 & 203 & 204, Passmore &Adult Day. 4. Duration of Services a. Term. The term of this Agreement shall be from 03/16/2020 to 04/30/2020. 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 03/16/2020. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services satisfactorily (as determined by the County) performed pursuant to this Agreement. The maximum amount payable for Basic Services shall not exceed Seven Thousand Three Hundred Fifty Five and Forty Cents Dollars ($7355.40). Payment for satisfactorily performed 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 (Freddy Brooks) 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 Revised 11/19 3 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D Board of Commissioners and shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountVnc.gov/departments/purchasing division/contracts.php). If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of NA(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. To the extent authorized by North Carolina law 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. Revised 11/19 4 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. e. Suspension. County may suspend the Basic Services and this Agreement at any time for County's convenience and without penalty to County upon three (3) days' notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy(each policy is incorporated herein by reference and may be viewed at http://www.oran eg countygc. ov�/departments/purchasing division/contracts.php.) Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. Revised 11/19 5 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis. In the event of a change in the County's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects County's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County's legal authority. i. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Article I IA and Article 40 of North Carolina General Statute Chapter 66. j. Notices. Any notice required by this Agreement shall be in writing and delivered by Revised 11/19 6 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D certified or registered mail, return receipt requested to the following: Orange County Provider's Name Attention:Freddy Brooks Nice & Green Comm. Floor P.O. Box 8181 2108 Quakenbush Rd. Hillsborough,NC 27278 Snow Camp,NC 27349 [SIGNATURE PAGE TO FOLLOW] Revised 11/19 7 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D 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: ocu5igned by: Oacu Sig ned by: B1�6' 1nJln �, N*i&L SL" B 1�3799d6755E477... � - 132C9614E5 - �."....," �.... ...„.„�. A440� ... JP Barnett Printed Name and Title Revised 11/19 8 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D P.O. REQUISITION REQUEST FORM DATE: 02126/20 Nice & Green Commercial Floor Care Services REQUESTED BY: Freddy Brooks VENDOR NUMBER: 64261 VENDOR NAME: Nice & Green Commercial Floor Care Account Number: Supplies 10240520-620000 Contract Services 10240620-630000 Capital Equip. 10240520-800000 DESCRIPTION ACCOUNT# QUANTITY$/UNIT $TOTAL West Campus Office Bldg-Est 216 10240520-630000 6,073 $0.30 $1,821.90 Robert&Pearl Seymour Center Est 215 10240520-630000 8,938 $0.30 $2,681.40 Seymour Theatre(Roam 107&Theatre 203,204)HWE-E 10240520-630000 2,214 $0.45 $996.30 Passmore&Adult Day-Est 214 10240520-630000 6,186 $0.30 $1,855.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $ TOTAL $7,356.40 NOTES: N+G_2-26-20_3rdQuarterMultiple.xls DocuSi n Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D ■ NICE And Green Commercial Floor Care Estimate Services Estimate No: 216 Mail to: Date: 02/25/2020 2108 Qua kenbush Rd Snow Camp NC 27349 i jp@niceandgreen.biz niceandgreen.biz 336-380-4276 336-380-4276 For. Orange Co Asset MgmtlFreddy Brooks f b roo ks@orangecou ntync.gov 131 W.Margaret lane,Hillsborough,NC 27278 Description Quantity Rate Amount West Campus Office Building 131 W.Margaret Lane,Suite 201 PO Box 8181 , Hillsborough,NC 27278 ' .. . .........._...... .. .. ..... --...--_...... .. .... ... ...... .. .... .... .. t P Hot water of necessary spots.L M C of 3rd fl all carpet. 6,073 $0.30 $1,821.90 B i Subtotal $1,821,90 Total $1,821.90 Total $1,821.90 111 DocuSi n Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D NICE And Green Commercial Floor Care Estimate Services Estimate No: 215 Mail to: Date: 02/25/2020 2108 Quakenbush Rd Snow Camp NC 27349 jp@niceandgreen.biz niceandgreen.biz 336-380-4276 336-380-4276 For: Orange Co Asset Mgmt/Freddy Brooks fbrooks@orangecrnintync.gov 131 W.Margaret Lane,Hillsborough,NC 27278 Description Quantity Rate Amount Seymour Center 2551 Homestead rd Main floor Carpet 5,338 $0.30 $1,601.40 r Wellness Center Carpet 800 $0.30 $240,00 Office/Adman Carpet 2,800 $0.30 $840.00 Lower Level Carpet(Room 107&Theatre&203,2047 hot water extraction with low moisture cleaning(restore 2,214 $0.45 $996.30 clean) Subtotal $3,677.70 Total $3,677.70 Total $3,677.70 111 DocuSi n Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D • r. MICE And Green Commercial Floor Care Estimate Services Estimate No: 214 Mail to. Date: 02/25/2020 2108 Quake nbush Rd Snow Camp NC 27349 jp@niceandgreen,biz niceandgreen.biz 336-380-4276 336-380-4276 For. Orange Co Asset Mgmt/Freddy Brooks f broo ks@ora ngecou ntync.gov 131 W.Margaret Lane,Hillsborough,INC 27278 Description Quantity Rate Amount Passmore&Adult Day-103 Meadowland Dr,Hillsborough NC Carpet PO# Adult Day Carpet(AlI AREAS)Hot Water Extraction of front area and corridor.L M C of all areas. 1,764 $0.30 $529,20 Pass more carpet(ALL AREAS)Hot Water Extraction of necessary spots.LMC of all areas. 4,422 $0.30 $1,326,60 Subtotal $1,855.80 Total $1,855.80 Total $1,855.80 Notes We thank you for the opportunity,and appreciate your business. �.11 DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 0212;20 a' THIS CERTIFICATE 15 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 pollcy(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 NAMEACT Martha Dickerson Lester Ins.Group,Inc.T1AThe Harper Agency PHHONH Ext: (336)227-3271 JAIC,FAX No; (336)222-9467 1037 S.Main 5t. E-MAIL mdickerson@lestergrp.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 9 Burlington NC 27215 INSURERA: Pennsylvania National Mutual Casualty Ins Co 14990 INSURED INSURERS: United States Liability Ins Company Nice and Green Commercial Floor Care Services,LLC INSURER C: AmGUARD Ins Co 42390 2108 Quakenbush Road INSURERD: INSURER E: Snow Camp NC 27349 INSURER F: COVERAGES CERTIFICATE NUMBER: CL201211144 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. I EXP �TR TYPE OF INSURANCE I p D POLICY NUMBER POLICY EFF MNUDOY ff LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S 2,000,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) S 10,000 A GL90733918 01/31/2020 1110712020 PERSONAL BADVINJURY S 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER* GENERAL AGGREGATE S 4,000.000 X PRO LOC PRODUCTS-COMPIOPAGG s 4,000,000 rlPOLICY ❑ OTHER: AutomatiCAdditionallnsd $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea aodderi! ANYAUTO BODILY INJURY(Per person) S A OWNED X SCHEDULED AU9 0733918 11/0712019 11/07/2020 BODILY INJURY(Per acddent) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Peraoofden! X 19 Underinsured motorist s 1,000,000 X UMBRELLA LIAR OCCUR E,� i,000,000 EACH OCCURRENCE $ B EXCESSLIA6 HCLAIMS-MADE CUP1562213 11/07/2019 11/0712020 AGGREGATE y 1,000,000 DED I J RETENTIONS $ WORKERS COMPENSATION X STATUTE EORH_ AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIE7CECU WE E.L EACH ACCIDENT $ 1,000,OD0 C OFFICERtMEMBER EXCLUDEDa NIA R2WCD77882 12/1412019 12/14/2020 (Mandatary in NH) E.LDISEASE-EAEMPLOYEE S 1,000,000 If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS belay I I I E.L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) J.P.Barnett 11 has elected to exclude himself from the Workers Compensation coverages. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. 131 W Margaret Lane AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 �� �� /�•�t � ��,-.r��� ID 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:833ADDEF-C928-43A0-948B-C1C81315523D A ��0 CERTIFICATE OF LIABILITY INSURANCE DATE(M 03/13//2019 Y) 019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Martha Dickerson NAME: Lester Ins.Group,Inc.T/A The Harper Agency PAHi�NNo Ext: (336)227-4271 C,No): (336)222-9467 1037 S.Main St. E-MAIL mdickerson@lestergrp.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Burlington NC 27215 INSURERA: Penn National Insurance Company INSURED INSURER B: Amguard Insurance Company Nice and Green Commercial Floor Care Services,LLC INSURER C: 2108 Quakenbush Road INSURER D: INSURER E: Snow Camp NC 27349 1INSURER F: COVERAGES CERTIFICATE NUMBER: CL1911009730 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. TR INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE To_7CLAIMS-MADE � OCCUR PREM SES Ea occurrence)l $ 2,000,000 MED EXP(Any one person) $ 5,000 A GL9 0733918 01/31/2019 01/31/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 4,000,000 JECT OTHER: Automatic Additionallnsd $ 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 X1 SPER TATUTE EORH AND EMPLOYERS'LIABILITY Y/N 1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? Y NIA R2WC915385 12/14/2018 12/14/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) J P Barnett II has elected exclude himself from the Workers Compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Orange County Government ACCORDANCE WITH THE POLICY PROVISIONS. 131 W Margaret 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