HomeMy WebLinkAbout2021-172-E Planning-NC Emergency Management Lake Orange gauge installation DocuSign Envelope ID:7DAEBBB3-CD7F-4D87-A6B2-79322833D3E5
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: North Carolina Emergency Management (NCEM)/Risk Mana eg ment Party/Vendor Contact
Person: Michael A. Spra}berry Contact Phone: 919-825-2291 Party/Vendor Address: 1636 Gold Star Drive City
Raleigh State: NC Zip: 27607-3371 Department: Planning Amount: $00 Purpose: Agreement for Installation of
Weather/Level Gauge at Lake Orange(PIN 9857642370) Budget Code(s):N/A Vendor#N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑
Effective Date February 19,2021 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:
O Sig a by:
Department Director's Signature ��;bul-M Date: 3/18/2021
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:
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:
F'Us-Sig"Id/" ny:
Office of the Risk Management Officera�,oYl k 6 Date: 3/18/2021
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
oocusisnea by:
Office of the Chief Financial Officer "" "` Date: 3/18/2021
czes is izc.,iaae_.
Legal Services
This agreement is approved as to legal form and sufficiency:
0 Sigma by:
Office of the County Attorney �Ai%ts "�` 3/18/2021
�'1 Date:
328O�G80Sa9KaFS..
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:7DAEBBB3-CD7F-4D87-A6B2-79322833D3E5
BOPP"Al-d— -"0'
093 ROUTING AND TRANSMITTAL SLIP
DEPARTMENT OF PUBLIC SAFETY
PREVENT-PROTECT PREPARE
To: Gary Thompson(NCDPS) From: Orange County
Date Submitted:2/15/2021 Approved By:
G1'
Action Needed: ❑ See Sender- ❑ For Review: ElApproval/ Signature: I Ll I File: ❑ Other: ❑
Remarks: need initials only on this slip
To: Chris Koltyk(NCDPS) From: Orange County
Date Submitted:211812021 Approved By: °S
C�
Action Needed: ❑ I See Sender: For Review: ❑
Approval/ Signature: I ❑ I File: I Li I Other: ❑
Remarks: need initials only on this slip
To: Will Polk(NCDPS) From: Orange County
Date Submitted:z 26 2021 Approved By:L(�
Action Needed: ❑ I See Sender: ❑ For Review: ❑
Approval/ Signature: I ❑ I File: I ❑ I Other: ❑
Remarks: need initials only on this slip
To: Will Ray(NCDPS) From: Orange County
Date Submitted: 1 Approved By: D3
U►I°
Action Needed: ❑ See Sender: El For Review: ❑
Approval/ Signature: ❑ I File: ❑ Other: ❑
Remarks: need initials only on this slip
To: Mike Spra berr (NCDPS) From:
Date Submitted: 3/10/2021 Approved By: °S
�S
Action Needed: ❑ I See Sender: TET For Review: [
Approval/ Signature: I ❑ I File: I ❑ I Other: I ❑
Remarks: need initials only on this slip, Sprayberry signature will be on the Agreement itself
DocuSign Envelope ID:7DAEBBB3-CD7F-4D87-A6B2-79322833D3E5
B
North Carolina Department of Public Safety
Emergency Management
Roy Cooper,Governor Michael A. Sprayberry,Executive Director
Erik A.Hooks,Secretary
AGREEMENT
between
Risk Management Orange County,North Carolina
North Carolina Emergency Management
North Carolina Emergency Management (NCEM)/Risk Management in cooperation with the National Weather
Service and other local,state,and federal agencies operates a network of rain,stream,and weather gauges in order to
help protect lives and property by providing: rain and flood stage data, flood inundation maps, flooding impacts,
and alerts in real-time. NCEM/Risk Management would like to install a self-contained water level gauge
(hereafter the"Equipment")on PIN 9857642370(hereafter the"Property")in Orange County,North Carolina.
Therefore, Orange County,North Carolina agrees to permit representatives of NCEM/Risk Management to install,
without charge,such Equipment upon the Property at a site mutually agreed on by the parties. Orange County,North
Carolina assumes no responsibility for the Equipment installed. It is understood further that Orange County,North
Carolina will not care for, protect, or in any other way be responsible for the safety, condition, maintenance and/or
operation of the Equipment—and that Orange County,North Carolina will be granted access to any/all data collected
by the Equipment. Orange County, North Carolina will contact NCEM should Orange County, North Carolina
physically observe that the Equipment appears to have become damaged and/or is not functioning properly. The
location of the Equipment is shown on the attached site photo(Exhibit A).
Orange County, North Carolina will permit authorized representatives and maintenance personnel of NCEM/Risk
Management free ingress and egress to the Equipment for purposes of installing, testing, inspecting, operating, or
maintaining the equipment. The persons entering the Property pursuant to this Agreement will treat the Property and
anyone they encounter with respect and will operate in a safe manner. Furthermore,the persons entering the Property
pursuant to this Agreement do so entirely at their own risk,and by so entering the Property,agree to release and hold
harmless Orange County,North Carolina as well as its employees, agents, and representatives from and against any
and all claims,liabilities,damages,or demands for injury or death provided that none of the actions were due to gross
negligence or purposeful intent.
Orange County,North Carolina retains the right to request that the Equipment be removed from the Property and for
this Agreement to be terminated. Such a request should be made in writing to NCEM/Risk Management. Upon
receiving the request,NCEM/Risk Management would inform Orange County, North Carolina that the agency has
received the request and would arrange for the Equipment to be removed within 30 days barring that the agency was
not involved in a disaster. If the agency becomes involved in a disaster during this period,NCEM/Risk Management
would inform Orange County,North Carolina of the circumstances,provide an estimate of when personnel could be
dispatched to remove the Equipment, provide any necessary updates if the circumstances change, and remove the
Equipment as soon as possible.
This Agreement shall remain in force beginning the 19th day of February,2021.
LD 8i, 1 by: 0 S'g E by:
iatl Q SPra�buvr� 3/10/2021 �j� 3/18/2021
�� -- Z083]9948]BBE9]]...
Michael A. Sprayberry Date Bonnie Hammersley Date
Executive Director,NCEM/Risk Management County Manager,Orange County,North Carolina
Enc: Exhbit A-Site Photo
MAILING ADDRESS: OFFICE LOCATION:
4218 Mail Service Center 4105 Reedy Creek Rd
Raleigh,NC 27699-4218 Raleigh,NC 27607
www.ncfloodmaps.com Telephone:(919)715-5711
.A- . Fax:(919)715-0408
An Equal Opportunity Employer
DocuSign Envelope ID:7DAEBBB3-CD7F-4D87-A6B2-79322833D3E5
Exhibit A - Site Photo
Lake Orange
36
PIN 9857642370
Earthen Berm
a.
sti y _
NCEM Gauge
4 (to be mounted on M-
Google Earth
•
Lat. Long.
ORANG-005 Lake Orange Dam Orange County 36.147067 -79.150166 Hillsborough NC 27278
DocuSign Envelope ID:7DAEBBB3-CD7F-4D87-A6B2-79322833D3E5
(4
MIKE CAUSEY
OSFMINSURANCE COMMISSIONER& STATE FIRE MARSHAL
NC DEPARTMENT OF' BRIAN TAYLOR,CHIEF STATE FIRE MARSHAL
INSURANCE
CERTIFICATE OF COVERAGE
Certificate Holder: To Whom This May Concern
Insurer: State of North Carolina
Authorization: Public Officers & Employee Liability Insurance Commission of North
Carolina and the General Statutes of North Carolina, Chapter 143,
Articles 31 to 31 D, Sections §143-291 to §143-300.
Period: February 01, 2021 until February 01, 2022
Coverage: A) Tort Claims against Departments, Agencies, and Employees
B) Excess Liability for State Employees
BRIT Global Specialty USA- Policy# PK1035819
C) Workers' Compensation
Limits A) $1,000,000 for Tort claims against the State
B) $2,000,000 per employee/$5,000,000 aggregate for claims
against state employees
C) Statutory Limits for Workers' Compensation
Description: North Carolina Emergency Management and its employees, officers,
agents, as covered by the Defense of State Employees as per NCGS §
143 300.2.
Administrator: Department Insurance - Risk Management Division
Public Officers & Employees Liability Insurance Commission
1202 Mail Service Center, Raleigh, NC 27699-1202
Note: This Certificate is for informational purposes only and does not alter any
provision of the Tort Claims or Defense of State Employees General
Statutes of the State.
t
Verified By:
Bryan Heckle, CIC, CPCU, CRM
Deputy Commissioner of Risk Management
NCEM
OFFICE OF STATE FIRE MARSHAL • RISK MANAGEMENT
1202 MAIL SERVICE CENTER I RALEIGH,NC 27699-1202 1 Tel 919.647.0000 1 Fax 919.715.0067