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HomeMy WebLinkAbout2023-160-E-Housing-Nan McKay & Associates-ConsultingRevised 06/21 1 [Departmental Use Only] TITLE Nan McKay & Assoc. FY 23 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 22nd day of March, 2023, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Nan McKay & Associates, (hereinafter, the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): Consulting for Orange County Housing Authority 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 performance of these services. Provider is solely responsible for the professional Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 1 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Revised 06/21 2 quality, accuracy and timely completion and submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) In determining the Basic Services to be provided, should any documents be referenced in this Agreement, the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. vii) Should this Agreement involve project designs, the construction or creation of which is to be bid out or fulfilled by other contractors, and bidding or negotiation with contractors produce prices which, when added to the other elements of the approved total project cost, produce a cost that is in excess of the approved total project cost, the Provider shall participate with the County in negotiation and design adjustments to the extent such are necessary to obtain prices within the approved total project cost. All activity of the Provider with respect to these matters shall constitute Basic Services and shall be performed by the Provider without additional compensation. If negotiation and design adjustments fail to bring costs within the total project cost the County may reject all bids and Provider will redesign or reduce portions of the project in an effort to reduce the bid prices to within the total project cost and rebid the project. One such redesign is included within Basic Services. If this second letting for bids does not produce bids that are within the approved total project cost initially or after negotiations with the contractor the cost is not reduced to an amount within the total project cost, the Provider is not obligated to engage in further redesign. Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 2 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Revised 06/21 3 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): See Scope of Work 4. Duration of Services a. Term. The term of this Agreement shall be from 4/1/23 to 3/31/24. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. ii) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. iii) The Commencement Date for the Provider's Basic Services shall be 4/1/23. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services satisfactorily (as determined by the County) performed pursuant to this Agreement. The maximum amount payable for Basic Services shall not exceed four thousand five hundred Dollars ($4,500.00). Payment for satisfactorily performed Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Blake Rosser, HCV Manager) 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. Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 3 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Revised 06/21 4 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 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. 8. Indemnity a. Indemnity. To the extent authorized by North Carolina law the Provider agrees, without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days’ prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. Either party may terminate this Agreement upon notice to the other party that obligations pursuant to this Agreement are made impractical due to declarations of emergency by Orange County or by North Carolina due to events directly impacting Orange County. Both parties shall remain responsible for all payment and performance due up to the receipt of such notice, but shall have no further obligation or responsibility beyond that date provided the terminating party has taken all reasonable steps to complete the performance of its Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 4 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Revised 06/21 5 obligations. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. Upon request of the County, the Provider shall submit to County all relevant documentation, including but not limited to, job cost records, to support its claims for final compensation. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. e. Suspension. County may suspend the Basic Services and this Agreement at any time for County’s convenience and without penalty to County upon three (3) days’ notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by reference and may be viewed at Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 5 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Revised 06/21 6 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 p erformance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider’s performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable 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. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement. In the event of a change in the County’s statutory authority, mandate or mandated functions, by state or federal legislative or regulatory action, which adversely affects County’s authority to continue its obligations under this Agreement, then this Agreement 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 Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 6 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Revised 06/21 7 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 Attention:Corey Root P.O. Box 8181 Hillsborough, NC 27278 Catherine Ures Nan McKay & Associates 1810 Gillespie Way El Cajon, CA 92020 [SIGNATURE PAGE TO FOLLOW] Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 7 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Revised 06/21 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: By: _________________________________ Corey Root PROVIDER: By: __________________________________ Catherine Ures Vice President of Professional Services Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 8 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Signature Certificate Reference number: CSKCM-VZM3K-OJEPZ-CJRUU Document completed by all parties on: 29 Mar 2023 19:44:08 UTC Page 1 of 1 Signer Timestamp Signature Catherine Ures Email: catherine.ures@nanmckay.com Recipient Verification: Sent:29 Mar 2023 18:40:46 UTC Viewed:29 Mar 2023 19:43:57 UTC Signed:29 Mar 2023 19:44:08 UTC ✔Email verified 29 Mar 2023 19:43:57 UTC IP address: 72.220.156.84 Location: San Diego, United States Signed with PandaDoc PandaDoc is a document workflow and certified eSignature solution trusted by 40,000+ companies worldwide. DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Remote Technical Assistance Services Agreement for the Orange County Housing Department 2023 Nan McKay & Associates, Inc. 1 EXHIBIT A: SCOPE OF WORK Nan McKay & Associates, Inc. (NMA) is prepared to provide the Orange County Housing Department (OCHD) with remote consulting services related to its housing choice voucher (HCV) and project-based voucher (PBV) programs. Our Approach & Strategy On an as-needed basis, NMA will provide a skilled consultant available remotely via email or teleconference for up to thirty (30) hours of consulting services to answer questions pertaining to OCHD’s HCV and PBV programs. For service requests outside of the assigned consultant’s scope, OCHD may contact pdorsey@nanmckay.com. Upon receipt of the service request, the project manager will work with the appropriate subject matter expert(s) from NMA’s team to ensure that questions are addressed timely. Proposed Investment NMA will invoice OCHD at a rate of $150 per hour, not to exceed a total cost of $4,500. NMA team members will track their work under this contract in fifteen (15) minute increments. Resource Hourly Rate Quantity Not-to-Exceed Cost Senior Consultant $150 30 $4,500 Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 10 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 3/27/2023 Spectrum Risk Management 74 Discovery Irvine, CA 92618 949-756-5730 949-756-5740 www.spectrumrisk.com 0C77485 Continental Casualty Company 20443 Transportation Insurance Company 20494 Federal Insurance Company 20281 The Hanover Insurance Company 22292 Republic-Vanguard Insurance Company 40479 A 1,000,00050946209019/25/2022 9/25/2023 1,000,000 3 10,000 3 1,000,000 2,000,000 2,000,000 B 6025383632 9/25/2022 9/25/2023 1,000,000 3 3 A 5094621188 9/25/2022 9/25/2023 3,000,0003 3,000,000 3 10,000 C 7183-27-75 9/25/2022 9/25/2023 3 1,000,000 1,000,000 1,000,000 A Professional Liability 596375059 9/25/2022 9/25/2023 $5,000,000 Per claim/Agg. Retention $50K A Network Security/Privacy/Media Liab 652339992 5/19/2022 5/19/2023 $5,000,000 Per claim/Agg.- Retention $50K D Crime coverage- Client Property BD3 1007035 10 5/4/2022 5/4/2023 $1,000,000 limit/ Retention $10K Jim Waterhouse Account Manager office@spectrumrisk.com 3 E Employment Practices Liab-3rd party DVA106257400 1/15/2023 1/15/2024 $1,000,000 Each claim- Retention $175K Nan Mckay and Associates, Inc. 1810 Gillespie Way #202 El Cajon CA 92020 73594336 3 3 Waiver of subrogation applies to the worker's compensation per the attached carrier form. Orange County Attention: Risk Management 200 South Cameron Street Hillsborough NC 27278 Orange County, its officers, official agents and employees are additional insured with respect to the general liability per the attached carrier form. 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 1 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 3/27/2023 Nan Mckay and Associates, Inc. 5094620901 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 2 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 3 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 4 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 5 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 6 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 7 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 8 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC124 (4-84) WC 00 03 13 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on Policy No. (DATE) of the issued to Endorsement No. Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.* This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. WC 124 (4-84) WC00 0313 Schedule BLANKET WAIVER ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER Copyright 1983 National Council on Compensation Insurance. Page 1 of 1 Nan Mckay and Associates, Inc. 7183-27-75 09/25/2022 Continental Casualty Company 73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 9 of 9 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 Revised 06/21 9 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Nan McKay & Associates Party/Vendor Contact Person: Emily Frampton Contact Phone: 619-857-4665 Party/Vendor Address: 1810 Gillespie Way City El Cajon State: CA Zip: 92020 Department: Housing Amount: 4,500.00 Purpose: Consulting Budget Code(s): 10480020-630000 Vendor # 29899 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 4/1/23 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 co ntent 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: 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 sufficie ncy 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 co pies only and is not required for Docusign contracts: Office of the Clerk to the Board __________________________________________Date:_________ Document Ref: CSKCM-VZM3K-OJEPZ-CJRUU Page 9 of 10 DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2 4/18/2023 4/19/2023 4/18/2023