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2020-383-E-Solid Waste-Alsco uniforms
NORTH CAROLINA ORANGE COUNTY CONTRACT AMENDMENT #1 THIS CONTRACT AMENDMENT ("Amendment") is made and entered into this 20th day of ___June__ 2020 by and between ORANGE COUNTY (hereinafter referred to as "County") and Alsco, Inc. (hereinafter referred to as "Provider"). WITNESSETH: THAT WHEREAS, the County and Provider entered into a contract dated J u l y 1 , 2 0 1 7 w i t h r e s p e c t t o U n i f o r m R e n t a l a n d S e r v i c i n g f o r O r a n g e C o u n t y S o l i d W a s t e ( h e r e i n a f t e r t h e “ A g r e e m e n t ” ) ; a n d WHEREAS, the County and Provider desire to extend the A g r e e m e n t while keeping in effect all terms and conditions of the Agreement not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration for the mutual covenants and agreements made in the Original Agreement and herein, the parties agree to amend the Original Agreement as follows: 1. The Term of the Agreement is hereby extended through June 30, 2023. 2. Compensation for basic services for the term shall not exceed Twenty Thousand Dollars ($20,000.00) per fiscal year, for a maximum total over the 36 month term of Sixty Thousand Dollars ($60,000.00). 3. Except for the changes made herein, the Agreement shall remain in full force and effect to the extent it is not inconsistent with this Amendment. IN TESTIMONY WHEREOF, this Amendment has been executed by the parties hereto, as of the date first above written. ORANGE COUNTY: PROVIDER: Alsco, Inc. __________________________ _________________________ County Manager Christopher Strickland Title: General Manager DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 11/19 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Alsco, Inc. Party/Vendor Contact Person: Tim Richard Contact Phone: (919) 596-2186 Party/Vendor Address: 1720 E. Lawson St. City Durham State: NC Zip: 27703 Department: Solid Waste Amount: $20,000 per year for 3 years total NTE $60,000 Purpose: Uniform rental and service Budget Code(s): 50350020-630003, 50350020-670000, 50351020-670000, 50352020-670000, 50353020-670000 Vendor # 16942 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 7-1-2020 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content and I as Department Director affir matively state work on this project has not been initiated prior to execution of the agreement: Department Director’s Signature ________________________________________ Date: ________ 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: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 6/16/2020 6/16/2020 6/19/2020 6/19/2020 Revised 11/19 Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 6/15/2020 (801) 947-4104 22667 Alsco Inc. 1720 E. Lawson Street Durham, NC 27703 43575 A 2,000,000 HDOG27629945 11/1/2019 11/1/2020 2,000,000 0 2,000,000 5,000,000 2,000,000 5,000,000A ISAH08871103 11/1/2019 11/1/2020 B WLRC48134695 11/1/2019 11/1/2020 1,000,000 N 1,000,000 1,000,000 Orange County Government 1514 Eubanks Rd. Chapel Hill, NC 27516 ALSCINC-01 JANDRUS HUB International Insurance Services Inc. 75 West Towne Ridge Parkway Tower 2, Suite 400 Sandy, UT 84070 Jake Andrus Jake.Andrus@hubinternational.com ACE American Insurance Company Indemnity Insurance Company of NA X X X X X X X DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 1 [Departmental Use Only] TITLE FY NORTH CAROLINA SERVICES AGREEMENT UNDER $90,000.00 RFP ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 1st day of July, 2017, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") andAlsco, 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 Services Agreement (“Agreement”) is for professional services to be rendered by Provider to County with respect to (insert type of project): Uniform Rental and Service. 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 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 2 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. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, and 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. 3. Basic Services a. Basic Services. i) The Provider shall perform as Basic Services the work and services described herein and as specified in the County’s Request for Proposals or Request for Qualifications (the “RFP”) “RFP Number 5236 for “Uniform Rental and Service” issued May 31, 2017, and the Provider’s proposal, which are fully incorporated and integrated herein by reference together with Attachments (designate all attachments). In the event a term or condition in any document or attachment conflicts with a term or condition of this Agreement the term or condition in this Agreement shall control. Should such conflict arise the priority of documents shall be as follows: This Agreement, the County’s RFP together with attachments, Provider’s Proposal together with attachments. ii) The Basic Services will be performed by the Provider in accordance with the following schedule: (Insert task list and milestone dates) Task Milestone Date 1. Uniform provision and cleaning weekly as set forth in RFP 2. Provision and cleaning of bar rags weekly as set forth in RFP DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 3 3. Provision and cleaning of mops weekly as set for in RFP 4. Provision and cleaning of shop towels weekly as set forth in RFP 5. Additional services as set forth in the RFP Variable 6. 7. 8. 9. 10. iii) Should County reasonably determine that Provider has not met the Milestone Dates established in Section 3(a)(ii), County shall notify Provider of the failure to meet the Milestone Date. The County, at its discretion may provide the Provider seven (7) days to cure the breach. County may withhold the accompanying payment without penalty until such time as Provider cures the breach. In the alternative, upon Provider’s failure to meet any Milestone Date the County may modify the Milestone Date schedule. Should Provider or its representatives fail to cure the breach within seven (7) days, or fail to reasonably agree to such modified schedule, County may immediately terminate this Agreement in writing, without penalty or incurring further obligation to Provider. This section shall not be interpreted to limit the definition of breach to the failure to meet Milestone Dates. 4. Duration of Services a. Term. The term of this Agreement shall be from July 1, 2017 to June 30, 2020. b. Scheduling of Services i) The Provider shall schedule and perform its activities in a timely manner so as to meet the Milestone Dates listed in Section 3. 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 July 1, 2017. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services under this Agreement. The maximum amount payable for Basic Services is Twenty Thousand Dollars per fiscal year, for a maximum total over the thirty-six month term of Sixty Thousand Dollars ($60,000). 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. Payment for Basic Services shall become due and payable in direct proportion to satisfactory services performed and work accomplished. Payments will be made as percentages of the whole as Project milestones as set out in Section 3(a)(ii) are achieved. (For example, if there are 10 Project Tasks with Milestone DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 4 Dates then Provider may invoice for the first 10% of the whole upon County’s acknowledgement of the satisfactory completion of Task one. Upon the County’s acknowledgement that the second Task has been satisfactorily completed Provider may invoice for the next 10% of the whole.) b. 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 (the Solid Waste Director) 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 (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. The Provider agrees 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. DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 5 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. 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 Services 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 the work and shall not resume the work 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, on the list created by the State Treasurer pursuant to G.S. 147- 86.58. DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 6 c. Non-Discrimination and Living Wage. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations. 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 anti-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.orangecountync.gov/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. Entire Agreement. This Agreement, together with the RFP and its attachments and the Proposal and its attachments, 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 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 7 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 shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County’s legal authority. i. 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. 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 & Address Attention: Solid Waste Director Alsco, Inc. P.O. Box 8181 1720 E. Lawson St. Hillsborough, NC 27278 Durham, NC 27703Alsco [SIGNATURE PAGE TO FOLLOW] DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 8 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: By: _________________________________ County Manager By: __________________________________ Chris Strickland, General Manager Printed name and title DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625 6/24/20177/5/2017 DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Revised 2/17 9 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Department Party/Vendor Name: Alsco, Inc. Party/Vendor Contact Person: Eric Beu Contact Phone: 919-596-2186 Party/Vendor Address: 1720 E. Lawson St. City Durham State: NC Zip: 27703 Department: Solid Waste Amount: Estimate maximum of 20,000 per year, three yr. total of 60,000 Purpose: Uniform provision and laundering Budget Code(s): 50350020-630003, 50350020-670000, 50351020-670000, 50352020-670000, 50353020-670000 Vendor # 16942 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date July 1, 2017 Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: Department Director’s Signature ________________________________________ Date: ________ 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: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@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:_________ DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625 6/27/2017 7/3/2017 7/3/2017 7/5/2017 DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 ORANGE COUNTY Request for Proposals Uniform Rental and Service Solid Waste 5/31/2017 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 1 of 21 Table of Contents Section I (General Requirements/Overview of Program) ..................................................................................................... 2 Submission Instructions ...................................................................................................................................................... 2 Purpose of Program ........................................................................................................................................................... 2 Overview of Requirements ................................................................................................................................................. 2 RFP Evaluation Process ...................................................................................................................................................... 2 Proposal Negotiations ........................................................................................................................................................ 3 E-Verify ............................................................................................................................................................................... 3 Living Wage ........................................................................................................................................................................ 3 North Carolina Sales Tax .................................................................................................................................................... 3 Iran Divestment Act ........................................................................................................................................................... 3 Public Information .............................................................................................................................................................. 3 Terms of Agreement .......................................................................................................................................................... 4 Provisions of Goods and Services....................................................................................................................................... 4 Placement of Orders .......................................................................................................................................................... 4 Invoicing .........................................................................................................................................................................…. 4 Payment…………………………………………………………………………………………………………………………………………………………….4 Responsible Contact ………………………………………………………………………………………………………………………………………….4 Section II (Special Provisions) ................................................................................................................................................ 4 General .............................................................................................................................................................................. 5 Uniform and Mat Details……………………………………………………………………………………………………………………………….. 6 Basis for Award .................................................................................................................................................................. 7 CPI Adjustments ................................................................................................................................................................. 7 Discrepancies ..................................................................................................................................................................... 7 Recycling Requirements ..................................................................................................................................................... 7 Subcontracting ................................................................................................................................................................... 7 Additional Information ....................................................................................................................................................... 8 Section III (Bid Documents) .................................................................................................................................................... 8 Uniform Rental Specifications and Variances .................................................................................................................... 9 Quotation Sheet ............................................................................................................................................................... 13 Reference List and Vendor Profile .................................................................................................................................... 15 Section IV (Sample Contract) .......................................................................................................................................... 17-24 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 2 of 21 SECTION I GENERAL REQUIREMENTS/OVERVIEW OF PROGRAM A. Submission Instructions The Proposal must be received by Orange County Financial Services, Hillsborough, North Carolina, 27278 by 10:00 a.m., June 13, 2017, Proposals can be sent electronically via email to dcannell@orangecountync.gov, or via fax to 919-636-4913 or by hand to 200 S Cameron Street, Hillsborough, NC. There will be no formal opening Proposals must be in the form specified in the RFP Package and all required information must be included and signed by the chief executive officer of the bidding organization or a duly authorized agent. Submittals must be clearly labeled "Sealed Proposal #" 5236 Key dates in the bidding and contracting process are: 5/31/2017 RFP for Uniform Rental and Service packet is available. Electronic copy is available at www.orangecountync.gov/PURCHASING/bids.asp or by request 6/7/2017 Deadline for submittal of questions dcannell@orangecountync.gov 6/13/2017 Sealed proposals due to Orange County Financial Services, Purchasing Division Office by 10:00 a.m. July 1, 2017 Vendor begins Uniform Service B. Purpose of Program The purpose of this RFP is to seek vendors suitable to provide for the rental of uniforms, delivery of mats, towels and cleaning of all items on a weekly basis. C. Overview of Requirements Vendors agree to the following guidelines: Adhere to Federal, State, and Local guidelines. D. RFP Evaluation Process The County intends to award a Contract to the lowest responsible and responsive bid. Each proposal will be evaluated by the Solid Waste Department for responsiveness to the requirements of this RFP. The evaluation criteria are: 1. Qualifications, inclusive of, but not limited to: Offeror’s demonstrated experience in providing and servicing rental uniforms. DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 3 of 21 2. Capacity to provide service on a weekly basis. Offeror’s proposed procedures, including proposed personnel, equipment, vehicles, and market if applicable. 3. The responsiveness and completeness of the Proposal. 4. References. 5. Subcontractors to be used, if any. E. Proposal Negotiations Orange County reserves the right to request additional information from the bidding agency or to negotiate specific terms contained within each Proposal. Orange County also reserves the right to conduct site visits during the evaluation process. Orange County Board of Commissioners reserves the right to accept or reject any or all proposals, in whole or in part, and to waive irregularities not affecting substantial rights of the bidding agency at any time during the bid proposal process or prior to contract execution. F. E-Verify HB786 imposes E-Verify requirements on contractors who enter into certain contracts with state agencies and local governments. The legislation specifically prohibits governmental units from entering into certain contracts “unless the contractor and the contractor’s subcontractors comply with the requirements of Article 2 of Chapter 64 of the General Statutes.” (Article 2 of Chapter 64 establishes North Carolina’s E-Verify requirements for private employers). It is important to note that the verification requirement applies to subcontractors as well as contractors. The new laws specifically prohibit governmental units from entering into contracts with contractors who have not (or their subs have not) complied with E-Verify requirements. Complete the attached affidavit, and include it with your submittal. G. Living Wage Orange County is committed to providing its employees with a living wage and encourages agencies it funds to pursue the same goal. A copy of Orange County’s Living Wage Contractor Policy is included with this addendum. H. North Carolina Sales Tax If bidder is required to charge North Carolina sales tax on bidder’s sales, bidder shall not include it as part of the bid price. I. Iran Divestment Act Please complete the attached Iran Divestment Act Certification Requirements and Include with your bid submittal. J. Public Information All Bids submitted to Orange County Board of Commissioners will become public information after the RFP is awarded by the Orange County Board of Commissioners. K. Terms of Agreement DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 4 of 21 A three (3) year Agreement will be awarded with the option to renew for one additional three (3) year period if vendor’s performance has been satisfactory during the contract period. The RFP for Uniform rental and the response to RFP submitted by the successful bidder will be attached to the contract and incorporated by reference as an integral part thereof. L. Provisions of Goods and Services The Contractor shall provide to the County, on an as needed basis, but at least weekly, all goods and services necessary to perform “Uniform Rental and Cleaning” as described in this RFP, the Contract and the Pricing Schedule. The Contractor understands and agrees to be the Primary Contractor with the County for these goods and services. M. Placement of Orders A County Purchase Order shall be issued to the Contractor to provide the goods and services identified in this bid document. N. Invoicing Invoices shall be submitted weekly to the administrative office of the Public Works Department of the County of Orange, 600 Highway 86 North, Hillsborough, NC, and to the Administrative office at the Solid Waste Operations Center, 1207 Eubanks Road.. Each invoice shall include the names and locations of each employee and indicate each employee’s charges for that week. Any and all environmental charges shall be listed as a separate line item. O. Payments The County shall make payment to the Contractor, net 30 days and may accept prompt payment discounts if offered, after receipt of an acceptable invoice. The Contractor further agrees to include in any subcontract for more than $10,000 entered into as a result of this Contract, a provision to the effect that the subcontractor agrees that the County or any duly authorized representative shall, until the expiration of five (5) years after final payment under the subcontract, have access to and the right to examine and copy any directly pertinent books, documents, papers and records of Contractor involved in transactions related to such subcontract, or this Contract. P. Responsible Contact The contractor shall supply the name of one person to be responsible for this account and handle all concerns regarding problems with billing, uniforms and service. Contractor guarantees a twenty-four (24) hour next business day reply to all service calls. SECTION II Special Provisions A. General 1. At the beginning of the contract and each renewal period, unless otherwise authorized, all new uniforms shall be provided. Each person shall be measured to assure proper fit. All preparation charges shall be included in the bid price. The successful contractor shall be prepared to provide complete service within thirty (30) days of receipt of the initial order. 2. The successful contractor shall provide weekly service to one location in Hillsborough and three locations at the Solid Waste complex in Chapel hill Public Works Complex (Motor Pool and Custodial) at 600 Highway 86 N, Hillsborough, N.C. DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 5 of 21 Solid Waste Administration building -1207 Eubanks Rd, Chapel Hill Solid Waste Maintenance & Sanitation/Recycling, 1514 Eubanks Rd, Chapel Hill Solid Waste Landfill, 1514 Eubanks Rd, Chapel Hill 3. For subsequent addition of employees, the contractor will guarantee the County a maximum two (2) week period of delivery for the complete issue of all clothing articles to include shirts, pants, and jackets and coveralls. 4. Uniforms unavailable from standard stock sizes shall be special ordered and provided at no increase in cost to the County 5. No extra charge will be levied during the contract period for upgrading of garments that show excessive wear. 6. No charge will be levied for employees who gain or lose weight requiring a size change. 7. Each uniform shall be cleaned and repaired as necessary on a weekly basis. 8. Each uniform shall be maintained in serviceable condition with rips, tears, loose or missing buttons, etc., repaired and/or replaced as necessary to retain the original quality and appearance. 9. Each uniform shall be returned neatly processed; wrinkle free, placed on hangers and delivered to a specified point of delivery for employees. (Note: Each person’s uniforms of shirts and pants (coveralls and jackets when applicable) shall be grouped together. 10. Uniforms that are damaged beyond repair shall be replaced with new articles only. Orange County shall not assume liability for items damaged due to nature of work performed. 11. Uniforms that are damaged beyond repair through normal wear and tear shall be replaced at no cost to the County. 12. Executive oxford shirts shall be replaced with new stock when they become worn, damaged or heavily stained through normal use. The county will be the judge of such worn, damaged or heavily stained items. 13. Pants of supervisory personnel shall be replaced with new stock when they become worn, damaged or heavily stained through normal use. The county will be the judge of such worn, damaged or heavily stained items. 14. The Contractor will issue credits for vacations, military leave, or sickness’ exceeding a two-week service period. 15. No charges will be incurred when all garments are returned for those personnel who terminate employment with the County prior to contract expiration. 16. The County will be supplied with “Customer Service Repair Tags” to be attached to garment needing repair(s). 17. A system shall be in place to provide for the recycling of garment hangers. B. Uniform and Mat Details 1. Work Uniforms. Unless 100% Cotton uniforms are specified in the chart below, the uniform materials for work uniforms shall conform to the following criteria: DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 6 of 21 Jacket - 65% polyester - 35% cotton, 7.5 ounces per square yard, twill weave, permanent press, soil release finish, permanent quilted lining. Pants - 65% polyester - 35% cotton, 7.5 ounces per square yard, twill weave, durable press, soil release finish. Pants shall have soft finish. Shirts - 65% polyester - 35% cotton, 4.25 to 4.5 ounces per square yard, Poplin or leno weave, durable press, soil release finish. Coveralls – 65% polyester – 35% cotton; 5.5 ounces per square yard, Poplin Weave Jeans – 14.75-oz – all cotton denim a. All uniforms shall be cut from well-proportioned patterns to insure proper and comfortable fit. All buttons shall be made of melamine or similar break resistant material. All zippers shall be extra heavy industrial laundry type with polyester tape. All grippers or snap fasteners shall be stainless steel. All stitching shall be made with polyester core thread. b. Pants shall have two (2) front pockets and two (2) hip pockets. The left hip pocket shall be a button type. Pockets and waistband shall be made of materials containing 50% cotton and 50% polyester. c. Jackets shall have a heavy-duty brass zipper for long lasting durability. The jacket shall have a permanent quilted lining and two hand-warmer pockets. Three jacket styles from which employees will be given a choice shall be available: . Traditional “Ike Style” jacket with button-thru chest pockets, two-piece topstitched collar and adjustable cuffs. “Team Jacket” with rib knit collar, cuffs and waist. Slash pockets. “Hip Length Jacket” two-piece top-stitched collar, adjustable cuffs and two on-seam pockets. d. Shirts shall be furnished with two (2) button-through type breast pockets. The collar lining shall be 100% polyester or dacron and shall have permanent collar stays. e. Coveralls shall have action back, 2-way full-length brass zipper, four (4) front pockets, two (2) back pockets and snap top. 2. Executive Wear. The uniforms for Executive Wear, unless noted below, shall conform to the following criteria Pants - 65% polyester - 35% cotton, 7.5 ounces per square yard, brushed twill weave, durable press, soil release finish. Shirts – Oxford – Long or short sleeve 60% Cotton, 40% Polyester, yarn dyed, 4.5 ounces per square yard. Shirts – Polo – 50% Cotton, 50% Polyester, 5.4 ounces per square yard, soil release finish. a. Pants shall have two (2) slacks style front pockets, 2 rear pockets with button closure on left rear pocket. Design shall be a choice of plain or double pleat front with hook and eye closure preferred. Shall have a heavy-duty brass zipper, stitched through waistband for strength and double stitched and bar tacked. b. Oxford Shirts shall have topstitched button-down collar, seven button front placket, tailored sleeve placket and box-pleated back with spade-style chest pocket. c. Polo Shirt shall have reinforced stitching, smooth pocket less front, contrast collar and banded sleeves, and front placket with three cross-stitched melamine buttons. 3. Mat Details DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 7 of 21 The Contractor shall deliver clean mats to and pick up soiled mats from two locations weekly. Mats shall be 4’ x 6’ rubber-backed carpet. B. Basis for Award The Solid Waste Department reserves the right to award the Contract based on what is in the best interest of the County. C. CPI Adjustments No CPI adjustments will be utilized without prior written approval from the County. All prices will be fixed for a yearly basis. D. Discrepancies In the event of a discrepancy between records of the County and the Contractor, such invoice shall be paid, less the amount of the discrepancy. A notice of discrepancy with all supporting documentation shall be shared and the two parties shall reconcile records and invoices at the earliest possible date. Such reconciliation shall be reflected on the next invoice from the Contractor. E. Recycling Requirements Current recycling practices includes a provision for recycling hangers. F. Subcontracting The vendor given contract award shall be the prime contractor and shall be solely responsible for contractual performance. In the event of a subcontracting relationship, the vendor shall remain the prime contractor and will assume all responsibility for the performance of the services that are supplied by all subcontractors. The County retains the right to approve all subcontractors. G. Additional Information Requests for additional information should be directed to David Cannell, Purchasing Agent, Purchasing Agent, Link Building 200 South Cameron Street Hillsborough, NC 27278 dcannell@orangecountync.gov 919-245-2651 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 8 of 21 Section III Bid Documents Please transmit the specification chart, quotation chart, reference list, vendor profile, e- verify, living wage and Iran Divestment forms below via facsimile, email or deliver by hand or U.S. Mail, to the Orange County Purchasing Agent fax # (919) 644 3001, 131 W Margaret Lane, Suite 301, Hillsborough, NC 27278 by __________________at 10:00 AM The following specifications are intended to detail Orange County's minimum requirements. Please answer "Y" for "yes" and "N" for "no" to the questions listed below as to whether minimum specifications are met. Slight deviations may be accepted. Please use the space provided to the right to list any and/or all variances to the specifications. Uniform Rental Specifications and Variances # DESCRIPTION YES NO VARIANCE DEFINITION OF UNIFORM SETS 1 1 Set of uniforms for full time employees (FTE) shall consist of: 11 Long Sleeves 11 Short Sleeves and 11 Pants (seasonal changes of ls/ss shirts) 2 1 Set of uniforms for part time employees (PTE) shall consist of: 8Long Sleeves 8 Short Sleeves and 5 Pants (seasonal changes of ls/ss shirts) DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 9 of 21 3 1 Set of Jackets shall consist of 2 jackets 4 1 Set of coveralls shall consist of 2 coveralls 4a All shall be 35% cotton/65% polyester. (unless designated below!) Shirts shall have a minimum of 1 pocket Solid Waste - Maintenance Workers (1514 Eubanks Road, Chapel Hill) 5 ITEM #1) Workers, all 100% cotton – 4 total Dark industrial pants; Dark gray jacket with liner and exterior hand pockets; Light colored industrial shirts Coveralls ITEM #2) Administrative, all 100% cotton- 1 Standard khaki or blue pants or jeans jacket with liner; Administrative (Executive) Executive oxford button-down shirts Executive polo (cotton) Solid Waste - Landfill (1514 Eubanks Road, Chapel Hill) 6 ITEM #2) Workers: - 4 full time employees (FTE) and 1 part time employee (PTE)partial sets total Dark industrial pants; Dark Jacket lined, with exterior hand pockets, Enhanced Visibility Orange Stripe; Industrial Shirts (Optional shirt types: Orange or Light Grey Enhanced visibility shirts (fluorescent trim with reflective stripe) NOTE: 2 sets 100% Cotton 7 ITEM #3) Administrative, 2 total Standard khaki or blue pants or jeans Executive Polo (choice of cotton or poly blend)Administrative (Executive) Executive oxford button-down shirts Solid Waste - Recycling (1207 Eubanks Road, Chapel Hill) 8 ITEM #4) Workers: - 24 total Dark industrial pants; Dark Jacket lined, panel front, Enhanced Visibility Orange Stripe; Industrial Shirts must have ANSI II high visibility shirts day- glow yellow/green 9 ITEM #5) Administrative, -3 total Standard khaki or blue pants or jeans jacket with liner; Administrative (Executive) Executive oxford button-down shirts Executive polo (choice of cotton or poly blend) Solid Waste – Sanitation (1514 Eubanks Road, Chapel Hill) 10 ITEM #6) Workers: - 14 FTE and 3 PTE person total Dark industrial gray pants; Dark gray Jacket lined, panel front, Enhanced Visibility Orange Stripe; Industrial Shirts (Optional shirt types: Orange or Light gray Enhanced visibility shirts (fluorescent trim with reflective stripe ITEM #7) Administrative, 2 Standard khaki or blue pants or jeans jacket with liner; Administrative (Executive) Executive oxford button-down shirts Executive polo (choice of cotton or poly blend) AMPS Motor Pool – 600 HIGHWAY 86 NORTH, HILLSBOROUGH 11 ITEM #7) Workers, - 5 total Navy blue jeans and industrial coveralls; Navy Jacket with liner; DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 10 of 21 Light blue industrial shirts Gray t-shirt 12 ITEM #8) Supervisor (administrative), - 1 total Industrial Khaki pants jacket with liner; White Executive oxford button-down shirts Employee Name/ County Seal 13 County seal (4 color)) shall be affixed on all shirts, jackets and coveralls over the left breast Employee’s name shall be affixed on all employee shirts, coats, and coveralls over the right breast (sample pictures included) 14 The printing and production of the emblems are the responsibility of the contractor. The County of Orange will select the color and style logo from the successful contractor for the purpose of producing the emblems. General: 15 Uniforms unavailable from standard stock sizes shall be special ordered and provided at no increase in cost to the County 16 At the beginning of the contract, all new uniforms shall be provided. Each person shall be measured to assure proper fit. All preparation charges shall be included in the bid price. The successful contractor shall be prepared to provide complete service within thirty (30) days of receipt of an order. 17 The successful contractor shall provide weekly service to one location in Hillsborough and three locations at the Solid Waste complex in Chapel hill Public Works Complex (Motor Pool and Custodial) at 600 Highway 86 N, Hillsborough, N.C. Solid Waste Administration building -1207 Eubanks Rd, Chapel Hill Solid Waste Maintenance & Sanitation/Recycling, 1514 Eubanks Rd, Chapel Hill Solid Waste Landfill, 1514 Eubanks Rd, Chapel Hill . 18 For subsequent addition of employees, the contractor will guarantee the County a maximum two (2) week period of delivery for the complete issue of all clothing articles to include shirts, pants, and jackets and coveralls for the Motor Pool Division. 19 No extra charge will be levied during the contract period for upgrading of garments that show excessive wear. 20 No charge will be levied for employees who gain or lose weight requiring a size change. 21 Each uniform shall be cleaned and repaired as necessary on a weekly basis. 22 Each uniform shall be maintained in serviceable condition with rips, tears, loose or missing buttons, etc., repaired and/or replaced as necessary to retain the original quality and appearance. 23 Each uniform shall be returned neatly processed; wrinkle free, placed on hangers and delivered to a specified point of delivery for employees. (Note: Each person’s uniforms of shirts and pants (coveralls and jackets when applicable) shall be grouped together. 24 Uniforms that are damaged beyond repair shall be replaced with new articles only. The County of Orange shall not assume liability for items damaged due to nature of work performed. 25 Uniforms that are damaged beyond repair through normal wear and tear shall be replaced at no cost to the County. 26 Executive oxford shirts shall be replaced with new stock that become worn, damaged or heavily stained through normal use. The county will be the judge of such worn, damaged or heavily stained items. 27 Pants of supervisory personnel shall be replaced with new stock that become worn, damaged or heavily stained through normal use. The county will be the judge of such worn, damaged or heavily stained items. 28 The Contractor will issue credits for vacations, military leav e, or sickness’ exceeding a two-week service period. DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 11 of 21 29 No charges will be incurred when all garments are returned for those personnel who terminate employment with the Contractor prior to contract expiration. 30 The County will be supplied with “Customer Service Repair Tags” to be attached to garment needing repair(s). 31 A system shall be in place to provide for the recycling of garment hangers. Length of agreement and Termination Clause 32 The length of this agreement shall be for a term of 3 years after which all uniforms are to be returned to contractor, unless negotiations to extend the contract is in progress. If contract is renewed for an additional term, a complete set of new uniforms will be issued at the time of approval and delivered within the time frame set out in section 11 of this RFP. This Agreement may be terminated by the County or Contractor by written notice of a minimum, of sixty (60) days or may be suspended or revoked, with respect to the Contractor for nonperformance of duties stated within this contractual agreement. General 33 Bidders must submit under separate cover, a sheet detailing replacement costs for lost items, or items damaged outside the scope of this bid for the term of this agreement 34 Bidders must supply a list of 3 current references (preferably Government) with current contact persons and contact information Billing of Services 35 Weekly invoices should be presented at the administrative office of the Public Works Department of the County of Orange, 600 Highway 86 North, Hillsborough, NC. And to the administrative office at the Solid Waste Operations Center 1207 Eubanks Road Each invoice must show the number of soiled items picked up per employee, and the number of clean items returned to each employee. Invoices will be paid on a monthly time frame. 36 Any and all environmental charges shall be listed as a separate line item. 37 The weekly invoice(s) shall list the names and locations of each employee and indicate each employee’s charges for that week. 38 The contractor shall supply the name of one person to be responsible for this account and handle all concerns regarding problems with billing or uniforms. The contractor will guarantee a twenty -four (24) hour next business day reply to all service calls. Please include this information in your proposal in the following format: Name of person responsible: ________________________________ Title of person responsible: _________________________________ Address and telephone number: ______________________________ Email address ____________________________________________ DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 12 of 21 QUOTATION FIRM NAME ________________________ BY _______________________________________________ (Proposal must be signed in writing) ADDRESS __________________________ FAX _______________________ ITEM QTY GOODS OR SERVICE WEEKLY UNIT COST WEEKLY TOTAL COST 1 4 SOLID WASTE MAINTENANCE WORKERS PER ATTACHED SPECIFICATIONS $______ $_______ 2 5 SOLID WASTE LANDFILL WORKERS PER ATTACHED SPECIFICATIONS (4 FTE & 1 PTE) FTE$_____ PTE$_____ FTE $____ PTE$_____ 3 3 SOLID WASTE LANDFILL AND MAINTENANCE ADMINISTRATIVE PER ATTACHED SPECIFICATIONS $______ $_______ 4 24 SOLID WASTE RECYCLING WORKERS PER ATTACHED SPECIFICATIONS $______ $_______ 5 3 SOLID WASTE RECYCLING ADMINISTRATIVE PER ATTACHED SPECIFICATIONS $______ $_______ 6 17 SOLID WASTE SANITATION WORKERS PER ATTACHED SPECIFICATIONS (14 FTE & 3 PTE) FTE$_____ PTE$_____ FTE $____ PTE$_____ 7 2 SOLID WASTE SANITATION ADMINISTRATIVE PER ATTACHED SPECIFICATIONS $______ $_______ 8 5 AMPS (MOTOR POOL) WORKERS UNIFORMS PER ATTACHED SPECIFICATIONS $______ $_______ 9 1 AMPS (MOTOR POOL) ADMINISTRATIVE UNIFORMS PER ATTACHED SPECIFICATIONS $______ $_______ 10 12 SOLID WASTE FLOORMATS (34" X 45") EXCHANGED WEEKLY, 3 LOCATIONS AT SOLID WASTE $______ $_______ 11 1 SOLID WASTE FLOORMATS (44” X 66”) EXCHANGED WEEKLY, 1 LOCATION AT SOLID WASTE $______ $______ 12 EACH SOLID WASTE SHOP TOWELS EXCHANGED WEEKLY, 1 LOCATION AT SOLID WASTE (INITIAL INVENTORY OF 400) $______ 13 EACH RECYCLING 50 BAR RAGS PER WEEK (INITIAL INVENTORY OF 50) $______ 14 EACH CUSTODIAL DIVISION DRY MOP, 36 IN. INVENTORY OF 60 $______ 15 EACH CUSTODIAL DIVISION MOP DRY, 22 IN., TREATED INVENTORY OF 94 $______ 16 EACH CUSTODIAL DIVISION MOP FRAME, 24 IN. INVENTORY OF 30 $______ 17 EACH CUSTODIAL DIVISION MOP FRAME, 36 IN. INVENTORY OF 15 $______ 18 EACH MOTOR POOL SHOP TOWELS, 18X18 COTTON INVENTORY OF 128 $______ 19 EACH MOTOR POOL SHOP TOWELS, 18X30 COTTON INVENTORY OF 60 $______ 20 EACH MOTOR POOL FENDER COVER, POLY/COTTON INVENTORY OF 8 $______ PLEASE STATE FIRM DELIVERY TIME TO START AFTER RECEIPT OF PURCHASE ORDER: _____________ DAYS PLEASE STATE NUMBER OF DAYS TO COMPLETE THE PROJECT AFTER COMMENCEMENT: _____________ DAYS **SEE ATTACHED INSTRUCTIONS TO BIDDERS** DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 13 of 21 __________________________ TELEPHONE: _________________________________ DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Page 14 of 21 Reference List (Form 3) Provide three (3) references, at least one government entity is preferred. The proposed is required to state, in detail, what work of a character similar to that included in the proposed Contract has been done; to give references and other such detailed information as will enable the County to judge his responsibility, experience, skill, and financial standing. Proposals from Contractors inexperienced in this particular type of work will not be considered. Reference 1: _______ Years Worked: ____ Description of Job:____ Reference Contact Information:____ Reference 2: _____ Years Worked: ____ Description of Job: _____ Reference Contact Information: _____ Reference 3: _____ Years Worked: ____ Description of Job: ______ Reference Contact Information:____ Vendor Profile (Form 4) Vendor Name: _____ Corporate Headquarters: ____ Years of experience Overall :___ Public Sector :___ Customer Base # of public sector clients:____ # of clients that are municipalities:___ Similar clients to OC in size:____ Number of Employees:____ Number of subsidiaries:____ Financial Information:____ Ownership:____ Certifications:____ DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 IV SAMPLE CONTRACT This Services Agreement (hereinafter “Agreement”), made and entered into this day of , 20 , (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and , (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 Services Agreement (“Agreement”) is for professional services to be rendered by Provider to County with respect to (insert type of project): ii) By executing this Agreement, the Provider represents and agrees that Provider is qu alified 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 Revised 2/17 2 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 quality, accuracy and timely completion and/or submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, and 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 Cou nty. 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 su spension or revocation. 3. Basic Services a. Basic Services. i) The Provider shall perform as Basic Services the work and services described herein and as specified in the County’s Request for Proposals or Request for Qualifications (the “RFP”) “RFP Number for “ ” issued , 20 , and the Provider’s proposal, which are fully incorporated and integrated herein by reference together with Attachments (designate all attachments). In the event a term or condition in any document or attachment conflicts with a term or condition of this Agreement the term or condition in this Agreement shall control. Should such conflict arise the priority of documents shall be as follows: This Agreement, the County’s RFP together with attachments, Provider’s Proposal together with attachments. ii) The Basic Services will be performed by the Provider in accordance with the following schedule: (Insert task list and milestone dates) Task Milestone Date 1. 2. 3. Revised 2/17 3 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 4. 5. 6. 7. 8. 9. 10. iii) Should County reasonably determine that Provider has not met the Milestone Dates established in Section 3(a)(ii), County shall notify Provider of the failure to meet the Milestone Date. The County, at its discretion may provide the Provider seven (7) days to cure the breach. County may withhold the accompanying payment without penalty until such time as Provider cures the breach. In the alternative, upon Provider’s failure to meet any Milestone Date the County may modify the Milestone Date schedule. Should Provider or its representatives fail to cure the breach within seven (7) days, or fail to reasonably agree to such modified schedule, County may immediately terminate this Agreement in writing, without penalty or incurring further obligation to Provider. This section shall not be interpreted to limit the definition of breach to the failure to meet Milestone Dates. 4. Duration of Services a. Term. The term of this Agreement shall be from to . b. Scheduling of Services i) The Provider shall schedule and perform its activities in a timely manner so as to meet the Milestone Dates listed in Section 3. 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 . 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services under this Agreement. The maximum amount payable for Basic Services is Dollars ($ ). In the event the amount sta ted 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. Payment for Basic Services shall become due and payable in direct proportion to satisfactory services performed and work accomplished. Payments will be made as percentages of the whole as Project milestones as set out in Section 3(a)(ii) are achieved. (For example, if there are 10 Project Tasks with Milestone Dates then Provider may invoice for the first 10% of the whole upon County’s acknowledgement of the satisfactory completion of Task one. Upon the County’s acknowledgement that the Revised 2/17 4 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 second Task has been satisfactorily completed Provider may invoice for the next 10% of the whole.) b. 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 ( ) 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 requireme nts 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 (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. The Provider agrees 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 Revised 2/17 5 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 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 rem edy 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 de liver 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 r equired compliance with this Agreement. e. Suspension. County may suspend the Services 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 the work and shall not resume the work 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 Caroli na 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, on the list created by the State Treasurer pursuant to G.S. 147-86.58. c. Non-Discrimination and Living Wage. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations. Provider shall at Revised 2/17 6 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 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 anti-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.orangecountync.gov/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. Entire Agreement. This Agreement, together with the RFP and its attachments and the Proposal and its attachments, 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 un enforceable, 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. Revised 2/17 7 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 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 a dversely affects County’s authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County’s legal authority. i. 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. 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 & Address Attention: P.O. Box 8181 Hillsborough, NC 27278 [SIGNATURE PAGE TO FOLLOW] Revised 2/17 8 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: By: _________________________________ County Manager By: __________________________________ Printed name and title <INSERT> DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 STATE OF NORTH CAROLINA AFFIDAVIT ORANGE COUNTY ************************** I, ____________________________(the individual attesting below), being duly authorized by and on behalf of ________________________________ (the entity bidding on project hereinafter "Employer") after first being duly sworn hereby swears or affirms as follows: 1. Employer understands that E-Verify is the federal E-Verify program operated by the United States Department of Homeland Security and other federal agencies, or any successor or equivalent program used to verify the work authorization of newly hired employees pursuant to federal law in accordance with NCGS §64-25(5). 2. Employer understands that Employers Must Use E-Verify. Each employer, after hiring an employee to work in the United States, shall verify the work authorization of the employee through E-Verify in accordance with NCGS§64-26(a). 3. Employer is a person, business entity, or other organization that transacts business in this State and that employs 25 or more employees in this State. (mark Yes or No) a. YES _____, or b. NO _____ 4. Employer's subcontractors comply with E-Verify, and if Employer is the winning bidder on this project Employer will ensure compliance with E-Verify by any subcontractors subsequently hired by Employer. This ____ day of _______________, 201_. Signature of Affiant Print or Type Name: _________________________ State of North Carolina Orange County Signed and sworn to (or affirmed) before me, this the _____ day of ________________, 2014. My Commission Expires: Notary Public (Affix Official/Notarial Seal) DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 IRAN DIVESTMENT ACT CERTIFICATION REQUIRED BY N.C.G.S. 143C-6A-5(a) Name of Contractor, Vendor or Bidder: As of the date listed below, the contractor, vendor or bidder listed above, and all subcontractors utilized by the contractor, vendor or bidder listed above, is not listed on the Final Divestment List created by the State Treasurer pursuant to N.C.G.S. 143-6A-4. The undersigned hereby certifies that he or she is authorized by the contractor, vendor or bidder listed above to make the foregoing statement. Signature Date Printed Name Title Notes to persons signing this form: N.C.G.S. 143C-6A-5(a) requires this certification for bids or contracts with the State of North Carolina, a North Carolina local government, or any other political subdivision of the State of North Carolina. The certification is required at the following times: When a bid is submitted W hen a contract is entered into (if the certification was not alread y made when the vendor made its bid) When a contract is renewed or assigned N.C.G.S. 143C-6A-5(b) requires that contractors with the State, a North Carolina local government, or any other political subdivision of the State of North Carolina must not utilize any subcontractor found on the State Treasurer’s Final Divestment List. The State Treasurer’s Final Divestment List can be found on the State Treasurer’s website at the address www.nctreasurer.com/Iran and will be updated every 180 days. *****Contractor, Vendor or Bidder – Return This Form With All Other Required Documentation***** *****Contractor, Vendor or Bidder – Return This Form With All Other Required Documentation***** DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 Section I: General Government and Administration Policy 10.0: Living Wage Contractor Policy Reviewed by: County Attorney/County Manager Approved by: County Manager Original Effective Date: April 21, 2016 Revisions: Policy Statement It is the policy of Orange County to ensure its employees, and all individuals who provide services for Orange County, are paid a living wage. Purpose To encourage all vendors and contractors to pay a living wage to all employees who perform work pursuant to a contract with Orange County. Applicability Applies to all Orange County contracts and purchases. Policy 10.1 Living Wage 10.1.1 Orange County is committed to providing its employees with a living wage and encourages all contractors and vendors doing business with Orange County to pursue the same goal. Orange County’s living wage is $13.16 per hour. To the extent possible, Orange County recommends that contractors and vendors seeking to do business with Orange County provide a living wage to their employees. 10.1.2 Prior to final execution of a contract with Orange County all contractors and vendors seeking to do business with Orange County shall submit to the County’s representative a statement indicating whether those employees who will perform work on the Orange County contract are paid at least the living wage amount set out above. If such employees do not make at least the living wage amount set out above the contractor or vendor shall indicate in the statement the actual amount paid to such employees. For bid projects this statement should be submitted as part of the bid packet. This policy may be reviewed annually and updated as needed by the Manager’s Office DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14 DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14