HomeMy WebLinkAbout2020-275-E Emergency Svc - Final Passage Transport COVID DocuSign Envelope ID:6F1378EE-84DB-45B0-90DE-C39BA2077B34
[Departmental Use Only]
TITLE Final Passage Transportation
FY 19-20
NORTH CAROLINA
FEMA EMERGENCY MASS FATALITY
DECEDENT TRANSPORT SERVICES
ORANGE COUNTY
This Services Agreement (hereinafter "Agreement"), made and entered into this 28th 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 Final Passage Transport,
(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:
transportation of decedents during COVID-19 pandemic.
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 quality, accuracy
and timely completion and/or submission of all work related to the Basic Services.
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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.
3. Basic Services
a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully
describe services to be provided): As part of the Orange County Mass Fatality Plan,
transport services would be utilized during any surge that exhausts our current
capability for transporting decedents, COVID -19 or non-COVID-19 related, from a
location/residence within Orange County to an identified location within Orange
County.
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b. Equipment. Provider shall supply, at its sole expense, all equipment,tools,materials, and or
supplies required to provide Basic Services hereunder, unless otherwise agreed in writing.
c. Health and Safety. Provider shall be responsible for initiating, maintaining and supervising
all safety precautions and programs required by Occupational and Safety Health
Administration (OSHA) and all other regulatory agencies while providing Services under
this Agreement. In providing Basic Service,Provider shall follow the following procedures:
i) Center for Disease Control March 2020 (Interim Guidance) "Guidance Collection and
Submission of Postmortem Specimens from Deceased Persons with Known or
Suspected COVID-19," found at: htips://www.cdc.gov/coronavirus/2019-
ncov/hcp/guidance-postmortem-specimens.html. Specific attention to section on
"Transportation of Human Remains, Cleaning and Waste Disposal Recommendations
and Additional Resources";
ii) OSHA's COVID 19 Control and Prevention Measures for Postmortem Care Workers
(See https://www.osha.gov/SLTC/covid-19/controlprevention.html#deathcare) ;
iii) Any other procedures or process required by applicable laws,policies, rules,
regulations or guidance applicable to the transportation and care of COVID 19
postmortem remains and safety of workers.
d. Confidentiality of Records and Record Retention. Provider agrees that all records of this
transaction,which contains personally identifiable information of a patients transported shall
remain confidential. Unauthorized individuals shall keep all records in a secure location
preventing access. Provider shall not forward to any person other than County or County
Health Officials any record or personally identifiable information obtained from a patient
and or medical provider. Upon termination of this Contract, Provider shall maintain and
retain any such records for accounting and audit purposes for a period of at least three (3)
years or any other period required by the Federal government, whichever period is longer.
e. Condition of Vehicle. County is not responsible for the physical condition of Provider's
vehicles of any damage to Provider's vehicles not under any obligation to make any repairs
to or replacements of Provider's vehicles.
4. Duration of Services
a. Term. The term of this Agreement shall be from April 25, 2020 to October 25, 2020, this
Agreement may be extended for an additional term upon mutual agreement by the parties
which must be provided in writing and can be by electronic mail.
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 28, 2020.
5. Compensation
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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 dollars($5000.00), at a cost for each transport
of each decedent of Two-Hundred Dollars ($200.00). 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 (Dinah Jeffries) 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.gov/departments/purchasing division/contracts.php). If
County's Risk Manager determines additional insurance coverage is required such additional
insurance shall consist of N/A (if no additional insurance required mark N/A as being not
applicable). Provider shall not commence work until such insurance is in effect and
certification thereof has been received by the County's Risk Manager.
8. Indemnity
a. Indemnity. 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.
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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. Termination of this Contract, under Section 10, shall not form the basis of any
claim for anticipated profits by either party.
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.
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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 countync. 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.
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. 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.
£ 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.
g. 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
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shall automatically terminate without penalty to County upon written notice to Provider of
such limitation or change in County's legal authority.
h. Byrd Anti-Lobbying Amendment, 31 U.S.C. § 1352 (as amended). Providers who apply or
bid for an award of$100,000 or more shall file the required certification.Each tier certifies
to the tier above that it will not and has not used Federal appropriated funds to pay any
person or organization for influencing or attempting to influence an officer or employee of
any agency, a Member of Congress, officer or employee of Congress, or an employee of a
Member of Congress in connection with obtaining any Federal contract,grant, or any other
award covered by 31 U.S.C. § 1352. Each tier shall also disclose any lobbying with non-
Federal funds that takes place in connection with obtaining any Federal award. Such
disclosures are forwarded from tier to tier up to the recipient who in turn will forward the
certification(s)to the awarding agency.
i. Clean Air And Federal Water Pollution Control Act
(Applicable only if the contract is more than $150,000)
i) Clean Air Act.
(a) The Provider agrees to comply with all applicable standards, orders, or
regulation issue pursuant to the Federal Water Pollution Control Act, as amended,
33 U.S.C. 1251 et seq.
(b) The Provider agrees to include these requirements in each subcontract exceeding
$150,000 financed in whole or in part with Federal assistance provided by FEMA.
ii) Federal Water Pollution Control Act.
(a) The Provider agrees to comply with all applicable standards, orders or regulations
issued pursuant to the Clean Air Act, as amended, 42 U.S.C. § 7401 et seq.
(b) The Provider agrees to report each violation to the ( ) and understands and
agrees that the ( ) will, in turn, report each violation as required to assure
notification to the Federal Emergency Management Agency, and the appropriate
Environmental Protection Agency Regional Office.
(c) The Provider agrees to include these requirements in each subcontract exceeding
$150,000 financed in whole or in part with Federal assistance provided by FEMA.
j. Suspension And Debarment
i) This Agreement is a covered transaction for purposes of 2 C.F.R. pt. 180 and 2
C.F.R. pt. 3000. As such, the Provider is required to verify that none of the
Provider's principals (defined at 2 C.F.R. § 180.995) or its affiliates (defined at 2
C.F.R. § 180.905) are excluded (defined at 2 C.F.R. § 180.940) or disqualified
(defined at 2 C.F.R. § 180.935).
ii) The Provider must comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000,
subpart C, and must include a requirement to comply with these regulations in any
lower tier covered transaction it enters into.
iii) This certification is a material representation of fact relied upon by Orange County. If it
DocuSign Envelope ID:6F1378EE-84DB-45B0-90DE-C39BA2077B34
is later determined that the Provider did not comply with 2 C.F.R. pt. 180, subpart C
and 2 C.F.R. pt. 3000, subpart C, in addition to remedies available to Orange County,
the Federal Government may pursue available remedies, including but not limited to
suspension and/or debarment.
iv) The bidder or proposer agrees to comply with the requirements of 2 C.F.R. pt. 180,
subpart C and 2 C.F.R.pt. 3000, subpart C while this offer is valid and throughout the
period of any contract that may arise from this offer. The bidder or proposer further
agrees to include a provision requiring such compliance in its lower tier
k. Access to Records. The following access to records requirements apply to the
Agreement:
i) The provider agrees to provide the State of North Carolina, Orange County, the
FEMA administrator, the Comptroller General of the United States, or a of their
authorized representatives access to any books, documents, papers, and records of
the Contractor which are directly pertinent to this contract for making audits,
examinations, excerpts, and transcripts.
ii) The Provider agrees to permit of any the foregoing parties to reproduce by any
means whatsoever or to copy excerpts and transcripts as reasonably needed.
iii) The Provider agrees to provide the FEMA Administrator or his authorized
representative access to construction or other work sites pertaining to the work being
completed under the contract.
iv) In compliance with the Disaster Recovery Act of 2018,Orange County and Provider
acknowledge and agree that no language in this Agreement is intended to prohibit
audits or internal reviews by the FEMA Administrator or Comptroller General of
the United States.
1. DHS Seal, Logo, and Flags. The Provider shall not use the DHS seal(s), logos, crests, or
reproductions of flags or likenesses of DHS agency officials without specific FEMA pre-
approval.
m. Compliance with Federal Law, Regulations and Executive Orders. This is an
acknowledgement that FEMA financial assistance will be used to fund all or a portion of the
Agreement. The Provider will comply with all applicable Federal law, regulations,
executive orders,FEMA policies,procedures, and directives."
n. No Obligation by Federal Government. The Federal Government is not a party to this
Agreement and is not subject to any obligations or liabilities to the non-Federal entity,
Provider, or any other party pertaining to any matter resulting from this Agreement.
o. Program Fraud and False or Fraudulent Statements or Related Acts. The Provider
acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False Claims and
Statements) applies to the Provider's actions pertaining to this Agreement.
p. 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.
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q. 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: Dinah Jeffries Raven Coleman, President
P.O. Box 8181 Final Passage Transport
Hillsborough,NC 27278 3434 Edwards Mill Rd, Ste 112-192
Raleigh,NC 27612
r. 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.
[SIGNATURE PAGE TO FOLLOW]
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SIGNATURE PAGE
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:
UocuSignedh by: D"uSigned by,
V �{ �ttr5 4/29/20204/28/2020
B>' - 5655BC891A64473... �y' f/'
6C8758226A3429...
Dinah Jeffries, OCES Director Raven Coleman, President
Printed Name and Title
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Office of the Clerk to the Board Date:
(Required to be signed if the contract is
$100,000 or more)
APPENDIX A, 44 C.F.R. PART 18—CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants,Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief,that:
I. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned,to any person for influencing or attempting to influence an officer or employee of
an agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal contract, the making of
any Federal grant, the making of any Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any
Federal contract, grant, loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress,an officer or employee of Congress,or an employee of a Member of
Congress in connection with this Federal contract, grant, loan, or cooperative agreement,
the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to
Report Lobbying,"in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers(including subcontracts,subgrants,and contracts under
grants,loans,and cooperative agreements) and that all subrecipients shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who
fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and
not more than $100,000 for each such failure.
The Provider,Final Passage, certifies or affirms the truthfulness and accuracy of each statement
of its certification and disclosure, if any. In addition, the Provider understands and agrees that
the provisions of 31 U.S.C.Chap. 38,Administrative Remedies for False Claims and Statements,
apply to this certification and disclosure, if any.
OacuSigned by:
Signature of-pro06C8758226A3429...
viu�a J tiuLllVllGGu ki ficlal
Raven Coleman, President
Printed Name and Title of Provider's Authorized Official
4/28/2020
Date
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DocuSign Envelope ID:6F1378EE-84DB-45BO-90DE-C39BA2077B34
ACORiY DaT£(MMIDDmnY)
`� CERTIFICATE OF LIABILITY INSURANCE 3/18/2020
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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain pollcles may require an endorsement A statement on
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PRODUCER NAME; Alexandra Lysik
PHONE J'AX
Cavik 1nsuranee LLC OJC,No.
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PO Box 465 ADDREss: alexandra@caVikinsurance.cam
INSURER(8)AFFORDING COVERAGE NAIL
Kure Beach INC 28449 INSURER A; StarSlone Speciality Insurance
INSURED INSURER a: Progressive Inswance
4C CenU31 Cleaning Company Inc DBA Final Passage Transport INSURER C: Builders Mutual ins Co
3434 Edward Mills Rd INSURER D:
INSURER E
Raleigh NC 27612 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 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.
LTR TYPE OF INSURANCE INSO YrVD POLICY NUMBER (MMlDD (MMIDDIYYYY) Lima$
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GWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE f 2000.000
POLICY JECDT- LOC PRODUCTS-COMPIOPAGG i 2.D00,000
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DESC RIPTIGN OF OPERATIONS!LOCATIONS I VEH}CLES (ACORD 101,AddNlenat Remarks 5chaduls,may be allkched N man eWs Is required)
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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.
AVTHORZEo REPRESENTATIVE
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