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HomeMy WebLinkAbout2021-194-E-OCTS-NetPlanner Systems-Copper cabling DocuSign Envelope ID:835219A9-5F20-4A66-BEOD-37F6AO5F9A58 ORANGE COUNTY CHANGE ORDER REQUEST NORTH CAROLINA Date: 14Apri12021 Project: Outside Plant Fiber Infrastructure Change Order No. 1 Department: IT Department Address: 131 W. Margaret Lane Project: 61370035-897086-30007 Contractor: Netplanner Systems, Inc Contractor Address: 1229 Perry Road, Ste 108, Apex, NC 27502 Effective date of original contract: 3March2021 (2021-160) This change order❑ increases ❑ decreases the contract time by days. Check here if no impact to contract time E. Will this change order impact the date of substantial completion? ❑ Yes ® No. If yes,the amended date of substantial completion is: Full Description of Change: From the Detention Center MDF => Provide and install (1) 25pair cat3 copper OSP backbone cable to: in Parks Operations Base (POB) in Environmental and Agricultural (EAC) =>All pairs will be terminated on an OSP protector(surge) block at each location,then extended to the existing network rack and terminated on to a new 24 port 5e patch panel. => Provide all testing, labeling, as-built, and support documentation as required per scope of work. Reason for Change: Additional work not in original contract (see above) Original contract sum: $ 307,070.14 Contract sum prior to this change order: $ 307,070.14 Amount of this change order: $ 11,358.12 Total sum of the contract including this change order: $ 318,428.26 This change order is executed to amend the contract time or contract sum. It shall not be construed to impact the original contract, project, services, or work in any other manner. All other terms of the Original Contract remain in effect. Approved and executed this 14th day of April, 2021. Contract D``ocuS' nedby: Owner .aDocuSignedby: Archlte (�``I�yPTi .rgjained) M^�` 4/15/2021 By: esszaQ ._ By: _ By: 4/15/2021 esszuQ .. Revised 07/20 DocuSign Envelope ID:835219A9-5F20-4A66-BEOD-37F6AO5F9A58 Revised 07/20 DocuSign Envelope ID:835219A9-5F20-4A66-BEOD-37F6AO5F9A58 ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: NetPlanner Systems,Inc Party/Vendor Contact Person: Mike Dycus Contact Phone: 770.833.3130 Party/Vendor Address: 1229 Perry Road, Suite 108 City Apex State: NC Zip: 27502 Department: OCIT Amount: $11,358.12 Purpose: Copper cabling Budget Code(s): 61370035-897086-30007 Vendor#67077 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal❑ Amendment ® Effective Date 14Apr2021 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: h DocuSigned by: Jt� �Department Director's Signature Date: 4/15/2021 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: N/A Risk Management This agreement is approved for sufficiency of insuran b,specifications,and requirements: Office of the Risk Management Officer Date:4/15/2021 1_7MCF91 6800498 Financial Services This instrument has been pre-audited in the mane " the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer rqta Date: 4/16/2021 Legal Services This agreement is approved as to legal form and --.Wte$19�00 by: 4/16/2021 Office of the County Attorney Date: sz�aeus�s�-au ... 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:835219A9-5F20-4A66-BEOD-37F6AO5F9A58 el'lt 6 '4ca�o� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/16/2020 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 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 NAME: Charlotte Boren Sutter, McLellan&Gilbreath, Inc PHONE 770-246-8300 FLAX No:678-802-3971 1424 North Brown Road LAIC, /C No EXt Suite 300 ADDRESS: cboren@smginsurance.com Lawrenceville GA 30043 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Indemnity Co. 25658 INSURED NETPSYS-01 INSURER B: Phoenix Insurance CO. 25623 NetPlanner Systems, Inc. 3145 Northwoods Parkway INSURER C:Travelers Prop Cas Co of Ameri 25674 Suite 800 INSURER D:Travelers Cas&Surety Co America 31194 Norcross GA 30071 INSURER E: Charter Oak Fire Ins.Co. 25615 INSURER F: St.Paul Surplus Lines Ins.Co COVERAGES CERTIFICATE NUMBER:978708077 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y D-CO-1J389435-IND-20 12/31/2020 12/31/2021 EACH OCCURRENCE $1,000,000 RENTED CLAIMS-MADE � OCCUR PREM SE DAMAGESOEa occurrence) $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y 8101 L511122-20-26-G 12/31/2020 12/31/2021 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C X UMBRELLA LAB X OCCUR Y Y CUP-1J4562674-20-26 12/31/2020 12/31/2021 EACH OCCURRENCE $105000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DIED X RETENTION$ $ D WORKERS COMPENSATION Y UB-8J495959-20-26-G 12/31/2020 12/31/2021 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Leased/Rented Equipment 6608725M595COF20 12/31/2020 12/31/2021 Deductible:$2,500 150,000 F Professional Liability ZCO 81 N3718A 12/31/2020 12/31/2021 $10Ea Act E&O/Agg 10,000,000 E Crime-Incld 3rd Party 6608725M595COF20 12/31/2020 12/31/2021 Deductible:$25,000 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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. SPECIMEN CERTIFICATE AUTHORIZED REPR EIS r1T `E ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 25