Loading...
HomeMy WebLinkAbout2022-042-E-DEAPR-Historic Hillsborough Commission-Outside agency DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2021, ("Effective Date") by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and Historic Hillsborough Commission, a not-for-profit corporation, located at 150 E King St,Hillsborough,North Carolina 27278 ("Provider"). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Provider agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2021 to June 30, 2022. 2. Scope of Services. a. Provider will provide services, as outlined in the attached Outside Agency Funding Application and any amendments or revision thereto which is attached as Exhibit "A" and incorporated by reference, to the residents of Orange County. The Scope of Services and the Program Budget may be different from the original application based on County appropriation; however, any revisions or amendments to this Agreement must be approved in writing by the County and attached to this Agreement as Exhibit B. b. The Provider shall be solely responsible for the means,methods,techniques,sequence,safety program and procedures necessary to properly and fully complete the work set forth in the Scope of Services. 3. Funding. a. The County agrees to appropriate for the provision of services described in Exhibit A, Scope of Services and more particularly described in the Revised Program Budget, the maximum sum of$9054. b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of fiends must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in four equal installments in the amount of$2263.50. The first payment is contingent upon receipt of the agency's performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County's obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. Orange County Outside Agency Performance Agreement Revised 1012021 Page I of 10 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. f. The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 —December 31; January 1 —March 31 and April 1 -June 30. Reports are due on January 10, April 10, and July 10 of the program fiscal year. b. Provider agrees to allow the County to inspect its financial books and records, which document costs of those services, upon reasonable notice during normal working hours. 5. Termination. a. Termination for Cause. In the event of any of the circumstances set forth below(hereinafter referred to as"default"),the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above,the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance, incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws,regulations, or stated public policy. b. In the event of default by the Provider, the county may elect to terminate this Agreement, in whole or in part and/or require the Provider to repay the funds within ten(10) business days from written notice of default. The County may (but shall not be required to) grant the Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County's remedies in law or in equity. c. Notwithstanding the foregoing,either party may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at Orange County Outside Agency Performance Agreement Page 2 of 10 Rev.10121 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused fiinds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be unjustified shall be deemed a termination for convenience. e. 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. 6. Responsibilities of the County. Cooperation and Coordination. The County has designated (David Stancil) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance. a. General Requirements. The Provider shall purchase and maintain, during the period of performance of this Agreement, insurance: i. Worker's Compensation. For protection from claims under workers' or workmen's compensation acts; ii. Comprehensive General Liability Insurance covering claims arising out of or relating to bodily injury, including bodily injury, sickness, disease or death of any of the Consultant's employees or any other person and to real and personal property including loss of use resulting thereof; iii. Comprehensive Automobile Liability Insurance, including hired and non-owned vehicles, if any, covering personal injury or death, and property damage; and iv. Professional Liability Insurance,covering personal injury,bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Consultant or his agents, consultants and employees. v. Sexual Misconduct. Sexual Abuse/Molestation Insurance is required when Provider works directly one-on-one with children, elderly or other at-risk populations. b. Limits of Coverage: Minimum limits of insurance coverage shall be as follows: INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE • Worker's Compensation Limits for Coverage A- Statutory State NC &Coverage B -Employers Liability $500,000 each accident, disease policy limit and disease each employee Orange County Outside Agency Performance Agreement Page 3 of 10 Rev.10121 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD • Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate • Automobile Liability $500,000 Combined Single Limit • Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate • Sexual Misconduct $1,000,000 Each Occurrence $2,000,000 Aggregate c. All insurance policies (with the exception of Worker's Compensation and Professional Liability)required under this Agreement shall name the County as an additional insured party and as a certificate holder. For more information see 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.oran�ecountync.�ov/departments/purchasing divisian/contracts.php.) Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough,NC 27278 d. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. 8. General Provisions. a. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina.By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. b. Non-Discrimination. Provider agrees as part of consideration of the granting of finds by Orange County the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race,color,gender,national origin, age, handicap, religion, sexual orientation, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Non-discrimination Policy, which is incorporated herein by reference and can be viewed at http://www.oi-ail eg coon nc gov/departments/purchasitdivision/contracts.php. The County may enforce this provision by an action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. c. 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 Orange County Outside Agency Performance Agreement Page 4 of 10 Rev.10121 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD 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. d. Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies if fiends to pursue the same goal. The Orange County Living Wage Policy, which is incorporated herein by reference, can be viewed at: htt�//www oran eg cot�ntync og y/departments/piuchasinQ division/contracts.php. The County's living wage is $15.40 per hour. To the extent possible, Orange County recommends that Provider provide a living wage to its employees. e. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required 'in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. f. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers,which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. g. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other party without prior written consent from the County. h. Assignment. The Provider shall not assign this Agreement,including the rights to payment, to any other party without the prior written consent of the County. i. Indemnification. Provider agrees to defend, indemnify, and hold harmless the County, for all loss, liability,claims or expense(including reasonable attorney's fees)arising from bodily injury, including death or property damage, to any person or persons caused in whole or in part by the negligence or willful 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 section to require Provider to indemnify the County to the extent permitted under North Carolina law. Nothing in this section is intended to affect or abrogate the County's sovereign immunity defenses. j. Non-Appropriation. This Agreement is subject to the availability of funds to purchase the specified services and may be terminated at any time if such funds become unavailable. lc. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if the Agreement did not contain the particular part,term or provision held to be invalid. Orange County Outside Agency Perfortnance Agreenent Page 5 of 10 Rev.10121 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD 1. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. m. 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 Historic Hillsborough Commission Attention: David Stancil Attention: Sarah Parris P.O. Box 8181 Address: 150 E King St. Hillsborough,NC 27278 Hillsborough,NC 27278 Email:dstancil@orangecountync.gov Email: sarah@historichillsborough.org n. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11 A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF,the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below. For and on beha f of the Provider DocuSigned by: ar4' e a.V'VlS 1/28/2022 SftfflhFVanri�,3Executive Director Date For and on behatf of Orange County Government DocuSigned by: �Ol�Lbl It (�gyKw�t yS(t 2/1/2022 Bonnie M5%inersley, County Manager Date Orange County Ozrtside Agency Performance Agreement Page 6 of 10 Rev.10121 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD ORANGE COUNTY-DEPARTMENT USE ONLY Party/Vendor Name: Historic Hillsborough Commission Party/Vendor Contact Person: Sarah Parris Contact Phone: 919-732-7741 Party/Vendor Address: 150E King St City Hillsborough State: NC Zip: 27278 Department: DEAPR Amount: 9054 Purpose: Outside Agency Budget Code(s): 10695050 710005 Vendor 4 800687 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 7-1-2021 Approved by Board Yes®No❑ Agenda Date: 6-15-2021 This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: DocuSigned by: Department Director's Signature ry } � Date: 1/28/2022 67tt,FKN507A i95 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 sewices)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: DocuSigned by: Office of the Risk Management Officer F&& r,OVtnd 6 Date: 1/28/2022 1II1-1l bdUU49_.. Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer�6Ia Date: 1/31/2022 �ry ,�o,.a/alto,. `7D4E5181 ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney l 51A Date: 1/31/2022 `079A4D525COF4FB._ Cleric to the Board Received for record retention: All Docusign contacts 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: Orange County Outside Agency Performance Agreement Page 7 of 10 Rev,10121 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD COVER PAGE Applicant Contact Information Applicant Organization's Legal Name: Alliance for Historic Hillsborough Applicant Organization's Physical Address: 150 E King St Hillsborough, NC 27278 Applicant Organization's Mailing Address: 150 E King St Hillsborough, NC 27278 Applicant Organization's Web Address: historicHillsborough.org Executive Director: Sarah Parris Telephone Number: 919-732-7741 E-Mail: sarahCa�-historichillsborough.org Tax ID Number: 56-1818934 Funding Request: $9054 Please list all Fiscal Year 2022 Human Services (HS) funding requested for all ro rams and the proposed use of funds lease list program name only) Program Carrboro - Chapel Orange Total HS Hill - HS County-HS Ex. Youth Afterschool Program $10,000 $15,000 $5,000 $30,000 Operations or Personnel Operations Personnel Operations Visitor Safety & Services, Burwell $9,054 $9,054 School Historic Site Operations Operations Totals $9,054 Briefly explain your proposed use of funds: The funding, administered through the Alliance for Historic Hillsborough,will support visitor safety& services at the Burwell School Historic Site.Visitor safety&visitor services include the provision of historical education,tours, programs and services to schoolchildren and adults from all areas of the county and the state. Our visitor safety&services funding will be utilized toward buildings and grounds and utilities,which are crucial to allow us to continue to be operate as a 200-year-old historic house museum,the only such site in Orange County that is open to the public free of charge year-round. Cover Page P a g e 6 o f 2 5 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD 1 r i EXHIBIT"B" Scope of Services—FY 2021-2022 Outside Agency Performance Agreement Agency Name:Alliance for Historic Hillsborough Program Name: Burwell School Historic Site Funding Award: 9,054 Outline how the agency will spend Orange Coun 's funding award. Expense Description Amount Visitor Safety&Services-Burwell School Historic Site Operation 9054.00 Program Services Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2022. • Maintain the Burwell School Historic Site for the benefit of Orange County residents&visitors. • Provide researched information& free self-guided and docent-led historical tours of the Burwell School Historic Site,with attention paid to relevant aspects of women's education and history and the lives of all residents during the 19th century,including enslaved and free persons of color. • Maintain and update tour content based on research, train docents and greeters, maintain visitor logs, and design customized tours for school children, college students, Girl Scouts and senior groups. Research information will be validated& entered into the Burwell School's free online database,the People of the Past. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County,only(all Towns and municipalities).If you use percentages,you must also provide the total number of participants within that measure's description or for an earlier performance measure. Performance Measures Anticipated Results Maintain and update tour content based on research,train docents and greeters,maintain Expected to visitor logs,and design customized tours for school children,college students,Girl serve over Scouts and senior groups. 2,000 people within the county with tours, events,and group visits Research information will be validated&entered into the Btu-well School's free online Estimated database,the People of the Past. Online content is meant to be used as a free resource to reach 75- 100 outside Certified by: t c � Title: 61<t ivy Y rc fi,y Date: i 1/ � (Provider's Signature) DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD but also a way to reach an extended audience outside of Orange County,encouraging the county, tourism. encouraging tourism. Cross promoting content,sharing resources&best practices and collaborating on events Expected to serve over 2,000 people within the county with tours, events,and group visits DocuSigned by: Certified by: 4AV YS hn Title: ZV jf �Dl I P� Y Date: DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD ATTACHMENT "A" Orange County Certifications—FY 2021-2022 Outside Agency Performance Agreement Chief Contact,Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name,title,residential address;phone and email address and if possible, fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing,with the name,physical address, mailing address and if possible, phone,fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not, please explain on a separate sheet of paper. Alignment with Organization's Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the finds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. Certified by: FDI-Sig"Idby: ar4, Pas Title: Executive Director Date: 1/28/2022 rovtffe'3gs'Signature) Orange County Outside Agency Per fortnance Agreement Page 10 of 10 Rev.10121 DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD DATE(MMIDO/YYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE 01/05/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NME; Carla Moore A Colonial Insurance Agency Hillsborough Ho cNrio Ext: 919)732 2191 FAX No): (919)732 2192 103 Millstone Dr. Suite ADDRESS: carla@acolonial-agency.com Po Box 490 INSURER(S)AFFORDING COVERAGE NAIC# Hillsborough NC 27278 INSURERA: Auto Owners Ins Cc 18988 INSURED INSURERS: ALLIANCE FOR HISTORIC HILLSBOROUGH INSURER C: 150 E King St INSURER D: INSURER E: Hillsborough NO 27278 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R TYPE OF INSURANCE ADDL SUER POLICY NUMBER MPOLICY DDIYYYY POLICY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 RETED CLAIMS-MADE �OCCUR PREM SES(Ea occurrence) $ 50000 MED EXP(Any one person) $ 5000 A Y N 35097265 11/03/2021 11/03/2022 PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 X POLICY PRO ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 2000000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Peraccidenl H 1 $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER WORKERS COMPENSATION X STATUTE I I EERH AND EMPLOYERS'LIABILITY — — Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100000 A OFFICEWMEMBEREXCLUDED7 N/A N 35097281 11/03/2021 11/03/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Orange County is listed as additional insured With reference to General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County DEAPR ACCORDANCE WITH THE POLICY PROVISIONS. Risk Manager PO Box 8181 AUTHORIZED�REPRESENTATIVE mil,/,�Y7� Hillsborough NO 27278 Fax: Email: O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD