HomeMy WebLinkAbout2021-690-E-AMS-Brown Brothers Plumbing & Heating-Splex - Camera storm water lines and pipingRevised 06/21
1
[Departmental Use Only]
TITLE Splex Camera Lines
FY FY2021-2022
ORANGE COUNTY
CONTRACT UNDER $5,000.00
NORTH CAROLINA
THIS AGREEMENT, is between Orange County, North Carolina, a body politic organized under
the laws of the State of North Carolina, (the "County"), and Brown Brothers Plumbing & Heating Co., Inc.
(the "Provider").
W I T N E S S E T H:
For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby
contracts for the services of the Provider, and the Provider agrees to provide the services set out below to the
County in accordance with the terms of this Agreement, time being of the essence.
The services or materials or construction (hereinafter referred to collectively as “Services”) to be
furnished under this Agreement are as follows: Provide labor and equipment to camera out existing storm
water lines at the Orange County Sportsplex.
The term of this agreement rendered shall be from December 20, 2021 to January 31, 2022.
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 to the satisfaction of the County. Provider shall be responsible for all errors or omissions, 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. Provider agrees that Provider shall not
sub-contract any of the services to be provided in this Agreement, nor shall Provider assign any right or
responsibility granted or required by this Agreement, without the prior written approval of the County.
SPECIFIC TERMS
1. Payment: The County agrees to pay at the rates specified for Services satisfactorily (as
determined by the County) performed in accord with this Agreement. The amount to be paid by the County
shall not exceed Three Thousand Dollars, ($3,000.00). Payment shall be made within thirty (30) days of an
invoice properly submitted to County. 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.
2. Non–waiver: Failure by County at any time to require the performance by Provider of any
of the provisions hereof shall in no way waive or affect the County's right hereunder to enforce the same, nor
shall any waiver by the County of any breach be held to be a waiver of any succeeding breach or a waiver of
this Non-Waiver Clause.
3. Independent Contractor: The Provider shall operate as an independent contractor, and the
County shall not be responsible for any of the Provider’s acts or omissions. The Provider shall not be treated
as an employee with respect to the Services performed hereunder for federal or state tax, unemployment or
workers' compensation purposes. The Provider understands that neither federal, nor state, nor payroll tax of
any kind shall be withheld or paid by the County on behalf of the Provider or the employees of the Provider.
4. Insurance: 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
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
Revised 06/21
2
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 be designated
here N/A (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.
5. Indemnity: To the extent authorized by North Carolina law the Provider agrees, without
limitation, to defend, indemnify, and hold harmless Orange County from all losses, liabilities, claims,
demands, suits, costs, damages or expenses (including reasonable attorney's fees) arising from bodily injury,
including death, to any person or persons or damage to or destruction of any property caused in whole or in
part by any negligent or intentional act or omission on the part of the Provider in carrying out Provider’s
duties and obligations related to the Services to be provided in this Agreement . It is the intent of this
provision to require the Provider to indemnify the County to the fullest extent permitted under North
Carolina law.
6. Termination: This Agreement may be terminated at any time by mutual written agreement of
the parties or by the County upon written notice to the Pro vider. County may suspend this Agreement upon
reasonable notice to Provider.
7. Entire Agreement and Signatures: The parties have read this Agreement and agree to be
bound by all of its terms, and further agree that it constitutes the complete and exclusive statement of the
Agreement between the parties unless and until modified in writing and signed by the parties. Modifications
may be evidenced by telefacsimile signature. 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.
8. Governing Law and Priority: Both parties agree this Agreement is governed by the laws of
the State of North Carolina and Orange County. 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 this requirement 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. 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. By executing this
Agreement Provider affirms Provider is and shall remain in compliance with Article 2 of Cha pter 64 of the
North Carolina General Statutes. In determining the basic services to be provided, should any documents be
referenced in or attached to this Agreement, the terms herein shall have priority in any conflict between the
terms of referenced documents and the terms of this Agreement.
9. Dispute Resolution: Neither party may initiate binding arbitration. Any disputes shall be
resolved by nonbinding mediation. If such mediation fails either party may initiate litigation to resolve the
dispute. Should either party initiate litigation to settle any dispute involving the terms of this Agreement
such litigation shall be initiated in the General Court of Justice of North Carolina seated in Orange County,
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
Revised 06/21
3
North Carolina. Regardless of the outcome of said litigation each party is responsible for its own costs and
fees, including attorneys’ fees.
10. Non Appropriation: Provider acknowledges that County is a governmental entity, and the
validity of this Agreement is based upon the availability of public fundi ng under the authority of its statutory
mandate. In the event that public funds are unavailable or 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 or non-appropriation of public funds.
IN WITNESS WHEREOF, this Agreement is effective upon its execution by Orange County and
the Provider.
ORANGE COUNTY PROVIDER
By: _________________________ By: _________________________
Department Director Title: ________________________
200 S. Cameron St. Brown Brothers Plumbing & Heating Co., Inc
P.O. Box 8181 PO Box 15668
Hillsborough, NC 27278 Durham, NC 27704-0668
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
Corporate Secretary
12/20/202112/22/2021
Revised 06/21
4
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Party/Vendor Name: Brown Brothers Plumbing & Heating Co., Inc. Party/Vendor Contact Person: Jeff Addison
(jeffa@bbph.com) Contact Phone: 919.220.2554 Party/Vendor Address: PO Box 15668 City Durham State: NC Zip:
27704-0668 Department: AMS Amount: $3,000.00 Purpose: Splex - Camera storm water lines and piping Budget
Code(s): 54540030-800000 Vendor # 35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes No
Contract Type: (Check one) New Renewal Amendment Effective Date 12/20/2021 Approved by Board
Yes No Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget
Yes No
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:
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: NA
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 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:_________
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
12/20/2021
12/20/2021
12/22/2021
12/22/2021
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
---OP ID: DLACORD
l\--l GERTIFIGATE: OF LIABILITY INSURANCE DATE (MM/DD/YYYYI
12t22t2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INF()RMATION 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 POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSU|NG TNSURER(S), AUTHORIZED/.-qPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
,PoRTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS 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
Diversified Insurance
Solutions LLC
P. O. Box 15734
Durham, NC 27704-
Diane S. Long
UUNIAGI
NAME:Kirk Brown
iAJS.nN'o. E,o,g1g-471-9222 | li6. '"', 919-471-6607
iiffilss, kbrown@diversei ns.com
6ilXi3;E[ rn t, BROWBRO
INSURER(S} AFFORDING COVERAGE NAIC #rNsuRED Brown Brothers Plumbing and
Heating Company, Inc.
2820 N. Roxboro Road
Durham, NC 27704
TNSuRERA: Builders Premier Insurance co.10844
rNsuRER B '
Builders Mutual Insurance Co,10844
tNsuRERc'Hiscox Pro 44318
tNsuRER D : Travelers Propeftv/Casualtv 361 61
INSURER E :
INSURER F :
CER'IIFICATE NUMEIER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE I-ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TER:M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSiURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS |]HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR
LTR TYPE OF INSURANCE
quut
INSP POLICY NUMBER .M
Y
IM LIMITS
A
A
GENIrI
ERAL LIABILITY
COMMERCIAL GENERAL LIABILITY-l .ro,rr-,roo. Ixl o..r*
contractual liab.
)cP0000055 12 12t31t2020 12t3'U2021
EACH OCCURRENCE s 1,000,00(
I9KENIEU
S lFa ocdlrrence)300,00(
IMED EXP (Any one person)e 10,00(
PERSONAL & ADV INJURY s 1,000,00(
X Deductible $500.GENERAL AGGREGATE $2,000,00(
GEN_l .L AGGREGATE LIMIT APPLIES PER
--^^porrcvlXl-,AXi Loc
PRODUCTS . COMP/OP AGG s 2,000,00(
$
OMOBILE LIABILITY
ANY AUTO
ALt OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
Deductible -0-
'cA0006942 10 12t31t2020 12t31t2021
COMBINED SINGLE LIMIT
(Ea accident)$ 1,000,00(
BODILY INJURY (Per person)s
BODILY INJURY (Por accidgnt)$
PROPERTY DAMAGE
(PER ACCIDENT)$
B
X UMBRELLA LIAB
EXCESS LIAB
X I occun-l .ro,t.-too=vluB0100430B 02 12t31t2020 't2t3112021
EACH OCCURRENCE $5,000,00(
AGGREGATE $5,000,00(
DEOUCTIBLE
ierprurton s 10,000
$
X
B
WORKERS COMPENSATION
ANO EMPLOYERS'LIASILITY Yl N
ANY PROPRIETORiPARTNER/EXECUTIVE f;;l
oFFlcER/lvlEl/BER EXCLUDED? | lr I
(Mandatory in NH)
lI ves. describe under
^i.^6rdri^ir nE
^DtrDATlnNlQ
hal^ul
N/A
/vcP0044355 12 12t3112020 12t3',il2021
VIWCSTATU-I IOTH' lTnDvttlilTQl I FR
E L, EACH ACCIDENT s 1,000,00(
E L DISEASE - EA EMPLOYEI s 1,000,00(
E L DISEASE. POLICY LIMIT 1,000,00(
c
D
rollution/Profess.
Ihird Party Crime
ANE2i26643820
1 06446766
06/03/2020
01t20t2021
06/03/2021
0112012022
Occ/Aggr. 2,000,00(
100,000 5000'ded
DEscRtpTtoN oF opERATtoNs / LocATtoNs / vEHlc_LEs (Attach AcoRD 101, Addltlonal Remarks scheduls, lf moro spacs i3 required)
5.gg;t"W"fftth l%?Jllh:18#*'fi"t addition ar insured per the attached
CERTIF
ORANCOT
Orange CountY
Attn: County Manager
200 S. Gameron St.
P.O. Box 8181
Hif lsborough,NC 27278
@ 1988-2009 ACORD CORPORATION' All rights reseryed'
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVEbil^"i.r"":; p4*_ .{
ACORD 25 (2009/09)The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
NOTEPAD tNSUREo's NAME Brown Brothers Plumbing and
BROWBRO
OP lD: DL
PAGE 2
12122t2020
following forms apply if required by written/executed contract, before
loss:itional Insured for General Liabil:Lty ongoing 6 completed operations
Primary & Non-contributory wording: CG7034(07l09) | CG1O24 (03/09) and
001 (4/13) .
anket Additional Insured applies to Contractors Pollution Liability for
going & Completed Operations, when :required by written contract.
ignated Insured for Auto Liability: CA2048 (O2/99') .
nket Waiver of Subrogation for General Liability: CG7051(06/15).
t Waiver of Subrogation for Wor.kers Compensation: WC 000313 (O4/84'l '
Ianket waiver of Subrogation for contractors Pollution Liability.
tractorE Pollution Liability: Self-Insured Retention $2,500.
tractors PolJ-ution Liability: Includes Motd Liability at $2,000'000.
tractors Pollution Liability: MoId deductible $2,500.
nket Additional Insured on Automobile Liability, with Prirnary and
-contributory wording, Per attached forrn CA300O (07 /LA) .
lla follows forrn for General Liability, Automobile Liability and
rkers Compensation.
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
BUILDERS PREMIER INSURANCIE CO.Post Office Box 150OO5
Raleigh, North Carolina 27624_cic,0'
Policy Level Forms
Commercial Fire FormscPo010 (o+1s21cP1218 (oe/951rL0269 (oz 1s2)rL50L4 (ot/1,6)
General Liability Formsceo001 (04/t3)ce2o37 (o+1131
cc2r49 (og/gg)cc21_87 ( orlrs )cG2s04 (os/os)ce7034 (07 /09 )IL0017 (L1,/s8)
Inland Marine FormscMo00L (06/ss)rLo259 (o+/9s1
PCMo023 (os/oz)
POLIICY FORMS SGHEDULE
cPo03 O (04/ o2t,)
CP9903 (i) /i al\__a +J IILo93s (ot /s2)PrL002oNc (ot /sa1
ceo300 (ot/e6)
cc203 I (04/:.3)cc2Ls4 (ot1s51cc2!s6 (E/os)ce7024 (ot/se1cc70s1 (0e1157
rL0 02 L (og / oet
cMo103
TT.n o2 tr
PCMo042
(ot /ss) cPo118
(07 /08) rl,ooo3
( orlrs ) rloees
(o+113 ) cezoro(05/74) cczrog(t2/04) Cc2L7o
(r0 / 0i,) ceT4o4
(ot /og) cc7031(10/171 cG7!37(og/oe) rL12o1
(t21191 rl.ooo3(0t1151 rl.oegs
cPo090
EMo001
ILo 952
cc2001
cG2106
cG2!67
cG2294
cG703 0
L9 / TIU
ILO269
(10/sq1
(ot I s21
(oL/ ot)
(04 / t3)
\vo/J_5,
In1 ,/1tr\
(os / oe)
(ot 7 se1
(1n/11\
(1rls51
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(ot/s71
cP1030
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rL5006
cG2032
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cG2186
cc2503
cG7032
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IL6005
rl,o017
PCMo018
(o+ 1 s21
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(04 / t3)
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(!2 / 04)
( osTee I
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(r0 / ee)
fssued Date: 12l19 /ZOZOscHED 0696
(rt/951 cM990s(Ae/ga) rr,ogsz
(ot / s41
Policy Number: pcp ooooo55 12
Named Insured: enowN enorHERS pLUMBING
Agent: oveRsrrreo rrusuRANCE soLUTtoN
TNSURED COPY Page 38 of 38
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
COMMERCIAL GENERAL LIABILITYTHIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the forowing:
COMMERCIAL GENERAL LIABILII-Y COVERAGE PART
Except as otherwise..stated in this enclorsement,the terms and conditions ot ine'-po]i"]r".pp,v ,othe insurance stated below. - r-'!y.' r
The following is added to_the Commercial General
i^13?,i'AE":""erase Form, section'ii _-r,Vfrb rs nr.r
This insurance does not apply:
a. f9 any ,,occurrence,, which takesplace after the equipmani leaseexpires;
b. .injury,, or .,property
stng out of the sole
-of the person orTrom whom equipment
eo.
not aprply tonew consitruction
ed by or for that
This insurance does not apply to:
a. Any ,,occurrence,, which taker; placeafter you cease to Oe a tenant'jn that
cG 70 34 07 0g
premises.
b. Structural alterations, newconstruction or demolition operationsperformed by or on oehati-J tneperson or organization from *nornyou lease property.
7. Tl" person(s) or organization(s) fromwhom land is...teased but only withrespect to liability arising o"i"tf tn"ownership, maintenanc" o-r tl* oJ' tn"tpart of land leased to you. fne-tJfowingadditional exclusions a-pply:
This insurance does not apply to:
a. Any ,,occurrence,, which takes placeafter you cease to lease tn"l i".ol
b. Structural alterations, newconstruction or demolition -
operationSperformed by or on behali oi- tn"person or organization from whomland has been ieased
8. lry ",.rF or potiticat subdivision subiectto the foilowing addition.f pr"ui"io#",
This ins_urance applies only with resoect
l?_jh. foilowins hazards ?"r- *irciiin"srare or political subdivision has issued apermit in connection with p."rni"E-uo,own, rent, or control and io which [hisinsurance applies:
a. The existence, maintenance, repair,construction, erection, o|- ."rno,r"l- ofad,vertising signs, awnings, "rn"pi"",cellar entrances, coal frbtes,driveways, manholes, rnrrqrll",hoistaw.ay openings,
"io"*.r['"-",]rt",street banners, or decorations lnosimilar exposures; or
b. The construction, erection, or removalof elevators; or
c. The ownership, maintenance, or useor any elevators covered 'by tni"Insurance.
Incrudes copyrighted materiar of Insurance services office, rnc., with its permission.copyright, Insurance s.-i.." Gi"!li*.. ,l"",
Page 1 of 2
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
"' f_t architect,. rengineer or surveyorengaged by vou butb_nly witri re!'pect toliability arisinq out of your premises or"your work,'.
This.. insurance, with resperct to sucharchitects, enginot apply to '
damage,',
injury,' aris
failure to ren
by or for you
a. The prep rr failing toprepare
drawings aPS' shoP
fietd ;; s, surveys,
drawinss 1i"""fi' or
b. Supervisory, inspection, architecturalor engineering rctivities
1O.Any person or organization other than anarchitect, engineer or. "urv"y,o.,-'rini.nrequires in a "work contract,i that- sucn
l^t".9", or. organization be ;;r:'"nrnsured under this policy. ffow,evJi-sucnperson or organization shall Ue an-ins-uieoonty with respect to ."""i.J' ::oftirv
itiu..y", "property damage,,, -;p"Llon",
and advertising in.iur,:- '",ri""]] inwhole or in part, by:
a. your acts or omissrons; or
b. The acts or omissions of those actingon your behalf:ln the perFormance of your ongoingoperations for the ,aOOiionafinsu.red(s) onty at the -;;c;;on
designated by the ,,wort< cont.JJtT"'
The coverage afforded to such person orapply to ,,bodily
mage", .'personal
occurring after theg times:
a. When ,,your work', under the ,,workcontract', (other than
""rvi-cl,maintenance or repairs) nas- Oeincompleted.
b. Ih,"n that portion of ,,your work,,under the ,.work contrictii "ut-'"tyl]".h any injury or damage iri"*has been put to its. intendei-";; byany person or organization oflrer thananother contractor or subci,nt;;;,engaged in performing operatjons-f;.a principat as a part dt tn,
"Lrn1project.
c. When our coverage for you under thispolicy or aterminates aother insura,.Work contr
agreement inwork perform
behatf.
11. Any person orare obligated
"insured contrsuch as is affordolly with respeo! the ownership,
of that part of any premises or landleased to you.
This does not apply to:
a. Any ,,occurrence,, that takes placeafter you cease to be "-i"n",it onthose premises, or cease to lease theland; or
b. Structural alterations, newconstruction or demolition' operations
l^T.?IT"d by < r on behatf of suchInsured.
SECTION V-DEFINITIONS
The following is added:
23.,,Work contract,, means a writtenagreement into which you enterfor work performed OV V", "-i "nyour behalf
cc 70 34 07 09
Includes copyrighted materiar of Insurance services office, rnc., with its permission.copyright, Insurance s"-i.L" Gi.!li*., ,|"sz
Page2ol 2
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
PCP OOOOO5S 12
THIS ENDORSEMENT CHI\NGES THE POLICY.
COMMERCIAL GENERAL LIABILITY
PLEASE READ IT CAREFULLY.
contractor's Btanket Additionar Insured EndorsementProducrts - Completed Operati"nr-e-
This endorsement modifies insurance provided under the fotowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ins
wronl forrth d
yrxist:;r::H:tJHJ:?g:: required to add an additionat insured on this poricy, the wrinen contract or
1 ' Currenty in effect or becoming effective during the term of this poricy;2' Executed prior to a "bodily injury" "occurrence" or "property damage,, ,,occurrence,,to whichthis insurance would apply; anO
- i
3. Between a Named Insured ernd the additional insured
B' The insurance provided to the additional insured is subject to the following provisions:
1 ' That person or organization is an additional insured only.for liability caused by your negligencespecifically resulting from "y'our work" for the additional insured as detailed in the writtencontract or written agreement.
2. The Limits of Insurance (Section lll) is amended to include:
Thecont e written
of th eclaration
not i and are
lll _ Section
3' The insurance provided to the additional insured does not apply to ,.bodily injury,, or ,,propertydamage" arising out of the rendering of, or the failuie to render Lny proie6sional services by youor on your beharf, but onry urith respect to the foilowing operations:a' Providing engine'ering, architectural or surveying services to others in your capacityas an engineer, errchitect or su veyor; andb' Providing, or hiring independent professional firms to provide, engineering,architecturar or srLrrvsying services in connection with construction work youperform.
professional services include:
c' The preparing, approving, fairing to prepare, approve, maps, shop drawings,opinions, reports, surveys, fieldtrders, change orders, or drawings andspecifications; and
d' superuisor or inspection activities performed as part of any related architectural orengineering activities.
e' However, professional services do not include services within construction means,m.ethods, techniques,.sequences and procedures empr,cyeo Lvl"u in connectionwith your operaticlns in your capacity as a construction contractor.
Includes copyrighted materier of Insurance services office, Inc., with its permission,
Copyright, Insurance Services Office, Inc.. 1997
cG 70 24 03 09
Page 1 of2
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
4'
I^lr.ur;{l"xJJ"*JRg3:..'Vtjr"il1u='ri^i2'€xcrusions of section | - ..VERAGE A BoDrLy
l. Damage to your Work
5. Wh ,arising out of it or any
inju rovided for ,,bodily
not hazard,,, coverage willa' The period of time required by the written contract or written agreement; oro
5iYr"."n"'" IEf :?L:Lgl':J:g#Xiur work" on ,n" project that is the subject or the6. A.ly coverage provided to ilreorner insurance naming the aor.on any other basis, unle ntpolicy period and executedinsurance be provided on elfl-
7 ' The insu.rance provided in this endorsr
- loncontributory basis.
l:rg;" t':"in6'"y,or"your,";;k;;;;-,,ff#:Xil:lltrEJ8,.j;:,jy,,,?Sy#:'Bi:8i# n,"ffiiltJ:J'::i
':Ij[t"!:ime
contract-r, proiect -.""s;;-o*n., or a construction project in8' The followins is added to slicrloN tv- coMMERcTAL GENERAL LrABrLrry coNDrroNs,Paragraph 2., Duties rn rrre-Evenl oi b""urr"nce, offense, craim or suit:
" "s#:ll:nal insured under this endorsement must compty with a1 provisions of this
f' The company may audit or require a copy of the contract.
Includes copyrighted materriar of Insurance services office, Inc., with its permissron.Copyright, Insurance S )rvices Office, Inc., 1997
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DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
cG 70 51 06 15
COMMEIRCIAL GENERAL LIABILITY
ENHANCEMENT ENDORSEMENT
This endorsement modifies insurance-provided under the forowing:
rH,sENDosslillii.gllft EtEH!.Jtiiivi,tEx5Et?i^5iii;;,,,.,."
SUMMARY OF COVEMGE AND INDEX
ThisThis is provided by this summary.cond is subject to all limitations indmodi
:ily,f:8,:i;::l,fXio, o,
INDEX
IncludedCoverage $25,000ion iffil3:3
6. Unintentionar Fairure To Discrose Hazards Included
7- Lost Keys of others 'v'vrt- ! rq.crr(r.'
Gcnn a------ Included
8. Medical'payments $500 Occurrence/$1,500 Aggregate
g. Broadened Mobile Equipment $15,000
10.Newty Formed or AcquireJorsanizatior s iffil3:311.Non-Owned Aircraft Included
Included
Included
nic publication Included
se, Claim Or Suit Included
urance Condition Included
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137
COMMERCIAL GENERAL LIABILITYcc 20 01 04 1g
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.PRIMARY AND NONCONTRIBUTORY -OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the fo'owing:
COMMERCIAL GENERAL LIABILITY COVERAGE PARTPRODUCTS/COM PLETE O OPCNNiI O-G L IABI L ITY COVE RAGE PART
The following is added toCondition and supersedes
contrary:
the Other Insuranceany provision to the
(2) You_ have agreed in writing in acontract or agreement that this insur_ance would be prrmary and would notseek contribution from any other insur_ance available to the additional insured.
Primary And Noncontributory Insurance
This insurance is primary to and will notseek contribution from any other insuranceavailable to an additionit insured ;;;",your policy provided that:
(1) The additional insured is a Named ln_sured under such other insurance; anJ
cG 20 01 04 13 @ lnsurance Services Office, lnc.,2012 Page 1 of 1
DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137