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HomeMy WebLinkAbout2020-272-E AMS - Riley Surveying Whitted sewer route camera inspection DocuSign Envelope ID:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 [Departmental Use Only] TITLE Whitted SW Camera FY 2019-20 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter"Agreement"), made and entered into this 24th day of April, 2020, ("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): Whitted Complex Storm / Sewer Route Camera Inspection 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:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 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:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): Field measurements, computations, computer drafting, co-ordination with the Camera Inspection Contractor and Orange County Building Maintenance necessary to update the existing Topographic Survey of 300 West Tryon Road (PIN 9864-87-8123) to accurately depict the Storm and Sewer pipe directions/connections as derived from up to two days of camera information. The survey shall comply with 21 NCAC 56 (NC Standards of Practice. The survey will be provided as a sealed hardcopy and digital files (unsealed .pdf & .dwg). Survey to be based on NAVD '88. SPECIAL CONDITIONS: 1)We are prepared to commence work within two weeks. Weather permitting, please allow approximately one week hence for survey completion and map delivery. 2) Underground piping will be based on the inspection report by a Private Contractor. 4. Duration of Services a. Term. The term of this Agreement shall be from April 27, 2020 to May 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 April 27, 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 Five Thousand Five Hundred Dollars ($$5,500.00) (Pricing includes $5,200 fixed fee and $300 for Reimbursables). 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. Revised 11/19 3 DocuSign Envelope ID:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 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 County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.goy/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. 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 Revised 11/19 4 DocuSign Envelope ID:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 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. 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. Revised 11/19 5 DocuSign Envelope ID:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 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 countyLac. o�partments/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. 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 Revised 11/19 6 DocuSign Envelope ID:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 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:AMS Riley Surveying, P.A. P.O. Box 8181 3326 Durham Chapel Hill Hillsborough,NC 27278 Blvd, Durham NC 27707 [SIGNATURE PAGE TO FOLLOW] Revised 11/19 7 DocuSign Envelope ID:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 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: B 4/25/2020 B 4/23/2020 y:[ � N �,t y:[ho Cerns jiviLtiLttC llaiiiiiiiiiersley, County Manager Jose L. Torres, PLS, Vice-President Printed Name and Title Revised 11/19 8 DocuSign Envelope ID:4FE31F34-3D59-4065-92CD-929B08ACFEE8 Riley Surveying, P.A. 3326 Durham Chapel Hill Blvd., Ste. B-100 Durham, North Carolina 27707 ADDENDUM TO CONTRACT DATED MARCH 9, 2020 DATE: April 7,2020 CLIENT: County of Orange 131 West Margaret Lane, Suite 300 Hillsborough,NC 27278 Attn: Sandra D'Arensbourg, Capital Projects Manager PROJECT NAME/LOCATION: Whitted Building Complex Storm/Sewer Route Camera Inspection Hillsborough,NC SCOPE AND EXTENT OF SERVICES: Field measurements, computations, computer drafting, co-ordination with the Camera Inspection Contractor and Orange County Building Maintenance necessary to update the existing Topographic Survey of 300 West Tryon Road (PIN 9864-87-8123) to accurately depict the Storm and Sewer pipe directions/connections as derived from up to two days of camera information. The survey shall comply with 21 NCAC 56 (NC Standards of Practice. The survey will be provided as a sealed hardcopy and digital files (unsealed .pdf& .dwg). Survey to be based on NAVD '88. Fixed Fee- $5,200.00 (Including Camera Inspection subconsultant fees) plus reimbursables SPECIAL CONDITIONS: 1)We are prepared to commence work within two weeks.Weather permitting,please allow approximately one week hence for survey completion and map delivery. 2) Underground piping will be based on the inspection report by a Private Contractor. 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 Josue Torres Authorized Signature Jose L. Torres, PLS Vice-President Phone—(919)667-0742 Email:jtorresnrileysurveyingp��.com NC Firm License C-1281 Page 1 of 2 DocuSign Envelope ID:4FE3lF34-3D59-4065-92CD-929B08ACFEE8 RILEY SURVEYING,P.A. STANDARD TERMS AND CONDITIONS-2020 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,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 B 141. 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 2 DocuSign Envelope I D:4FE31 F34-3D59-4065-92CD-929BO8ACFEE8 A ��0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/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. TR INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE (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 V j ©1988-2015 ACORD COR�P*-ORRATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:4FE31F34-3D59-4065-92CD-929B08ACFEE8 a CERTIFICATE OF LIABILITY INSURANCE 0'�"20 2r 3d2a2o THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOI S NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P(XICIE3 FLOW. THIS CERTIRCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORgED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED.the policyliesj must tre endorsed. If SUBROGATION IS WAIVED,sut*sct to the torms and conditions of the Pol;cy,certain policies may require an ondomeownt. A Statement on this certificate dogs not confer rights to ft certificate holder,in lieu of such endorsernerrl(a]. "00ucen Greg Lopeman,CPCU c- an State Farm Insurance 1rA s IV-� 104-8 PVC Hwy 54 W tss�L _sn t3Y5_ L�SIataTarm-eom Calrborv, NC 27510 FoRWIFaGOVERAga T--wrcr - A — _.... _ A-Sleb Farm Fire and(:ate I RILEY SURVEYING PA .iavRrtr. s .f. A1t�4n+a�1b STE 1008 srs+aatec 3326 DURHAM CHAPEL HILL BLVD DURHAM NC 2T707-2695 NtK=1t F COVERAGES CERTIFICATE NUMBER_ RMSION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE UISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERrOD ROCATED. NOTWITHSTANDING ANY REOUIREMIENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHACH 1HsS CERTIFICATE AIAY BE ISSUED OR MAY PERTAIN, THE rftSURANCE AFFORDED BY THE RXICtES DE SCR1BEO HEREIN IS SUBJECT TO ALL THE TERMS. E-ACLLI.SIONS AND CONDIT)OkS OF SUCH PCX.ICiES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C1AYdS- tti79 OF s1ltFtAftm fw- Pirmy, Fouci t a11R A 83� 5-6 C71m102fY 0212CM21 _EACH oCCUFWemoe i 1_.00D.W0 ?C �ls�m PRE1l �E�ra�rranaal S 300.000 � OC 56 FxP LAs�on.p�wcn� t 5.000 -- -_ PEFASO.NAL l AM NAM_ f 1.000,000 Gr HFM,q;Ar3GIdFGl1i€ f 2,000.0w AGG$MGATE LOOT APvCrti PER 1..4>K000CTS•COi1P�gP AM S. 4.DOp,p00 x Pox r+Rp LOG ._ .... Li B AlrieelD/IL!tLSRrrir 9M 27114D3033 10p01�01A 10g0iC1p2p _ I6s t Mw A O e00Ar YiJlllir tvrP1►pnY f - l�f1,000 WC ALrtOd x ALIT SCOLYraastrePwa mspo - IrFEAAiri0BNOWOVAM lIN ; rr.. 100,000 A x +Ir�A L M4 x oww : _ lS6Y-1117-7 0�l'141ti QiftOVZ07t0 '�c' '� s t,s10p:000 r�sr.AAs CZ,yA4MADE .. AGtptt eATr t 1,000.000 XNEYENTION s 10 000 _ s A TSCT {CpTp11 STpfli wry sr,Sxccu.�t r►n IACraol] s t.S100.000 OPT WR[xciuoaC' KrA MwwaUhr In Aril Oµf/14E-F/1 t t.D00.00G if Yes.arwrm VMLW 83-C7-P4W7 0?F2917p40 022002M El-0t -KOLIICY Loar s 1,Oo0.Ow L -tl l CO$CWrM Of ONWAT1C"1 LaQkn0010+V041CM lAt"ACORO in.ArtMarrrl Reffww"zdwdvw-s m m sww a rwgI.WI Surveyors CERTIFICATE HOLDER CANCELLATION Orange County Asset Mailagement SH ANY OF THE ABOVE ACSCRMED POLICIES BC CANCELLED B€FORE TH TH7R LATE THEREOF, NOTICE WILL BE DELIVERED 114 PO Box 8181 ACIORDr W rH THE POLICY PROVIStoms, Hillsborough,?Crough, NC 27278 0 ttrnrtCst:rnArrvE �4� ( 01988-?010 ACORD C RATK)N. All fights reserved. ACORD 25(2010/051 The ACORD name and logo are registered marks of ACORD 1001486 13280-6 11-15-2010