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HomeMy WebLinkAbout2020-923-E AMS - Bordeaux Construction change amendment 3 DocuSign Envelope ID:658A459F-A778-460E-9BE2-7EF08EAF03B2 NORTH CAROLINA CONTRACT AMENDMENT ORANGE COUNTY THIS CONTRACT AMENDMENT ("Amendment") is made and entered into this 19th day of November, 2020 by and between ORANGE COUNTY (hereinafter referred to as "County") and Bordeaux Construction Company, Inc. (hereinafter referred to as "Provider"). WITNESSETH: THAT WHEREAS, the County and Provider entered into a contract dated September 06,2019, (hereinafter the "Original Agreement"), for the provision of services for Construction of the Orange County Detention Center, Environment and Agriculture Center, and the Parks Operations Base; and WHEREAS, the County and Provider desire to amend the Original Agreement while keeping in effect all terms and conditions of the Original Agreement not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration of the mutual covenants and agreements made herein, the parties agree to amend the Original Agreement as follows: Reconcile the site dirt allowance. 1. In order to ensure the completion of the Services identified in the term of the Original Agreement is amended to reflect an end date by which all Services shall be completed of May 9,2021. 2. Exhibit A to the Original Agreement is amended by adding the following tasks and services to the Services to be provided by the Contractor: 3. Article 4 — CONSTRUCTION GUARANTEED MAXIMUM PRICE ("GMP") AND AMENDMENT 1 DATED SEPTEMBER 6, 2019 is amended to reflect a Guaranteed Maximum Price payable not-to-exceed amount of Thirty-Five Million, Nine Hundred Eighteen Thousand, Seven Hundred Sixty-Five Dollars ($35,918,765.00). 4. Except for the changes made herein, the Original Agreement shall remain in full force and effect to the extent it is not inconsistent with this Amendment. In the event there is a conflict between the terms of the Original Agreement and the terms of this Amendment,this Amendment shall control. IN TESTIMONY WHEREOF, this Amendment has been executed by the parties hereto, as of the date first above written. ORANGE COUNTY PROVIDER o ssoea ny: oocosisoea by: �a��R MAI 11/25/2020 ��lair 6br"-)- 11/24/2020 C s: Bonnie Hammersley Blair Bordeaux County Manager President Revised 07/20 DocuSign Envelope ID:658A459F-A778-460E-9BE2-7EF08EAF03B2 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Bordeaux Construction Company, Inc.. Party/Vendor Contact Person: Brad Bowling (brad(a)bordeauxconstruction.com) and/or Blair Bordeaux (blair(a)bordeauxconstruction.com) Contact Phone: 919.220.1141 Party/Vendor Address: 135 E. Martin Street City Raleigh State: NC Zip: 27601 Department: AMS Amount: Deduct$73,317 from GMP Contract Purpose:Northern Campus Amendment 003 —Site Dirt Allowance Reconciliation Budget Code(s): 61370035-880000- 10064 Vendor#56946 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal❑ Amendment ® Effective Date 11/19/2020 Approved by Board Yes❑No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: D Sg tlby Department Director's Signature Sf�a" Date:11/24/2020 ��2B6ec65e5i5ddc5.. Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: D Sig etl by: ffi a(Asa(anu$e by- Office of the Risk Management Officer Date 11/24/2020: FDCF9T9B&➢69g.. Financial Services IDS This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: P( D Mg by: 11/zs/zozo Office of the Chief Financial Officer �"" Date: Legal Services This agreement is approved as to legal form and sufficiency: D Date: 5'g tl by: Office of the County Attorney a�S"Z R'M' 11/25/2020 DSF�DD��g_ Clerk to the Board Received for record retention: All DocuSign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for DocuSign contracts: Office of the Clerk to the Board Date: Revised 07/20 DocuSign Envelope ID:658A459F-A778-460E-9BE2-7EF08EAF03B2 i= MOSELEYARC"' H i I TECTIS") Change Order i l Orange County Change Order Number: 03 131 W.Margaret Ln.Suite 301 Project# 550352 Hillsborough,NC 27278 i To Contractor: Change Order 11118/2020 Date: Bordeaux Construction Company,Inc. Contract Date: 09/06/2019 135 E Martin Street,Suite 101 Raleigh,NC 27601 I= C s'- The Contract is hereby revised by the following items: i? PCO Description Days Amount j^ 003 Reconcile Site Dirt Allowances out of GMP for owner use 0 ($73,317.00) Total for this Change Order: 0 Days $(73,317.00) The original Contract Sum was...................................................................................................... $36,354,082.00 i Sum of changes by prior Change Orders.............................................................................. $(362,000.00) The Contract Sum prior to this Change Order was......................................................... $35,992,082.00 The Contract Sum will be changed by this Change Order in the amount of............................ $(73,317.00) The new Contract Sum including this Change Order will be................................. $35,918,765.00 The Contract duration will be changed by....................... .................................................. 0 Days The revised Substantial Completion date as of this Change Order is................................. 5/9/2021 i ARCHITECT CONTRACTOR - OWNER Moseley Architects Bordeaux Construction Company,Inc. Orange County HH Architecture 135 E Martin Street,Suite 101 131 W.Margaret Ln.Suite 301 Raleigh,NC 27601 Hillsborough,NC 27278 ' SIGNATURE SIGNATURE SIG 'aT RE DATE ��e , S0 DATE 11-19-2020 DATE 1/— 8— ��l✓ E i'. f r f i Printed on: 11/18/2020 Page 1 of 1 i DocuSign Envelope ID:658A459F-A778-460E-9BE2-7EF08EAF03B2 i Orange County Northern Campus Sub Allowances 8/28/2019 ITEM DESCRIPTION OF WORK ALLOWANCE UNIT UNITPINCE SCHEDULED USAGE QUANTITY VALUE AMOUNT COMMENTS REMAINING BWPACKAGE03A-Bt&DING CONCRETE-:Select 1 Unsuhable Solls Re—I(TRENCH)a,d disposal ON-SUE.100N 100 ry WHO $ 15,000.00 $ (15,000) 3 Replacementof Authorized Excavation of Unzuitable Soils or Pock(TREP1CHIv.1th OFF-SRE Aggregate Base Course sy $10000 $ 15,000m)ABC)stone mated al,compacted:I5Gry 750 $ (15,000) TOTALFORBIOPKG 3A $ 30,000.0 r 6 BIDPACKAGE4A•MASONRY 4 I,&detha sum d$750p,thausandfafddf—hdcka;s,aFdfn DMdm 04 0 m $750.00 $ - 5 Induda the s,an f$750 pathousand frcfiddeccentbddtasspcd5edm 0."14s'an 04S.f.'U'a Masonry aW t.,San 0 m $750.00 $ l,"ethos=of$350 P-housmdfamadWarfxe HO—spedfed in DVWW 04SecWLWIMasorry'e EAC 0 m $350.00 $ - hRWdethe stop 0$450p"msmd(Mamas kcebkk as sped5edin CM6d 04 Se..WUMMIJasonry'NEAC 0 m $450.00 4 - Indudethe sum of$750p,thm,wdfa UfFtYfecebddc e;spedfadin Div w048e 60'U SMasozvy et EAC 0 $750.00 $ TOTAL FOR BID PKG 4A f BID PACKAGE09A-DRYVIALL-Sear. 6 GWBtca p&ha ft.6rl Elk-$50001sren 1 1— $5,000A0 8 5.000.00 TOTAL FOR BID PKG 9A $ 5,000.00 BID PACKAGE 090•VCT&Carpet-&a<k 6 Mdsbee V Tzeatment 9726 a $4.00 $ 38,904.00 TOTAL FOR BID PKG 90 $ 38,904.00 BJDPAC)(AGE VIA-SIORAOE-AOA Sign, 8 Intedwpmid dg,s mdvmyl lattemg-$20,000 Ism-DetulS Cent, 1 1— $20,00000 $ 20.000.00 8 Infaiapand dgns,d wrg7lettming-410,OW hen-EAC 8P08 1 Isms $1000.00 $ 10.00000 TOTALFORBIDPKGIOA $ 34,040.00 BID PACKAGE tiC-DECrSEC COMBO 9 Furivsh end mstdl24124'Em rated aaess doa and 4ane-f0ea 10 S$25.00 $ 5,25040 10 Fum'zh and msta'1249Q4'fre ra'sd Sacudty ocazsdoff mid Gana-20 ea 10 $725.00 $ 7,250.00 TOTALFORBIDPKG IIC $ 12,500.00 010PACKAGE I3A-PREFADSTEEL CELLS 13,1114 afNA 11 Securi fbdure,NPe PSH-1,furnish only Unit Price Onl 0 $945.00 $ 12 Security Fixture,type PSH-2,furnish only Un(t Price Only 0 $540.00 $ 13 Security Ftdure,type PDT-1,furnizh only Unit Price Only 0 $1,645.W $ - 14 Security Flxlure,type PLA-1,fu r..Doty Unit Price Only 0 $815.00 $ 15 Security Fixture,type PWA-1,Furnishonh/Unfit Prire Only 0 $2,745.00 $ 16 ISecunty Fixture,type PWA-2,furnish only Unit Price Only 0 $1,3d5.W $ 17 Security Fixture,typeP-A-3,furnish only Unit Price 02 0 $1,365.W $ 18 Security Fixture, ePWC-1,furnish only Unit Ed.Only 0 $1,210,00 $ 19 Security Fixture,type PWC-2,furnish only Unit Price Only 0 e. $1.255.00 $ TOTAL FOR BID PKG 13A $ BID PACKAGE 21 A-SPRWKLER-CamBna Flro Comml 20 Iaa—udty spdrMa heads pz Aded and instchd-5 ea 5 EA $250.00 $ i,250.00 21 Sacuity spi V,heads provided end mstakd-5 ea 5 EA $350.00 $ 1,750.W TOTALFORBIOPKG21A $ 3,000.00 BID PACKAGE 22A-PLUMBING-Comfort Syekma 22 Umultable Soils Removal(TRENCH)and disposal ON-SNE:100 cy 100 cy $w.00 $ 440WC0 $ 14,G001 TOTAL FOR BID PKG 22A $ d,OW,W 810 PACKAGE 26A-ELECTRICAL-esyant Duiham 25 Unzultahle Soils Removal and disposal ON-SITE:IN 1W ry $30.00 $ 3,OW.W $ 13,0001 )! 28 PW'de secumy qpe%2 Sill Eghts vilh 30'dcotWut Avidig-Sea 5 EA $&W.00 $ 4,000.00 29 Pm.de single hom oabe wN 30d—dret and wring.5 ea 5 EA $711.11 $ 3,500.00 30 Rorde a udt price pa kW DC d ad Wml sdacapadty zq to 20°b oftM a tie syrtem sae 0 kW $MW.00 $ 30 Lump-4ax Lc 6ta$ghbg cadets,.q*mt by local uffry pmld, Issn $ 8.00000 31 Lwp star dw2nce fadI.bicd chmg.z by Fasd S-kd E9Wpmed Isien $ 5000.00 TOTAL FOR 010 PKG 26A $ 23,500.00 F BN)PACKAGE 31A-SITE(TURNKEY)-Sanru.�k 32 Und,cat(Mass)Unsdtasia W. aq—on dR,13700 cy 13700 ry $5.10 $ 69,870.00 ($65,744) Reconciled final 37 IfidaM(Mass)Unslita'Aa Sa7s80spoze aRste-27750ry 27750 cy $17.00 $ 471,750,00 allowance haian<e to ($399,433)$ (73,3111 owner-PCD 61 34 UMacW(Trench)Unsd1mAa Sh&IXspose an v+,500 y 5W ry $12.00 $ 6,000.00 35 Ud—t(Trench)UnzdWa Sc&&Dispoze 0 el.250 y 250 Izian $23.00 $ 5,7%00 36 Rak R—I1v open meas(M—)S Qspozd oB site-IN ty 100 cy $64W $ 6,4W.00 - 37 Rak R—al(Trach)&&pond ofdte-600ry 600 ry $57.00 $ 34,2W.00 157,Eo91 38 Rcpta:ana faNharsed—N1.dunsWt3.+la sots amok(Mass)Wth on sw sut�Ia sots mopes mess-5250 y 5250 cy $5.80 $ 30,450.00 39 Repla;sanant f M.0 devdvatan dunslzl�la 7s arock(M—)wih off dte sLftW.so4s mopes areaz-10300 Y 10300 ry $16.00 $ 164.800.00 ($f1],616) 46 Rsgix a ofakhoned enlvaeon d mssble so]samck(Tranch)Wth off site ABC slave c,rpwed-950ry 950 cy $6200 $ 509W.00 ($130,720) 41 ABC stone In open areas(Maz)mT dz d-100 tore 1W tons $33.W $ 3,30000 42 Geotechnical Fabric-200sy 2W ryds $4.W $ 800.W (WA00) 43 Subsurface Otalns:2W If 2W 1 If 1 $45.00 $ 9,000.00 Include a lump sum allowance far rain water cistern at EAC 1 I— $7,500.00 $ 7,500W 44 IncNde aimq sen eaovvance famatafeos 1 hen W.W.W $ 10,000-00 .ance 45 Ir&dean"$=akfareplaanentdsmnedrives 1 ken $20,000.00 $ 20,000.00 46 Irdd-I.V standovwncefa NCDOTpafamanca eM k1.,*b.& 1 I'm $25,000.00 $ 25000.00 $ (25,000) TOTAL FORBIORKG 3IA f 923,720.00 Tot I Sta Alaaances ihed to date (;830,439) 810PACKAGE 32A-Und-Ping-WA, 47 Furresh Slnsta9 sod'm feu of seed 5700 sy $5.31 $ 30,267,00 TOTAL FOR BID PXG 32A $ 30,267.00 TOTAL f 1;100881.00 hR!in Sub 0d Pas 7 lE DocuSign Envelope ID:658A459F-A778-460E-9BE2-7EF08EAF03B2 ORANGE COUNTY NORTH CAROLINA Asset Management Services Date: November 19, 2020 Project: Northern Campus Detention Facility Change Amendment#003 This change amendment involves the site dirt allowance reconciliation. This change amendment is to reconcile the unused site dirt allowances out of the GMP (Guaranteed Maximum Price Contract) and to be added to Owner Contingency. This change order is to deduct ($73,317.00)from the existing contract for site dirt allowance. Original Contract (GMP) $36,354,082.00 Amendment 001 $ 0.00 Amendment 002 $ (362,000.00) Amendment 003 $ (73,317.00) Total Contract Prior to Change Amendment 003 $35,992,082.00 Amendment 003 $ (73,317.00) New Contract Guar a ,765.00 P.O. Box 8181 * 131 West Margaret Lane,3rd Floor* Hillsborough, North Carolina 27278 Telephone:919 245-2625 Fax:919-644-3001 E-mail:AMService@orangecountync.gov DocuSign Envelope ID:658A459F-A778-460E-9BE2-7EF08EAF03B2 ---o"I BORDCON-02 MAIRINGTON lYCCIP E31I DATE IMMIDDIYYYYI 04 � CERTIFICATE OF LIABILITY INSURANCE 1 211 812 01 9 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(les)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 Melanie A.Airington Trisure,an Alera Group Company PHONE. e,Ext:(919y 469-2473 ,No:(919)467-4987 4325 Lake Boone Trail,Suite 200 Raleigh,NC 27607 AE L .rrlairin ton risure.com MAI INSURERS AFFORDING COVERAGE NAIC# _ INSURER A:Charter Oak Fire Insurance Company The 25615 INSURED INSURER 8:Travelers Prop" Casualty Company of America 25674 Bordeaux Construction Company,Inc. INSURER C:Phoenix Insurance Company The 25623 #101 135 E Martin St INSURER D: Raleigh,NC 27601 ON SURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 7 U 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 NUMBER POLICDY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 11000,000 CLAIMS-MADE x vccuR CO2F979366 12/31/2019 1213112020 DAMAGE TO-RENTED 300,000 $ X Contractual Liab MED EXP oneperson) $ 10,000 PERSONAL&ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY 177�,-71 j LOC PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000,000 x ANYAUTQ 81021-173833 12/31/2019 12/31/2020 BODILY INJURY Per on S OWNED X SCHEDULED � AUTOS ONLY AUTOS BODILY INJURY Per smWeit S x AUTOS ONLY x AUTOS ONLY 01 aacEcRide DAMAGE $ x Comp$500 x Coll$500 $ B X UMBRELLA LIAR x OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE CUP4I0009166 12/31/2019 12/31/2020 AGGREGATE s 10,000,000 DED I x I RETENTION$ 10,006 t C WORKERS COMPENSATION x PER OTH- AND EMPLOYERS LIABILITY STATUTE UB8J493303 12/31/2019 12/31/2020 11000,000 AA14Y PROPRIETgORIPARTNERIEXECUTIVE Y 1 N E.L.EACH ACCIDENT $ (Mandatory In Nj ExCLUOEo7 N 1A E.L.DISEASE-EA EMPLOYE S 11000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLIL:Y LIMIT DESCRIPTION OF 0PERATIONS I LOCATIONS I VEHICLES (ACOR0 101,Additional Remarks Schedule,may be attached If morespace Is required) Leased)Rented Equipment 6607F242185(The Charter Oak Fire Insurance Co.)NAIC#2561512131119-12131120 LeasedlRented Equipment Limit $160,000 Operations of the Named Insured covered by the above referenced policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count Attn: Risk Manager THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 8181 Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:658A459F-A778-460E-9BE2-7EF08EAF03B2 BORDCON-02 MAIRINGTON FDATE fMMIDDIYYYYI CERTIFICATE OF LIABILITY INSURANCE 12/18/2019 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 endorsements). PRODUCER CONTACT Melanie A.Airington Trisure,an Alera Group Company ADCO"N,EIt:(919)4 6 9-2 4 7 3 1 f,Nn:(919)467-4987 4325 Lake Boone Trail,Suite 200 EMAIL Raleigh,NC 27607 DD •mairington_@trisure.com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Charter Oak Fire Insurance Company The 25615 INSURED INSURER B:Travelers Property C_asuakt Company of America 25674 Bordeaux Construction Company,Inc. INSURER C:Phoenix Insurance Company The 25623 #101 - 135 E Martin St INSURER D:Tokio Marine Special 23850 Raleigh,NC 27601 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 CONTRACTOR 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 SUER INSD VIVO POLICY NUMBER POLICY EFF POLICY EXPLTR MMIDDIY LIMITS A x COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE CLAIMS-MADE �OCCUR x COZF979366 12/31/2019 12131/2020 DAMoccurrence)P AGE Tp RENTE❑ $ 300,000 x Contractual Liab ME EXP(Any oneperson) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ]CEO LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO 81021-173833 12/31/2019 12/31/2020 BODILY INJURY Perperson) $ OMED X SCHEDULED AIUgqTEEO��S ONLY AUTOS SSyyryEp -BODILY INJURY Per accident $ x AUTOS ONLY X ONO MN Perpacc tlenEAMAGE $ x Comp$500 1 X Call$500 B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAR CLAIMS-MADE CUP4KOO9166 12/31/2019 121311202D AGGREGATE $ 10,000,000 DED I x I RETENTION$ 10,000 C WORKERS COMPENSATION X PER DTH- AND EMPLOYERS'LIABILITY YIN UB8J493303 12/31/20 9 12/31/2020 STATUTE 1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE NIA E,I.EACH ACCIDENT $ OFFICERIMEMHER EXCLUDED? fMandalory n I E-L.DISEASE-EA EMPLOYEE $ 1,000,000 IF vas-describe udder 1,000,040 DESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT D Profession/Pollution PPK1954292 3/12/2019 3/12/2020 Limit 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES `ACORD 101.Additional Remarks Schedule,may be attached If mores ace Is required] Leased/Rented Equipment 66D7F242185(Title Charter Oak Fire Insurance Go.)NAIC#2 561 5 1 2131119-1 2�31/20 LeasedlRented Equipment Limit $150.000 Operations of the Named Insured covered by the above referenced policies. Orange County Is listed as additonal insured with respect to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 8181 Hillsborough,INC 27278 AUTHORIZED REPRESENTATIVE pw� ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD