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HomeMy WebLinkAbout2021-244-E-AMS-Intellicom, Inc Northern Campus Detention Center AV install DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 os Q� [Departmental Use Only] TITLE Northern Campus AV FY 2020/2021 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter "Agreement"), made and entered into this 5th day of May, 2021, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Intellicom, Inc, (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): To install AV equipment in the spaces inside the new Northern Campus Detention center. Lobby, Workroom/Conference, Secure Area- Large Training Room AA86 &AA85, and the Secure Area- Day Room Displays. 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 Revised 07/20 1 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 performance of these services. Provider is solely responsible for the professional quality, accuracy and timely completion and 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 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 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 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 07/20 2 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): To install AV Equipment at the new Northern Campus Detention Center. 4. Duration of Services a. Term. The term of this Agreement shall be from 05/05/2021 to 08/05/2021. 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 05/05/2021. 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 Forty Three Thousand One Hundred Twenty Three dollars and Ninety Three Cents Dollars ($43123.93). 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 (Alan Dorman) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Revised 07/20 3 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 Commissioners and who 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 NA(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 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. Either party may terminate this Agreement upon notice to the other party that obligations pursuant to this Agreement are made impractical due to declarations of emergency by Orange County or by North Carolina due to events directly impacting Orange County. Both parties shall Revised 07/20 4 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 remain responsible for all payment and performance due up to the receipt of such notice, but shall have no further obligation or responsibility beyond that date provided the terminating party has taken all reasonable steps to complete the performance of its obligations. 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. Upon request of the County, the Provider shall submit to County all relevant documentation, including but not limited to, job cost records, to support its claims for final compensation. 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. 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 Revised 07/20 5 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 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 counMc. 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 or mandated functions, by state or federal legislative or regulatory action, which adversely affects County's authority to continue its obligations under this Agreement, then this Agreement Revised 07/20 6 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County's legal authority. i. Si ng atures. 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 I IA 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:Alan Dorman Intellicom, Inc P.O. Box 8181 2902 S Miami Blvd Hillsborough,NC 27278 Durham,NC 27703 [SIGNATURE PAGE TO FOLLOW] Revised 07/20 7 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 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: DocuSigned by: DocuSigned by: By f jbin but, (�a KAtY'bj B LVA�*UbAbb&-Z410_ 0637904B E477...onnie ammersley5/6/2021 5/10/2021 Mike Bullock Printed Name and Title Revised 07/20 8 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock Contact Phone: 919-957-1949 Party/Vendor Address: 2902 S Miami Blvd City Durham State: NC Zip: 27703 Department: AMS Amount: 43123.93 Purpose: To Install AV at the Northern Campus Detention Center Budget Code(s): 61370035-800112- 10064 Vendor# 44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 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: DocuSigned by: Department Director's Signatu Lesftkyl AMA Date: 5/6/2021 Agreements for emergency servicK115 WW'fibt 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: �jCVBA91UM64DF DocuSign�/by::,,, Office of the Chief Information OffictVK t4 '"7 Date: 5/6/2021 ... Risk Management This agreement is approved for sufficienc gg f igurce standards,specifications,and requirements: BocuSigned"" b y: Office of the Risk Management Officer auso, C,brv�,e Date:5/6/2021 7FDCF9176800498... DS Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Office I-N '�" Date: 5/10/2021 Cr7D4E5181ACC1409 Legal Services This agreement is approved as lwgali� rand sufficiency: Office of the County Attorney, 6st fL k1my' Date:5/10/2021 4C5F3CDDF0B94F6... 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 9 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 Revised 07/20 10 DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 E1[' 2902 S. Miami Blvd Suite C icom ,In Inc. Durham, NC 27703 Office: 919.957.1949 communication specialists Fax: 919.957.8737 May 5, 2021 TO: Orange County Alan Dorman RE: North Campus Detention Center AV Intellicom Inc. appreciates the opportunity to submit this Proposal for integrated AV equipment in the spaces inside the new North Campus county Detention Center as follows. Lobby • Install 1 55"display for signage content provided by user • Provide content integration of BAS information as provided by client Workroom/Conference AA08 • Install up to (1) 65" display with wall controller in user-specified location for content presentation. • Install 1 HDMI extension for laptop connections (via existing floor boxes) • Install up to (2) overhead speakers for presentation audio Secure Area— Large Training Room AA86 • Install (2) 75"flat panel displays (client-specified grade) mounted on front wall 0 Displays will use surface mount cabling to display identical content image • Install HDMI single gang wall extender wall box for laptop connections o CATx cable extension connections via Data room AA80 • Install (2)surface mounted vandal-resistant speakers on front wall • Install single-gang controller on front wall (final location TBD)for system on/off • Connect all speakers, HDMI extenders, and network connections via Data AA80 0 1 RU of equipment to be installed in AA80 racks Secure Area—Large Training room AA85 • Install (1)celling mounted 4000 lumen laser projector system in center of room for content presentation o Install (1)wall mounted manual projection screen measuring 137" diagonally o Install (1)single gang HDMI extension in front wall for laptop connections o Install (1)single gang wall controller for system on/off on front wall (surface mounted) • Install (4)vandal-resistant, surface mounted speakers on room ceiling in GC-installed enclosures • Connect all speakers, HDMI extenders, and network connections via Data AA80 0 1 RU of equipment to be installed in AA80 racks Secure Area—Day Room Displays • Install (15)wall-mounted 55" displays in locations specified by client on 2nd floor of facility Providing all your communication needs including:VOICE*DATA*FIBER OPTICS*PUBLIC ADDRESS*SECURITY*AUDIO VISUAL Visit us on the Web @ www.intellicomrtp.com DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 Page 2 of 3 Pricing Location Display Materials Labor Subtotal Public Lobby AA03 1x 55" $715.01 $390 $1,105.01 AA08 workroom/conference 1x 65" $2,431.13 $1,550 $3,981.13 Secure Area: AA86 Training 2x 75" $6,081.96 $3,475 $9,556.96 Secure Area: AA85 Training 1 137"d proj $4,822.03 $3,475 $8,297.03 Secure Area: Day Room Displays 15x 55" $11,100.15 $6,075 $17,175.15 Subtotal $25,150.28 $14,965 $40,115.28 Tax est $3,008.65 TOTAL $43,123,93 FOB destination—Orange County(Hillsborough, NC) Notes and Conditions: 1. Prices above include estimated NC sales tax on provided goods and services; final tax amount will be billed at invoice. 2. FOB Durham, NC (Durham County)for tax purposes unless otherwise noted. 3. Pricing above does not include grounding, conduit for equipment locations, power supplies, plywood backboard for IT room. This can be provided for additional costs as needed. 4. Pricing above does not include costs for architectural or other changes/repairs to the owner's physical room environment needed for installation (drywall refitting or repairs, acoustical panel modifications, etc.) 5. Pricing above does not include equipment not noted - routers, switches, or power poles. 6. All conduit, back boxes and pathways are to be provided by others. 7. Assumes customer will provide clear, timely and free access to all work areas. 8. Work to be performed during the business hours Mon. thru Thurs. 7:00 am to 6:00 pm. 9. Price valid for 30 days. 10. Invoice terms are 30% deposit with order acceptance and remainder COD at substantial completion unless other terms are approved by Intellicom, Inc. 11. Credit card payments will be charged an additional 3% processing fee at invoicing. Thank you for the opportunity to submit these estimates. We look forward to working with you on this project opportunity. Sincerely, 51�4 Few" AV/Design/Technical Intellicom, Inc. Please sign your acceptance of this proposal as stated above. By signing, client agrees to payment terms of 30% deposit with order acceptance and remainder due COD at substantial completion, unless other terms are approved by Intellicom, Inc. Print& Signature of responsible party Date Billing address information: Providing all your communication needs including:VOICE*DATA*FIBER OPTICS*PUBLIC ADDRESS*SECURITY*AUDIO VISUAL Visit us on the Web @ www.intellicomrtp.com DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 ' 2902 S. Miami Blvd Suite C In ellicom , Inc. Durham, NC 27703 Office: 919.957.1949 communication specialists Fax: 919.957.8737 Providing all your communication needs including:VOICE*DATA*FIBER OPTICS*PUBLIC ADDRESS*SECURITY*AUDIO VISUAL Visit us on the Web @ www.intellicomrtp.com DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 ` 4 �'� ,4ccw" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 44.� 03/11/2021 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 CONTA T Steven Stacy NAME: Pelnik Insurance PHHONN (919)459-8000 yC NI.. (866)714-3576 100 Ridgeview Drive L-IARFss: Steve.Slacy@Pelnik.com Suite 100 INSURERIS)AFFORDING COVERAGE NAIC 9 Cary NC 27511 INSURERA: The Hanover Insurance Group INSURED INSURER B: Allmerica Financial Benefit 41840 Intellicom Inc,DBA:PLC Communications Inc INSURER C 2902 S Miami Blvd Ste C INSURER D. INSURER E: Durham NC 27703 INSURER F. COVERAGES CERTIFICATE NUMBER: CL2131121107 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 MAYBE 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. TYPE OF INSURANCE POLI Y EFF POLICY EXP LTR INSD WVD POLICY NUMBER MMIDDNYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 2,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 500,000 MED EXP(Any one person) s 15,000 A OZ6-D866854-00 04/01/2021 04/01/2022 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 4,000,000 POLICY PRO- �E T LOC PRODUCTS-COMP/OPAGG s 4,000,000 OTHER- s AUTOMOBILE LIABILITY COME IN D SINGLE LIMIT s 1,000.000 Ee accident) ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED AW6-D866847-00 04/01/2021 04/01/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS IX HIRED x NON-OWNED PROPERTY DAMAGE s AUTOS ONLY AUTOS ONLY Per acdderu s X UMBRELLA LIAB X OCCUR EACH OCCURRENCE s 6,000,000 A EXCESS LAB CLAIMS-MADE OZ6-DB66854-00 04/01/2021 04/01/2022 AGGREGATE s 6,000,000 DED I X RETENTION S 0 s WORKERS COMPENSATION v PER OTH- ANDEMPLOYERS'LIABILITY YIN /� STATUTE ERR ANY PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT s 1,000,000 B OFFlCERIMEMBER EXCLUDEM FN] N/A W26-D866842-00 04/01/2021 04101/2022 (Mandatory In NH) 1,000,000 If yes,describe under E,L DISEASE-EA EMPLOYEE s DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT s 1,000,000 Leased/Rented Equipment A OZ6-D866854-00 04/01I2021 04/01/2022 Limit 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough NC 27278 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:52A89AAF-4F9B-4171-A9AB-856EB935BF90 ,a►cv CERTIFICATE OF LIABILITY INSURANCE DATE(M M/DDIYYYY) 03/11/2021 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: Steven Stacy Pelnik Insurance PHONE (919)459-8000 FAX (866)714-3576 AIC Na Ext: WC.No 100 Ridgeview Drive E-MAIL Steve.Stacy@Pelnik.com ADDRESS: Suite 100 INSURER(S)AFFORDING COVERAGE NAIC# Cary NC 27511 INSURERA: The Hanover Insurance Group INSURED INSURER B: Allmerica Financial Benefit 41840 Intellicom Inc.,DBA:PLC Communications Inc. INSURER C: 2902 S Miami Blvd Ste C INSURER D INSURER E Durham NC 27703 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2131121107 REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED OELOW 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR TYPE OF INSURANCE '' POLICY EFF POLICY LTR INSD WVD POLICYNUMBER MMIDDIV MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY RRENCE s 2,000,000 EACH OCCU CLAIMS-MADE 7x OCCUR PREMISES Ea occurrence s 500,000 MED EXP(Any one person) s 15,000 A OZ6-D866854-00 04/01/2021 04/01/2022 —PERSONAL BADVINJURY $ 2,000.000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICYFXPRO- JECT LOC PRODUCTS-COMP/OPAGG S 4,000,000 OTHER: $ AUTOMOBILE LIABILITY C 0 M bSIN LE IMIT $ 1,000,000 Ea aci lc en4 ANYAUTO BODI LY INJURY(Per person) s B OWNED SCHEDULED AVVB-D866847-00 04/01/2021 04/01/2022 BODI LY INJURY(Per accident) S AUTOS ONLY AUTOS X W HIRED X NON-ONED PROPERTY DAMAGE 5 /1 AUTOS ONLY /'� AUTOS ONLY PeraccIden! $ X UMBRELLA LAB OCCUR EACH OCCURRENCE S 6,000,000 A EXCESS LAB CLAIMS-MADE OZ6-D866854-00 04/01/2021 04/01/2022 AGGREGATE $ 6,000,000 DED I X RETENTION S 0 S WORKERS COMPENSATION X1 PER STATUTE EOR IV H AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTE Y/N EL EACHACCIDENT $ 1,000,000 B OFFICER/MEMBEREXCLUDEI �N N/A W26-D866842-00 04/01/2021 04/01/2022 (Mandatory in NH) EL DISEASE-EAEMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1.000,000 Leased/Rented Equipment A OZ6-D866854-00 04/01/2021 04/01/2022 Limit 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS I 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 Outsource LLC ACCORDANCE WITH THE POLICY PROVISIONS. 1960 E Grand Avenue Suite 1180 AUTHORIZED REPRESENTATIVE El Segundo CA 90245 ©1988-2015 ACORD CORPORATION. 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